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Contractor Submittal Form FA2517-22-Q-0014 Hoist Fall Arrest Systems Inspections
Please complete the following:
| 4 |
| NAICS Code (Offeror must be registered as a small business in SAM under 541690 to be considered “responsive”) |
| 9 |
| Payment Terms (Net 30 unless any discount terms are offered) |
CLIN Information
| CLIN |
| Description |
| Qty |
| Unit |
| Total Amount ($) |
Base 0001 3 Mar 2022 – 2 Mar 2023
| Contractor shall perform hoist/fall arrest system annual inspection in accordance with PWS dated 28 Jan 2022. |
| 1 |
| LOT |
Option 1 1001 3 Mar 2023 – 2 Mar 2024
| Contractor shall perform hoist/fall arrest system annual inspection in accordance with PWS dated 28 Jan 2022. |
| 1 |
| LOT |
Option 2 2001 3 Mar 2024 – 2 Mar 2025
| Contractor shall perform hoist/fall arrest system annual inspection in accordance with PWS dated 28 Jan 2022. |
| 1 |
| LOT |
Option 3 3001 3 Mar 2025 – 2 Mar 2026
| Contractor shall perform hoist/fall arrest system annual inspection in accordance with PWS dated 28 Jan 2022. |
| 1 |
| LOT |
Option 4 4001 3 Mar 2026 – 2 Mar 2027
| Contractor shall perform hoist/fall arrest system annual inspection in accordance with PWS dated 28 Jan 2022. |
| 1 |
| LOT |
I knowledge the requirements specified in the PWS and will meet the performance standards and requirements therein.
Additionally, this business does or does not take exception to any of the requirements of the PWS or the terms/conditions of the purchase order. Exceptions, if applicable, provided below.
SIGNATURE:
DATE: