Attachment_3_Contact Information and Pricing Table.pdf
PDF 128 KB Posted
- Solicitation number
- W912LP-23-Q-4515
About this file
This attachment provides a contact information and pricing table for solicitation number W912LP-23-Q-4515 from the Department of the Army Iowa Army National Guard. The table requires offerors to provide company information including name, point of contact, contact details, CAGE and UEI numbers, tax ID, payment terms, and socio-economic groups. The pricing table seeks unit pricing and extended costs for 104 physical exams, 104 vision screenings, 102 complete lab draws, 102 and 36 blood level tests for lead, chromium, and cadmium respectively. The period of performance is unspecified. The solicitation is for occupational health medical surveillance examination services in Des Moines and Boone, Iowa.
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Text version
Attachment 3
Iowa Army National Guard
RFQ# W912LP-23-Q-4515
CONTACT INFORMATION TABLE
Company Name
Point of Contact (POC) Name
POC Phone
POC Email
CAGE Code
UEI Number
Tax ID Number Prompt Payment Discount Terms (Net 30 unless otherwise noted)
Business Size/Socio-economic Group(s) (Must correspond with FAR 52.212- 3 and/or 52.219-1 representations and certifications completed within
SAM)
Period of Performance
PRICING TABLE
Item # Description Qty Unit Unit Price Extended Amt
0001 Physical/Dermatological Exams 104 JOB $ $
0002 Vision Screenings 104 JOB $ $
0003 Complete Lab Draw 102 JOB $ $
0004 Lead Blood Level 102 JOB $ $
0005 Chromium Blood Level 36 JOB $ $
0006 Cadmium Blood Level 34 JOB $ $
TOTAL $
File details come from the government source that posted it. Updated .