Attachment 2 - Contractor Submittal Form.pdf

PDF 181 KB Posted

Attached to
Laundry and Dry-Cleaning Services Federal contract opportunity
Solicitation number
FA570226Q0004
Issued by
Department of the Air Force Air Combat Command

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The document is a Contractor Submittal Form (FA570226Q0004) for a laundry services contract. The solicitation covers multiple line items for different types of laundry services, including standard laundry and dry cleaning, medical laundry, and special laundry for petroleum-soiled items. The contract includes a base period of 12 months and four additional 12-month option years, plus a 6-month option period. Each line item is measured in months (MO), with pricing to be completed by the contractor for each category. The form requires contractors to provide company details such as name, address, Unique Entity ID (UEI), CAGE Code, NAICS Code, point of contact, and payment terms. Contractors must also confirm their representations and certifications status on SAM.gov and identify any amendments to their proposal.

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Other files for this federal contract opportunity

Other files attached to Laundry and Dry-Cleaning Services, newest first.
File Type Posted
Attachment 1 - Performance Work Statement - Version 4.pdf PDF
Attachment 1 - Performance Work Statement - Version 3_Redacted.pdf PDF
Estimated Monthly Workload.pdf PDF
FA570226Q0004 - Solicitation Combo - Amended.pdf PDF
Questions and Answers 2.docx DOCX document
Attachment 3 - Performance Work Statement - Version 3_Redacted.pdf PDF
Attachment 2 - Contractor Submittal Form - Version 2.pdf PDF
Attachment 1 - Performance Work Statement - Version 2_Redacted.pdf PDF
Questions and Answers.pdf PDF
Attachment 3 - Provisions and Clauses.pdf PDF
FA570226Q0004 - Solicitation Combo.pdf PDF
Attachment 1 - Performance Work Statement_Redacted.pdf PDF
Show all 12

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FA570226Q0004 - CONTRACTOR SUBMITTAL FORM

Please complete the following:

1. Company Name

2. Company Address

3. Laundry Facility Address

4. Unique Entity ID (UEI) Number

5. CAGE Code

6. 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)

7. Point(s) of Contact (Name, phone number and email)

8. Payment Terms (Net 30 unless any discount terms are offered)

9. Reps & Certs Are /Are not current at SAM.gov If not current, please update and submit on this document.

10. Identify, if applicable, any amendments the proposal includes.

FA570226Q0004 - CONTRACTOR SUBMITTAL FORM

Line Item Description Quantity Unit of Measure

Price Per Unit

(USD)

Total

(USD)

0001 Laundry and Dry Cleaning 12 MO

0002 Medical Laundry 12 MO

0003 Special Laundry (Petroleum soiled) 12 MO

1001 Option Year 1: Laundry and Dry Cleaning 12 MO

1002 Option Year 1: Medical Laundry 12 MO

1003 Option Year 1: Special Laundry (Petroleum soiled)

12 MO

2001 Option Year 2: Laundry and Dry Cleaning 12 MO

2002 Option Year 2: Medical Laundry 12 MO

2003 Option Year 2: Special Laundry (Petroleum soiled)

12 MO

3001 Option Year 3: Laundry and Dry Cleaning 12 MO

3002 Option Year 3: Medical Laundry 12 MO

3003 Option Year 3: Special Laundry (Petroleum soiled)

12 MO

4001 Option Year 4: Laundry and Dry Cleaning 12 MO

4002 Option Year 4: Medical Laundry 12 MO

4003 Option Year 4: Special Laundry (Petroleum soiled)

12 MO

5001 6 Month Option Period: Laundry and Dry- Cleaning

6 MO

5002 6 Month Option Period: Medical Laundry 6 MO

5003 6 Month Option Period: Special Laundry 6 MO

Contractor Name:
Contractor Address:
Facility Address:
Unique Entity ID UEI Number:
CAGE Code:
NAICS Code Must match page 1 of the RFQsolicitation and offeror must be registered in SAM under this NAICS in order to be considered responsive:
Points of Contact Name phone number and email:
Payment Terms Net 30 unless any discount terms are offered:
Reps Certs Are Are not current at SAMgov If not current please update and submit on this document:
Identify if applicable any amendments the proposal includes:
Price Per Unit USDMO:
Total USDMO:
Price Per Unit USDMO_2:
Total USDMO_2:
Price Per Unit USDMO_3:
Total USDMO_3:
Price Per Unit USDMO_4:
Total USDMO_4:
Price Per Unit USDMO_5:
Total USDMO_5:
Price Per Unit USDMO_6:
Total USDMO_6:
Price Per Unit USDMO_7:
Total USDMO_7:
Price Per Unit USDMO_8:
Total USDMO_8:
Price Per Unit USDMO_9:
Total USDMO_9:
Price Per Unit USDMO_10:
Total USDMO_10:
Price Per Unit USDMO_11:
Total USDMO_11:
Price Per Unit USDMO_12:
Total USDMO_12:
Price Per Unit USDMO_13:
Total USDMO_13:
Price Per Unit USDMO_14:
Total USDMO_14:
Price Per Unit USDMO_15:
Total USDMO_15:
Total USDMO_16:
Price Per Unit USDMO_17: Half of CLIN 4002
Total USDMO_17:
Price Per Unit USDMO_18: Half of CLIN 4003
Total USDMO_18:
Price Per Unit USDMO_16: Half of CLIN 4001

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