Attachment J-4 ACCOUNTING CERTIFICATION.docx

DOCX document 13 KB Posted Jul 16, 2010

Attached to: Survey of Retail Prices, Payment and Utilization Rates, and Performance Rankings
Solicitation number: RFP-CMS-2010-0047
Issued by: Department of Health and Human Services Centers for Medicare and Medicaid Services

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Accounting Cert.

File	Type	Posted
Amendment No. 2 Solicitation Questions-Responses.doc	DOC document	Aug 9, 2010
SF30.pdf	PDF	Aug 9, 2010
SF30.pdf	PDF	Aug 4, 2010
Attachment No. 1 Solicitation Question-Responses.docx	DOCX document	Aug 4, 2010
Attachment J-1 Statement of Work.doc	DOC document	Jul 16, 2010
Attachment J-5 SubcontractPlan.doc	DOC document	Jul 16, 2010
Attachment J-2 Deliverable Schedule.docx	DOCX document	Jul 16, 2010
Attachment J-3 Billing Instructions.docx	DOCX document	Jul 16, 2010
SF33.pdf	PDF	Jul 16, 2010
RFP.docx	DOCX document	Jul 16, 2010

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Attachment J-4

ACCOUNTING CERTIFICATION

NOTE: This information should correspond to the information in the Central Contractor Registration (CCR.) Database

NAME:

(As registered with IRS)

ADDRESS:

POC / TELEPHONE NUMBER(S):

DUNS (Data Universal Numbering System) #

TIN (Taxpayer Identification Number)

CAGE CODE #:

SIGNATURE

For OFFEROR Date (Title)

File details come from the government source that posted it. Updated Nov 14, 2017.