IH Quote Template 26Q0098.docx

IH Quote Template PR_11906941 W9124223Q0042

Industrial Hygiene Quote Template

Send Completed Quote Template to:

david.n.jordan4.civ@army.mil

Send as PDF or DOC file named:

Solicitation #_CAGE code (example: W91242-26-Q-0098_123ABC.pdf

SUBJECT line of emailed quote format:

(SUBJECT: Solicitation #_CAGE code) (example: SUBJECT: W91242-26-Q-0098_123ABC)

Solicitation Information:

Type of Facility: Maintenance Facility

Offeror Company Information:

Company:

Address:

Remit to address (if different than mailing address):

Point of Contact:

Phone Number(s):

Email Address:

CAGE Code:

DUNS #:

Tax ID # (EIN):

Further Explanation:

Once a quote is received by the KS, an acknowledgement email will be sent within three business days.

Once a contract is awarded, an email will be sent to the successful offeror.

Volume I - Technical

STATEMENT OF UNDERSTANDING

Please provide a statement below which describes your understanding of the requirements found in the Performance Work Statement (PWS). This should be in your own words to show you have a firm grasp of the technical requirements, not simply a copy of the requirements listed in the PWS.

Volume II - Pricing

Facility Details: Industrial Hygiene Survey at (7) Maintenance facilities FMS #7 Winston Salem, FMS #1 Asheville, FMS #2 Lenoir, FMS #5 Charlotte, FMS #6 Concord, AASF #2 Salisbury, and FMS #9 McLeansville, NC Type of Facility: Maintenance Facility

TOTAL: $

Please quote the total price in the Unit Price block provided above and enter the TOTAL for all the facilities.

Volume III – Performance History

Past performance information is one indicator of an offeror’s ability to perform the contract successfully. The currency and relevance of the information, source of the information, context of the data, and general trends in contractor’s performance shall be considered.

Offeror must submit information regarding at least two (2) contracts or projects that are similar in scope. Please provide performance history information for similar services completed within the last three years below.

Contracts or Projects Similar in Scope Contract # (if applicable):

Client name:

Type of Facility (i.e. Readiness Center, Maintenance Shop, etc.):

Facility Details (i.e. FMS No 22 City, State):

Date of Contract Award:

Total Contract Amount:

Date on-site work completed:

Name(s) and years of experience of person(s) conducting on-site activities:

On-site Point of Contact (Name, phone, email):

Description of Work Performed:

Date report/findings submitted to client:

Client name:

Type of Facility (i.e. Readiness Center, Maintenance Shop, etc.):

Facility Details (i.e. FMS No 22 City, State):

Date of Contract Award:

Total Contract Amount:

Date on-site work completed:

Name(s) and years of experience of person(s) conducting on-site activities:

On-site Point of Contact (Name, phone, email):

Type of Facility (i.e. Readiness Center, Maintenance Shop, etc.):

Facility Details (i.e. FMS No 22 City, State):

Date of Contract Award:

Total Contract Amount:

Date on-site work completed:

Name(s) and years of experience of person(s) conducting on-site activities:

On-site Point of Contact (Name, phone, email):

Type of Facility (i.e. Readiness Center, Maintenance Shop, etc.):

Facility Details (i.e. FMS No 22 City, State):

Date of Contract Award:

Total Contract Amount:

Date on-site work completed:

Name(s) and years of experience of person(s) conducting on-site activities:

On-site Point of Contact (Name, phone, email):

Description of Work Performed:

image1.emf

Microsoft_Word_Document.docx Contents