180725_Attachment_03_Proposal_Submission_Form.docx

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Military Ski System
Solicitation number
M67854-18-R-1402
Issued by

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Attachment 03 - updates in yellow

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Combined Synopsis/Solicitation (FAR 12.603 and FAR 5.207) M67854-18-R-1402 Military Ski System RFP Attachment 3 – Proposal Submission Form Company Information

Company Name

Cage Code
Tax Payer ID
DUNS Code

Street Address

City

State
Zip Code

Phone Number

Fax Number
Website

Business Type (e.g. Large, Small, 8(a), etc.) In Accordance With FAR 19.001, http://farsite.hill.af.mil/farsite.html)

Point of Contact Information

Point of Contact Name

Telephone Number
Email Address

Price:

CLIN
Description
Quantity
Unit of Issue
Unit Price
Total

Military Ski System (Pre-Production Validation Samples)

5
Each
$
$
0002
Military Ski System

(Production)

8,000 (maximum contract quantity)
Each
$
$

Past Performance:

Past Performance Citation 1

Contract Number:
Contract Type:
Total Contract Value:
Period of Performance:

Customer/Agency:

Point of Contact (Name and email address):

Description of work, to include basis for relevancy to subject procurement:

Past Performance Citation 2

Contract Number:
Contract Type:
Total Contract Value:
Period of Performance:

Customer/Agency:

Point of Contact (Name and email address):

Description of work, to include basis for relevancy to subject procurement:

Past Performance Citation 3

Contract Number:
Contract Type:
Total Contract Value:
Period of Performance:

Customer/Agency:

Point of Contact (Name and email address):

Description of work, to include basis for relevancy to subject procurement:

Berry Amendment Self Certification I, , in submitting this offer under solicitation number M67854-18-R-1402, affirm that only products compliant with the Berry Amendment (10 USC 2533a) will be delivered to the Government. As such, all items delivered, either as end products or components, will be grown, reprocessed, reused, or produced in the United States (as defined in DFARS 252.225-7012(b) included by reference herein). This certification covers all materials (including those of all components) and components supplied by subcontractors at any tier, and all labor (including that of all intervening processes), whether performed by the offeror or any of its subcontractors at any tier.

The LPTA offer that conforms to the RFP may be selected for award. In order to be technically acceptable and conform to the RFP, the Offeror must meet all technical requirements. No deviations will be accepted.

Discount Terms (NET 30 if unspecified):

FOB Destination Compliance (circle one):

YES NO (see FAR 52.247-34)

Carefully review all documents before signing

Offeror’s Authorized Representative's Typed or Printed Name
Position or Title
Offeror’s Authorized Representative's Signature
Date

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