Attachment_3_Quotation_Cover_Sheet.docx
DOCX document 20 KB Posted
- Solicitation number
- NIHLM2015383
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Attachment 3 Quotation Cover Sheet
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ATTACHMENT No. 3 RFQ No. NIHLM2015383
Disaster Health Information Outreach and Collaboration Project 2015
RFQ No.______________________
QUOTATION COVER SHEET
DATE OF SUBMISSION:
TITLE OF PROPOSED PROJECT:
NAME, ADDRESS, PHONE & FAX NUMBER OF SUBMITTING ORGANIZATION:
NAME/PHONE AND E-MAIL OF CONTACT PERSONS:
ORGANIZATION WEB SITE ADDRESS:
DUNS NUMBER OF SUBMITTING AND PARTNERING ORGANIZATION(S):
NAME, ADDRESS, AND PHONE NUMBER OF PARTNER ORGANIZATION(S):
PARTNER ORGANIZATION(S) WEBSITE ADDRESS:
BRIEF SUMMARY OF PROJECT (250 – 400 words):
PRIMARY PLACE OF PERFORMANCE:
Name and Title of Person Authorized to Sign Quotation:
Signature of Person Authorized to Sign Quotation:
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