Attachment 3 - Quote Submission Form.pdf
PDF 364 KB Posted
- Attached to
- HVAC Preventative Maintenance Services - RFQ Federal contract opportunity
- Solicitation number
- 1232SA26Q0103
About this file
This is a Quote Submission Form for a Request for Quote (RFQ) issued by the United States Department of Agriculture (USDA), Agricultural Research Service. The solicitation is for HVAC Preventative Maintenance Services under Solicitation Number 1232SA26Q0103. Vendors must provide pricing for a base year plus four option years, with each year consisting of 12 months of service. All five line items (base year and four option years) must be priced, with the total quoted price calculated as the sum of all line-item total amounts. The form requires vendors to be currently registered and active in the System for Award Management (SAM) and to identify their socio-economic status, including small business status and applicable certifications such as SBA 8(a) Program Participant, HUB Zone Business, Veteran Owned, Service-Disabled Veteran Owned, Woman-Owned, or Economically Disadvantaged Woman Owned status. The applicable NAICS code is 238220 with a small business threshold of under $19.0 Million.
The form includes mandatory sections for company information (legal name, SAM UEI, CAGE code, and registered address), quote details (quote number, date, and expiration date), and pricing submission. Vendors must complete all required sections and provide all necessary documentation; incomplete submissions or failure to sign the certification may result in disqualification from consideration for award. The form requires authorized signature from the vendor representative, along with their name and title. Contact information and submission date fields are also required on the form.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 2 - Statement of Requirements (0004).pdf | ||
| Attachment 4 - Questions and Answers.pdf | ||
| Attachment 1 - Solicitation Terms and Conditions (0001).pdf | ||
| Attachment 2 - Statement of Requirements (0001).pdf | ||
| Attachment 1 - Solicitation Terms and Conditions.pdf | ||
| Attachment 2 - Statement of Requirements.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.
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 Base Year: HVAC Preventative Maintenance Services
Months
1001 Option Year 1: HVAC Preventative Maintenance Services
Months
2001 Option Year 2: HVAC Preventative Maintenance Services
Months
3001 Option Year 3: HVAC Preventative Maintenance Services
Months
4001 Option Year 4: HVAC Preventative Maintenance Services
Months
Total Quoted Price:
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:
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
Contact Information:
Date:
| Quote Submission Form Pg 1 |
| Quote Submission Form Pg 2 |
| Solicitation Title: HVAC Preventative Maintenance Services - RFQ |
| Solicitation Number: 1232SA26Q0103 |
| 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: $19.0 Million |
| 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: 238220 |
| Quote Number: |
| Quote Date: |
| Quote Expiration Date: |
| QuantityBase Term HVAC Preventative Maintenance Services: 12 |
| Unit PriceMonths: |
| Total AmountMonths: 0 |
| QuantityOption Year 1 HVAC Preventative Maintenance Services: 12 |
| Unit PriceMonths_2: |
| Total AmountMonths_2: 0 |
| QuantityOption Year 2 HVAC Preventative Maintenance Services: 12 |
| Unit PriceMonths_3: |
| Total AmountMonths_3: 0 |
| QuantityOption Year 3 HVAC Preventative Maintenance Services: 12 |
| Unit PriceMonths_4: |
| Total AmountMonths_4: 0 |
| QuantityOption Year 4 HVAC Preventative Maintenance Services: 12 |
| Unit PriceMonths_5: |
| Total AmountMonths_5: 0 |
| Total AmountTotal Quoted Price: 0 |
| Name: |
| Title: |
| Contact Information: |
| Date: |
File details come from the government source that posted it. Updated .