01. ATTCH 01 - 26Q5004 - Contractor Information and%.pdf
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- Solicitation number
- W912LP26Q5004
About this file
This document is a pricing table and contractor information form for Request for Quote (RFQ) W912LP-26-Q-5004 issued by the Iowa Army National Guard.
The RFQ solicits pricing for a Complete XRAY Tube Head Monoblock (Part # A526046-01), with three line items: one unit of the complete X-ray tube head monoblock at the equipment level, two hours of labor for installation and calibration, and one travel event for Travel Zone 1. Contractors must complete the pricing table by entering unit prices for each line item, with extended prices calculated automatically to arrive at a total contract price. The contractor information section requires submission of company name, point of contact details (name, phone, email), CAGE code, SAM Unique Entity ID, tax identification number, business size and socio-economic group classifications (which must align with FAR 52.212-3 representations and certifications in SAM), and prompt payment discount terms (Net 30 unless otherwise specified). The document serves as a template for bidders to complete and submit their quotations in response to this federal solicitation.
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Text version
Attachment 1 - Contractor Information and Pricing Table IOWA ARMY NATIONAL GUARD
RFQ# W912LP-26-Q-5004
Complete XRAY Tube Head Monoblock
Item # Description Qty Unit Unit Price Extended Price
COMPLETE XRAY TUBE HEAD
MONOBLOCK (Part # A526046-01)
1 EA $ - $ -
0002 LABOR (Installation & Calibration) 2 HR $ - $ -
0003 Travel (Travel Zone 1) 1 EA $ - $ -
CONTRACTOR INFORMATION TABLE
Company Name:
Point of Contact (POC) Name:
TOTAL
POC Phone:
Business Size/Socio-economic Group(s)
(Must correspond with FAR 52.212-3 representations and certifications completed within SAM)
POC Email:
CAGE Code:
SAM Unique Entity ID:
Tax ID Number:
Prompt Payment Discount Terms (Net 30 unless otherwise noted)
PRICING TABLE
| Company Name: |
| Point of Contact POC Name: |
| POC Phone: |
| POC Email: |
| CAGE Code: |
| SAM Unique Entity ID: |
| Tax ID Number: |
| Prompt Payment Discount Terms Net 30 unless otherwise noted: |
| Business SizeSocioeconomic Groups Must correspond with FAR 522123 representations and certifications completed within SAM: |
| Text1: |
| Text2: |
| Text3: |
| Text4: |
| Text5: |
| Text6: |
| Text7: |
File details come from the government source that posted it. Updated .