Attachment 2 - Contractor Submittal Form.pdf
PDF 144 KB Posted
- Attached to
- ISRG Bldg. 302 Furniture
- Solicitation number
- W50S9A26QA014
About this file
This is a Contractor Submittal Form for Request for Quote (RFQ) W50S9A-26-Q-A014 for the ISRG Building 302 Furniture project at Roland R. Wright Air National Guard Base in Salt Lake City, Utah. The form is a template for contractors to complete and submit their proposals in response to the solicitation.
The solicitation requires contractors to provide office furniture and installation services in accordance with the attached Statement of Work (SOW). Offerors must be registered in the System for Award Management (SAM) under NAICS code 337214 to be considered responsive. The contract will be awarded on a firm-fixed-price basis with a single contract line item (CLIN 0001) for office furniture and installation services, with a quantity of one each. The period of performance is 120 days from the date of contract award, and the FOB point is Destination, meaning all deliverables must be delivered to the specified location. Payment terms are Net 30 unless the contractor offers prompt payment discount terms. Contractors must complete all required fields in Part I (contractor identification including SAM UEI and CAGE code), provide pricing in Part II, certify technical compliance with the SOW specifications in Part III, and obtain authorization signatures in Part IV.
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RFQ# W50S9A-26-Q-A014: CONTRACTOR SUBMITTAL FORM Page 1
ATTACHMENT 2 - CONTRACTOR SUBMITTAL FORM
Solicitation RFQ# W50S9A-26-Q-A014 Project: ISRG Bldg. 302 Furniture
PART I: CONTRACTOR REPRESENTATION & IDENTIFICATION
Please complete all fields in the table below. Ensure your System for Award Management (SAM) registration is active and matching.
No
Field Description Contractor Response
1 Contractor Name
2 SAM UEI
3 CAGE Code
Offeror must be registered in SAM under this NAICS (337214) in order to be considered responsive
5 Point of Contact
6 Address
7 Phone Number
8 Email Address
Payment Terms (Net 30 unless any prompt payment discount terms are offered)
10 GSA Contract # (If applicable)
RFQ# W50S9A-26-Q-A014: CONTRACTOR SUBMITTAL FORM Page 2
PART II: CLIN INFORMATION & PRICING SCHEDULE
CLIN Item Extended Item Description Qty Unit Unit Price ($) Extended Price ($)
0001 Office Furniture and Installation
Office Furniture and installation services in accordance with Attachment 1 Statement of Work (SOW)
1 EA
TOTAL PRICE: $
PART III: TECHNICAL COMPLIANCE & PERFORMANCE TERMS
Specifications Attachment Exception Certification:
[ ] The Contractor takes NO EXCEPTION to the requirements in Attachment 1 Statement of Work.
(Please check or initial the box to certify compliance)
Place of Performance: Roland R. Wright Air National Guard Base, Salt Lake City, Ut.
• Period of Performance: 120 days from the date of contract award
• FOB Point: Destination (All deliverables are FOB Destination)
PART IV: SIGNATURE OF AUTHORIZED REPRESENTATIVE
By signing below, the contractor certifies that the pricing and representations provided in this submittal are current, complete, and accurate.
Authorized Signature: ___________________________________________________
Printed Name & Title: ___________________________________________________
Date: ___________________________________________________
Company Name: ___________________________________________________
| Contractor ResponseContractor Name: |
| Contractor ResponseDUNS Number SAM UEI: |
| Contractor ResponseCAGE Code: |
| 238220Email Address: |
| 238220Payment Terms Net 30 unless any prompt payment discount terms are offered: |
| 238220GSA Contract If applicable: |
| fill_12: |
| 1_3: |
| 2_2: |
| 3_2: |
| 4_2: |
| Extended Price: |
| Point of Contact: |
| Address: |
| Phone Number: |
| Unit Price: |
File details come from the government source that posted it. Updated .