RFQ_COVERSHEET.docx

MARINE CORPS INSTALLATIONS PACIFIC

REGIONAL CONTRACTING OFFICE

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: ____________________________________________

Upon completion of this quote, please email your response to Jordan.Orellana@usmc.mil; Joshua.Roe0@usmc.mil or fax your response to Sgt Orellana, Jordan at 011-81-611-745-0959.

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