Att-3. Offer Cover Page.pdf
PDF 123 KB Posted
- Attached to
- CSU: Mobile Mammography Services Federal contract opportunity
- Solicitation number
- 75H70925Q-CSU-015
About this file
This document is an Offer Cover Page for a federal contract opportunity requiring vendors to complete specific business and contact information. The form requires contractors to provide their solicitation number, business name, address, SAM UEI number, point of contact details, total offer amount, and small business status. Vendors must specify whether their offer is predicated on the RFQ's terms and conditions, offer validity period, and indicate their small business classification, which includes categories like Service Disabled Veteran Owned Small Business (SDVOSB), Woman-Owned Small Business (WOSB), Historically Underutilized Business Zone (HUBZone), and others. The form is part of a solicitation for Mobile Mammography Services for the Crow / Northern Cheyenne Hospital in Crow Agency, Montana, issued by the Indian Health Service under solicitation number 75H70925Q-CSU-015.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Att-1. SOW.pdf | ||
| 75H0925Q-CSU-015.pdf | ||
| Att-2. Price Schedule.xlsx | XLSX spreadsheet |
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Text version
Complete the following fields and include this page with your offer
1. The solicitation number of this RFQ: ________________________________________
2. Business Name: _________________________________________________________
3. Contractor Address: ______________________________________________________
4. Contractor SAM UEI: ____________________________________________________
5. Point of Contact (POC) Info:
i. Name: _______________________________________________
ii. Phone: _______________________________________________
iii. Email: _______________________________________________
6. Total Offer Amount: $ __________________________________________________
7. Stipulate if the offer is predicated on terms and conditions of this RFQ:
Offer is predicated upon all terms and conditions of this RFQ
Offer is not predicated upon the terms and conditions of this RFQ and the offer includes proposed terms.
Offer is valid for ____ days from close date of this RFQ.
8. Confirm Small Business Status:
Yes, small business
No, other than small business
9. Identify any small business category your company qualifies as:
Indian Small Business Economic Enterprise (ISBEE)
Service Disabled Veteran Owned Small Business (SDVOSB)
Woman-Owned Small Business (WOSB)
Disadvantaged Woman-Owned Small Business
Historically Underutilized Business Zone (HUBZone)
Small Disadvantaged Business (SDB)
None
| The solicitation number of this RFQ: |
| Business Name: |
| Contractor Address: |
| Contractor SAM UEI: |
| Name: |
| Phone: |
| Email: |
| Total Offer Amount: |
| Offer is valid for: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
| Check Box8: Off |
| Check Box9: Off |
| Check Box10: Off |
| Check Box11: Off |
| Check Box12: Off |
File details come from the government source that posted it. Updated .