Attachment 2 - SAM Certification Sheet.docx
DOCX document 12 KB Posted
- Attached to
- Mental Health services for Naval Surface Force Atlantic Force Resiliency/Toughness Program Federal contract opportunity
- Solicitation number
- N6264521R0007
About this file
This document contains a System for Award Management (SAM) certification sheet and details of a federal contract opportunity for mental health services. The SAM certification sheet requires bidders to certify that their SAM representations and certifications are current, complete and accurate as of the date of signature for solicitation number N62645-21-R-0007.
The federal contract opportunity is solicitation number N62645-21-R-0007 from the Department of the Navy Naval Supply Systems Command to provide non-personal mental health services. Services required include a Registered Nurse Clinical Manager, Licensed Clinical Social Worker, Psychiatric Technician, Biomedical Equipment Repair Technician, Psychologist, Medical Administrative Assistant, Data Analyst, and Clinical Staff Support Specialist to support the Force Resiliency/Toughness Program at Naval Station Norfolk, Virginia, Commander Naval Surface Squadron 14 in Mayport, Florida, and Commander Littoral Combat Ship Squadron 2, also in Mayport, Florida.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 1 N6264521R0007.docx | DOCX document | |
| Attachment 6 - Malpractice Insurance Certification Form.docx | DOCX document | |
| Attachment 1 - Past Performance Information Sheet.docx | DOCX document | |
| Attachment 4 - Pricing Workbook for N62645-21-R-0007.xlsx | XLSX spreadsheet | |
| Attachment 5 - Establish U.S. Citizenship.docx | DOCX document | |
| N6264521R0007.docx | DOCX document | |
| Attachment 3 - Offerors Information Form.docx | DOCX document | |
| Attachment 6 - Malpractice Insurance Certification Form.docx | DOCX document | |
| Attachment 7 - DD Form 254.pdf |
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Text version
Attachment 2 – System for Award Management (SAM) Certification Sheet I certify that all of the representations and certifications completed in SAM are current, complete and accurate as of the date of my signature below for solicitation # N62645-21-R-0007.
Signature/Date
Title
Organization
E-Mail Address
Phone
OR
I certify that all of the representations and certifications completed in SAM are current, complete and accurate as of the date of my signature provided on below for solicitation # N62645-21-R-0007 with the exception of the following:
(list any changes)
Signature/Date
Title
Organization
E-Mail Address
Phone
File details come from the government source that posted it. Updated .