Quote_Sheet.docx

5th Contracting Sq

5 CONS / PKP

Minot AFB, ND

5 CONS / PKP

165 Missile Avenue Minot AFB ND 58705-5027 Attn: Carlan Taft Phone: (701) 723-1293 E-Mail Address: carlan.taft@us.af.mil Company Name: Email Address:

Point of Contact (POC):

Address: Tel Number:

Please indicate if the item is open market or GSA contract item.

The seat cushions shall be IAW the attached Safe-to-Fly letter in order to meet the safety guidelines. The salient characteristics feature CF-47 foam to ensure durability and meet environmental, fungus, and flammability testing as well as vertical impact (drop tower) and operational ground testing.

186 Each

DELIVERY TERMS WILL BE FOB DESTINATION (Delivery costs must be included in unit price)**

SAM Registered: yes/no Discount Terms: ______________________________

Small Business: yes/no DUNS #:_____________ CAGE #:_______________

Veteran-owned: yes/no TIN #:_______________ NAICS #:_______________

Estimated Delivery/Performance Time: _____________ Woman-owned: yes/no

GSA: yes/no GSA #: ________________________ Minority-owned: yes/no

Signature: __________________________________________________________ Dated: ________________

To be eligible for contract award, vendor must be registered in the System for Award Management (SAM) and must also complete Representations and Certifications at http://www.sam.gov, per FAR 52.204-7. All payments by the Government under any associated contract shall be made by electronic funds transfer (EFT), per FAR 52.232-33. See Combined Synopsis/Solicitation for additional applicable Provisions and Clauses.

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