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

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BIKE SHELTER
Solicitation number
SPMYM426Q3667
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This is a Pricing Template/Quote Form for federal procurement by the Pearl Harbor Naval Shipyard IMF.

Quoters must provide their complete business information including name, email, phone, business name, and CAGE code, along with a designation of small or large business status. The form requires quoters to specify whether pricing is independent from the manufacturer and whether they are quoting as a manufacturer, authorized distributor, or third-party dealer. All quotes must include shipping costs in the unit price with FOB Destination delivery to Pearl Harbor Naval Shipyard IMF, 667 Safeguard Street, Building 167-1 Recv, Pearl Harbor, HI 96860-5033. Quoters must provide an estimated delivery timeframe in weeks.

Additional required information includes the manufacturer name and size classification, SAM CAGE code, DUNS number, and TIN for the quoting entity. Quoters must identify the place of manufacture and country of origin, and if the product is manufactured outside the USA, must specify whether duty costs are included in the quoted price. The quote validity date must be specified on the form. This template establishes the baseline requirements for submitting pricing proposals to this naval shipyard facility.

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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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