PricingSheet_1333MH22QNWWT0017.pdf

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Hydrogen to National Weather Service Medford, OR
Solicitation number
1333MH22QNWWT0017
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Pricing Sheet Sol. No. 1333MH22QNWWT0017 NWS Medford Hydrogen

Business Name: _____________________________

Unique Entity Identifier: _____________________________

Contact Name: _____________________________

Contact Phone: _____________________________

Contact Email: _____________________________

For each period described below:

Between 58,240 and 67,520 cubic feet delivered incrementally over the year Between 26 and 33 total deliveries Up to 18 cylinders on site at all times The rates below are firm-fixed price

Base Period May 1, 2022 through April 30, 2023

Hydrogen Gas: $ _________________per cylinder

Cubic Feet: ___________________per cylinder

Delivery Fee: $ _________________per delivery

Hazmat: $ _________________per delivery

Cylinder Rent: $ _________________per cylinder per day or per month (circle one)

Additional Fees: $ _________________(identify name of fee, price, and frequency, if applicable)

Delivery Lead Time, ARO: ___________________days

Option 1 May 1, 2023 through April 30, 2024

Hydrogen Gas: $ _________________per cylinder

This sheet is provided as a convenience to submit price quotes; it is not mandatory for use. It is not all-inclusive of all requirements in order to be considered Responsive in accordance with FAR 52.212-1 Instructions to Offerors. Interested parties are responsible for reviewing the details of the provision and solicitation for complete requirements prior to submitting the quote.

Cubic Feet: ___________________per cylinder

Delivery Fee: $ _________________per delivery

Hazmat: $ _________________per delivery

Cylinder Rent: $ _________________per cylinder per day or per month (circle one)

Additional Fees: $ _________________(identify name of fee, price, and frequency, if applicable)

Delivery Lead Time, ARO: ___________________days

Option 2 May 1, 2024 through April 30, 2025

Hydrogen Gas: $ _________________per cylinder

Cubic Feet: ___________________per cylinder

Delivery Fee: $ _________________per delivery

Hazmat: $ _________________per delivery

Cylinder Rent: $ _________________per cylinder per day or per month (circle one)

Additional Fees: $ _________________(identify name of fee, price, and frequency, if applicable)

Delivery Lead Time, ARO: ___________________days

Option 3 May 1, 2025 through April 30, 2026

Hydrogen Gas: $ _________________per cylinder

Cubic Feet: ___________________per cylinder

Delivery Fee: $ _________________per delivery

Hazmat: $ _________________per delivery

Cylinder Rent: $ _________________per cylinder per day or per month (circle one)

Additional Fees: $ _________________(identify name of fee, price, and frequency, if applicable)

Delivery Lead Time, ARO: ___________________days

Option 4 May 1, 2026 through April 30, 2027

Hydrogen Gas: $ _________________per cylinder

Cubic Feet: ___________________per cylinder

Delivery Fee: $ _________________per delivery

Hazmat: $ _________________per delivery

Cylinder Rent: $ _________________per cylinder per day or per month (circle one)

Additional Fees: $ _________________(identify name of fee, price, and frequency, if applicable)

Delivery Lead Time, ARO: ___________________days

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