Attachment 9 - Offerors Information Form.docx

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Roentgengraphic Interpreting Services
Solicitation number
N6264520QBREADER
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Attachment 9

Offeror’s 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 N62645-20-Q-BREADER 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: ________________________________________________

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