Attachment 2 - Contractor Submittal Form - Version 2.pdf

PDF 161 KB Posted

Attached to
Laundry and Dry-Cleaning Services Federal contract opportunity
Solicitation number
FA570226Q0004
Issued by
Department of the Air Force Air Combat Command

About this file

This document is a Contractor Submittal Form (Solicitation FA570226Q0004) for laundry services with a comprehensive pricing structure covering multiple laundry categories. The solicitation includes base year and four option years for three distinct laundry services: standard Laundry and Dry Cleaning, Medical Laundry, and Special Laundry (Petroleum soiled), each with 12-month periods, plus an additional 6-month option period. The pricing table allows contractors to quote unit prices for each service category across different contract periods, with quantities specified as 12 months per line item (except the final 6-month option period). Contractors must complete detailed company information including company name, address, Unique Entity ID, CAGE Code, NAICS Code, point of contact details, JCCS registration status, payment terms, and confirm representations and certifications status on SAM.gov.

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Text version

FA570226Q0004 - CONTRACTOR SUBMITTAL FORM

Please complete the following:

1. Company Name

2. Company Address

3. Laundry Facility Address

4. Unique Entity ID (UEI) Number

5. CAGE Code

6. NAICS Code (Must match page 1 of the RFQ/solicitation and offeror must be registered in SAM under this NAICS in order to be considered responsive)

7. Point(s) of Contact (Name, phone number and email)

8. Is your company JCCS Registered?

9. Payment Terms (Net 30 unless any discount terms are offered)

10. Reps & Certs Are /Are not current at SAM.gov If not current, please update and submit on this document.

11. Identify, if applicable, any amendments the proposal includes.

FA570226Q0004 - CONTRACTOR SUBMITTAL FORM

Line Item Description Quantity Unit of Measure

Price Per Unit

(USD)

Total

(USD)

0001 Laundry and Dry Cleaning 12 MO

0002 Medical Laundry 12 MO

0003 Special Laundry (Petroleum soiled) 12 MO

1001 Option Year 1: Laundry and Dry Cleaning 12 MO

1002 Option Year 1: Medical Laundry 12 MO

1003 Option Year 1: Special Laundry (Petroleum soiled)

12 MO

2001 Option Year 2: Laundry and Dry Cleaning 12 MO

2002 Option Year 2: Medical Laundry 12 MO

2003 Option Year 2: Special Laundry (Petroleum soiled)

12 MO

3001 Option Year 3: Laundry and Dry Cleaning 12 MO

3002 Option Year 3: Medical Laundry 12 MO

3003 Option Year 3: Special Laundry (Petroleum soiled)

12 MO

4001 Option Year 4: Laundry and Dry Cleaning 12 MO

4002 Option Year 4: Medical Laundry 12 MO

4003 Option Year 4: Special Laundry (Petroleum soiled)

12 MO

5001 6 Month Option Period: Laundry and Dry- Cleaning

6 MO

5002 6 Month Option Period: Medical Laundry 6 MO

5003 6 Month Option Period: Special Laundry 6 MO

TOTAL

1:
Company Name:
2:
Company Address:
3:
Laundry Facility Address:
4:
Unique Entity ID UEI Number:
5:
CAGE Code:
6:
NAICS Code Must match page 1 of the RFQsolicitation and offeror must be registered in SAM under this NAICS in order to be considered responsive:
7:
Points of Contact Name phone number and email:
8:
Is your company JCCS Registered:
9:
Payment Terms Net 30 unless any discount terms are offered:
10:
Reps Certs Are Are not current at SAMgov If not current please update and submit on this document:
11:
Identify if applicable any amendments the proposal includes:
Price Per Unit USDMO:
Total USDMO:
Price Per Unit USDMO_2:
Total USDMO_2:
Price Per Unit USDMO_3:
Total USDMO_3:
Price Per Unit USDMO_4:
Total USDMO_4:
Price Per Unit USDMO_5:
Total USDMO_5:
Price Per Unit USDMO_6:
Total USDMO_6:
Price Per Unit USDMO_7:
Total USDMO_7:
Price Per Unit USDMO_8:
Total USDMO_8:
Price Per Unit USDMO_9:
Total USDMO_9:
Price Per Unit USDMO_10:
Total USDMO_10:
Total USDTOTAL:
Price Per Unit USDTOTAL:
Price Per Unit USDMO_18:
Total USDMO_18:
Total USDMO_17:
Price Per Unit USDMO_17:
Price Per Unit USDMO_16:
Total USDMO_16:
Total USDMO_15:
Price Per Unit USDMO_15:
Price Per Unit USDMO_14:
Total USDMO_14:
Total USDMO_13:
Price Per Unit USDMO_13:
Price Per Unit USDMO_12:
Total USDMO_12:
Total USDMO_11:
Price Per Unit USDMO_11:

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