11 - Summary of Offer

SUMMARY OF OFFER

Offeror shall complete this form and submit with its proposal.

Offeror’s Name (include a “Doing Business As” (DBA), if applicable):

Offeror’s Address:

DUNS Number:____________________

Tax Identification Number (TIN):____________________ Please check the appropriate NAICS/SIC Code below:

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NAICS 541110

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NAICS 541611

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NAICS 541612

NAICS 561311

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NAICS 561410

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NAICS 561611

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NAICS 611430

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NAICS 621410

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NAICS 621420

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NAICS 624190

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NAICS 624230

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NAICS 624310

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NAICS 624410

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NAICS 713940

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NAICS 812191

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NAICS 812210

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NAICS 813110

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NAICS 813311

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NAICS 813410

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NAICS 923110

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NAICS 923120

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NAICS 923130

Please indicate company’s primary NAICS code/ preponderance of work:____________________ Business Size (check all that apply). NOTE: See Part I of the solicitation for determining business size):

Small Business

“Not for Profit” Organization

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HUBZone Small Business

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Large Business/Other than Small Business

8(a) Firm

Veteran-Owned Small Business

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Small Disadvantaged Business

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Woman Owned Large Business

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Woman Owned Small Business

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Joint Venture

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Service-Disabled Veteran-Owned Small Business

Each Authorized Negotiator’s Name, Title, Phone Number and Email Address:

Offeror’s FAX Number:____________________

Offeror’s Website Address:____________________

Offeror does not have a website FORMCHECKBOX (Check here if company does not have a website)

Security Clearances:

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The Contractor has personnel with current security clearances or has personnel with inactive clearances eligible for reinstatement.

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The Contractor has no personnel with security clearances (current or inactive)

An adequate and auditable labor hour recording and invoicing system will be required for all awardees accepting labor-hour or time-and-materials task orders. Awardees must possess such a system at the time of award. This accounting system will be subject to review and examination by the Government as appropriate. Please identify below the accounting system used by your firm and state if it meets these requirements:

Offeror’s Accounting System:____________________

Capable of meeting requirements noted above: YES_____

NO_____

Governmentwide Commercial Purchase Card:

Clause 552.232-79, Payment by Credit Card, requires all contractors to accept the Governmentwide Commercial Purchase Card for purchases at or below the micro-purchase threshold. Please indicate if you will accept the government credit card for purchases above the micro-purchase threshold.

Yes FORMCHECKBOX

No FORMCHECKBOX

Recovery Purchasing Participation:

See clauses 552.238-78 Alternate I, Scope of Contract (Eligible Ordering Activities), and 552.238-80, Use of Federal Supply Schedule Contracts by Certain Entities—recovery Purchasing.

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The Offeror voluntarily agrees to participate in Recovery Purchasing.

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The Offeror does not agree to participate in Recovery Purchasing.

Special Item Number(s) (SINs) Offered (check all that apply):

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SIN 595-21

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595-2

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595-3

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595-4

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595-5

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595-6

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565-7

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595-8

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595-9

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595-10

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595-11

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595-25

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595-27

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595-28 Offeror’s Estimated Aggregate Sales under this solicitation per contract year (U.S. dollars) if an award is made:

NOTE 1: Include rationale for the estimate with Section III Price Proposal (see provision SCP-FSS-2).

NOTE 2: This estimate must match the aggregate of estimated sales per SIN proposed on the Commercial Sales Practices Format (CSP).

STATEMENT

I hereby state that I fully understand and shall comply with clause 552.238-74, Industrial Funding Fee and Sales Reporting, and that I have not made any changes to the terms and conditions of the “Request for Proposal Number 2FYA-AR-060004-B Refresh 28”.

Signature Title Date