Amd 1 - Attachment 3 - Contractor Submittal Form R1.docx

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Attached to
CMSFS Cooling Towers
Solicitation number
FA251724CoolingTowers
Issued by

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This document is a Request for Quote (RFQ) for Cooling Towers 11 & 12 at Cheyenne Space Force Station (CMSFS) in Colorado Springs, Colorado. The RFQ requires the contractor to provide all necessary labor, tools, transportation, supplies, equipment, materials, and incidentals to complete the work in accordance with the Statement of Work (SOW). The contractor must be registered in SAM.gov under NAICS code 238220 to be considered responsive. The period of performance is 60-90 days, and the contractor's pricing must be valid for 60 days. The contractor must confirm understanding of the requirements in the PWS and agreement with the terms. The contractor is required to provide details on relevant past experience. The total fixed price for CLIN 0001 must be submitted. This RFQ is being issued by the Department of the Air Force Space Command.

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Request for Quote (RFQ) Cooling Towers 11 & 12 Attachment 3 – Contractor Submittal Form

#12, then the Off Please complete the following on pages 1-34:

1
Contractor Name
2
UEI Number/CAGE Code
3
NAICS Code (Offeror must be registered in SAM.gov under this NAICS in order to be considered responsive)
238220
4
Point of Contact
5
Address
6
Phone Number
7
Email address
8
Payment Terms (Net 30 unless any discount terms are offered)
9
Offeror concurs that it understands the requirements specified in the PWS and will meet the performance standards and requirements therein.
(Select one)

YES / NO

10
Offeror confirms quote is for a period of performance of 60 90 days.
(Select one)

YES / NO

11
Offeror confirms responses to provision 52.212-3, Representations and Certifications is recorded in the System for Award Management (SAM) and information reflected there is accurate.
(Select one)

YES / NO

12
Offeror agrees quotations pricing is valid for 60 days from date of submission.
(Select one)

YES / NO

Input your proposed total price for all CLINs below. For CLIN 3001, there is no price for this CLIN, this price will be negotiated as a Firm-Fixed Price, if this CLIN is exercised.

CLIN Number
DESCRIPTION
QTY
UNIT OF ISSUE
UNIT PRICE
TOTAL

CLIN 0001

Firm Fixed Price (FFP)

All parts, labor, transportation, and disposal to complete work in accordance with Attachment #2 - SOW
1
JOB
$
$
Total Price
$

Experience Section This section is intended to capture the experience of offerors.

Contract/Order Title: __________________________________________ Contract/Order Number: _______________________________________ Contract/Order Value (in USD): __________________________________ Contract POC Name: ___________________________________________ Contract POC Phone Number: ____________________________________ Contract POC Email: ____________________________________________ Date of Performance: __________________________________________ Annual contract Value: _________________________________________ Narrative relevant to work being required under this effort:

Contract/Order Title: __________________________________________ Contract/Order Number: _______________________________________ Contract/Order Value (in USD): __________________________________ Contract POC Name: ___________________________________________ Contract POC Phone Number: ____________________________________ Contract POC Email: ____________________________________________ Date of Performance: __________________________________________ Annual contract Value: _________________________________________

Contract/Order Title: __________________________________________ Contract/Order Number: _______________________________________ Contract/Order Value (in USD): __________________________________ Contract POC Name: ___________________________________________ Contract POC Phone Number: ____________________________________ Contract POC Email: ____________________________________________ Date of Performance: __________________________________________ Annual contract Value: _________________________________________

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