Attachment_1_-_Information_Sheet.pdf

FA445219QA008

Attachment 1 - Information Sheet

INFORMATION SHEET

SIMPLIFIED ACQUISITION QUOTE REQUEST (SAQR) FA445219QA008

PLEASE SUBMIT QUOTE BY 15 May 19 at 12:00PM Central Time through email to POC: Brooke Lorig

Phone: (618) 229-0805 Email: brooke.lorig.1@us.af.mil Email CC: sarah.myers.3@us.af.mil

1. Vendor Name / Address (Must have ZIP +4):

2. Vendor POC and Telephone Number:

3. Fax Number:

4. Email Address:

5. Vendor Cage Code:

6. PLEASE ENSURE THAT ALL INFORMATION CONTAINED IN THE SYSTEM FOR

AWARD MANAGEMENT (SAM) IS CURRENT AND THAT REGISTRATION HAS

NOT EXPIRED.

7. Headquarters Air Mobility Command’s (HQ AMC) Directorate of Air, Space and Information Operations’ Joint National Training Programs Branch (A3YO) requires the purchase of one, 210K ATB Kit, Justrite Part Number 1013-02421-201, in support of the 2019 Mobility Guardian Exercise (MGE). Delivery to Fairchild Air Force Base (FAFB), Washington (WA) is required by 15 Aug 19. The Point of Contact (POC) is identified below:

Location POC

FAFB, WA

SMSgt Chris Dobbertin christopher.dobbertin@us.af.mil

(509) 247-4258

Fill-In. Contractor shall fill out the unit price and total price of all CLINS. ALL UNIT AND EXTENDED AMOUNTS SHALL BE ROUNDED TO THE NEAREST DOLLAR. Ensure all extended prices are exactly divisible by the quantity of units.

FA445219QA008

Attachment 1 - Information Sheet

CLIN SUPPLIES/SERVICES QTY UNIT UNIT PRICE EXTENDED

AMOUNT

0001 210K All Terrain Berm Kit

Part # 1013-02421-201

Deliver to Fairchild AFB, WA by15 Aug 19

1 EA

GRAND TOTAL: ____________________