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Contractor Submittal Form
Please complete the following:
| 3 |
| Unique Entity ID (UEI) Number |
| 5 |
| NAICS Code (Must match page 1 of the RFQ/solicitation and offeror must be registered in SAM under this NAICS in order to be considered responsive) |
| 6 |
| Point(s) of Contact (for decisions made in respect to the offer and who is authorized to negotiate on behalf of the company) (Name, phone number and email) |
| 7 |
| Payment Terms (Net 30 unless any discount terms are offered) |
| 8 |
| Reps & Certs Are /Are not current at SAM.gov If not current, please update and submit on this document. |
| 9 |
| Identify, if applicable, any amendments the proposal includes. |
Exceptions:
Solicitation Exceptions
| Solicitation Document |
| Page/Paragraph |
| Requirement/Portion |
| Rationale |
| PWS, etc. |
| Applicable page and paragraph numbers |
| Identify the requirement or portion to which exception is taken |
| Describe why the requirement can/will not be met |
| Labor Category |
| Fully Burdened Labor Rate |
| CLIN |
| Description |
| Unit of Measure |
| Number of Units |
| Monthly Price |
| Total Annual Price |
| 0001 |
| Routine Maintenance and Repairs |
| Month (MO) |
| 12 |
| 0002 |
| Fire Alarm Parts & Equipment Parts & Equipment in Support of Base Fire Alarm Maintenance and Upgrades (Labor can only be invoiced IAW the labor categories and rates provided above) |
| Lot |
| 12 |
Government to provide a ceiling/NTE value
| 1001 |
| Routine Maintenance and Repairs (32 Hour per Month) |
| Month (MO) |
| 12 |
| 1002 |
| Fire Alarm Parts & Equipment Parts & Equipment in Support of Base Fire Alarm Maintenance and Upgrades (Labor can only be invoiced IAW the labor categories and rates provided above) |
| Lot |
| 12 |
Government to provide a ceiling/NTE value
| 2001 |
| Routine Maintenance and Repairs (32 Hour per Month) |
| Month (MO) |
| 12 |
| 2002 |
| Fire Alarm Parts & Equipment Parts & Equipment in Support of Base Fire Alarm Maintenance and Upgrades (Labor can only be invoiced IAW the labor categories and rates provided above) |
| Lot |
| 12 |
Government to provide a ceiling/NTE value
Total Contract Value (sum of all CLINs)