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HHS-NIH-NIDA-SSSA-CSS-16-008
PRICE QUOTATION TEMPLATE
Offerors shall ensure that fully loaded unit prices are the ONLY prices quoted. Any and all other fees relevant to the requirements, such as delivery, etc., if any, MUST be built into the unit prices. Please note that the unit prices quoted shall apply to any and all quantities ordered for the associated contract period up to the maximum quantity.
Price quotations shall be submitted TYPED, read-only, and must be in the below format. This MS Word format in read-only is acceptable, as shall be the same format translated into read-only MS Excel. Other formats shall not be accepted (No PDF). Prices must be rounded to the nearest hundredth.
IDIQ Contract Pricing Base Period
| Gas Description |
| Unit of Measure |
| Minimum Quantity |
| Maximum Quantity |
| Unit Price |
| Total Minimum Quantity Price |
| Liquid Nitrogen |
| Cubic Centimeters |
| 177,600 |
| 213,120 |
| $ |
| $ |
| Oxygen |
| Cubic Centimeters |
| 26,400 |
| 31,680 |
| $ |
| $ |
| Carbon Dioxide |
| Pounds |
| 105,000 |
| 126,000 |
| $ |
| $ |
Total Minimum Amount (Base Period)
IDIQ Contract Pricing Option Period 1
| Gas Description |
| Unit of Measure |
| Minimum Quantity |
| Maximum Quantity |
| Unit Price |
| Total Minimum Quantity Price |
| Liquid Nitrogen |
| Cubic Centimeters |
| 177,600 |
| 213,120 |
| $ |
| $ |
| Oxygen |
| Cubic Centimeters |
| 26,400 |
| 31,680 |
| $ |
| $ |
| Carbon Dioxide |
| Pounds |
| 105,000 |
| 126,000 |
| $ |
| $ |
Total Minimum Amount (Option Period 1)
IDIQ Contract Pricing Option Period 2
| Gas Description |
| Unit of Measure |
| Minimum Quantity |
| Maximum Quantity |
| Unit Price |
| Total Minimum Quantity Price |
| Liquid Nitrogen |
| Cubic Centimeters |
| 177,600 |
| 213,120 |
| $ |
| $ |
| Oxygen |
| Cubic Centimeters |
| 26,400 |
| 31,680 |
| $ |
| $ |
| Carbon Dioxide |
| Pounds |
| 105,000 |
| 126,000 |
| $ |
| $ |
Total Minimum Amount (Option Period 2)
IDIQ Contract Pricing Option Period 3
| Gas Description |
| Unit of Measure |
| Minimum Quantity |
| Maximum Quantity |
| Unit Price |
| Total Minimum Quantity Price |
| Liquid Nitrogen |
| Cubic Centimeters |
| 177,600 |
| 213,120 |
| $ |
| $ |
| Oxygen |
| Cubic Centimeters |
| 26,400 |
| 31,680 |
| $ |
| $ |
| Carbon Dioxide |
| Pounds |
| 105,000 |
| 126,000 |
| $ |
| $ |
Total Minimum Amount (Option Period 3)
IDIQ Contract Pricing Option Period 4
| Gas Description |
| Unit of Measure |
| Minimum Quantity |
| Maximum Quantity |
| Unit Price |
| Total Minimum Quantity Price |
| Liquid Nitrogen |
| Cubic Centimeters |
| 177,600 |
| 213,120 |
| $ |
| $ |
| Oxygen |
| Cubic Centimeters |
| 26,400 |
| 31,680 |
| $ |
| $ |
| Carbon Dioxide |
| Pounds |
| 105,000 |
| 126,000 |
| $ |
| $ |
Total Minimum Amount (Option Period 4)
