Attachment_10_280-15-0451_Proposal_Intent__Response_Sheet.docx

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National Training and Technical Assistance Center for Child, Youth, and Family Mental Health (NTTAC)
Solicitation number
280-15-0451
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Attachment 10 - Proposal Intent Response

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RFP No. 280-15-0451 Attachment 10 Proposal Intent Response Sheet

PROPOSAL INTENT RESPONSE SHEET

RFP No. 280-15-0451

TITLE: “National Training and Technical Assistance Center for Child, Youth and Family Mental Health (NTTAC)”

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 April 24, 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: Sheryl Sanders, Contract Specialist 1 Choke Cherry Road, Room 7-1050 Rockville, MD 20857

OR FAX TO: 240-276-1510

PLEASE RETURN THIS PAGE BY April 24, 2015

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