M6261319Q0023_RFQ_Cover_Sheet.doc

MARINE CORPS INSTALLATIONS PACIFIC

REGIONAL CONTRACTING OFFICE

ATTN:

Government Sales

SUBJ:

1. In accordance with FAR 52.212-1, contractors must have a current, valid registration in System for Award Management (SAM) and must furnish DUNS number, CAGE code, and tax ID number. Provide the required information in the following fields using this form. Quotes submitted without this completed coversheet will not be evaluated nor considered for award.

COMPANY NAME: _______________________________________________________________________ ADDRESS: ______________________________________________________________________________

CITY: _________________________________

STATE: ________

ZIP: _________

DUNS NO: _________________________

CAGE CODE: _________________________

FEDERAL TAX ID NUMBER: ________________

FSC: _______________ SIC: _____________

NAME AND TITLE OF POC: _______________________________________________________________ PHONE NUMBER: ________________________E-MAIL ADDRESS: _____________________________ 2.

a) Are you quoting from a GSA contract?

YES __________

NO _______

GSA Contract No. (If Applicable):

GSA Contract Expiration Date:

b) Prompt Payment Terms/Discount Terms: ____________________________________________

c) Proposed delivery time:

d) Estimated total weight & cube of order:

PAGE

Upon completion of this quote, please email your response to seiko.tani.ja@usmc.mil to Seiko Tani at 011-81-827-79-6875.