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Attachment 3 Contractor Submittal Form
FA2517-21-Q-9002
Please complete the following:
| 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) |
| 9 |
| Payment Terms (Net 30 unless any discount terms are offered) |
CLIN Information Please complete the following:
| CLIN |
| Supplies/Services |
| Qty |
| Unit |
| Unit Price ($) |
| Total Amount ($) |
| 0001 |
| Catholic Priest Services (Base Year) |
| 7 |
| Months |
| 1001 |
| Catholic Priest Services (Option Year 1) |
| 12 |
| Months |
| 2001 |
| Catholic Priest Services (Option Year 2) |
| 12 |
| Months |
| 3001 |
| Catholic Priest Services (Option Year 3) |
| 12 |
| Months |
| 4001 |
| Catholic Priest Services (Option Year 4) |
| 12 |
| Months |
| 5001 |
| Catholic Priest Services (6-month extension) |
| 6 |
| Months |
TOTAL (Base + all options)
** The anticipated start date is 1 June 2021. Place of performance is Peterson AFB, CO.
Company Name Name Title
| ___________________________________ | ________________ | |
| Signature | | Date |