4_-_Tech_Personnel_Staff_List.docx

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CTS Services in Sioux City, IA
Solicitation number
15BCTS18Q00000029
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Technical Personnel Staff List

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TECHNICAL PERSONNEL LIST: APPENDIX A

Solicitation or Contract Number

Agency/Company Name

Address of Performance Site(s)

Last Name, First Name (as it appears on license)

Position
Professional License Type/Number

DEA License/Number

License Expiration Date
Employment

Status

BOP

Use Only

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Signature of Authorized Negotiator:

Date:
12/28/2017

NOTE: Only personnel listed on this form will be considered for the solicitation or contract.

TECHNICAL PERSONNEL LIST: APPENDIX A

Solicitation or Contract Number

Agency/Company Name

Address of Performance Site(s)

Last Name, First Name (as it appears on license)

Position
Professional License Type/Number

DEA License/Number

License Expiration Date
Employment

Status

BOP

Use Only

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Indicate Position

Choose Status ☐L ☐R ☐V

Signature of Authorized Negotiator:

Date:
12/28/2017

NOTE: Only personnel listed on this form will be considered for the solicitation or contract.

File details come from the government source that posted it.