Att 03 Proposal Submission Form 20R1652 20200601.pdf

Combined Synopsis/Solicitation (FAR 12.603 and FAR 5.207)

M67854-20-R-1652

84mm Ammunition Pouch RFP

Attachment 3 – Proposal Submission Form

Company Information

Company Name

Cage Code Tax Payer ID DUNS Code

Street Address

City

State Zip Code

Phone Number

Fax Number Website

Business Type (e.g. Large, Small, 8(a), etc.) In Accordance With FAR 19.001, https://www.acquisition.gov

Point of Contact Information

Point of Contact Name

Telephone Number Email Address https://www.acquisition.gov/

M67854-20-R-1652

Production Capacity:

Offeror can produce (insert number) 84mm Ammunition Pouches per month within 60 days of receiving production authorization.

Berry Amendment Compliance:

I, (sign name here), in submitting this offer under solicitation number M67854-20-R-1652, affirm that only products compliant with the Berry Amendment (10 USC 2533a) will be delivered to the Government. As such, all items delivered, either as end products or components, will be grown, reprocessed, reused, or produced in the United States (as defined in DFARS 252.225-7012(b) included by reference herein). This certification covers all materials (including those of all components) and components supplied by subcontractors at any tier, and all labor (including that of all intervening processes), whether performed by the Offeror or any of its subcontractors at any tier.

M67854-20-R-1652

Price:

CLIN Description Maximum

Quantity

Unit of Issue Total Price

84mm Ammunition Pouch (Pre-Production

Validation)- Coyote

3 Each $

0002 84mm Ammunition Pouch

(Production)-Coyote

10,248 Each $

M67854-20-R-1652

84mm Ammunition Pouch RFP

Past Performance:

Past Performance Citation 1

Contract Number: Contract Type:

Total Contract Value: Period of Performance:

Customer/Agency:

Point of Contact (Name and email address):

Description of work, to include basis for relevancy to subject procurement:

M67854-20-R-1652

Past Performance Citation 2

Contract Number: Contract Type:

Total Contract Value: Period of Performance:

Customer/Agency:

M67854-20-R-1652

84mm Ammunition Pouch RFP

Attachment 3 – Proposal Submission Form Past Performance Citation 3

Contract Number: Contract Type:

Total Contract Value: Period of Performance:

Customer/Agency:

M67854-20-R-1652

The best value offer that conforms to the RFP may be selected for award. In order to be technically acceptable and conform to the RFP, the Offeror must meet all technical requirements. No deviations will be accepted.

Discount Terms (NET 30 if unspecified):

FOB Destination Compliance (circle one):

YES NO (see FAR 52.247-34)

Carefully review all documents before signing

Offeror’s Authorized Representative's Typed or Printed Name Position or Title

Offeror’s Authorized Representative's Signature Date