Attachment_6_-_Offeror's_Information_Form.docx
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- Attached to
- NEMSCOM General Warehousing
- Solicitation number
- N62645-18-R-0076
About this file
This document contains an offeror's information form and details of a related federal contract opportunity. The offeror's information form is a template requesting company identifying information and points of contact from potential contractors.
The related federal contract opportunity is solicitation number N62645-18-R-0076 from the Department of the Navy Bureau of Medicine and Surgery. The requirement is for general warehousing services, maintenance and repair of containers, outfitted shelters, biomedical and civil engineering equipment, and production of deployable medical systems at the Naval Medical Logistics Command in support of the Navy Expeditionary Medical Support Command located at Cheatham Annex, Williamsburg, Virginia. The description notes this is an award notice but does not include details on response dates, award timing or pricing terms.
Attachment 6
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Text version
Attachment 6 – Offeror’s Information Form
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 N62645-18-R-0076 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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