Required_Information.doc

SURFACE FORCES LOGISTICS CENTER

ASSET LOGISTICS DIVISION

2401 HAWKINS POINT ROAD

BALTIMORE, MD 21226-5000

410-762-6601 (phone) 410-762-6312(fax) Carolyn.ward@uscg.mil

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 ______________________________________

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