27 IRS PRICE QUOTATION SHEET.pdf

IRS PRICE QUOTATION SHEET

Please complete and submit. (Reference #:5000114288)

Quote Number: _________________ (if applicable)

Vendor’s Name: ___________________________________________________

Address: _________________________________________________________

City/State/Zip: ____________________________________________________

Point of Contact: ___________________________ Tel:_______________

Check All That Apply. Above Company is:

1. [ ] Corporation [ ] Partnership [ ] Sole Proprietorship [ ] Trust [ ] Individual Estate [ ] Joint Venture

2. [ ] US Owned Business [ ] Other US Entity [ ] Foreign-Owned Business Incorporated in the US [ ] Foreign-Owned Business Incorporated in the US [ ] Other Foreign Entity (e.g. Foreign Gov’t)

3. [ ] Large Business [ ] Small Business

4. Small Business and [ ] Disadvantaged [ ] Women-Owned [ ] HUBZone [ ] Service Disabled Veteran-Owned [ ] Veteran-Owned [ ] 8(A)

5. Registered in SAM and qualified under NAICS code (see note below) [ ] Yes [ ] No

Additional Information Required:

1. DUNS #: ________________

2. Cage #: _________________

3. Invoice Processing Platform (IPP) Point of Contact:

Name (First and Last): ____________________________________

Email: __________________________ Tel: _____________________ NOTE: Interested vendors shall be registered in the System for Award Management (SAM) database at www.sam.gov and have an active status (to include NAICS Code 561710 - Exterminating and Pest Control Services, and completed and updated Representations and Certifications) by submission date of quote. Failure to do so may disqualify vendor from receiving the award.

Buyer’s Information:

Name: Phlezette Watt Phone Number: 470-719-6506 Email: phlezette.watt@irs.gov http://www.sam.gov/

FIRM-FIXED PRICE QUOTATION

ITEM

NO.

SCHEDULE OF

SUPPLIES/SERVICES

QUANTITY

UNIT

AMOUNT

(US$)

0001 Pest control services (bed bugs) at the Gateway Center building (KY2032), Gateway Center West Building (KY3005), Annex Building (KY2 020) and the IRRC

- Files Building (KY3016).

Base Year

AJ

1001 Pest control services (bed bugs) at the Gateway Center building (KY2032), Gateway Center West Building (KY3005), Annex Building (KY2 020) and the IRRC

Option Year 1

2001 Pest control services (bed bugs) at the Gateway Center building (KY2032), Gateway Center West Building (KY3005), Annex Building (KY2 020) and the IRRC

Option Year 2