ATT4_NAMA-16-Q-0070_FBO_07132016AR.docx

ATTACHMENT 4

REQUIRED QUOTE INFORMATION

STATUTORY/REGULATORY COMPLIANCE – The following items, if checked by NARA, apply to this solicitation. Contractors must confirm in their quote that all products they are quoting are new only and meet the checked items. Contractors that do not provide the required information in their quote will not be considered for receipt of the order. CONTRACTORS MUST COMPLETE, SIGN AND RETURN THIS ATTACHMENT WITH THEIR QUOTE. IF UNABLE TO SEND THROUGH E-MAIL TO amy.reckmann@nara.gov , THEN FAX TO 314-801-0605.

FAR PROVISION 52.212-3, OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS – Offerors shall complete only paragraph (b) of this provision if the offeror has completed the annual representations and certificates electronically at https://sam.gov. If an offeror has not completed the annual representations and certifications electronically at the SAM website, the offeror shall complete only paragraphs (c) through (o) of this provision - a copy of the provisions can be found at https://www.acquisition.gov/far/;X

ORIGINAL EQUIPMENT MANUFACTURER (OEM) AUTHORIZED/CERTIFIED RESELLER: YES_____ or NO_____?X

COUNTRY OF ORIGIN CERTIFICATE X

PAYMENT TERMS:

DELIVERY TERMS: (e.g. 30 DAYS ARO)

NAME AND PHONE OF REFERENCES: 1.____________________________________________________________________________ 2.____________________________________________________________________________ 3.____________________________________________________________________________

REQUIRED FOR AWARD: ENROLLED IN SYSTEM FOR AWARD MANAGEMENT (SAM)? YES___ or NO_____ Vendors shall be registered in SAM at time of award to be eligible.

VENDOR IS A SMALL BUSINESS? YES____ or NO____

DUNS: ___________________________

PRINTED NAME: ____________________________________________________________

SIGNATURE OF PERSON AUTHORIZED TO SIGN: _______________________________