RA 693JK3211RA0001 Attachment 5 Additional Info.doc

DOC document 60 KB Posted

Attached to
PHMSA Pipeline Safety Research and Development Research Announcement
Solicitation number
693JK3211RA0001
Issued by

View the file

Other files

File Type Posted
693JK3211RA0001 Questions and Answers.xlsx XLSX spreadsheet
RA 693JK3211RA0001 Attachment 7 Research Topics.pdf PDF
RA 693JK3211RA0001 Attachment 1 Team Project Activities.doc DOC document
RA 693JK3211RA0001 Attachment 3 Deliverable-Milestone Schedule.xlsx XLSX spreadsheet
RA 693JK3211RA0001 Attachment 2 Project Deliverables.doc DOC document
RA 693JK3211RA0001 Research Annoucement Notice.pdf PDF
RA 693JK3211RA0001 Attachment 8 Terms and Conditions.pdf PDF
RA 693JK3211RA0001 Attachment 4 Budget Summary.pdf PDF
RA 693JK3211RA0001 Attachment 6 Title VI Non Discrimination Assurances.docx DOCX document

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

U.S. Department of Transportation (USDOT)

RA #693JK3211RA0001

Pipeline and Hazardous Materials Safety Administration (PHMSA) Attachment #5

ADDITIONAL INFORMATION

Institution/Firm:
Proposal Title:
Type of Business (profit, non-profit):

Size (check all that apply):

FORMCHECKBOX

Small Business FORMCHECKBOX Small Disadvantaged Business

FORMCHECKBOX

8(a) Business FORMCHECKBOX Woman Owned Business

FORMCHECKBOX

HUBZone Business FORMCHECKBOX Veteran Owned Business

FORMCHECKBOX

SDVOB FORMCHECKBOX

Large Business

DUNS number:
Taxpayer/Federal Identification Number:

Contractor/Team Project Officials

Contractor/Team Program Manager / Principle Investigator

Name:
Address:
E-Mail:
Telephone:
Fax:

Contractor/Team Program Financial Administrator

Name:
Address:
E-Mail:
Telephone:
Fax:

Contractor/Team Technical Coordinator

Name:
Address:
E-Mail:
Telephone:
Fax:

System for Award Management (SAM)

Is your organization registered in www.SAM.gov? Yes FORMCHECKBOX No FORMCHECKBOX

If you answered Yes above, please indicate the date of your latest SAM update:

/ FORMTEXT

Cost-Share Certification

Please certify that the proposed cost-share for this project is in accordance with 2 CFR 200 - Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Section 306, Cost Sharing or Matching.

Name of Person Certifying:

Signature:

Date:

FORMTEXT

File details come from the government source that posted it. Updated .