Attachment 3 - Quote Submission Form.pdf

PDF 294 KB Posted

Attached to
Alfalfa Hay Bales - RFQ Federal contract opportunity
Solicitation number
1232SA26Q0041
Issued by
Department of Agriculture Agricultural Research Service

About this file

This document is a USDA Agricultural Research Service Quote Submission Form for Alfalfa Hay Bales (Solicitation Number 1232SA26Q0041). The solicitation seeks 2,000 tons of alfalfa hay bales, with a current quoted price of $0.00. The procurement is targeted for a small business within NAICS code 311119, with a small business threshold of under 650 employees. Potential vendors must be registered in the System for Award Management (SAM) and can indicate various socio-economic statuses such as small business, veteran-owned, woman-owned, or disadvantaged business status. The form requires vendors to provide comprehensive company information, pricing details, and certification, with a warning that incomplete sections or failure to provide required documentation may disqualify the quote from consideration.

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Attachment 2 - Statement of Requirements.pdf PDF
Attachment 1 - Solicitation Terms and Conditions.pdf PDF

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Text version

United States Department of Agriculture

Research, Education, and Economics Agricultural Research Service

Office of the Director ● Supply 1 Section Contracting Operations Branch ● Acquisition and Property Division

5601 Sunnyside Avenue ● Beltsville, MD 20705 USDA is an Equal Opportunity Provider and Employer

QUOTE SUBMISSION FORM

Solicitation Title: _____________________________________________________________________

Solicitation Number: ______________________

Company Information:

Currently Registered and Active in the System for Award Management (SAM): ( ) Yes ( ) No

SAM Unique Entity Identifier (UEI) Number:

Company Legal Name: _____________________________________________

Doing Business As (if applicable): ____________________________________

Company Address as registered in the System for Award Management (SAM):

CAGE Code(s):

Socio-economic status for the NAICS code: __________ (with a small business threshold of under ______________) – please check ALL that apply:

( ) Small Business Concern [ ] Disadvantaged

[ ] SBA-certified 8(a) Program Participant [ ] SBA-certified HUB Zone Business

[ ] Veteran Owned [ ] Service-Disabled Veteran Owned

[ ] Woman-Owned [ ] Economically Disadvantaged Woman Owned

( ) Other Than Small Business Concern

( ) I confirm that my company is registered in the System for Award Management (SAM) with the socio-economic status identified above and the NAICS code specified or that my firm qualifies for the selected the socio-economic status under the applicable NAICS code.

United States Department of Agriculture

Research, Education, and Economics Agricultural Research Service

Office of the Director ● Supply 1 Section Contracting Operations Branch ● Acquisition and Property Division

5601 Sunnyside Avenue ● Beltsville, MD 20705 USDA is an Equal Opportunity Provider and Employer

Quote Information:

Quote Number: _________________

Quote Date:

Quote Expiration Date:

Quoted Prices:

Vendors shall insert pricing/data in the cells below. All line items must be priced.

The Line-Item Total Amount is the Quantity multiplied by the Unit Price.

The Total Quoted Price is the sum of all Line-Item Total Amounts.

Line Item

Item Description Quantity Unit Unit Price Total Amount

0001 Alfalfa Hay Bales Tons Total Quoted Price:

Time to Delivery: ( ) days ( ) weeks ( ) months

Certification:

I understand that incomplete sections, failure to provide all required documentation, and/or failure to sign this certification may remove my company’s quote from being put into consideration by the Government for award.

Signature:

Name:

Title:

Contact Information:

Date:

Quote Submission Form Pg 1
Quote Submission Form Pg 2B
Solicitation Title: Alfalfa Hay Bales - RFQ
Solicitation Number: 1232SA26Q0041
SAM Unique Entity Identifier UEI Number:
Company Legal Name:
Doing Business As if applicable:
Company Address as registered in the System for Award Management SAM 1:
Company Address as registered in the System for Award Management SAM 2:
Company Address as registered in the System for Award Management SAM 3:
Company Address as registered in the System for Award Management SAM 4:
CAGE Codes:
please check ALL that apply: 650 Employees
Group1: Off
Group2: Off
Check Box7: Off
Group3: Off
Check Box9: Off
Check Box12: Off
Check Box15: Off
Check Box16: Off
Check Box17: Off
Check Box18: Off
Text19: 311119
Quote Number:
QuantityAlfalfa Hay Bales: 2000
Unit PriceTons:
Total AmountTons: 0
Time to Delivery:
Total AmountTotal Quoted Price: 0
Name:
Title:
Contact Information:
Date1_af_date:
Date2_af_date:
Date3_af_date:
Group4: Off

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