Attachment 1 - Quote Submission Form (QSF).pdf

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Attached to
Ten Holstein, Jersey, or Holstein-Jersey Crossbred Milking Dairy Cows - RFQ
Solicitation number
1232SA25Q0138
Issued by

About this file

The document is a Quote Submission Form (QSF) for a USDA Agricultural Research Service solicitation (Number 1232SA25Q0138) seeking 10 Holstein, Jersey, or Holstein-Jersey Crossbred Milking Dairy Cows. The solicitation is a 100% small business set-aside under NAICS code 112120 with a small business size standard of $3.75 Million. Vendors must submit quotes via email to aaron.dimeo@usda.gov by a specified deadline, with questions accepted up to 72 hours before the closing date. Delivery is required within 7 days of award to 1920 Dayton Avenue, Ames, IA 50010, with the requirement designated as FOB Destination. Vendors must be registered in the System for Award Management (SAM) and complete all required representations and certifications to be considered for the contract.

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United States Department of Agriculture

Research, Education, and Economics

Agricultural Research Service

Office of the Director ● Supply Two Section Contracting Operations Branch ● Acquisition and Property Division

1925 Linden Drive ● Madison, WI 53706 USDA is an Equal Opportunity Provider and Employer

QUOTE SUBMISSION FORM

Solicitation Title: _____________________________________________________________________

Solicitation Number: ______________________

Company Information:

Currently Registered and Active in the System for Award Management (SAM): ( ) Yes ( ) No

SAM Unique Entity Identifier (UEI) Number:

Company Legal Name: _____________________________________________

Doing Business As (if applicable): ____________________________________

Company Address as registered in the System for Award Management (SAM):

CAGE Code(s):

Socio-economic status for the NAICS code: __________ (with a small business threshold of under ______________) – please check ALL that apply:

( ) Small Business Concern [ ] Disadvantaged

[ ] SBA-certified 8(a) Program Participant [ ] SBA-certified HUB Zone Business

[ ] Veteran Owned [ ] Service-Disabled Veteran Owned

[ ] Woman-Owned [ ] Economically Disadvantaged Woman Owned

( ) Other Than Small Business Concern

( ) I confirm that my company is registered in the System for Award Management (SAM) with the socio-economic status identified above and the NAICS code specified or that my firm qualifies for the selected the socio-economic status under the applicable NAICS code.

United States Department of Agriculture

Research, Education, and Economics

Agricultural Research Service

Office of the Director ● Supply Two Section Contracting Operations Branch ● Acquisition and Property Division

1925 Linden Drive ● Madison, WI 53706 USDA is an Equal Opportunity Provider and Employer

Quote Information:

Quote Number: _________________

Quote Date:

Quote Expiration Date:

Quoted Prices:

Vendors shall insert pricing/data in the cells below. All line items must be priced.

Line item Total Amount is the Quantity multiplied by the Unit Price.

Line Item

Item Description Quantity Unit Unit Price Total Amount

0001 Holstein, Jersey, or Holstein-Jersey Crossbred Milking Dairy Cows

10 EA

Please add all "Line Item Total Amounts" together for the Total Quoted Price:

Time to Delivery: ( ) days ( ) weeks ( ) months

Certification:

I understand that incomplete sections, failure to provide all required documentation, and/or failure to sign this certification may remove my company’s quote from being put into consideration by the Government for award.

Signature:

Name:

Title:

Contact Information:

Date:

Quote Submission Form Pg 1
Quote Submission Form Pg 2
Solicitation Title: Holstein, Jersey, or Holstein-Jersey Crossbred Milking Dairy Cows
Solicitation Number: 1232SA25Q0138
SAM Unique Entity Identifier UEI Number:
Company Legal Name:
Doing Business As if applicable:
Company Address as registered in the System for Award Management SAM 1:
Company Address as registered in the System for Award Management SAM 2:
Company Address as registered in the System for Award Management SAM 3:
Company Address as registered in the System for Award Management SAM 4:
CAGE Codes:
please check ALL that apply: $3.75 Million
Group1: Off
Group2: Off
Check Box7: Off
Group3: Off
Check Box9: Off
Check Box12: Off
Check Box15: Off
Check Box16: Off
Check Box17: Off
Check Box18: Off
Text19: 112120
Quote Number:
Quote Date:
Quote Expiration Date:
Unit PriceEA:
Total AmountEA:
Total AmountPlease add all Line Item Total Amounts together for the Total Quoted Price:
Time to Delivery:
Name:
Title:
Contact Information:
Date:

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