ATTACHMENT_4_CONTRACTOR_TEAM_ORGANIZATION.docx
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- Solicitation number
- HT0050-16-R-0001
- Issued by
-
Defense Health Agency
About this file
MQS RFP HT0050-16-R-0001 Attachment 4 in MS Word Format. Attachments 3, 4 and 6 are provided in MS Word format as an alternative to the PDF format for ease of use. No other changes have been made to these attachments.
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ATTACHMENT 4
CONTRACTOR TEAM ORGANIZATION
1. Provide the information on the Offeror as the prime Contractor below. If the Offeror is a Joint Venture, provide the details for the companies in the Joint Venture below.
| Company Name (Prime Contractor) |
| Address |
| POC & Telephone |
| Market Segment1 |
| Location Coverage (List States) |
1 Use the market segment identification listed in block 3 of this attachment
2. Provide the information on all teaming partners/subcontractors proposed as part of the Contractor Team Organization on this acquisition. (Add additional rows if more space is needed and number pages as 1, 2, etc.)
| Company Name (Teaming/Subcontractor) |
| Address |
| DUNS Number |
| Market Segment1 |
| Location Coverage (List States) |
1 Use the market segment identification listed in block 3 of this attachment
3. The market segment on this acquisition are listed below. Additional information for each category is listed in paragraph 1.2.1 of PWS.
| Service Categories |
| Definition |
| Identification |
| Physician Services |
| Relates to physicians |
| P |
| Dental Services |
| Relates to dental services |
| D |
| Ancillary Services |
| Relates to supplemental professional services. |
| A |
| Nursing Services |
| Services provided by licensed nursing personnel |
| N |
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