Attch_2_-_Contractor_Submittal_Form.pdf
PDF 230 KB Posted
- Attached to
- Media Outreach Database Distribution Subscription Federal contract opportunity
- Solicitation number
- FA2517-18-Q-6029
About this file
Contractor Submittal Form. Please write quote on this and return to 21 CONS
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attch_1_SOW_final.pdf | ||
| Combined_Synopsis.pdf | ||
| Attch_3-Additional_Terms_and_Conditions.Word.pdf | ||
| Attch_4_-_Wage_Determination_under_the_Service_Contract_Act.pdf |
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Text version
Attachment 3 Page 1 of 2
Attachment 2 Contractor Submittal Form
Media Outreach Database Distribution Subscription
FA2517-18-Q-6029
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 under this NAICS in order to be considered responsive)
541519-Other Computer Related Services
5 Point of Contact 6 Address
7 Phone Number 8 Email address 9 Payment Terms (Net 30 unless any discount terms are offered)
CLIN Information Please complete the following:
CLIN Supplies/Services Unit Price ($)
Total Amount
CLIN
Media Outreach Database Distribution Subscription Base Period of Performance: 21 Sep 2018 through 20 Sep 2019
CLIN
Media Outreach Database Distribution Subscription Option Period One: 21 Sep 2019 through 20 Sep 2020
CLIN
Media Outreach Database Distribution Subscription Option Period Two: 21 Sep 2020 through 20 Sep 2021
CLIN
Media Outreach Database Distribution Subscription Option Period Three: 21 Sep 2021 through 20 Sep 2022
CLIN
Media Outreach Database Distribution Subscription Option Period Four:21 Sep 2022 through 20 Sep 2023
*The anticipated start date is 21 September 2018. All deliverables are FOB destination. Include all shipping costs (if applicable) in the total amount quoted.
Attachment 3 Page 2 of 2
Company Name
Name
Title
Signature Date
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