16_SuitabilityRoster_10-15-12.xlsx

XLSX spreadsheet 16 KB Posted Dec 11, 2020

Attached to: NCATS Scientific and Technology Support Services
Solicitation number: 75N95021R00003
Issued by: Department of Health and Human Services National Institutes of Health National Institute on Drug Abuse

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File	Type	Posted
75N95021R00003_Combined_synopsis.pdf	PDF	Dec 11, 2020
02_STSS_Statement_of_Work.pdf	PDF	Dec 11, 2020
13_Invoice_instr_T_and_M.pdf	PDF	Dec 11, 2020
04_Sample_TORFPs_A_and_B.pdf	PDF	Dec 11, 2020
12_Invoice_instr_fixed_price_2_way.pdf	PDF	Dec 11, 2020
01_Packaging and Delivery of Proposals for Use with the NIH eCPS website.docx	DOCX document	Dec 11, 2020
09_STSS_Pricing_Template.xlsx	XLSX spreadsheet	Dec 11, 2020
14_Govt_Furnished_Property.pdf	PDF	Dec 11, 2020
15_Nondisclosure.pdf	PDF	Dec 11, 2020
03_TO_1_STSS_Program_support.pdf	PDF	Dec 11, 2020
05_Section K-Reps Certs Other Statements COMMERCIAL.pdf	PDF	Dec 11, 2020
All_Files_75N95021R00003_Combined_synopsis.zip	ZIP file	Dec 11, 2020
08_Proposal_Summary_NIH2043.pdf	PDF	Dec 11, 2020
06_Summary_Related_Activities.pdf	PDF	Dec 11, 2020
10_Wage_rate_det_2015-4270.2020_04_23.pdf	PDF	Dec 11, 2020
07_HHS_Section_508_Product_Assessment_Template.doc	DOC document	Dec 11, 2020
17_Emp-sep-checklist.pdf	PDF	Dec 11, 2020
11_Disclosure_of_Lobbying_Activities.pdf	PDF	Dec 11, 2020

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Suitability Roster

ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATIONS

	CAN:			Contractor:
	RFP/Contract #:			Contractor Contact:
	Contract Title:			Contractor E-mail:
	Project Officer:
	Contract Specialist:
			TO BE FILLED OUT BY
PROJECT OFFICER and ISSO:			TO BE FILLED OUT BY CONTRACTOR:
		TO BE FILLED IN BY CONTRACTOR:

PROJECT OFFICER and ISSO:

					Suitability Level	Investigation Type	Questionaire Required	Existing Clearance or Application
Last Name	First Name	e-mail	Position	Non-Disclosure

Agreement Submitted (mm/dd/yyyy) Security Awareness Training Completed

(mm/dd/yyyy)	1, 5, 6	NACI, NACIC, MBI, LBI, BI	Estimated Cost	SF85 or SF85P	Questionaire Submitted
(mm/dd/yyyy)	HHS Credit Release Submitted
(mm/dd/yyyy)	OF 306 Submitted
(mm/dd/yyyy)	Fingerprinting Completed
(mm/dd/yyyy)	Agency	Clearance Level	Date	Comment

Attachment 16

Sheet2

Sheet3

File details come from the government source that posted it. Updated Dec 11, 2020.