Required_Information.doc

USCG SURFACE FORCES LOGISTICS CENTER

ASSETS LOGISTICS DIVISION

2401 HAWKINS POINT ROAD

BALTIMORE, MD 21226-5000

410-762-6601 (phone) 410-762-6008(fax) Carolyn.ward@uscg.mil

PLEASE QUOTE DELIVERED PRICE

1. SIZE OF BUSINESS _________SMALL ________LARGE

Woman Owned ___Yes___No Minority Owned ___Yes___No

2. PAYMENT TERMS______________________________________________

3. COMMERCIAL ITEM (sold, leased or licensed to the general public)____YES____NO

4. AVAILABILITY ________________DAY / WEEKS ARO

5. GOVT CREDIT CARD ACCEPTED _______YES ______NO

6. POINT OF CONTACT ____________________________________________

DIRECT PHONE NUMBER FOR POC _________________________________

7. TAXPAYER ID#________________________ (REQUIRED)

8. DUNS#_______________________________ (REQUIRED)

9. VENDOR ADDRESS _____________________________________________

CITY, STATE, ZIP ______________________________________________

10. FREIGHT COST/S&H TERMS ______________________________________

11. GSA CONTRACT # ____________________________________________

SHIP TO ADDRESS: SURFACE FORCES LOGISTICS CENTER

RECEIVING ROOM BLDG. 88

2401 HAWKINS POINT RD

BALTIMORE, MD 21226

*****ALL OR NONE APPLIES TO RFQ*****