36C77619Q0157-003.doc

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HI19-17 Health IT Safety Assessment (VA-19-00043772)
Solicitation number
36C77619Q0157
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36C77619Q0157 S02 - ATTACHMENT C - CONTRACTOR STAFF ROSTER.doc

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Contractor Staff Roster

Purchase Order Number
Vendor Name
Employee Name
Last Six of SSN
Labor Category
Employee Work Location
Labor Rate
Security Clearance Level
Date Clearance Requested
Date Clearance Obtained

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