Attch 2_20250613 Audiogram Price List.pdf

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Audiogram Services
Solicitation number
FA663325QA009
Issued by

About this file

This document is a Price List - Quote Sheet for Audiogram Services, issued by the 934th Contracting Office in Minneapolis, MN under solicitation number FA6633-25-Q-A009. The document requests pricing for a single Contract Line Item Number (CLIN) to provide full comprehensive audiometric testing that determines the type and degree of hearing loss, in accordance with the Performance Work Statement (PWS). The price list must be valid for one year, and the government reserves the right to make multiple agreements from this solicitation on an as-needed basis.

The quote sheet requires potential offerors to complete detailed company information, including business name, address, point of contact, phone number, email, CAGE Code, and Unique Entity Identifier (UEI). Offerors must also indicate whether they are a small business and whether they are registered in the System for Award Management (SAM). The solicitation is part of a Request for Quotation (RFQ) to establish a Blanket Purchase Agreement (BPA) for audiometric testing services through the Department of the Air Force.

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Text version

Audiogram Services PRICE LIST – QUOTE SHEET

FA6633-25-Q-A009

FROM: 934th Contracting Office

760 Military Highway Bldg. 860 Minneapolis, MN 55450

CLIN Description Unit Price Unit of Issue

0001 Provide full comprehensive audiometric testing sufficient to determine type and degree of hearing loss IAW PWS

$ Each

• The provided price list must be valid for 1 year.

• The Government reserves the right to make multiple agreements from this solicitation and may afterwards on an as-needed basis.

Please provide the information below:

Offeror Name: _______________________________________________________

Offeror Address: _____________________________________________________

Point of Contact: _____________________________________________________

Phone Number: ______________________________________________________

E-mail Address: ______________________________________________________

CAGE Code: ________________________________________________________

UEI: _______________________________________________________________

Circle one: Offeror is / is not a small business.

Circle one: Offeror is / is not SAM registered

Point of Contact:
Email Address:
fill_8:
undefined:
undefined_2:
CAGE Code:
UEI:

File details come from the government source that posted it. Updated .