Attachment 9 - Offeror's Information Form.docx
DOCX document 12 KB Posted
- Attached to
- Roentgengraphic Interpreting Services
- Solicitation number
- N62645-20-Q-0001
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Other files
| File | Type | Posted |
|---|---|---|
| 9 - Amendment 0001.docx | DOCX document | |
| Attachment 6 - Past Performance Information Sheet.docx | DOCX document | |
| Attachment 2 - QASP.doc | DOC document | |
| Attachment 7 - Pricing Workbook.xlsx | XLSX spreadsheet | |
| Attachment 1 - NAVMED 62607 Form.pdf | ||
| Attachment 5 - Certificate of Availability.docx | DOCX document | |
| Attachment 8 - SAM Certification Sheet.docx | DOCX document | |
| Attachment 4 - DoDI 8582.01.pdf | ||
| Combined Synopsis Solicitation.docx | DOCX document | |
| Attachment 3 - Acceptable U.S. Citizenship Documents.docx | DOCX document | |
| Attachment 11 - Contract Administration Plan.docx | DOCX document | |
| Attachment 10 - Malpractice Insurance Form.docx | DOCX document |
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Text version
Attachment XX - 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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