RESPONSE_PAGE_FOR_SOLICITATION.docx
DOCX document 21 KB Posted
- Attached to
- SATool Data Analysis Tool Federal contract opportunity
- Solicitation number
- FA810117R0035
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Please submit attached Response page with quotes
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| File | Type | Posted |
|---|---|---|
| SATool_single_source_justification.pdf | ||
| Combo_F810117R0035.doc | DOC document | |
| SATool_PERFROMANCE_WORK_STATEMENT_(PWS)-15_Mar.docx | DOCX document |
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RESPONSE PAGE: FA810117R0034
RETURN THIS PAGE WITH THE COMPLETED INFORMATION AND AUTHORIZED SIGNATURE
1.
OFFEROR INFORMATION: ____________________________________________________
BUSINESS NAME: ____________________________________________________________
| STREET ADDRESS: ___________________________ | CITY:_____________________ | |
| STATE: ____________ | ZIP: ___________________ |
CAGE CODE and DUNS:______________________________________________
BUSINESS WEB ADDRESS: __________________________________________
CONTACT PERSON: ________________________________________________
TELEPHONE: ____________________ FAX: ________________________
E-MAIL: _________________________________________________________
2. Supplies/Services and Prices/Costs
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1 |
| Each |
DF Tooling Package part number 119930-DF
FFP
DF Tooling Package part number 119930-DF NOTE: The requirements in DFARS 252.211-7003, Item Identification and Valuation, are applicable for this line item. The contractor shall provide DoD unique identification or a DoD recognized unique identification equivalent.
FOB: Destination
PURCHASE REQUEST NUMBER: F3YTAJ7062A001
SIGNAL CODE: A
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1 |
| Each |
1/8" x.035 37 Flare Punch part # 101851-
1/8" x.035 37 Flare Punch part # 101851-237-035 FOB: Destination
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1 |
| Each |
3/16" x.035 Upset Punch part # 101422-32
3/16" x.035 Upset Punch part # 101422-320-035 FOB: Destination
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1 |
| Each |
1/4" x.035 Upset Punch part # 101422-420
1/4" x.035 Upset Punch part # 101422-420-035 FOB: Destination
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1 |
| Each |
5/16" x.035 Upset Punch part # 101422-52
5/16" x.035 Upset Punch part # 101422-520-035 FOB: Destination
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1 |
| Each |
3/8" x.035 Upset Punch part # 101422-620
3/8" x.035 Upset Punch part # 101422-620-035 FOB: Destination
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1 |
| Each |
7/16" x.035 Upset Punch part # 101422-72
7/16" x.035 Upset Punch part # 101422-720-035 FOB: Destination
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1 |
| Each |
1/2" x.035 Upset Punch part # 101422-820
1/2" x.035 Upset Punch part # 101422-820-035 FOB: Destination
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1 |
| Each |
DF Punch Retractor Assembly part # 11140
DF Punch Retractor Assembly part # 111400 FOB: Destination
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1 |
| Each |
Freight cost
Freight cost FOB: Destination
INSPECTION AND ACCEPTANCE TERMS
Supplies/services will be inspected/accepted at:
| CLIN |
| INSPECT AT |
| INSPECT BY |
| ACCEPT AT |
| ACCEPT BY |
| 0001 |
| Destination |
| Government |
| Destination |
| Government |
| 0002 |
| Destination |
| Government |
| Destination |
| Government |
| 0003 |
| Destination |
| Government |
| Destination |
| Government |
| 0004 |
| Destination |
| Government |
| Destination |
| Government |
| 0005 |
| Destination |
| Government |
| Destination |
| Government |
| 0006 |
| Destination |
| Government |
| Destination |
| Government |
| 0007 |
| Destination |
| Government |
| Destination |
| Government |
| 0008 |
| Destination |
| Government |
| Destination |
| Government |
| 0009 |
| Destination |
| Government |
| Destination |
| Government |
| 0010 |
| Destination |
| Government |
| Destination |
| Government |
DELIVERY INFORMATION
| CLIN |
| DELIVERY DATE |
| QUANTITY |
| SHIP TO ADDRESS |
| DODAAC / CAGE |
| 0001 |
| 29-MAY-2017 |
| 1 |
| F3YTAJ |
552 CMS/CCR
7710 1ST ST STE 1261
TINKER AFB OK 73145-9012
405-734-3701 FOB: Destination
F3YTAJ
| 0002 |
| 29-MAY-2017 |
| 1 |
| (SAME AS PREVIOUS LOCATION) |
F3YTAJ
| 0003 |
| 29-MAY-2017 |
| 1 |
| (SAME AS PREVIOUS LOCATION) |
F3YTAJ
| 0004 |
| 29-MAY-2017 |
| 1 |
| (SAME AS PREVIOUS LOCATION) |
F3YTAJ
| 0005 |
| 29-MAY-2017 |
| 1 |
| (SAME AS PREVIOUS LOCATION) |
F3YTAJ
| 0006 |
| 29-MAY-2017 |
| 1 |
| (SAME AS PREVIOUS LOCATION) |
F3YTAJ
| 0007 |
| 29-MAY-2017 |
| 1 |
| (SAME AS PREVIOUS LOCATION) |
F3YTAJ
| 0008 |
| 29-MAY-2017 |
| 1 |
| (SAME AS PREVIOUS LOCATION) |
F3YTAJ
| 0009 |
| 29-MAY-2017 |
| 1 |
| (SAME AS PREVIOUS LOCATION) |
F3YTAJ
| 0010 |
| 29-MAY-2017 |
| 1 |
| (SAME AS PREVIOUS LOCATION) |
F3YTAJ
NET 30 or _______% IN _______ DAYS DAYS REQUIRED FOR DELIVERY:
3. Certification of Response:
Offeror’s Authorized Representative's Signature: _____________________ Date: ___________ Type or Print Name:_________________________ Position or Title: _____________________ Contractor is Required to sign this document and return 1 copy to issuing office. Contractor agrees to furnish and deliver all items set forth or otherwise identified above and on any additional sheets subject to the terms and conditions specified herein.
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