Atch 4 21Q1056 Price Schedule and Acknowledgements.docx
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- FA462521Q1056
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ATTACHMENT 4
RFQ#: FA462521Q1056
509th CONTRACTING SQUADRON POC: 2d Lt Kedzierzawski Phone: (660) 687-2370 Email: 509Cons.Sollgca@us.af.mil 8 June 2021
QUOTE PREPARED BY:
(Signature)
(Printed Name and Title)
This is a Request For Quote. This is NOT an order. This document is not legally binding and does not commit the U.S. Government in any way. A standard company generated form may be used to submit quote. If company form is used, please ensure all information below is provided. For price justification purposes, please also provide relevant pricing data from other awards, redacted as deemed necessary. This gives the Government the flexibility to prove pricing fair and reasonable based on comparison to other awards and allows for quicker contract execution.
| Item # |
| Description |
| Qty |
| U/I |
| Price Each |
| 0001 |
| Inspect and Maintain 150lb Halon extinguishers IAW PWS dated 8 June 2021 |
| 131 |
| EA |
| 0002 |
| Dip Tube Assembly |
| 131 |
(Not to Exceed)
EA
TOTAL PRICE
Amendment Posting Date
Company Rep Initials
In addition to filling in the above sections, please answer the following questions. In lieu of this form, a standard company generated quote may be submitted; however, the following questions must also be answered in order to aid us in our decision:
1. Are you registered in SAM? If so what is your DUNS or CAGE code?
2. Who is the main POC for this project?
3. If a small business, what is your socio-economic status?
4. Do you offer any discount payment terms/prompt payment discounts?
//END//
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