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Attachment 2 Contractor Submittal Form RFQ FA251721Q0034 for CMAFS Water Treatment Services
Please complete the following:
| 4 |
| NAICS Code (Must match para. 1 of the RFQ and offeror must be registered in SAM under this NAICS in order to be considered responsive) |
| 9 |
| Payment Terms (Net 30 unless any discount terms are offered) |
| 10 |
| GSA Contract # (if applicable) |
CLIN Information
| Base Year CLINS |
| Extended Item Description |
| Qty |
| Unit |
| Unit Price ($) |
| Total Amount ($) |
| 0001 |
| Inside Cooling Towers (Open Loops) |
| 12 |
| Mth |
| 0002 |
| Outside Cooling Towers (Open Cooling) |
| 12 |
| Mth |
| 0003 |
| Inside Closed Loops |
| 12 |
| Mth |
Base Year Total Price
| Option Year 1 CLINS |
| Extended Item Description |
| Qty |
| Unit |
| Unit Price ($) |
| Total Amount ($) |
| 1001 |
| Inside Cooling Towers (Open Loops) |
| 12 |
| Mth |
| 1002 |
| Outside Cooling Towers (Open Cooling) |
| 12 |
| Mth |
| 1003 |
| Inside Closed Loops |
| 12 |
| Mth |
OY1 Total Price
| Option Year 2 CLINS |
| Extended Item Description |
| Qty |
| Unit |
| Unit Price ($) |
| Total Amount ($) |
| 2001 |
| Inside Cooling Towers (Open Loops) |
| 12 |
| Mth |
| 2002 |
| Outside Cooling Towers (Open Cooling) |
| 12 |
| Mth |
| 2003 |
| Inside Closed Loops |
| 12 |
| Mth |
OY2 Total Price
| Option Year 3 CLINS |
| Extended Item Description |
| Qty |
| Unit |
| Unit Price ($) |
| Total Amount ($) |
| 3001 |
| Inside Cooling Towers (Open Loops) |
| 12 |
| Mth |
| 3002 |
| Outside Cooling Towers (Open Cooling) |
| 12 |
| Mth |
| 3003 |
| Inside Closed Loops |
| 12 |
| Mth |
OY3 Total Price
| Option Year 4 CLINS |
| Extended Item Description |
| Qty |
| Unit |
| Unit Price ($) |
| Total Amount ($) |
| 4001 |
| Inside Cooling Towers (Open Loops) |
| 12 |
| Mth |
| 4002 |
| Outside Cooling Towers (Open Cooling) |
| 12 |
| Mth |
| 4003 |
| Inside Closed Loops |
| 12 |
| Mth |
OY4 Total Price
| 6- Month Option CLINS |
| Extended Item Description |
| Qty |
| Unit |
| Unit Price ($) |
| Total Amount ($) |
| 5001 |
| Inside Cooling Towers (Open Loops) |
| 6 |
| Mth |
| 5002 |
| Outside Cooling Towers (Open Cooling) |
| 6 |
| Mth |
| 5003 |
| Inside Closed Loops |
| 6 |
| Mth |
6-Month Total Price
TOTAL CONTRACT PRICE
** Period of performance begins 27 September 2021. Cheyenne Mountain Air Force Station, Colorado. All information described in Performance Work Statement, dated 19 April 2021. Include all shipping costs or travel costs (if applicable) in the total amount quoted.
