Attachment_7_-_Offeror's_Information_Form.docx
DOCX document 12 KB Posted
- Attached to
- Teleradiology Services for Navy MTFs
- Solicitation number
- N62645-19-Q-0016
About this file
Attachment 7 - Offeror's Information Form
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Other files
| File | Type | Posted |
|---|---|---|
| N62645-19-Q-0016_0002.docx | DOCX document | |
| N62645-19-Q-0016_0002.docx | DOCX document | |
| N62645-19-Q-0016_0001.docx | DOCX document | |
| Attachment_8_-_Pricing_Workbook_for_N62645-19-Q-0016_Amendment_0001.xlsx | XLSX spreadsheet | |
| Attachment_10_-_Initial_Requirement_PWSs_0001.docx | DOCX document | |
| Attachment_10_-_Initial_Requirement_PWSs_-_final.docx | DOCX document | |
| Attachment_8_-_Pricing_Workbook_for_N62645-19-Q-0016.xlsx | XLSX spreadsheet | |
| Attachment_5_-_Past_Performance_Information_Sheet.docx | DOCX document | |
| Attachment_9_-_Contract_Administration_Plan.docx | DOCX document | |
| Attachment_1_-_QASP.docx | DOCX document | |
| Attachment_2_-_Acceptable_Documents_to_Establish_U.S._Citizenship.docx | DOCX document | |
| Attachment_3_-_DoDI_8582.01,_June_6,_2012,_Incorporating_Change_1_on_October_27,_2017.pdf | ||
| Attachment_4_-_Malpractice_Insurance_Certification_Form.docx | DOCX document | |
| Attachment_6_-_SAM_Certification_Sheet.docx | DOCX document | |
| N62645-19-Q-0016_-_final.docx | DOCX document |
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Text version
Attachment 7—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 N62645-19-Q-0016 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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