A11_Point-of-Contact.pdf
PDF 16 KB Posted
- Attached to
- NIH NeuroBioBank Brain and Tissue Repository
- Solicitation number
- 75N95024R00124
About this file
This document is a form to provide the Offeror's Points of Contact for a federal contract opportunity. It requests the name, title, address, phone, fax, email, and organization information for the business representative and proposed principal investigator. This information is required to be provided with the business proposal for the NIH NeuroBioBank Brain and Tissue Repository solicitation (75N95024R00124) issued by the Department of Health and Human Services National Institutes of Health National Institute on Drug Abuse. The solicitation is for a federal civilian contract opportunity, but no additional details about the required products/services, response dates, award dates, pricing terms, or set asides are provided in this document.
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OFFEROR’S POINTS OF CONTACT
Complete the following and return with the BUSINESS PROPOSAL.
Business Representative (Name, Title, Address* and Contact Information of individual with whom daily contact is required.)
Name: Telephone:
Title: Fax:
Office: E-Mail:
Organization:
*Street Address:
City, State, Zip Code:
Proposed Principal Investigator (Name, Institutional Title, Address, and Contact Information)
Name: Telephone:
Title: Fax:
Office: E-Mail:
Organization:
*Street Address:
City, State, Zip Code:
These exact addresses are necessary to ensure that contact can be made with the proper individual(s) in the most expeditious manner.
*Please use actual street address, not P.O. Box.
Offeror’s Points of Contact Page 1 of 1 (1/2011)
| Name: |
| Telephone: |
| Title: |
| Fax: |
| Office: |
| EMail: |
| Organization: |
| Street Address: |
| City State Zip Code: |
| Name_2: |
| Telephone_2: |
| Title_2: |
| Fax_2: |
| Office_2: |
| EMail_2: |
| Organization_2: |
| Street Address_2: |
| City State Zip Code_2: |
File details come from the government source that posted it. Updated .