Attachment 4 - Response Form Amendment 4.pdf
PDF 85 KB Posted
- Attached to
- DFAC Refresh
- Solicitation number
- FA461324Q1035
About this file
This document is a response form for a federal solicitation, Solicitation Number FA461324Q1035, DFAC Refresh. It is a combined synopsis/solicitation issued by the 90th Contracting Squadron as a request for quote using FAR Part 12, Acquisition of Commercial Items, and FAR Part 13, Simplified Acquisition Procedures.
The solicitation is seeking brand name or equal appliances and equipment for a DFAC (Dining Facility) refresh at F.E. Warren Air Force Base in Wyoming. It includes a detailed CLIN structure with 39 line items, each specifying a brand name or equal product, quantity, unit price, and extended price. A 3-year parts and labor warranty is required for the listed equipment. Responses are due by May 23, 2024, and the period of performance is 120 days or less after award. The procurement is a small business set-aside under NAICS code 333310.
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Text version
Attachment 4 - Response Form
FA461324Q1035
Offeror Quote Supplement Form
Company Information
Solicitation Number: FA461324Q1035
Description: DFAC Refresh
Company Name (as registered in SAM.gov):
Company Doing Business As (if applicable):
Cage Number: Unique Entity ID
Mailing Address:
Socioeconomic Status Under NAICS 333310 (SB, SDB, WOSB, EDWOSB, VOSB, SDVOSB, 8(a), 8(a) JV, HUBZone):
Point of Contact:
Email: Phone number:
FOB Point:
Quote Information:
Quote Number:
Quote Date:
Quote Valid Until: Discount Terms:
Period of Performance:
Confirm CUN pricing includes all work performed under this contract: D Yes
□ No
In the preceding fiscal year, did your company received 80 percent or more of its annual gross revenues from Federal contracts (and subcontracts), loans, grants (and subgrants), cooperative agreements, and other forms of Federal financial assistance; and did $25,000,000 or more in annual gross revenues come from Federal contracts (and subcontracts), loans, grants (and subgrants), cooperative agreements, and other forms of Federal financial assistance
D Yes
0 No
If yes, compliance IAW 4.1402 applies
If no, then the requirements of FAR 52.204-10 do not apply.
Confirmation that items listed below include a 3 years parts and labor warranty
YES NO
CLIN 0001: Conveyor Dishwasher 3 year parts and labor warranty included:
CLIN 0008: Steamer 3 year parts and labor warranty included:
CLIN 0013: Oven 3 year parts and labor warranty included:
CLIN 0015: Tilt skillet 3 year parts and labor warranty included:
CLIN 0016: Charbroiler 3 year parts and labor warranty included:
CLIN 0018: Reach-in Refrigerator 3 year parts and labor warranty included:
CLIN 0019: Reach-in Refrigerator 3 year parts and labor warranty included:
CLIN 0020: Roll-in Refrigerator 3 year parts and labor warranty included:
CLIN 0021: Under counter Refrigerator 3 year parts and labor warranty included:
CLIN 0024: Salad Prep Refrigerator 3 year parts and labor warranty included:
CLIN 0025: Pizza Prep Refrigerator 3 year parts and labor warranty included:
CLIN 0026: Reach-in Under Counter Freezer 3 year parts and labor warranty included:
CLIN 0027: Under Counter Refrigerator 3 year parts and labor warranty included:
CLIN 0039: Convection Oven 3 year parts and labor warranty included:
1609297146C Stamp
1609297146C Stamp
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