270-15-0459_Attach_8_Proposal_Intent_Response_Sheet.docx

DOCX document 39 KB Posted

Attached to
Data Waiver and Processing Project Federal contract opportunity
Solicitation number
270-15-0459
Issued by
Department of Health and Human Services Substance Abuse and Mental Health Services Administration

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Attachment 8-Proposal Intent Response Sheet

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RFP No. 270-15-0459 Data Waiver and Processing Project Attachment 8: Proposal Intent Response Sheet

PROPOSAL INTENT RESPONSE SHEET

RFP No. 270-15-0459

TITLE: “Data Waiver and Processing Project”

PLEASE REVIEW THE ATTACHED REQUEST FOR PROPOSAL. FURNISH THE INFORMATION REQUESTED BELOW AND RETURN THIS PAGE BY THE EARLIEST PRACTICABLE DATE, BUT NOT LATER THAN March 25, 2015. YOUR EXPRESSION OF INTENT IS NOT BINDING BUT WILL GREATLY ASSIST US IN PLANNING FOR PROPOSAL EVALUATION.

[ ] DO INTEND TO SUBMIT A PROPOSAL

[ ] DO NOT INTEND TO SUBMIT A PROPOSAL FOR THE FOLLOWING REASONS:

COMPANY/INSTITUTION NAME:

AUTHORIZED SIGNATURE:

TYPED NAME AND TITLE:

COMPANY PHONE NUMBER:

COMPANY FAX NUMBER:

DATE:

PLANNED COLLABORATORS/CONSULTANTS/SUBCONTRACTORS

(PROVIDE NAME(S) AND ORGANIZATION)

RETURN TO:

Substance Abuse and Mental Health Services Administration Division of Contracts Management Attention: Sophia Janus, Contract Specialist 1 Choke Cherry Road, Room 7-1065 Rockville, MD 20857

OR FAX TO: 240-276-1510

PLEASE RETURN THIS PAGE BY March 25, 2015

File details come from the government source that posted it. Updated .