A5_-_Offeror_s_Points_of_Contact.pdf

PDF 16 KB Posted

Attached to
Request for Proposals - Phase I Clinical Trials Federal contract opportunity
Solicitation number
75N95024R00086
Issued by
Department of Health and Human Services National Institutes of Health National Institute on Drug Abuse

About this file

This document is an Offeror's Points of Contact form that must be completed and submitted with a business proposal in response to a federal contract opportunity. It requests the name, title, address, and contact information for the business representative and proposed principal investigator. The related federal contract opportunity is a Request for Proposals (RFP) for Phase I Clinical Trials for the development of small molecule and biologics therapeutics, issued by the Department of Health and Human Services' National Institutes of Health, National Institute on Drug Abuse. The solicitation number is 75N95024R00086. No other details about the requirement, response dates, award, pricing, or set asides are provided in this document.

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Text version

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 .