Attachment__6_-_Additional_Info.doc

DOC document 64 KB Posted

Attached to
Pipeline Safety Research and Development Announcement Federal contract opportunity
Solicitation number
DTPH5616RA00001
Issued by
Department of Transportation Pipeline and Hazardous Material Safety Administration

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Attachment 6 - Additional Info

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Other files for this federal contract opportunity

Other files attached to Pipeline Safety Research and Development Announcement, newest first.
File Type Posted
Attachment__3_-_Team_Project_Activities.doc DOC document
DTPH5616RA00001_Announcement_Amendment__1_-_Innovation_with_Inspecting_Unpiggable_Natural_Gas_Pipelines.pdf PDF
DTPH5616RA00001_Q A.pdf PDF
Attachment__1_-_General_Guidelines_Co-Funded.pdf PDF
Attachment__2_-_Budget_Summary.doc DOC document
Attachment__4_-_Project_Deliverables.doc DOC document
DTPH5616RA00001_Announcement_-_Innovation_with_Inspecting_Unpiggable_Natural_Gas_Pipelines.pdf PDF
Attachment__4_-_Project_Deliverables.doc DOC document
Attachment__7_Standard_Title_VI_Non-Discrimination_Assurances.pdf PDF
Attachment__5_-_Deliverable-Milestone_Schedule.xlsx XLSX spreadsheet

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DTPH5616RA00001

Full Proposal

Attachment 6

ADDITIONAL INFORMATION

Institution/Firm:
Proposal # (if any):
Proposal Title:
Type of Business (profit, non-profit):

Size (check all that apply):

FORMCHECKBOX

Small Business FORMCHECKBOX Small Disadvantaged Business

FORMCHECKBOX

8(a) Business FORMCHECKBOX Woman Owned Business

FORMCHECKBOX

HUBZone Business FORMCHECKBOX Veteran Owned Business

FORMCHECKBOX

SDVOB FORMCHECKBOX

Large Business

DUNS number:
Taxpayer/Federal Identification Number:

Banking Information (electronic payment)

Bank Name:
Account Type:
Account #:
ABA Routing No:

Contractor/Team Project Officials

Contractor/Team Program Manager / Principle Investigator

Name:
Address:
E-Mail:
Telephone:
Fax:

Contractor/Team Program Financial Administrator

Name:
Address:
E-Mail:
Telephone:
Fax:

Contractor/Team Technical Coordinator

Name:
Address:
E-Mail:
Telephone:
Fax:

System for Award Management (SAM)

Is your organization registered in www.SAM.gov? Yes FORMCHECKBOX No FORMCHECKBOX

If you answered Yes above, please indicate the date of your latest SAM update:

/ FORMTEXT

Cost-Share Certification

Please certify that the proposed cost-share for this project is in accordance with 2 CFR 200 - Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Section 306, Cost Sharing or Matching.

Name of Person Certifying:

Signature:

Date:

FORMTEXT

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