Attachment_11_-_Contact_Information_Sheet.doc

Solicitation: HTC711-14-R-D003

ATTACHMENT 11

CONTACT INFORMATION SHEET

1. Offeror Name/Address (Must have ZIP + 4):

2. Offeror Point of Contact Name:

3. Offeror Point of Contact E-Mail:

4. Offeror Point of Contact Telephone No.:

5. Offeror Point of Contact Fax No.:

6. Offeror Cage Code:

7. Offeror Tax Identification Number (TIN):

8. Offeror DUNS No.:

9. Offeror Business Size:

10. Please check any of the following that apply to your firm:

_____HUBZone

_____WOSB

_____VOSB

_____SDVOSB

11. System for Award Management (SAM): The Offeror shall ensure that all information contained in SAM is current and that registration has not expired.