D.5 Key Personnel Roster.pdf
PDF 67 KB Posted
- Attached to
- Q509--589A7 | WI | NEPHROLOGY PHYSICIAN SERVICES BASE + 4OY | CO MICHAEL CARSON (VA-25-00091098)
- Solicitation number
- 36C25527Q0002_1
About this file
This is a Key Personnel Roster template for federal contract 36C25527Q0002. The form is designed to capture information about key personnel assigned to the contract and includes columns for Name, NPI (National Provider Identifier), Clinic assignment, and On-Call status. The template contains nine blank rows for personnel entries, with checkboxes under the Clinic and On-Call columns to designate whether each individual is assigned to clinic duties, on-call responsibilities, or both. The document does not contain populated data, pricing information, performance requirements, or other substantive contract details; it serves solely as a blank template for contractor submission of key personnel information.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
D.5 Key Personnel Roster 36C25527Q0002
NAME NPI CLINIC ON-
CALL
| NAMERow1: |
| NPIRow1: |
| NAMERow2: |
| NPIRow2: |
| NAMERow3: |
| NPIRow3: |
| NAMERow4: |
| NPIRow4: |
| NAMERow5: |
| NPIRow5: |
| NAMERow6: |
| NPIRow6: |
| NAMERow7: |
| NPIRow7: |
| NAMERow8: |
| NPIRow8: |
| Check Box19: Off |
| Check Box20: Off |
| Check Box21: Off |
| Check Box22: Off |
| Check Box23: Off |
| Check Box24: Off |
| Check Box25: Off |
| Check Box26: Off |
| Check Box27: Off |
| Check Box28: Off |
| Check Box29: Off |
| Check Box30: Off |
| Check Box31: Off |
| Check Box32: Off |
| Check Box33: Off |
| Check Box34: Off |
File details come from the government source that posted it. Updated .