Attachment No. 19 Suitability Roster.xlsx

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Attached to
Pharmacology and Toxicology for Therapeutics Program (PTTP)
Solicitation number
75N95022R00003
Issued by

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This document contains an attachment for a multiple award indefinite delivery/indefinite quantity contract solicitation from the National Institute on Neurological Disorders and Stroke. The solicitation seeks contractors to support the Pharmacology and Toxicology for Therapeutics Program in conducting preclinical pharmacology and toxicology testing of promising compounds to inform lead discovery and clinical candidate selection. Contractors will also support the National Institutes of Health National Institute on Drug Abuse in comprehensive studies such as FDA Investigational New Drug applications to enable clinical evaluation of candidates. Interested offerors should review all attachments and submit all requested information and documentation by the specified closing date. The Department of Health and Human Services and National Institutes of Health are listed as the contracting federal agencies.

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Suitability Roster ATTACHMENT No. 19 ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATIONS

CAN:Contractor:
RFP/Contract #:Contractor Contact:
Contract Title:Contractor E-mail:
Project Officer:
Contract Specialist:
TO BE FILLED OUT BY
PROJECT OFFICER and ISSO:TO BE FILLED OUT BY CONTRACTOR:
TO BE FILLED IN BY CONTRACTOR:

PROJECT OFFICER and ISSO:

Suitability LevelInvestigation TypeQuestionaire RequiredExisting Clearance or Application
Last NameFirst Namee-mailPositionNon-Disclosure

Agreement Submitted (mm/dd/yyyy) Security Awareness Training Completed

(mm/dd/yyyy)1, 5, 6NACI, NACIC, MBI, LBI, BIEstimated CostSF85 or SF85PQuestionaire Submitted
(mm/dd/yyyy)HHS Credit Release Submitted
(mm/dd/yyyy)OF 306 Submitted
(mm/dd/yyyy)Fingerprinting Completed
(mm/dd/yyyy)AgencyClearance LevelDateComment

&Z&F

Sheet2

Sheet3

File details come from the government source that posted it. Updated .