Section_L_Attachment_3_Offeror's_Information_Form.docx

DOCX document 13 KB Posted

Attached to
Northeast Medical Services, Multiple Award Task Order Contract Federal contract opportunity
Solicitation number
N62645-17-R-0004
Issued by
Department of the Navy Bureau of Medicine and Surgery

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Section L Attachment 3

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Text version

Offeror’s Information Form

Provide two points of contact. The points of contact shall be officials from the prime’s organization 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: _____________________________

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