QUOTE WORKSHEET.docx

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Attached to
LAARNG Kitchen Equipment Requirement
Solicitation number
W912NR-24-R-0028
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About this file

This document is a Quotation Worksheet for a federal contract opportunity. The opportunity is for kitchen equipment for the Louisiana Army National Guard, under Solicitation Number W912NR-24-R-0028. The requirements include gray wire shelves, rubber stem casters, gray posts, and a 208V 3-phase tilt skillet. Quotes are due by 10:00 am Central Time on August 8, 2024 and must be emailed to the specified points of contact. The contract will be a firm-fixed price award to the lowest priced technically acceptable offeror. Vendors must be registered in SAM and include their UEI, DUNS, CAGE code, and federal tax ID. They must also provide representations regarding use of certain telecommunications equipment and services. Pricing is requested for each line item as well as total pricing.

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W912NR 24-R-0028 QUOTATION WORKSHEET

VENDOR NAME: _______________________________________________________________

PHONE #______________________ FAX #___________________________

Point of Contact: ______________________________________________________________

UEI ___________________ DUNS & BRADSTREET # ______________________ CAGE CODE____________

Federal Tax ID _________________________

SIZE OF BUSINESS (SMALL/LARGE) _______________

SMALL BUSINESS SUB-CATEGORY (IF APPLICABLE) ______________________

NAME OF PERSON QUOTING PRICE___________________________________________

DATE QUOTE RECEIVED____________

Requirement Description: See Need Statement

ITEM DESCRIPTION QTY UNIT PRICE TOTAL PRICE

0001 Gray Wire Shelf 16 EA __________ ___________ 0002 Rubber 5” Stem Caster 4 EA __________ ___________ 0003 Gray Post 20 EA __________ ___________ 0004 208V 3PH Tilt Skillet 1 EA __________ ___________ 0005 Shipping Cost 1 EA __________ ___________

Total: __________________________

Vendors are advised that the solicitation closes on 08 Aug 24 / 10:00 a.m. Central Time. All proposals/quotes shall be emailed to Ms. Tiffany Ford, 318-290-5584, and Mrs. Crystal Stiles, crystal.l.stiles2.CIV@army.mil, 318-290-5933.

COMMENTS: Prices are all-inclusive meaning that all services, supplies, and delivery need to be included.

Representation. As prescribed in 4.2105(a), complete the following representation in FAR Clause 52.204-24(d) Representation. The Offeror represents that —

(1) It □ will, □ will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract, or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (c)(1) of this section if the Offeror responds “will” in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that—It □ does, □ does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (c)(2) of this section if the Offeror responds “does” in paragraph (d) (2) of this section.

Vendor Name: _______________________________________________________________________________

Authorized Representative Name/Title: ____________________________________________________________ (Print Name/Title)

Authorized Representative Signature: ______________________________________________________________

NOTE: For your offer to be considered ensure the following:

· Worksheet has been accurately and completely filled out.

· Registration in SAM is current and accurate.

· Pricing for all items listed and a total of all items complete.

· Representation selection has been made (#1 & #2).

· Submission made via email by the specified time and date.

File details come from the government source that posted it. Updated .