SF1449-21.pdf
PDF 803 KB Posted
- Attached to
- CLEARANCE INDICATING REFLECTOR Federal contract opportunity
- Solicitation number
- 47QSSC-24-Q-1305
About this file
This document is a Request for Quotation (RFQ) for a firm fixed price Blanket Purchase Agreement (BPA) for CLEARANCE INDICATING REFLECTOR items under various National Stock Numbers (NSNs). The BPA is anticipated to cover a performance period not to exceed five years, with a total award amount not to exceed $250,000 or five years, whichever occurs first. The acquisition is unrestricted, and the NAICS code is 326199 with a size standard of 750 employees. Offerors must respond to the RFQ by the stated closing date and time by submitting the completed SF 1449 and RFQ documents to the contracting officer. The procuring agency is the General Services Administration Federal Acquisition Service Assisted Acquisition Services Region 7.
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| File | Type | Posted |
|---|---|---|
| RFQ.docx | DOCX document |
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Text version
WOMEN-OWNED SMALL
BUSINESS (WOSB)
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES
1. REQUISITION NUMBER PAGE 1 OF
2. CONTRACT NUMBER 3. AWARD/EFFECTIVE
DATE
4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE
DATE
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME b. TELEPHONE NUMBER (No collect calls)
8. OFFER DUE DATE/
LOCAL TIME
9. ISSUED BY
13b. RATING
14. METHOD OF SOLICITATION
CODE
15. DELIVER TO 16. ADMINISTERED BY CODE
18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/
OFFEROR
CODE
FACILITY
CODE
CODE
TELEPHONE NUMBER
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN
OFFER
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK
BELOW IS CHECKED
REQUEST
FOR QUOTE
(RFQ)
INVITATION
FOR BID
(IFB)
REQUEST
FOR
PROPOSAL
(RFP)
SEE ADDENDUM
19.
ITEM NUMBER
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH
AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND
ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS
SPECIFIED
29. AWARD OF CONTRACT: REFERENCE OFFER
DATED . . YOUR OFFER ON SOLICITATION
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:
30a. SIGNATURE OF OFFEROR/CONTRACTOR
30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED
31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV. 11/2021)
Prescribed by GSA - FAR (48 CFR) 53.212
10. THIS ACQUISITION IS UNRESTRICTED OR
NORTH AMERICAN
INDUSTRY CLASSIFICATION
STANDARD (NAICS):
SIZE STANDARD:
13a. THIS CONTRACT IS A
RATED ORDER UNDER
THE DEFENSE PRIORITIES
AND ALLOCATIONS
SYSTEM - DPAS (15 CFR 700)
SET ASIDE: % FOR:
11. DELIVERY FOR FREE ON
BOARD (FOB) DESTINATION
UNLESS BLOCK IS MARKED
SEE SCHEDULE
12. DISCOUNT TERMS
ARE ARE NOT ATTACHED
ARE ARE NOT ATTACHED
27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3
AND 52.212-5 ARE ATTACHED. ADDENDA
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
8(A)
ECONOMICALLY
DISADVANTAGED
WOMEN-OWNED SMALL
BUSINESS (EDWOSB)
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
(SDVOSB)
HUBZONE SMALL
BUSINESS
SMALL BUSINESS
NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.
STOCK RECORD (S/R)
STANDARD FORM 1449 (REV. 11/2021) BACK
19.
ITEM NUMBER
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT
32b. SIGNATURE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32c. DATE
41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE
42a. RECEIVED BY (Print)
42b. RECEIVED AT (Location)
42c. DATE RECEIVED (MM/DD/YYYY) 42d. TOTAL CONTAINERS
40. PAID BY
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE
32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED
CORRECT FOR
PARTIAL FINAL
37. CHECK NUMBER
38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER
36. PAYMENT
COMPLETE PARTIAL FINAL
Standard Form 1449 - Solicitation/Contract/Order for Commercial Products and Commercial Services BarbMWilliams
WOMEN-OWNED SMALL BUSINESS (WOSB)
SMALL BUSINESS
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES
1. REQUISITION NUMBER
PAGE 1 OF
2. CONTRACT NUMBER
3. AWARD/EFFECTIVE
DATE
4. ORDER NUMBER
5. SOLICITATION NUMBER
6. SOLICITATION ISSUE
DATE
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
b. TELEPHONE NUMBER (No collect calls)
8. OFFER DUE DATE/
LOCAL TIME
9. ISSUED BY
13b. RATING
14. METHOD OF SOLICITATION
CODE
15. DELIVER TO
16. ADMINISTERED BY
CODE
18a. PAYMENT WILL BE MADE BY
CODE
17a. CONTRACTOR/
OFFEROR
CODE
FACILITY
CODE
CODE
TELEPHONE NUMBER
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN
OFFER
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK
BELOW IS CHECKED
REQUEST
FOR QUOTE
(RFQ)
INVITATION
FOR BID
(IFB)
REQUEST
FOR
PROPOSAL
(RFP)
SEE ADDENDUM
19.
ITEM NUMBER
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Government Use Only)
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH
AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND
ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS
SPECIFIED
29. AWARD OF CONTRACT: REFERENCE OFFER
DATED . . YOUR OFFER ON SOLICITATION
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:
30a. SIGNATURE OF OFFEROR/CONTRACTOR 30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV. 11/2021)
Prescribed by GSA - FAR (48 CFR) 53.212
10. THIS ACQUISITION IS
UNRESTRICTED OR
NORTH AMERICAN
INDUSTRY CLASSIFICATION
STANDARD (NAICS):
SIZE STANDARD:
13a. THIS CONTRACT IS A
RATED ORDER UNDER
THE DEFENSE PRIORITIES
AND ALLOCATIONS
SYSTEM - DPAS (15 CFR 700)
SET ASIDE:
% FOR:
11. DELIVERY FOR FREE ON
BOARD (FOB) DESTINATION
UNLESS BLOCK IS MARKED
SEE SCHEDULE
12. DISCOUNT TERMS
ARE
ARE NOT ATTACHED
ARE
ARE NOT ATTACHED
27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3
AND 52.212-5 ARE ATTACHED. ADDENDA
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA \\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg Right Arrow Pointing to Call the Contact Point for this Solicitation/Contract/Order 8(A)
ECONOMICALLY
DISADVANTAGED
WOMEN-OWNED SMALL
BUSINESS (EDWOSB)
SMALL BUSINESS
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
(SDVOSB)
HUBZONE SMALL
BUSINESS
SMALL BUSINESS
SMALL BUSINESS
NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.
STOCK RECORD (S/R)
STANDARD FORM 1449 (REV. 11/2021) BACK
19.
ITEM NUMBER
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED
INSPECTED
ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 32b. SIGNATURE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32c. DATE 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE 42a. RECEIVED BY (Print) 42b. RECEIVED AT (Location) 42c. DATE RECEIVED (MM/DD/YYYY) 42d. TOTAL CONTAINERS
40. PAID BY
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE 32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
33. SHIP NUMBER
34. VOUCHER NUMBER
35. AMOUNT VERIFIED
CORRECT FOR
PARTIAL
FINAL
37. CHECK NUMBER
38. S/R ACCOUNT NUMBER
39. S/R VOUCHER NUMBER
36. PAYMENT
COMPLETE
PARTIAL
FINAL
| 1. REQUISITION NUMBER: |
| PAGE 1 OF: 54 |
| 2. CONTRACT NUMBER: N/A |
| 4. ORDER NUMBER: N/A |
| 5. SOLICITATION NUMBER: 47QSSC24Q1305 |
| 7. FOR SOLICITATION INFORMATION CALL: a. NAME: Martin D. Cieszlak (martin.cieszlak@gsa.gov) |
| 7. FOR SOLICITATION INFORMATION CALL: b. TELEPHONE NUMBER (No collect calls): 817-850-5512 |
| 9. ISSUED BY CODE: |
| Percent For : |
| 12. DISCOUNT TERMS: N/A |
| 13b. RATING: |
| 15. DELIVER TO: To be shown on each order issued under any contract |
resulting from this solicitation.
| 16. ADMINISTERED BY CODE: |
| 16. ADMINISTERED BY: Same as #9 |
| 17a. CONTRACTOR/OFFEROR CODE: |
| 17a. CONTRACTOR/OFFEROR: |
| 17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER: |
| 18a. PAYMENT WILL BE MADE BY: |
| 19. ITEM NUMBER. Line 1 of 8.: |
| 20. SCHEDULE OF SUPPLIES/ SERVICES: This is a Request for Quotation (RFQ) for a single award, |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 2 of 8.: |
| 20. SCHEDULE OF SUPPLIES/ SERVICES: Open Market Blanket Purchase Agreement (BPA) for |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 3 of 8.: |
| 20. SCHEDULE OF SUPPLIES/ SERVICES: seven NSNs. Pursuant to FAR 13.303-5, |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 4 of 8.: |
| 20. SCHEDULE OF SUPPLIES/ SERVICES: this BPA is anticipated to cover a performance |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 5 of 8.: |
| 20. SCHEDULE OF SUPPLIES/ SERVICES: period not to exceed five-years. Since demand |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 6 of 8.: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 7 of 8.: |
| 20. SCHEDULE OF SUPPLIES/ SERVICES: can fluctuate significantly up or down due to market |
| 20. SCHEDULE OF SUPPLIES/ SERVICES: conditions, this agreement will be awarded as not to |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 8 of 8.: |
| 20. SCHEDULE OF SUPPLIES/ SERVICES: exceed $250,000, or five-years, whichever occurs first. |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 25. ACCOUNTING AND APPROPRIATION DATA: Refer to individual delivery orders. |
| 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY |
ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED. INITIALS : 1
| 29. AWARD OF CONTRACT: REFERENCE OFFER: |
| DATE. YOUR OFFER ON SOLICITATION |
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS.:
| 30b. NAME OF SIGNER (Type or print): |
| 30b. TITLE OF SIGNER (Type or print): |
| 31b. NAME OF CONTRACTING OFFICER (Type or print): |
| 10. THIS ACQUISITION IS UNRESTRICTED: 1 |
| 10. THIS ACQUISITION IS SET ASIDE:: 0 |
| 11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED SEE SCHEDULE: 1 |
| 13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (CODE OF FEDERAL REGULATIONS AT 15 CFR 700): 0 |
| 14. METHOD OF SOLICITATION RFQ: 1 |
| 10. THIS ACQUISITION IS NAICS:: 326199 |
| 10. THIS ACQUISITION IS SIZE STANDARD:: 750 |
| 14. METHOD OF SOLICITATION IFB: 0 |
| 14. METHOD OF SOLICITATION RFP: 0 |
| 18a. PAYMENT WILL BE MADE BY CODE: 3:00 pm CDT |
| 18a. PAYMENT WILL BE MADE BY CODE: General Services Administration |
General Supplies & Services (GSS)(QSCCBA-M4) 819 Taylor St.
Fort worth, TX 76102-6105
| 29. AWARD OF CONTRACT : 1 |
| 29. AWARD OF CONTRACT : 1 |
| 29. AWARD OF CONTRACT : 1 |
| 29. AWARD OF CONTRACT : 0 |
| 27a. ARE ATTACHED: 1 |
| 27a. ARE NOT ATTACHED: 0 |
| 27b. ARE ATTACHED: 0 |
| 27b. ARE NOT ATTACHED: 1 |
| 42c. DATE RECEIVED. Enter 2 digit month, 2 digit day and 4 digit year.: 2024-10-07 |
| 42c. DATE RECEIVED. Enter 2 digit month, 2 digit day and 4 digit year.: 2024-10-18 |
| 3. AWARD/ EFFECTIVE DATE. Enter 2 digit month, 2 digit day and 4 digit year.: N/A |
| 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK IS CHECKED SEE ADDENDUM: 0 |
| 26. TOTAL AWARD AMOUNT (FOR GOVERNMENT USE ONLY): |
| 17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN |
OFFER : 0
| 10. THIS ACQUISITION IS 8(A): 0 |
| 10. THIS ACQUISITION IS SMALL BUSINESS: 0 |
| 10. THIS ACQUISITION IS SMALL BUSINESS: 0 |
| 10. THIS ACQUISITION IS SMALL BUSINESS: 0 |
| 10. THIS ACQUISITION IS SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS: 0 |
| 10. THIS ACQUISITION IS HUBZONE SMALL BUSINESS: 0 |
| 32b. Sign here if you are the Authorized Government Representative.: |
| 41b. Sign here if you are the Certifying Officer. : |
| 19. ITEM NUMBER. Line 1 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 2 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: National Stock Numbers (NSNs): |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 3 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 4 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: 9905-00-181-1080 |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 5 of 28.: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 6 f 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: 9905-01-023-2366 |
| 20. SCHEDULE OF SUPPLIES/SERVICES: 9905-01-023-2714 |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 7 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: 9905-01-069-7282 |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: 9905-01-070-0471 |
| 21. QUANTITY: |
| 22. UNIT: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 8 of 28.: |
| 19. ITEM NUMBER. Line 9 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: 9905-01-343-1011 |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 10 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: 9905-01-352-7999 |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 11 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 12 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: See pages 7 - 8 of Request for Quote (RFQ) for |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 13 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: estimated quantities. |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line14 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 15 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 16 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 17 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 18 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 19 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 20 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 21 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 22 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 23 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 24 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 25 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 26 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 27 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 19. ITEM NUMBER. Line 28 of 28.: |
| 20. SCHEDULE OF SUPPLIES/SERVICES: |
| 21. QUANTITY: |
| 22. UNIT: |
| 23. UNIT PRICE: |
| 24. AMOUNT: |
| 32a. QUANTITY IN COLUMN 21 HAS BEEN ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: |
| 32d. PRINTED NAME OF AUTHORIZED GOVERNMENT REPRESENTATIVE: |
| 32d. PRINTED TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE.: |
| 32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE: |
| 32F. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE: |
| 32G. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE: |
| 33. SHIP NUMBER: |
| 34. VOUCHER NUMBER: |
| 35. AMOUNT VERIFIED CORRECT FOR: |
| 37. CHECK NUMBER: |
| 38. S/R ACCOUNT NUMBER: |
| 39. S/R VOUCHER NUMBER: |
| 40. PAID BY: |
| 41b. TITLE OF CERTIFYING OFFICER: |
| 42a. RECEIVED BY (Print): |
| 42b. RECEIVED AT (Location): |
| 42d. TOTAL CONTAINERS: |
| 32a. QUANTITY IN COLUMN 21 HAS BEEN RECEIVED: 0 |
| 32a. QUANTITY IN COLUMN 21 HAS BEEN INSPECTED : 0 |
| 32a. QUANTITY IN COLUMN 21 HAS BEEN ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: 0 |
| 41c. DATE. Enter 2 digit month, 2 digit day and 4 digit year.: |
| 33. SHIP NUMBER PARTIAL: 0 |
| 33. SHIP NUMBER FINAL: 0 |
| 32c. If you are the Authorized Government Representative, enter the date you signed this form (enter 2 digit month, 2 digit day and 4 digit year).: |
| 36. PAYMENT COMPLETE: 0 |
| 36. PAYMENT PARTIAL: 0 |
| 36. PAYMENT FINAL: 0 |
File details come from the government source that posted it. Updated .