Coversheet_18Q0111.doc

MARINE CORPS INSTALLATIONS PACIFIC REGIONAL CONTRACTING OFFICE

ATTN:

Government Sales SUBJ: Handheld Hazmat Detector

1. To be eligible for award under this request for quotation, contractors must be registered in the System for Award Management (SAM) and must furnish duns number, cage code, and tax id number. Failure to submit the required information may result in your quotation being considered non-responsive.

COMPANY NAME: ___________________________________________________________

ADDRESS: __________________________________________________________________

CITY: _________________________________ STATE: ____________ ZIP: ______________

DUNS NO: _____________________________ CAGE CODE: _____________________________

FEDERAL TAX ID NUMBER: _______________ FSC: _______________ SIC: _________________

NAME AND TITLE OF QUOTER: _____________________________________________________

PHONE NUMBER: _________________E-MAIL ADDRESS: ________________________________

2. Please indicate the following:

a) Prompt Payment Terms/Discount Terms: ____________________________________________

b) Proposed delivery:

c) Estimated total weight of order:

The Government desires F.O.B. Destination pricing, which is the cost of transportation included in the price of the material.

ship TO:

MCIPAC Fire & Emergency Services Camp Foster, Chatan-cho, Okinawa 904-0100 Japan

Upon completion of this quote, please email your response to asami.adaniya.ja@usmc.mil or fax your response to Asami Adaniya at 011-81-611-745-0959.

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