INFO SHEET.doc

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Security System Maintenance
Solicitation number
HC1028-11-T-0197
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Information Sheet

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HC1028-11-T-0197.doc DOC document
QASP.docx DOCX document
Appendix A Floor Plan of bldg 200 San Antonio.pdf PDF
Appendix B for FBO.xls XLS spreadsheet

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INFORMATIONAL SHEET

PLEASE INCLUDE THE FOLLOWING INFORMATION WITH YOUR QUOTE. IF ANY ITEMS ARE NOT APPLICABLE, SO STATE.

CONTRACTOR NAME: _______________________________________________

GSA SCHEDULE NO.: ____________________________________________

EXPIRATION DATE: ______________________________________________

MAX ORDER LIMIT: ______________________________________________

FOB: __________________________________________________________

PROMPT PAYMENT: _______________________________________________

DELIVERY TIME: ________________________________________________

WARRANTY: _____________________________________________________

Y2K COMPLIANT: ________________________________________________

CAGE CODE: ____________________________________________________

FEDERAL TAX ID (TIN): _________________________________________

DUNS NUMBER: __________________________________________________

BUSINESS SIZE: ________________________________________________

MAILING ADDRESS: ______________________________________________

REMIT TO ADDRESS: _____________________________________________

(If different from mailing _____________________________________________ address)

BILLING INCREMENT Monthly Quarterly Annually Other

(Circle One)

CONTRACTOR POC: ________________________________________________

POC TELEPHONE NO.: ____________________________________________

POC FAX NO.: __________________________________________________

POC E-MAIL ADDRESS: ___________________________________________

DO YOU ACCEPT THE GOVERNMENT IMPAC CREDIT CARD? _______________

ARE YOU REGISTERED IN CCR: ____________________________________

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