Attachment_3_-_Contractor_Submittal_Form.docx

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Attached to
21 CPTS Bldg 350 Furniture
Solicitation number
FA2517-19-Q-A051
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Submittal Form

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File Type Posted
RFQ_CPTS_Bldg_350.docx DOCX document
Attachment_2_-_Floor_Plan.pdf PDF
Attachment_1_-_Statement'_of_Work_(SOW),_CPTS_Bldg_350,_dated_10_Sep_19.docx DOCX document

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Attachment 3 Contractor Submittal Form RFQ# FA2517-19-Q-A051

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)

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

CLIN
Extended Item Description
Unit (Each)
Total Amount ($)
0001
Furniture
1
0002
Removal/Disposal of Existing Furniture
1
0003
Installation
1

Total Project Cost

** All information described in Statement of Work, dated 10 September 2019. Include all shipping costs (if applicable) in the total amount quoted.

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