PR20090562_-_Pricing_Sheet.doc

Price Quote Form for: HSBP1016Q0041 Customs and Border Protection

Armored Car/Courier Service

The Government will award a Firm-Fixed Price Purchase Order resulting from this Request For Quote (RFQ) to the responsible vendor whose offer will be the lowest-priced technically acceptable and in compliance with the Statement of Work (SOW).

**MUST HAVE ALL INFOMATION BELOW**

Company name: ____________________________________________________

SAM DUNS#: _________________

Company Size/Socio-economic Standing (i.e. Small Business, Woman Owned, Veteran Owned etc.): ____________________________________________________

Phone: _______________________ Fax: __________________________

Person preparing quote: _____________________________

Signature: _______________________________ Date: _________________

Vendor e-mail address: ____________________________________________________

Base Year: 04/01/2016 – 03/31/2017*

Per Month: $_____________ Yearly: $_____________

Option Year 1: 04/01/2017 – 03/31/2018*

Per Month: $_____________ Yearly: $_____________

Option Year 2: 04/01/2018 – 03/31/2019*

Per Month: $_____________ Yearly: $_____________

Option Year 3: 04/01/2019 – 03/31/2020*

Per Month: $_____________ Yearly: $_____________

Option Year 4: 04/01/2020 – 03/31/2021*

Per Month: $_____________ Yearly: $_____________

* Estimated dates. Actual period of performance dates shall be outlined at award.

Any additional information: