Attachment 02_Quote Submission Form.pdf
PDF 120 KB Posted
- Solicitation number
- W912HZ21Q9115
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| File | Type | Posted |
|---|---|---|
| A02.05_Brand Name Determination-JetCon JC400.pdf | ||
| Attachment 01_Description of Requirement.pdf |
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QUOTE SUBMISSION FORM
JetCon JC400 Rapid-Setting Concrete
Item Quantity Unit Price Total JetCon JC400 Rapid-Setting Concrete (1-ton each Supersacks)
JetCon JC400 Rapid-Setting Concrete (25kg each)
Shipping
Total Price
Engineer Research and Development Center ATTN: Jody R. Criss 3909 Halls Ferry Rd.
Vicksburg, Mississippi 39180-6199 EMAIL: Jody.Criss@usace.army.mil
601-634-5248
2. REGISTERED IN THE SYSTEM FOR AWARD MANAGMENT (SAM)?
YES____ NO____
NOTE: If you are not registered with SAM, 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: ______________________________________________________________
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