2_Offer Form_2023.05.22.pdf

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MAY 19, 2023

NEBRASKA NATIONAL GUARD

of

OFFER FORM

NEBRASKA NATIONAL GUARD

Contracting Office Joint Forces Headquarters Suite 2200

I. SOLICITATION NUMBER

a. PROJECT TITLE

b. NAICS

c. ISSUE DATE (Complete the entire form with as much detail as possible. Form will expand in appropriate areas.)

II. COMPANY NAME

a. DBA NAME (if applicable)

b. UNIQUE ENTITY ID

c. DATE

d. COMPANY ADDRESS AS REGISTERED IN SYSTEM FOR AWARD MANAGEMENT (SAM)

e. SOCIO-ECONOMIC STATUS FOR THE NAICS CODE LISTED IN THE SOLICITATION (X all that apply)

III. QUOTE

CLIN

Item/Service Needed Qty Unit Price Amount Shipping/Freight Charge

TOTAL

III. TECHNICAL (if needed, field will expand) IV. PAST PERFORMANCE (if needed, field will expand) V. OTHER INFORMATION (if needed, field will expand)

VI. CERTIFICATION

a. TITLE

b. PHONE

c. NAME 11.0.0.20130303.1.892433.887364