Attachment 4 - Quote Sheet.pdf

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SECTION I. QUOTE INFORMATION

Submitted Date:

Quote Number:

Valid For: (min 30 days) Discount Terms:

SECTION II. COMPANY INFORMATION

Company Name:

Address:

Point of Contact:

Position:

Phone Number:

Email:

CAGE:

DUNS Number:

**Offerors must be actively registered in SAM and must complete their Reps & Certs on the next page**

SECTION III. DELIVERY SCHEDULE

Offered Delivery Date/PoP Start:

SECTION IV. PRICING INFORMATION

Line Item Item Description Qty Unit of Measure Price per Unit (specify currency) Extended Price (specify currency)

TOTAL OFFERED PRICE

SECTION V. CONTRACTOR CERTIFICATION

By submitting this quote, the company listed Section II above agrees with all terms, conditions, and provisions included in the solicitation and its amendments. We understand that offers that fail to furnish the required information, or reject the terms and conditions of the solicitation may be excluded from consideration for award.

11.0.1.20130826.2.901444.899636

(See Attachment 1 - Performance Work Statement)