UNIPOC Management System for Red Lake Hospital

PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 13 2 of 75H70526Q00025 UNIPOC POC SUPPLIES OR SERVICES AND PRICE/COSTS B.1 CONTRACT ADMINISTRATION DATA Contract Administration: All contract administration matters will be handled by the following individuals: CONTRACTOR NAME AND ADDRESS: EIN/TIN#_______________________________ UIE SAMS#_____________________________ CAGE#_________________________________ NAME:__________________________________ TELEPHONE:____________________________ EMAIL: _________________________________ DELIVERY ADDRESS: Red Lake Hospital 24760 Hospital Dr Red Lake, MN 56671 CONTRACTOR REGISTRATION: All required information must be in the System for Award Management (SAM) at www.sam.gov.