REQUEST_FOR_QUOTE.docx

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Radiology Tele-mammography Interpretation Service
Solicitation number
F4D4A14142A002
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REQUEST FOR QUOTE

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QUESTIONS_ _ANSWERS.pdf PDF
Wage_Determination_2005-2063.pdf PDF
STATEMENT_OF_WORK.pdf PDF

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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: Cora Matthews Bldg. 8500, 1515 Iceland Ave, Rm. 150 Vandenberg AFB CA 93437 Phone: 805-606- 2181 Fax: 805-606-5867 E-Mail: coranella.matthews@vandenberg.af.mil

COMPANY NAME
$ TOTAL AMOUNT

CLOSING DATE: 15-Aug-2014 12:00PM PST

I. REQUEST FOR QUOTE:

Supplies are of domestic origin unless otherwise indicated by the vendor. Please tell us if quoting exact item or “equal”. If quoting on “or equal items”, contractors shall provide specifications with 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 Radiology Tele-Mammography Interpretation services in accordance with SOW.

Radiology Tele-Mammography (24 Sep 2014 – 23 Sep 2015)

Radiology Tele-Mammography (24 Sep 2015 – 23 Sep 2016)

Radiology Tele-Mammography (24 Sep 2016 – 23 Sep 2017)

Radiology Tele-Mammography (24 Sep 2017 – 23 Sep 2018)

Radiology Tele-Mammography (24 Sep 2018 – 23 Sep 2019)

Radiology Tele-Mammography (24 Sep 2019 – 23 Mar 2020)

NOTE:

Attachment 1 Statement of Work dtd 17 July 14 Attachment 2 for Applicable Wage Determination 2005-2063 rev13, dtd 06/19/13

MO

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. GSA INFORMATION

(Complete Only If Quoting GSA Prices)

GSA CONTRACT #
GSA CONTRACT EXPIRATION DATE

IV. SYSTEM FOR ACQUISITION MANAGEMENT (SAM):

All potential offerors are reminded that compliance with FAR 52.204-7, System for Award Management, is mandatory. Lack of registration in the SAM will make an offeror ineligible for contract award.

https://www.sam.gov/portal/public/SAM/

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