Attachment_2_-_SAM_Certification_Sheet.docx

DOCX document 12 KB Posted

Attached to
Patient Safety Specialist Services Federal contract opportunity
Solicitation number
N62645-19-R-0005
Issued by
Department of the Navy Bureau of Medicine and Surgery

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Attachment 2

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Other files for this federal contract opportunity

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Attachment_3_-_Offeror's_Information_Form.docx DOCX document
N62645-19-R-0005.docx DOCX document
Attachment_1_-_Past_Performance_Information_Sheet.docx DOCX document
Attachment_5_-_Establish_U.S._Citizenship.docx DOCX document

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Text version

Attachment 2 – 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-R-0005.

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-R-0005 with the exception of the following:

(list any changes)

Signature Date

Title

Organization

E-Mail Address

Phone

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