Section_J,_ATTACHMENT_AC_Health_Care_Worker_Certificate_Of_Availability_(Sample).docx

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Northeast Medical Services, Multiple Award Task Order Contract
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N62645-17-R-0004
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Attachment AC

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ATTACHMENT AC

HEALTH CARE WORKER CERTIFICATE OF AVAILABILITY (SAMPLE)

I, ________________________________________ [NAME OF HEALTH CARE

WORKER/PROVIDER] hereby certify that I have agreed to provide services as a _______________________________ under this contract at (fill in the location)______________________________________

______________________________________ [NAME OF PRIME CONTRACTOR]

for salary of $__________ per hour ($____________ per annum).

I am available to begin providing these services on

(fill in date)_________________________________, should the above named prime contractor be awarded this position.

Health Care Worker Signature Date

File details come from the government source that posted it. Updated .