Quote Sheet-Gravel Concrete River Rock.pdf

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Gravel, Concrete & River Rock
Solicitation number
W50S9620Q0009
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QUOTE SHEET

W50S9620Q0009 – Gravel, Concrete, & River Rock

To facilitate the most expeditious and equitable evaluation process possible, please use this format for providing requested pricing information. Be sure to submit/attach enough additional information to enable the Government to fully ascertain the specifications/capabilities of the equipment quoted.

COMPANY NAME

COMPANY ADDRESS

COMPANY POINT OF CONTACT (POC)

POC PHONE NUMBER and EMAIL

Federal Tax ID

CAGE Code (if known) or DUNS Number

Are annual representations and certifications complete? (re: FAR 52.212-3; www.sam.gov)

Yes or No (circle/mark)

GSA/CHESS/FSS Contract Number (if applicable)

Country of Product or Service Origin (Required)

Place of Manufacture (Required for each line item)

Delivery Terms (ARO/ADC) 90 Days After Date of Contract (or specify earliest delivery date)

FOB (If origin, please provide cost) FOB Destination

Net Payment Terms

Warranty Information

Payment Method Credit Card / Electronic Funds Transfer

QUOTE SHEET

W50S9620Q0009 – Gravel, Concrete, & River Rock

Provide price for each of the items listed below.

DESCRIPTION QUANTITY PRICE EACH EXT PRICE

CLIN 0001 Aggregate Base Gravel, IAW Table 1 of Section 882.2 of 1,993 TONS $_________ $_________

2015 SD DOT

CLIN 0002 3500 or higher PSI Concrete 44 YARDS $_________ $_________

CLIN 0003 1.5” Diameter River Rock 6 TONS $_________ $_________

TOTAL $_________

Type/Printed Name of Person Authorized to Sign

Authorized Signature

Date

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