Attachment 1 - Quote Submission Form (QSF).pdf

PDF 299 KB Posted

Attached to
Pest Control Services - RFQ Federal contract opportunity
Solicitation number
1232SA25Q0411
Issued by
Department of Agriculture Agricultural Research Service

About this file

Written by GovTribe AI ·

This is a Request for Quote (RFQ) from the United States Department of Agriculture (USDA) Agricultural Research Service for Pest Control Services. The solicitation (Number 1232SA25Q0411) covers a base year and four option years of monthly pest control services, including crawling insect control, ant control, rodent control, and on-call services. The NAICS code is 561710, with a small business threshold under $17.5 Million, and vendors are required to be registered in the System for Award Management (SAM). The quote form requires vendors to provide unit pricing for each service category across five potential contract years, with space for companies to specify their socio-economic status (such as small business, veteran-owned, woman-owned, etc.). Vendors must complete all sections of the form and understand that incomplete submissions may be disqualified from award consideration.

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United States Department of Agriculture

Research, Education, and Economics Agricultural Research Service

Office of the Director ● Supply 1 Section Contracting Operations Branch ● Acquisition and Property Division

5601 Sunnyside Avenue ● Beltsville, MD 20705 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.

Agricultural Research Service

Office of the Director ● Supply 1 Section Contracting Operations Branch ● Acquisition and Property Division

5601 Sunnyside Avenue ● Beltsville, MD 20705 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 Base Year: Crawling Insect Control

12 MO

0002 Base Year: Ant Control

Base Year: Rodent Control 12 MO

Base Year: On-Call Service 12 MO

1001 Option Year 1: Crawling Insect Control

1002 Option Year 1: Ant Control

Option Year 1: Rodent Control

Option Year 1: On-Call Service

2001 Option Year 2: Crawling Insect Control

2002 Option Year 2: Ant Control

Option Year 2: Rodent Control

Option Year 2: On-Call Service

3001 Option Year 3: Crawling Insect Control 12 MO

Agricultural Research Service

Office of the Director ● Supply 1 Section Contracting Operations Branch ● Acquisition and Property Division

5601 Sunnyside Avenue ● Beltsville, MD 20705 USDA is an Equal Opportunity Provider and Employer

3002 Option Year 3: Ant Control

Option Year 3: Rodent Control

Option Year 3: On-Call Service

4001 Option Year 4: Crawling Insect Control

4002 Option Year 4: Ant Control

Option Year 4: Rodent Control

Option Year 4: On-Call Service

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

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: Pest Control Services - RFQ
Solicitation Number: 1232SA25Q0411
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: $17.5 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: 561710
Quote Number:
Quote Date:
Quote Expiration Date:
Unit PriceMO:
Total AmountMO:
Unit PriceMO_2:
Total AmountMO_2:
Unit PriceMO_3:
Total AmountMO_3:
Unit PriceMO_4:
Total AmountMO_4:
Unit PriceMO_5:
Total AmountMO_5:
Unit PriceMO_6:
Total AmountMO_6:
Unit PriceMO_7:
Total AmountMO_7:
Unit PriceMO_8:
Total AmountMO_8:
Unit PriceMO_9:
Total AmountMO_9:
Unit PriceMO_10:
Total AmountMO_10:
Unit PriceMO_11:
Total AmountMO_11:
Unit PriceMO_12:
Total AmountMO_12:
Unit PriceMO_13:
Total AmountMO_13:
MO:
MO_2:
MO_3:
MO_4:
MO_5:
MO_6:
MO_7:
Please add all Line Item Total Amounts together for the Total Quoted Price:
Name:
Title:
Contact Information:
Date:
Total AmountMO_14:
Total AmountMO_15:
Total AmountMO_16:
Total AmountMO_17:
Total AmountMO_18:
Total AmountMO_19:
Total AmountMO_20:

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