19E0001_Synopsis_Attachment_e.1.5._SF330_Section_H_2018119.pdf

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DCO TVS Abidjan Transport Project (ATP) A-E Service Federal contract opportunity
Solicitation number
95332419E0001
Issued by
Millennium Challenge Corporation

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19E0001 Synopsis Attachment e.1.5. SF330 Section H 2018119

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C:\PERFORM\FORMS\S330.FRP

Barbara Williams

H. ADDITIONAL INFORMATION

30. PROVIDE ANY ADDITIONAL INFORMATION REQUESTED BY THE AGENCY. ATTACH ADDITIONAL SHEETS AS NEEDED.

I. AUTHORIZED REPRESENTATIVE

The foregoing is a statement of facts.

31. SIGNATURE

32. DATE

33. NAME AND TITLE

STANDARD FORM 330 (REV. 8/2016) PAGE 5

30. PROVIDE ANY ADDITIONAL INFORMATION REQUESTED BY THE AGENCY. ATTACH ADDITIONAL SHEETS AS NEEDED.:
32. DATE OF SIGNATURE. Enter 2 digit month, 2 digit day and 4 digit year.:
33. NAME AND TITLE:
SignatureField2:

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