Quote_Sheet_Medical_Gas_and_Dry_Ice.pdf

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Medical Gas and Dry Ice
Solicitation number
F3Y0AF7212A001
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RFI_0001.pdf PDF
Combined_Synopsis_Medical_Gas_and_Dry_Ice.pdf PDF

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Quote Sheet

Company Name Address Cage Code DUNS Number Point of Contact Telephone Email Prompt Payment Discount Offered (if applicable)

Small Business Program Representations

FAR 52.219-1

NAICS Code:

325120

Size Standard:

Employees

The offeror represents as part of its offer that it [ ] is, [_] is not a small business concern.

Offerors are provided the opportunity to submit a technical statement, as an attachment to the quote sheet, with proposed number/size of containers that differs from the current requirements listed in the PWS. The government will not consider extreme deviations from the current setup, such as providing double the amount of containers.

PRICING:

CLIN Description QTY Unit of Issue

Unit Price Extended Price

0001 (Base)

POP

1 SEP 17 - 31 AUG 18

Oxygen 5,408 Cubic Feet

0002 (Base)

POP

1 SEP 17 - 31 AUG 18

Carbon Dioxide 468 Cubic Feet

0003 (Base)

POP

1 SEP 17 - 31 AUG 18

Hydrogen 52 Cubic

0004 (Base)

1 SEP 17 - 31 AUG 18

Nitrogen 156 Cubic

0005 (Base)

1 SEP 17 - 31 AUG 18

Liquid Nitrogen 416 Liter

0006 (Base)

1 SEP 17 - 31 AUG 18

Dry Ice 9,984 Pound

1001 Option 1

POP

1 SEP 18 - 31 AUG 19

Oxygen 5,408 Cubic

1002 Option 1

1 SEP 18 - 31 AUG 19

1003 Option 1

1 SEP 18 - 31 AUG 19

1004 Option 1

1 SEP 18 - 31 AUG 19

1005 Option 1

1 SEP 18 - 31 AUG 19

Liquid Nitrogen 416 Liter

1006 Option 1

POP

1 SEP 18 - 31 AUG 19

Dry Ice 9,984 Pound

2001 Option 2

POP

1 SEP 19 - 31 AUG 20

2002 Option 2

1 SEP 19 - 31 AUG 20

2003 Option 2

1 SEP 19 - 31 AUG 20

2004 Option 2

1 SEP 19 - 31 AUG 20

2005 Option 2

1 SEP 19 - 31 AUG 20

Liquid Nitrogen 416 Liter

2006 Option 2

POP

1 SEP 19 - 31 AUG 20

Dry Ice 9,984 Pound

3001 Option 3

POP

1 SEP 20 - 31 AUG 21

3002 Option 3

1 SEP 20 - 31 AUG 21

3003 Option 3

1 SEP 20 - 31 AUG 21

3004 Option 3

1 SEP 20 - 31 AUG 21

3005 Option 3

1 SEP 20 - 31 AUG 21

Liquid Nitrogen 416 Liter

3006 Option 3

POP

1 SEP 20 - 31 AUG 21

Dry Ice 9,984 Pound

4001 Option 4

POP

1 SEP 21 - 31 AUG 22

4002 Option 4

1 SEP 21 - 31 AUG 22

4003 Option 4

1 SEP 21 - 31 AUG 22

4004 Option 4

1 SEP 21 - 31 AUG 22

4005 Option 4

1 SEP 21 - 31 AUG 22

Liquid Nitrogen 416 Liter

4006 Option 4

POP

1 SEP 21 - 31 AUG 22

Dry Ice 9,984 Pound

(SIGNATURE OF QUOTER) (TITLE)

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