Technical_Personnel_List.docx

DOCX document 14 KB Posted

Attached to
CTS services in St. Louis, Missouri
Solicitation number
15BCTS18Q00000033
Issued by

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Technical Personnel List

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

TECHNICAL PERSONNEL LIST

Solicitation or Contract Number:
Agency/Company Name:
Address of Performance Site:

Last Name, First Name (as it appears on license) Title / Position / Authorized Negotiator (point of contact for billing, clinical, etc.)

Professional License Type, DEA License, and Number
License Expiration Date
Employee or Subcontractor
1
2
3
4
5
6
7
8
9

Signature of Authorized Negotiator:

Date:

Page: of

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