Attachment_3;_Contractor_Submittal_Form.docx

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Attached to
Elevator Repair, Bldg. 1470
Solicitation number
FA2517-18-Q-5050
Issued by

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File Type Posted
Amendment_2_-_Answers_to_Questions_&_Other_Changes.pdf PDF
Amendment_1_-_Revised_Site_Visit_Pre-Registration_Date.pdf PDF
Combo;_Elevator_Repair_Bldg_1470.pdf PDF
Attachment_1,_PWS_dated_10_July_2018.pdf PDF
Attachment_2;_WD_1986-0346_Rev_No_51;_20180309.pdf PDF

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FA2517-17-Q-5044

FA2517-17-Q-5044

FA2517-18-Q-5046

Attachment 3 Contractor Submittal Form

RFQ# FA2517-18-Q-5050

Please complete the following:

1
Contractor Name
2
DUNS Number
3
CAGE Code
4
NAICS Code (Must match para. (iv) of the RFQ and offeror must be registered in SAM in order to be considered responsive)
238290
5
Point of Contact
6
Address
7
Phone Number
8
Email address
9
Payment Terms (Net 30 unless any discount terms are offered)
10
[Contractor Name]:

CLIN Information

CLIN
Supplies
Qty
Unit
Unit Price ($)
Total Amount ($)
0001
Repair/Replace Elevator, Bldg. 1470, IAW the PWS – Attachment 1, dated 10 July 2018
1
Lot

Total Price

** Delivery & Installation shall be completed at Bldg. 1470 Peterson Air Force Base (AFB) Colorado, within 150 days after the date of contract award. Include all shipping costs (if applicable) in the total amount quoted. By completing and signing this form you are certifying that you are able to meet all requirements as outlined in the Statement of Work, dated 10 July 2018, attachment 1 to the solicitation FA2517-18-Q-5050.

Company Name

Name

Title

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