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Sheet1
| Company Name | | | | | | Solicitation Number | | |
| Address | | | | | | W519TC-23-Q-UPSM | | |
| CAGE Code | | | | | | | | |
| Unique Entity ID: | | | | | | | | |
| ALL PRICES SHALL BE F.O.B. DESTINATION | | | | | | | | |
| ITEM/ SERVICE | CLIN | QTY | UoM | Unit Price | Total Price | | CLIN | Performance Schedule |
| Quarterly Service - Base Year | 0001 | 1 | LO | | $ - 0 | | 0001 | Date of Award - 365 days after Date of Award |
| Semi-Annual Service - Base Year | 0002 | 1 | LO | | $ - 0 | | 0002 | Date of Award - 365 days after Date of Award |
| Annual Service - Base Year | 0003 | 1 | LO | | $ - 0 | | 0003 | Date of Award - 365 days after Date of Award |
| Quarterly Service - Option Year 1 | 1001 | 1 | LO | $ - 0 | 1001 | 366 days after award - 731 days after award |
| Semi-Annual Service - Option Year 1 | 1002 | 1 | LO | $ - 0 | 1002 | 366 days after award - 731 days after award |
| Annual Service - Option Year 1 | 1003 | 1 | LO | $ - 0 | 1003 | 366 days after award - 731 days after award |
| Quarterly Service - Option Year 2 | 2001 | 1 | LO | $ - 0 | 2001 | 731 days after award - 1,096 days after award |
| Semi-Annual Service - Option Year 2 | 2002 | 1 | LO | $ - 0 | 2002 | 731 days after award - 1,096 days after award |
| Annual Service - Option Year 2 | 2003 | 1 | LO | $ - 0 | 2003 | 731 days after award - 1,096 days after award |
| Quarterly Service - Option Year 3 | 3001 | 1 | LO | $ - 0 | 3001 | 1,096 days after award - 1,461 days after award |
| Semi-Annual Service - Option Year 3 | 3002 | 1 | LO | $ - 0 | 3002 | 1,096 days after award - 1,461 days after award |
| Annual Service - Option Year 3 | 3003 | 1 | LO | $ - 0 | 3003 | 1,096 days after award - 1,461 days after award |
| Quarterly Service - Option Year 4 | 4001 | 1 | LO | $ - 0 | | 4001 | 1,461 days after award - 1,826 days after award |
| Semi-Annual Service - Option Year 4 | 4002 | 1 | LO | $ - 0 | | 4002 | 1,461 days after award - 1,826 days after award |
| Annual Service - Option Year 4 | 4003 | 1 | LO | $ - 0 | | 4003 | 1,461 days after award - 1,826 days after award |
| Total Price | | | | $ - 0 | | | |
| | | | | Make a note if a different delivery schedule is needed. | | |
| Point of Contact |
| Name |
| Title |
| Phone Number |
| Email Address |
*Fill in Yellow Boxes Only Additional Notes from Contractor: