Solicitation Attachment No 8 Cover Sheet.pdf

DTFH61-11-R-00028

Attachment No. 8

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Proposal Cover Sheet

So lic ita tio n

Number: DTFH61-11-R-00028

Title: “Development, Operation, And Maintenance of the Highway Safety Information System -VI ”

Closing Date: Negotiator: Sarah H. Khan

O ffe ro r

Name:

U.S. Postal Address: Federal Express Address:

Address:

Po in t(s

) o f C on ta ct

Primary Alternate Name:

Title:

Telephone #:

Facsimile #:

E-mail:

St at em en t

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

A ut ho ri ze d N eg ot ia to r( s)

Name & Title Telephone # Facsimile # E-mail Address:

Pr op os al

Si gn at ur e

Name & title of person authorized to sign the proposal. Signature Date

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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 L

B

SB

SD

8( a)

V

W

H

C U

SI

A

II

I

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

L eg en d

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

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