Attachment_12_Offeror_Points_of_Contact.pdf
PDF 16 KB Posted
- Attached to
- Clinical Support Services for NINDS, Stroke Branch Federal contract opportunity
- Solicitation number
- 75N95024R00106
About this file
The document provided is the "Offeror's Points of Contact" form, which is a common requirement for federal contract proposals. It requests the offeror to provide the contact information for their business representative as well as the proposed principal investigator. The form specifies that the actual street address, not a P.O. Box, must be provided to ensure expeditious communication. The related federal contract opportunity is for "Clinical Support Services for the Research Efforts of the NINDS, Stroke Branch" issued by the Department of Health and Human Services, National Institutes of Health, National Institute on Drug Abuse.
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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 .