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New Version 2021-07
| Requirements: 70Z03823QB2000026 |
| Instructions: Fill in the yellow boxes as specified. |
For questions, please contact:Gabrielle.M.Berry@uscg.mil
| Company Name: |
| Cage Code Registered in SAM.GOV |
| CLIN | SUPPLIES/SERVICES | | Quantity | *Optional Quantity | Maximum Quantity | Unit of Issue | Days After Receipt of Order | Firm Fixed Price Unit Price | Extended |
| 1 | Repair, (Includes T/E Fee) | | 2 | 24 | 26 | EA | | | $0.00 |
| NSN: | 1650-01-024-5260 | | | | | | | |
| Part Number: | MF1-009-12 | | | | | | | |
| Nomenclature: | MOTOR,HYDRAULIC | | | | | | | |
| IAW Statement of Work Section 3 | | | | | | | | |
| 2 | Test and Evaluation - Scrap Items | | TBD | NA | TBD | EA | | | $0.00 |
| NSN: | 1650-01-024-5260 | | | | | | | |
| Part Number: | MF1-009-12 | | | | | | | |
| Nomenclature: | MOTOR,HYDRAULIC | | | | | | | |
| IAW Statement of Work Section 2 | | | | | | | | |
| *Note: if a quantity is stated in column E, FAR 52.217-6 Option for Increased Quantity (MAR 1989) applies to this acqusition. Reference page X of the Terms and Conditions for additional information. | | | | | | | | Total: | $0.00 |
| | | | | | | | F.O.B. Point: | |
| | | | | | | Estimated Shipping Cost: | | $0.00 |
| *Do you agree to the Option for Increased Quantity Clause, 52.217-6? | | | | | | | Extended Total + Shipping: | | $0.00 |
| Yes, as written in the Request For Quote. | | | | | | | | |
| No, we do not agree to clause 52.217-6. | | | | | | | | |
| Yes, with requested modifications: | | | | | | | | |
| Please quote what you will charge as a Test and Evaluation fee if the part is found to be Beyond Economical Repair (BER) and include any additional charges to return the item as in the "Other" section. The USCG will notify the contractor in writing on the disposition of any item deemed as BER. The USCG will not pay a scrap fee. | | | | | | | | | |
| Other: |
| Indicate any any additional pricing information here (i.e price discounts, fees, etc.) |