4_Technical_Personnel_List.docx
DOCX document 23 KB Posted
- Attached to
- Community Treatment Services in Omaha, NE
- Solicitation number
- RFQ-CTS-039-17
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Technical Personnel List
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| Question_1.pdf | ||
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| 3_RCA_Technical_Quotation_-__MH,_SU,_and_SO.docx | DOCX document | |
| 1_2017_CTS_SOW.pdf | ||
| 5_DOJ_Whistleblower_Information.pdf | ||
| SF_1449_Omaha_NE.pdf | ||
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| 7_52.212-3_provision.pdf | ||
| Cover_Letter_Omaha_NE.pdf |
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Text version
Attachment IV
NOTE: Only personnel listed on this form will be considered for the solicitation or contract.
TECHNICAL PERSONNEL LIST
| Solicitation or Contract Number: |
| Agency/Company Name: |
| Address of Performance Site: |
Last Name, First Name (as it appears on license) Title / Position / Authorized Negotiator (point of contact for billing, clinical, etc.)
| Professional License Type, DEA License, and Number |
| License Expiration Date |
| Employee or Subcontractor |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 7 |
| 8 |
| 9 |
Signature of Authorized Negotiator:
| Date: |
Page: of
File details come from the government source that posted it. Updated .