RFQ.doc

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Attached to
Pathologist Consulting Services Federal contract opportunity
Solicitation number
F4D4A1079A001
Issued by
Department of the Air Force Space Command

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All responsible sources may submit a bid, proposal, or quotation which shall be considered by the agency.

REQUEST FOR QUOTATION

30th Contracting Squadron

Attn: Jeffrey Grelck Bldg. 8500, 1515 Iceland Ave, Rm. 150 Vandenberg AFB CA 93437

Fax: 805-606-5867 E-Mail: Jeffrey.grelck@vandenberg.af.mil

COMPANY NAME

$ TOTAL AMOUNT

CLOSING DATE: 31 August 2010, 3:00 pm PST

I. REQUEST FOR QUOTE:

Please review and submit a quote for the following item/items:

Line Item
ITEM DESCRIPTION
Unit of

Issue

QTY
Unit Price
Extended Price

Services, non-personal: Contractor to furnish all labor, tools, parts, materials, equipment, facilities, transportation, and supervision necessary to provide:

Pathologist Consulting Services Base Year Pathologist Consulting Services Option Year One

Pathologist Consulting Services Option Year Two

Pathologist Consulting Services Option Year Three

Pathologist Consulting Services Option Year Four Month Month

Month

Month

Month

II. VENDOR’S QUOTE INFORMATION:

Payment

Terms Estimated

Delivery

Date Quote

Expiration

Date Phone

FAX Number Quoted BY

Type of business (small, large, woman-owned, etc)
E-Mail Address
CAGE CODE

*REQUIRED

Tax I.D#

(TIN)

*REQUIRED

DUNS #

*REQUIRED

III. CENTRAL CONTRACTOR REGISTRATION (CCR):

Rule requires a firm to be registered in the DoD Central Contractor Registration Database (CCR) and ORCA (www.bpn.gov) prior to award of any contract and agreements. Firms must register on a one-time basis, and annually confirm accuracy and completeness of registration information.

To Register For The CCR Over The Internet Type Up:

http://www.ccr.gov

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