Certification_Statement_EM.pdf

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Attached to
Emergency Medician Physicians needed at Chinle IHS Federal contract opportunity
Solicitation number
TB2015-010
Issued by
Department of Health and Human Services Indian Health Service

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Certification Statement

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Pricing_Schedule.pdf PDF
Performance_Work_Statment_Emergency_Physician.rtf RTF text file

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are prescribed in 18 U.S.C. 1001.

Print Name of Provider

1. I have read and accept the PWS No. CSU‐14‐01.

initial

2. I meet all the requirements referenced in the PWS No. CSU‐14‐01.

initial

Certification Statement for Performance Work Statement (PWS) No. CSU‐14‐01

Emergency Medicine Physician Services

I hereby certify the below statements are full, accurate, and complete. The penalties for making false statements

DateSignature of Provider

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