Attach_08_Proposal_Intent__Response_Sheet.docx

RFP No. 283-17-1000 Attachment 8 Proposal Intent Response Sheet

PROPOSAL INTENT RESPONSE SHEET

RFP No. 283-17-1000

TITLE: “Substance Abuse and Mental Health Services Administration Indefinite Delivery Indefinite Quantity (SAMHSA IDIQ) ”

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 November 4, 2016. YOUR EXPRESSION OF INTENT IS NOT BINDING BUT WILL GREATLY ASSIST US IN PLANNING FOR PROPOSAL EVALUATION. IF AFTER SUBMISSION YOU RECONSIDER PLEASE SUBMIT A REVISED INTENT. ONLY THE PRIME CONTRACTOR NEEDS TO SUBMIT THE INTENT FOR THEIR SUBMISSION.

[ ] DO INTEND TO SUBMIT A PROPOSAL

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

Company /Institution Name

Name and Title

Email Address

Company / Institution Phone Number

Company / Institution Fax Number

PLANNED COLLABORATORS/CONSULTANTS/SUBCONTRACTORS

(PROVIDE NAME(S) AND ORGANIZATION)

Please provide the Domains you will be proposing and the subcontractors by Domain. You can use the chart below and place a checkmark in the Domain number that the subcontractor will be proposed in or you can use you own method to illustrate the team by Domain.

RETURN TO:

Substance Abuse and Mental Health Services Administration Division of Contracts Management Attention: Lynn Tantardini

Send to SAMHSAContracts@samhsa.hhs.gov reference in the subject line: RFP No. 283-17-1000 – Domain # (also Large or Small) - INTENT

PLEASE RETURN THIS PAGE BY November 4, 2016