DTFH61-10-R-00004 Attachment No. 6.doc

DOC document 105 KB Posted

Attached to
Non-Personal Technical Support for the Pavement Surface Characteristics Program Federal contract opportunity
Solicitation number
DTFH61-10-R-00004
Issued by
Department of Transportation Federal Highway Administration

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DTFH61-10-R-00004 Attachment No. 6

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DTFH61-10-R-00004 Amend 2 Signed.pdf PDF
DTFH61-10-R-00004 Amend 1 signed.doc.pdf PDF
DTFH61-10-R-00004 Attachment 7.pdf PDF
DTFH61-10-R-00004.doc DOC document
DTFH61-10-R-00004 Attachments No. 1-5.doc DOC document

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Text version

DTFH61-10-R-00004

Attachment No. 6

Proposal Cover Sheet

Solicitation
Number:
DTFH61-10-R-00004
Title:
“ ”

Closing Date:

Negotiator:

Offeror
Name:

( U.S. Postal Address: (

( Federal Express Address: (

Address:

Point(s) of Contact

Primary

Alternate

Name:

Title:

Telephone #:

Facsimile #:

E-mail:

Statement

Include a statement in accordance with FAR 52.215‑1(c)(2)(iii):

Authorized Negotiator(s)

Name & Title

Telephone #

Facsimile #

E-mail Address:

Proposal Signature

Name & title of person authorized to sign the proposal.

Signature

Date

The Proposed Team Summary:
Check the appropriate box(es)

Business Size / Type

Input the below information for the prime Contractor and each subcontractor or consultant:
Size 4
Types 4
Minority Institutions 4
Name, Address, Point of Contact & Phone Number
DUNS # 1
Cost/Price 2
Profit/Fee 2
Total 2
Contract Type 3
LB
SB
SDB
8(a)
VO
WO
HBCU
HSI
AIIHI

Subtotals:

TOTAL:

1 Dun & Bradstreet’s Data Universal Numbering System (DUNS)

2 Includes base period and all options (if any). Include Cost/Price and Profit/Fee breakdown for subcontractors/consultants if known.

3 Contract Type: (FFP / FPI / CPFF / CPIF / CPAF / IDIQ / OTHER)

4 Business Representation in accordance with RFP Section K, FAR 52.204-8 and FAR 52.219-1

Legend
Size
Types
Minority Institutions

LB

Large Business

SDB

Small Disadvantaged Business Concern

HBCU

Historically Black Colleges and Universities

SB

Small Business 8(a) Small Business Administration 8(a) Program

HSI

Hispanic Serving Institutions

VO

Veteran Owned

AIIHL

American Indian Institutions of Higher Learning

WO

Woman-Owned Business Concern

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