Attachment_6_-_SAM_Certification_Sheet.docx

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Teleradiology Services for Navy MTFs
Solicitation number
N62645-19-Q-0016
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Attachment 6 - SAM Certification Sheet

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Attachment 6 – System for Award Management (SAM) Certification Sheet I certify that all of the representations and certifications completed in SAM are current, complete and accurate as of the date of my signature below for solicitation # N62645-19-Q-0016.

Signature Date

Title

Organization

E-Mail Address

Phone

OR

I certify that all of the representations and certifications completed in SAM are current, complete and accurate as of the date of my signature provided on below for solicitation # N62645-19-Q-0016 with the exception of the following:

(list any changes)

Signature Date

Title

Organization

E-Mail Address

Phone

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