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SP0600-13-R-0204 ATTACHMENT A - PRICE DATA SHEET

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PRICE DATA SHEET

FOR FOB DESTINATION ITEMS ONLY

SP0600-13 - R-0204

COMPANY NAME:

BASE REFERENCE DATE:

NOVEMBER 02, 2012

BIDDER CODE:
CAGE CODE:
DISCOUNT PERCENTAGE:

% PER DAYS

a. Offer price shall exclude Federal Excise Taxes (FET). FET if applicable will be included on vendor's invoice as a separate item.

b. Offer price shall include all State/Local Taxes and Fees that the Government is NOT exempt from paying.

c. Please reference clauses INT-I28.01, INT- I28.02-2 and INT- I28.03-2 for a thorough understanding of taxes and fees.

d. The Economic Price Adjustment Clause (INT-B19.19) must be reviewed and understood prior to preparing your offer. This clause describes how award prices fluctuate during the contract period.

**** REPRODUCE THIS PAGE FOR OFFER SUBMISSION ****

A. ITEM NUMBER

B. DELIVERY LOCATION OF ITEM (CITY AND STATE)
C. OFFER PRICE

($ PER GALLON)

D. STATE/LOCAL TAXES AND FEES “$ PRICE PER GALLON INCLUDED IN OFFER PRICE"

(LIST EACH SEPARATELY)

(DESCRIPTION) ($ PRICE PER GL)

DLA Energy Form 2.18 (For RFPs)- Aug 2010 Attachment “A”

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