RESPONSE_PAGE.docx

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Lightning Protection System Inspection
Solicitation number
FA810118Q0004
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WDOL.pdf PDF
Attch_1a_-_PWS_Inspection_Services_Apr_18.pdf PDF

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RESPONSE PAGE

RETURN THIS PAGE WITH THE COMPLETED INFORMATION AND AUTHORIZED SIGNATURE

1. OFFEROR INFORMATION

BUSINESS NAME:

STREET ADDRESS:
CITY, STATE, ZIP:
CAGE CODE and DUNS:
SAM REGISTRATION DATE:
BUSINESS WEB ADDRESS:
SOCIOECONOMIC STATUS:
POINT OF CONTACT (POC):
POC TITLE:
TELEPHONE:
FAX:

E-MAIL:

2. Supplies/Services and Prices/Costs

CLIN 0001 Proposed Price: Lot Price: $_____________

DISCOUNT TERMS:

NET 30 or _______% IN _______ DAYS

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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