Section_J,_ATTACHMENT_2_Offeror's_Information_Form.docx

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Attached to
Early Intervention Services/ Educational and Developmental Intervention Services
Solicitation number
N62645-19-R-0003
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Attachment 2 Offeror's Information Form

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Attachment 2—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-R-0003 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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