Attachment 3 - Quote Submission Form.pdf
PDF 298 KB Posted
- Attached to
- Field Corn Seed - RFQ Federal contract opportunity
- Solicitation number
- 1232SA26Q0177
About this file
This is a Quote Submission Form for USDA Agricultural Research Service Solicitation Number 1232SA26Q0177 for Field Corn Seed. Vendors must submit quotes for three line items: 42 bags of 106 Day Maturity Field Corn Seed, 40 bags of 110 Day Maturity Field Corn Seed, and shipping/freight/delivery. All line items require pricing, with the Line-Item Total Amount calculated as Quantity multiplied by Unit Price, and the Total Quoted Price as the sum of all Line-Item Total Amounts. Vendors must also specify time to delivery in days, weeks, or months.
The form requires vendors to provide company information including SAM registration status, SAM Unique Entity Identifier (UEI), company legal name, doing business as name if applicable, company address as registered in SAM, and CAGE Code(s). Vendors must identify their socio-economic status for NAICS code 111150 (with a small business threshold of under $2.5 Million), selecting all applicable categories such as Small Business Concern, SBA-certified 8(a) Program Participant, Veteran Owned, Woman-Owned, or Other Than Small Business Concern. The form includes a certification statement requiring the authorized representative's signature, printed name, title, contact information, and date. The issuing agency notes that incomplete sections, missing required documentation, or failure to sign the certification may disqualify the quote from Government consideration for award.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 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 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 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 106 Day Maturity Field Corn Seed Bags 0002 110 Day Maturity Field Corn Seed Bags 0003 Shipping/Freight/Delivery Each
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: Field Corn Seed - RFQ |
| Solicitation Number: 1232SA26Q0177 |
| 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: $2.5 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: 111150 |
| Quote Number: |
| Quote Date: |
| Quote Expiration Date: |
| Quantity106 Day Maturity Field Corn Seed: 42 |
| Unit PriceBags: |
| Total AmountBags: 0 |
| Quantity110 Day Maturity Field Corn Seed: 40 |
| Unit PriceBags_2: |
| Total AmountBags_2: 0 |
| QuantityShippingFreightDelivery: 1 |
| Unit PriceEach: |
| Total AmountEach: 0 |
| Time to Delivery: |
| Total AmountTotal Quoted Price: 0 |
| Name: |
| Title: |
| Contact Information: |
| Date: |
File details come from the government source that posted it. Updated .