Proposal_intent_response_sheet_form.doc
DOC document 24 KB Posted
- Attached to
- ECCC Trauma/Burn Database Requirement
- Solicitation number
- HHS-ASPR-16-100-SOL-00034
About this file
Vendors planning on responding to this RFP please fill out the form and return ASAP to Patricia.Petersky hhs.gov. Your expression of intent is not binding but will greatly assist us in planning for the proposal evaluation.
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PROPOSAL INTENT RESPONSE SHEET
RFP No.: HHS-ASPR-16-100-SOL-00034 RFP Title: ECC Trauma/Burn Database Requirement Please review the attached Request for Proposal. Furnish the information requested below and return this page ASAP . Your expression of intent is not binding but will greatly assist us in planning for proposal evaluation.
[ ] DO INTEND TO SUBMIT A PROPOSAL
[ ] DO NOT INTEND TO SUBMIT A PROPOSAL FOR THE FOLLOWING REASONS:
Company/Institution Name (print):
Address (print):
Project Director's Name (print):
Title (print):
Telephone Number E-mail Address (print clearly):
Name of individual to whom electronic proposal instructions should be sent:
Name:
Title:
Telephone Number:
E-Mail Address:
RETURN VIA E-MAIL TO:
United States Department of Health & Human Services (HHS)
Office of the Secretary (OS)
Assistant Secretary for Preparedness & Response (ASPR)
Office of Acquisitions Management, Contracts & Grants (AMCG)
Attn:
Carol Allen Contracting Officer
File details come from the government source that posted it. Updated .