Attachment 01-Submission Form.docx

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Attached to
Notice of Intent to Sole Source Transducers
Solicitation number
W912HZ20Q3465
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QUOTE SUBMISSION FORM

Item
Unit Price
Total

Shipping

Total Price

Engineer Research and Development Center ATTN: Penny A. Powell 3909 Halls Ferry Rd.

Vicksburg, Mississippi 39180-6199 EMAIL: Penny.Powell@usace.army.mil 601-634-5335

2. REGISTERED IN THE SYSTEM FOR AWARD MANAGMENT (SAM), FORMERLY CCR?

YES NO

NOTE: If you are not registered with SAM (formerly CCR), an award cannot be made to your institution. You may register electronically at https://www.sam.gov/portal/public/SAM/.

Registering electronically will expedite the registration process but may not ensure registration prior to the award of the contract.

3. Please provide the following information:

Contractor Point of Contact:

Point of Contact Phone Number:

Point of Contact E-mail Address:

Contractor DUNS #:

Contractor Cage Code: _

Contractor Tax ID:

This Quote is Valid Through the Following Date:

File details come from the government source that posted it. Updated .