Offeror_Info_Page_(RFQ)1.doc

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Electrical Repair for a 74' Azimut Vessel
Solicitation number
DJM-14-A44-Q-0009
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Offeror Information Page

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Text version

(Attachment # 5)

REQUEST FOR QUOTE

ELECTRICAL REPAIR OF 74’ VESSEL

DISTRICT OF SOUTH CAROLINA

SOLICITATION NO.: DJM-14-A44-Q-0009

OFFEROR’S INFORMATION PAGE

Each company shall complete this page and submit as the first page of their quote.

Offeror’s Name (include ‘Doing Business As’ (DBA) and/or ‘Limited Liability Corporation’ (LLC) if applicable): ______________________________________________________________________________

Offeror’s Address:

Offeror’s Email and Website:

Phone Number:

Fax Number:

Dun’s Number:

Federal Tax I.D. Number:

Business Size (check all that apply):

_____ Small Business

_____ Other than Small

_____ Disadvantaged

_____ Women-Owned

_____ HUBZone

_____ Service-Disabled Veteran-Owned

_____ Women-Owned Small Business (WOSB) Eligible

Under the WOSB Program

_____ EDWOSB

_____ 8(a) Certified Small Business

I, ______________________________________________, represent that, to the best of my knowledge and belief, the information included in my offer is complete, accurate, and true.

Signature

Date

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