M30146-23-040_BidSubmissionBLANK.pdf

Marine Corps Air Station Cherry Point Qualified Recycling Program (QRP) Recyclable Material Bid Submission Form

To Be Completed By Bidder/Buyer M30146-23-039 A. Solicitation Number

Mixed Copper B. Product Description

C. Bid Date

d. Bid amount per pound

The purchaser agrees to pick up recyclable materials in strict accordance with the conditions listed in the bid solicitation and the following conditions:

1. Payments will be made by Certified Check or Postal Money Order made payable to the US Treasury, shall be received by the MCAS Cherry Point QRP Office no longer than fifteen (15) days , excluding holidays, from the date of the invoice for no less than the amount invoiced. All billing weights will be based on the QRP’s certified base scales weight tickets.

Send Payments UPS/FEDEX to: MARINE CORPS AIR STATION

ENVIRONMENTAL AFFAIRS DEPARTMENT

ATTN: Dale McFarland

4223 ACCESS ROAD

CHERRY POINT, NC 28533-0006

Buyer will exercise caution and all operations on the property of the United Sates and to assume full liability for all damage to said property.

2. Purchaser shall save and hold the United States harmless for all damages to property or injury to all persons arising from the use of this contract or for any damages which may result from the removal of said designated materials.

3. The government may terminate contracts by providing thirty (30) days written notice to the Buyer.

4. The Buyer understands that the government will not refund to the Buyer any portion of the amount of consideration set forth above.

I HEREBY AGREE TO BE BOUND BY ALL THE TERMS AND CONDITIONS LISTED ABOVE AND IN THE CITED

SOLICITATION

E. Signature

F. Bidder’s Duns Number

G. Printed Name

H. Company Name

I. Street

J. City

K. State

L. Zip Code

M. Telephone Number

N. EMAIL ADDRESS

To Be Completed By Seller

Permission is hereby granted to the above stated bidder for the purchase and pick up of materials at the rates and quantities listed below

M30146-23-039 O. Solicitation Number

Mixed Copper P. Product Description

Q. Date of Award

R. Bid amount per gallon

S. Deposit

T. Signature Stephanie A. Connor U. Printed Name

Marine Corps Air Station Cherry Point V. Company Name

4223 Access Rd W. Address

Cherry Point X. City

NC

Y. State

28533 Z. Zip Code

252-466-5376 Aa. Telephone

Stephanie.connor@usmc.mil Bb. EMAIL Address