Attachment_3_-_Offeror's_Information_Form.docx
DOCX document 14 KB Posted
- Attached to
- Medical Administrative Support Services
- Solicitation number
- N62645-16-R-0003
About this file
Attachment 3 - Offeror's Information Form
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Text version
Attachment 3—Offeror’s Information Form Provide two points of contact. The points of contact shall be officials from the prime contractor or a member of the joint venture.
Company Name: _____________________________________________ CAGE Code: _____________________
DUNS: _________________________
TIN: ___________________________
Contact 1 Name: ____________________________________ Title:______________________________________ Phone Number: _____________________________ Email Address: _____________________________
Contact 2 Name: ____________________________________ Title:______________________________________ Phone Number: _____________________________ Email Address: _____________________________
I acknowledge that all items contained in the proposal submitted under solicitation N62645-16-R-0003 are true and accurate to the best of my knowledge. I also acknowledge receipt of all amendments to the solicitation.
Printed Name/Title: _____________________________________________
Signature/Date: ________________________________________________
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