Attachment 22 - Offeror Information Form.pdf
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- Solicitation number
- N6264521R0057
About this file
This document contains a combined synopsis and solicitation for non-personal services in support of the Navy Bloodborne Infection Management Center. The solicitation number is N6264521R0057 and seeks proposals for an Indefinite Delivery, Indefinite Quantity single award task order contract to provide infectious disease testing services for a period of five years. Proposals are due by November 17, 2021 and shall be submitted electronically to the specified email address. The North American Industry Classification System code for this opportunity is 621511 for Medical Laboratories, and the business size standard is $35 million. The solicitation will result in an IDIQ contract with a single awardee to fulfill all requirements.
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Text version
Attachment 22 — Offeror Information Form Provide two points of contact. The points of contact shall be officials from the prime contractor or a member of the joint venture.
Company Name: _____________________________________________ CAGE Code: _____________________
DUNS: _________________________
TIN: ___________________________
Contact 1 Name: ____________________________________ Title:______________________________________ Phone Number: _____________________________ Email Address: _____________________________
Contact 2 Name: ____________________________________ Title:______________________________________ Phone Number: _____________________________ Email Address: _____________________________
I acknowledge that all items contained in the proposal submitted under solicitation N6264521R0057 are true and accurate to the best of my knowledge. I also acknowledge receipt of all amendments to the solicitation.
Printed Name/Title: _____________________________________________
Signature/Date: ________________________________________________
| Company Name: |
| CAGE Code: |
| DUNS: |
| TIN: |
| Name: |
| Title: |
| Phone Number: |
| Email Address: |
| Name_2: |
| Title_2: |
| Phone Number_2: |
| Email Address_2: |
| Printed NameTitle: |
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