PQI-Form.doc

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Attached to
Initial Design and Scope Development (SAES) for Rapid City Service Unit
Solicitation number
17-102-SOL-00012
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PQI Form

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PRE-Qualification INQUIRY FORM

SOLICITATION NUMBER

PRE- Qualification

17-102-SOL-00012

Inquiry No. _______

SOLICITATION TITLE:

DATE OF INQUIRY: ________________________

FROM:

FIRM ___________________________________ POINT OF CONTACT NAME: _________________

ADDRESS_______________________________________________________________

PHONE NO. ____________________ FAX NO. ________________EMAIL:_____________________

INQUIRY: (Please type or print clearly)

ANSWER PROVIDED: (For Government Use Only) email form to John.Fannon@ihs.gov & Paul.reed@ihs.gov

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