ATTACHMENT 4 RESPONSE FORM 19SEP2024.pdf
PDF 112 KB Posted
- Attached to
- X-Ray Inspection/Screening Systems
- Solicitation number
- FA461324Q1066
About this file
This document is an Offeror Response Form for a federal contract opportunity to provide two RAPISCAN ORION 920DX X-ray Inspection Systems or equivalent. The solicitation, number FA461324Q1066, is a total small business set-aside with a NAICS code of 334511. The contract will be a firm fixed-price award for the systems, delivery, installation, and training, to be completed within 120 days after contract award. Offerors must be registered in SAM, confirm compliance with the specifications in the Statement of Work, and provide pricing that includes all direct and indirect costs. Award will be made to the responsible offeror submitting the lowest priced, technically acceptable quote. The government reserves the right to conduct negotiations and/or seek quote revisions. Quotes are due by 23 September 2024 at 11:00 am MT.
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Text version
Attachment 4 - Response Form
FA461324Q1066
Offeror Response Form (19SEP2024)
Solicitation Number: FA461324Q1066 Description: WGF X-RAY Machines
Company Information
Company Name (as registered in SAM.gov):
Registered in SAM under NAICS 336411:
Cage Number: Unique Entity ID:
Mailing Address:
Socioeconomic Status (SB, SDB, WOSB, EDWOSB, VOSB, SDVOSB, 8(a), 8(a) JV, HUBZone):
Point of Contact:
Email: Phone number:
City/State/Zip Code of MANUFACTURER:
Period of Performance Start Time (in days) after award:
Delivery Date:
YES or NO - Registered with System for Award Management at the time of submission of quote:
YES or NO - Confirm quoted price is for TWO (2) each RAPISCAN ORION 920DX or EQUAL and meets ALL salient characteristics per specifications listed in the Statement of Work.
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:
YES If yes, compliance IAW 4.1402 applies.
NO If no, then the requirements of FAR 52.204-10 do not apply.
My signature below acknowledges and confirms the quoted total price in the amount of
$________________ includes ALL materials, labor, tools, equipment, shipping, delivery, installation, training, warranty, etc., ALL costs, direct and indirect, to complete the requirement in accordance with the Statement of Work and Solicitation Number FA461324Q1066.
COMPANY NAME: __________________________________________________________
PRINT NAME and TITLE SIGNATURE and DATE
File details come from the government source that posted it. Updated .