47QMCA22R0013_Attachment_16_-_GSA_Form_1611.xlsx
GSA Form XLSX spreadsheet 27 KB Posted
- Solicitation number
- 47QMCA22R0013
- Issued by
-
GSA Federal Acquisition Service
About this file
This document is a draft solicitation for medium and heavy duty trucks, wreckers, and carriers from the General Services Administration (GSA) Federal Acquisition Service. The solicitation seeks proposals for these vehicle types due by September 2, 2022 through the AutoBid system. Proposals should address the products and services outlined in the 20 attachments to the draft solicitation. Relevant details include the vehicle classes, origin and delivery terms, packaging and containerization requirements, and points of contact for additional information.
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Other versions and copies of GSA Form 1611
| File | Revision | Posted | Attached to |
|---|---|---|---|
| QMAE-EV-190002-D_Attachment_16_-_GSA_Form_1611.xlsx Same revision and size as this file | Revision not stated | GSA's 2020 Medium & Heavy Duty Trucks and Wreckers & Carriers Program | |
| QMAE-BD-160001-D_Attachment_18_-_GSA_Form_1611.xlsx Same revision and size as this file | Revision not stated | 2017 Medium & Heavy Duty Trucks/Wreckers & Carriers Program |
Who attaches GSA Form 1611
| Agency | Files |
|---|---|
| GSA Federal Acquisition Service | 3 |
Other files
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Text version
form1611
TRANSPORTATION SERVICE ORDER DATE OF APPLICATION
| INSTRUCTIONS | REQUISITION NUMBER | ||
| In order that the most eonomical transportation may be arranged, all information requested MUST BE FURNISHED as accurately as possible. | |||
| CONTRACT | PURCHASE ORDER | ||
| LETTER OF TRANSMITTAL IS NOT REQUIRED. | |||
| NAME AND ADDRESS OF APPLICANT | NAME AND ADDRESS TO WHOM GOVERMENT SHIPPING INSTRUCTIONS SHOULD BE MAILED (Note: Shipping instructions are sent via express service with next AM delivery. A physical delivery address (no post office boxes) is required. |
TELEPHONE AND FAX NUMBERS
| e-MAIL ADDRESS | Fax or e-mailadditional copy to: | |
| e-Mail to GSA @ | gsa.export@gsa.gov |
| COMMODITY TENDERED (Purchase Order item number and description) | DATE SHIPMENT AVAILABLE | ||
| QUANTITY | COMMODITY/ITEM DESCRIPTION & NATIONAL STOCK NUMBER | ||
| GROSS SHIPMENT WEIGHT (Lbs.) | |||
| REMARKS | EACH | TOTAL |
CUBE (Ft)
| VALUE OF SHIPMENT | |
| SINGLE ITEM | TOTAL VALUE |
| FOR GSA USE ONLY | |
| PCFN | |
| DESCRIPTION OF PACK (SHIPPING) UNIT TENDERED INCLUDING THE TOTAL NUMBER OF CONTAINERS BY TYPE,KIND, SUCH AS DRUMS, CASES, BAGS BUNDLES, LOOSE PIECES, ETC, AND IF SET-UP, KNOCKED DOWN, NESTED OR OTHERWISE, AND THE WEIGHT DIMENSIONS AND CONTENTS OF EACH (When an attachment, such as: packing list, shipping document or equivalent, provides this information in sufficient detail and is self-explanatory, the applicant may insert "See Attachment". |
| INSERT THE DIMENSIONS OF THE LARGEST SINGLE ITEM IN ITS SHIPPING CONFIGURATION: | |||||
| LENGTH | WIDTH | HEIGHT | DIMENSIONS ARE EXPRESSED IN INCHES ROUNDED UP | ||
| ORIGIN INFORMATION (Company Name, City, State, Zip, Contact Name and Phone) | CONTRACT DELIVERY TERMS (FAS,FOB,etc) | ||||
| NAME & FULL ADDRESS WHERE VEHICLE IS LOCATED TO INCLUDE ZIP CODE | FOB Origin (Loading Point) | ||||
| FOB Destination (Port/CCP) | |||||
| OVERSEAS ADDRESS MARKINGS |
| CONTACT: | COMMERCIAL PHONE/E-MAIL: |
| CONTAINER REQUIREMENT. Shipments (other than vehicles) 10,000LBS/800 cft MUST BE CONTAINERIZED at the manufacrer. |
| SEAVANS: | SIZE: | TYPE OF SEAVAN: | (STANDARD OR HIGH-CUBE) | |||||
| PIECES: | WEIGHT: | CUBE: | ||||||
| SEAVAN TOTAL SEAVAN TOTAL SEAVAN TOTAL | ||||||||
| SEAVANS: | SIZE: | TYPE OF SEAVAN: | (STANDARD OR HIGH-CUBE) | |||||
| PIECES: | WEIGHT: | CUBE: | ||||||
| SEAVAN TOTAL SEAVAN TOTAL SEAVAN TOTAL | ||||||||
| SEAVANS: | SIZE: | TYPE OF SEAVAN: | (STANDARD OR HIGH-CUBE) | |||||
| PIECES: | WEIGHT: | CUBE: | ||||||
| SEAVAN TOTAL SEAVAN TOTAL SEAVAN TOTAL | ||||||||
| OVERFLOW | PIECES: | WEIGHT: | CUBE: |
TOTAL PIECES: WEIGHT: CUBE:
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