IRS PRICE QUOTATION SHEET.doc

IRS PRICE QUOTATION SHEET

Please complete and submit. (Reference #: 5000086154) Quote Number: _________________ (if applicable)

Vendor’s Name: ___________________________________________________

Address: _________________________________________________________

City/State/Zip: ____________________________________________________ Point of Contact: ___________________________ Tel:_______________

Check All That Apply. Above Company is:

1. [ ] Corporation [ ] Partnership [ ] Sole Proprietorship [ ] Trust

[ ] Individual Estate

[ ] Joint Venture

2. [ ] US Owned Business

[ ] Other US Entity [ ] Foreign-Owned Business Incorporated in the US [ ] Foreign-Owned Business Incorporated in the US [ ] Other Foreign Entity (e.g. Foreign Gov’t)

3. [ ] Large Business [ ] Small Business

4. Small Business and [ ] Disadvantaged [ ] Women-Owned [ ] HUBZone

[ ] Service Disabled Veteran-Owned [ ] Veteran-Owned

[ ] 8(A)

5. Registered in SAM and qualified under NAICS code (see note below)

[ ] Yes [ ] No Additional Information Required:

1. DUNS #: ________________

2. Payment Terms: Net/10 ____________Net/20_____________Net/30 ______

3. Invoice Processing Platform (IPP) Point of Contact:

Name (First and Last): ____________________________________

Email: __________________________ Tel: _____________________

NOTE: Interested vendors shall be registered in the System for Award Management (SAM) database at www.sam.gov and have an active status (to include NAICS Code 334290, Other Communications Equipment Manufacturing and completed and updated Representations and Certifications) by submission date of quote. Failure to do so may disqualify vendor from receiving the award.

Buyer’s Information:

Name: Sheila Balkaran

Phone Number: 470-719-6503

Email: Sheila.Balkaran@irs.gov

FIRM-FIXED PRICE QUOTATION

Material = $______________ Labor = $ _______________

TOTAL $______________________

Lead time required for system: ___________

ADDITIONAL INFORMATION NEEDED WITH OFFER

1. List of ALL material to be provided. List shall include, but not limited to, (i) description of item; (ii) manufacturer; (iii) make/model; (iv) quantity; (v) price.

NOTES:

A.

To be considered for award, offers of “equal” products, including “equal” products of the brand name manufacturer, must:

(1) Meet the salient physical, functional, or performance characteristic specified in this solicitation;

(2) Clearly identify the item by-

(i) Brand name, if any; and

(ii) Make or model number;

(3) Include descriptive literature such as illustrations, drawings, or a clear reference to previously furnished descriptive data or information available to the Contracting Officer; and

(4) Clearly describe any modifications the offeror plans to make in a product to make it conform to the solicitation requirements. Mark any descriptive material to clearly show the modifications.

B.

The Contracting Officer will evaluate “equal” products on the basis of information furnished by the offeror or identified in the offer and reasonably available to the Contracting Officer. The Contracting Officer is not responsible for locating or obtaining any information not identified in the offer.

C.

Unless the offeror clearly indicates in its offer that the product being offered is an “equal” product, the offeror shall provide the brand name product referenced in the solicitation.

2. Breakdown of labor to include (i) labor category and (ii) No. of workers in crew

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