Attachment III _ OEM Response _ ETS AbilityOne.docx

OEM Identification of Authorized SDVOSB/VOSB Distributors AbilityOne Additions to Procurement List after December 22, 2006 Essentially the Same Items as BD Catheters Special Notice 36C24126Q0070

Original Equipment Manufacturer respondents shall provide the following information:

OEM Information:

· Company Name: ___________________________________________

· Address: __________________________________________________

· UEI Number: _______________________________________________

· Point of Contact (POC)

· Name: ______________________________________________

· Email Address: _______________________________________

· Phone Number: _______________________________________

Authorized SDVOSB or VOSB Information: (replicate as needed to provide additional authorized suppliers)

· Company Name: ___________________________________________

· Address: __________________________________________________

· UEI Number: _______________________________________________

· Point of Contact (POC)

· Name: ______________________________________________

· Email Address: _______________________________________

· Phone Number: _______________________________________

Essentially the same items shall be identified on “Attachment I - New AB1PL Adds - AB1_MRMSPO_1001 - ETS Review” or in the chart below.