Attachment 6 - Offeror Quote Supplement Form.pdf

Offeror Quote Supplement Form

Solicitation Number: FA461323Q0009 Description: 90 CS Long Range Ethernet with High-Speed Ethernet over Copper

System Replacement

Company Information

Company Name (as registered in SAM.gov):

Company Doing Business As (if applicable):

Cage Number: Unique Entity ID

Mailing Address:

Socioeconomic Status (SB, SDB, WOSB, EDWOSB, VOSB, SDVOSB, 8(a), 8(a) JV, HUBZone):

Point of Contact:

Email: Phone number:

Quote Information

Quote Number: Quote Date:

Quote Valid Until: Discount Terms:

Delivery Date, Lead Time, Period of Performance (MUST provide one of the following)

Lead Time: Delivery Date:

Period of Performance:

Technical Evaluation

1. Are you listed as a small business under NAICS 238210?

2. Are you providing the Actelis Networks ML2300 system brand name? If not, you must provide sufficient technical documentation of the “equal” system with your response to be evaluated.

Solicitation FA461323Q0009 Attachment 6 - Offeror Quote Supplement Form

3. Do you fully understand the specifications outlined in the attached performance work statement?

4. Does your quote meet all the specifications outlined in the attached performance work statement?

5. Have you completed at least one (1) like-kind project? Provide the details and point of contact to confirm at least one (1) completion.

Solicitation FA461323Q0009 Attachment 6 - Offeror Quote Supplement Form