0120S160015_GPSCollarsQuoteSubmissionSheet.pdf

AG-0120-S-16-0015 Page 1 of 2

COMBINED SYNOPSIS/SOLICITATION IAW FAR 12.603

SOLICITATION NUMBER: AG-0120-S-16-0015

Quote Submission

• Current registration in the System for Award Management (SAM) (www.sam.gov)

• Provide the documentation requested in this solicitaton.

• Complete form below – or provide same information on contractor’s quote form.

• Submit completed quote to Primary Point of Contact named in this combined synopsis/solicitation Company Information

Company Name

Cage Code DUNS Code

Street Address City State Zip Code

Phone Number

Fax Number Website

Point of Contact Information Point of Contact Name

Telephone Number Email Address

Proposal/Proposal Information CLIN Requirement Estimated

Quantity Unit of Issue

Price Per Unit (Firm Fixed

Price)

Total Price (Firm Fixed

Price)

001 GPS Collars 25 Ea.

002 Drop off Mechanisms 25 Ea.

003 All associated activation/subscription fees for each collar for one (1) year

25 Ea.

004 Programming interface for collars 1 Ea.

005 Cable for programming collar/drop off mechanism 1 Ea.

006 Programming interface for drop off mechanism

1 Ea.

007 Shipping/Handling to Cordova, AK 1 Ea.

Total Evaluated Price For All CLINs $

Discount Terms (NET 30 if unspecified):

Days required for Delivery: FOB Destination Compliance (circle one):

YES NO

Carefully review all documents before signing Offerors Authorized Representative’s Typed or Printed Name

Position or Title

Offerors Authorized representative’s Signature Date

AG-0120-S-16-0015 Page 2 of 2

The quantity of collars shown in the schedule of items is an estimate. The actual quantity ordered will be based on the amount of funding available.