Attachment_3_Contractor_Submittal_Form.docx
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- Attached to
- INSTALLATION OF CARPET, COVE BASE AND RUBBER STAIR TREADS/RISERS BLDG. 350, PETERSON AFB, CO 80914
- Solicitation number
- FA2517-17-Q-5046
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Contractor Submital form
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FA2517-17-Q-5046
Attachment 3 Contractor Submittal Form
RFQ# FA2517-17-Q-5046
Please complete the following:
| 1 |
| Contractor Name |
| 2 |
| DUNS Number |
| 3 |
| CAGE Code |
| 4 |
| NAICS Code (Must match para. 1 of the RFQ and offeror must be registered in SAM under this NAICS in order to be considered responsive) |
| 314110 |
| 5 |
| Point of Contact |
| 6 |
| Address |
| 7 |
| Phone Number |
| 8 |
| Email address |
| 9 |
| Payment Terms (Net 30 unless any discount terms are offered) |
| 10 |
| GSA Contract # |
CLIN Information
| CLIN |
| Supplies |
| Extended Item Description |
| Qty |
| Unit |
| Unit Price ($) |
| Total Amount ($) |
| 0001 |
| Carpet |
| Removal of existing and installation of new carpet and flooring IAW SOW, Section 2. |
| 1 |
| Each |
Total Price
_______ The Contractor takes NO EXCEPTION to the requirements in the PWS.
** Delivery shall be made by 120 days after contract award Peterson Air Force Base, Colorado. All information described in Statement of Work, dated 10 July 2017. All deliverables are FOB destination.
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