II.S-4 REQUIRED-ADDITIONAL QUOTE INFORMATION FORM.pdf

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VALVE BALL
Solicitation number
SPMYM426Q3624
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This is a pricing template and quotation form for a federal contract opportunity with Pearl Harbor Naval Shipyard IMF. Quoters must provide their name, email, phone number, business name, and CAGE code, and indicate whether they are a small or large business. The form requires quoters to specify whether their pricing is independent from the manufacturer or if they are quoting as the manufacturer themselves.

All pricing must include shipping with FOB Destination to Pearl Harbor Naval Shipyard IMF, located at 667 Safeguard Street, Building 167-1 Receiving, Pearl Harbor, HI 96860-5033. Quoters must provide an estimated delivery timeframe in weeks and indicate whether they are quoting as a manufacturer, authorized distributor, or third-party dealer. Additional required information includes the name of the quoted manufacturer, manufacturer size (small or large business), SAM CAGE code, DUNS number, Tax Identification Number, place of manufacture or country of origin, and whether duties are included in the price for non-USA manufactured items. The quote validity date must be specified on the form.

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VALIDITY: UNTIL ___________________

Quoter Name:_________________________________ Email:_________________________________ Phone:_________________________________ Business Name:__________________________ Cage Code:______________________________ Small Business:________or Large Business:_________ Is your Pricing Independent from Manufacture? Yes____No____Quoting as Manufacture_____

Include shipping in the unit price of the item. We need FOB Destination to the address below:

PEARL HARBOR NAVAL SHIPYARD IMF

667 SAFEGUARD STREET, BLDG 167-1 RECV

PEARL HARBOR, HI 96860-5033

UNITED STATES

ESTIMATED DELIVERY: ___________________ WEEK(S)

Please review and return your quote with the following information:

QUOTING AS MANUFACTURER? Yes ___ No ___

QUOTING AS: ___ AUTHORIZED DISTRIBUTOR or ___ THIRD PARTY DEALER

Name of Quoted Manufacturer ___________________ MFG SIZE: SB ___ LG ___

SAM CAGE CODE: ________________ DUNS #: ______________ TIN #: _______________

PLACE OF MFG/COUNTRY OF ORIGIN: _____________

IF NOT USA, DUTY INCLUDED IN PRICE Yes ___ No ___

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