Attachment 4 - Response Form V2.pdf

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Attached to
DFAC Refresh
Solicitation number
FA461324Q1035
Issued by

About this file

This document is a Combined Synopsis/Solicitation for a commercial acquisition to refresh dining facility appliances at Francis E. Warren Air Force Base. The solicitation is a request for quote (RFQ) set aside for small businesses under NAICS 333310, with a period of performance of 120 days or less after award. The government will award a firm-fixed-price commercial contract to the responsible offeror whose technically acceptable quote has the lowest total evaluated price. The solicitation includes a detailed equipment list with 39 CLINs for brand name or equal items, and requires offerors to submit pricing, technical information, and representations. Quotes are due by 1000 MST on 23 May 2024, and the government may negotiate with and seek revisions from offerors after receipt of quotes.

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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.

File details come from the government source that posted it. Updated .