PRICE_DATA_SHEET.docx

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Attached to
Solicitation for Domestic COG 8 (Oregon, Washington, Montana, and Idaho) Ground Fuel Requirements
Solicitation number
SP0600-13-R-0211
Issued by

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PRICE DATA SHEETS (COG 8)

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PRICE DATA SHEET

FOR FOB DESTINATION ITEMS ONLY

SP0600-13-R-0211

COMPANY NAME:

DUNS NUMBER:
BASE REFERENCE DATE:

21 January 2013

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 I28.01, I28.02-2, and I28.03-2 for a thorough understanding of taxes and fees.

d. The Economic Price Adjustment Clause (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 COUNTRY)
C. OFFER PRICE

($ PER GALLON)

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

(LIST EACH TAX SEPARATELY)

(DESCRIPTION) ($ PRICE PER GL)

F.O.B. DESTINATION OFFERS ONLY

ATTACHMENT A

PRICE DATA SHEET

FOR THE EVALUATION PREFERENCE

To be completed by SDB’s only and In accordance with Clause I174

(IMPORTANT: All Small Disadvantaged Businesses that wish to be eligible for the evaluation preference on the unrestricted portion of this solicitation MUST provide the following information with their offer. Failure to do so will render the offer ineligible for the evaluation preference.

COMPANY NAME:

DUNS NUMBER:
BASE REFERENCE DATE:

21 January 2013

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. (Reference clauses I28.01, I28.02-2, and I28.03-2 for a thorough understanding of taxes and fees.)

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

**** PLEASE INITIAL ALL CORRECTIONS, ERASURES, AND WHITE-OUTS ****

A. ITEM NUMBER

B. OFFER PRICE

($ PER GALLON)

C. LOCAL TAXES AND FEES “$ PRICE PER GALLON INCLUDED IN OFFER PRICE"

(LIST EACH TAX SEPARATELY)

(DESCRIPTION) ($ PRICE PER GL)

D. NAME AND ADDRESS OF THE SMALL MANUFACTURER/REFINERY
E. POINT OF CONTACT AND PHONE NUMBER
F. NAME AND ADDRESS OF THE FILLING POINT (If different from refinery)

ATTACHMENT B

NOTE: Please use this page in accordance with Clause M3.01 Evaluation of offers where uncommon escalators are used. Any proposed escalators should be written on this page.

DATA SHEET FOR

PROPOSED ESCALATORS

IN ACCORDANCE WITH CLAUSE M3.01

COMPANY NAME: DUNS NUMBER:

Line Item Number
Current Escalator
Proposed Escalator
Reason for proposed escalator change

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