SPE30016R0059.LTC_PID0003.PDF

GROUP I USAGE AND ESTIMATE

SOURCE SELECTION INFORMATION

SEE FAR 2.101 AND FAR 3.104

SPE30016R0059: Dairy Items for Larc Industries Group I Offeror's Name:

CAGE Code:

Duns Number:

Item Stock Number (LSN) Item Name/Description Product Code Unit Size

Estimated Annual Qty per

Unit Price per

Unit Total Price per

Unit (Tier 1)

Estimated Annual Qty per

Unit Price per

Unit Total Price per Unit

(Tier 2) 0 Milk, 1 GL CO/ Example 1234 Gallon (GAL) 1000 $ 2.00 4,000.00$ 1000 2.10$ 2,000.00$ 6,000.00$ 48 hours 2.30$ 1 891001E110586 EGGNOG, 1QT Quart (QT) 16 -$ 16 EPA -$ -$ 2 891001E113942 MILK, CHOC, WHOLE, 4.5 GAL BIB BIB (4.5 Gallons) 165 -$ 165 EPA -$ -$ 3 891001E113940 MILK, REDUCED FAT, 4.5 GAL BIB BIB (4.5 Gallons) 246 -$ 246 EPA -$ -$ 4 891001E113403 CHEESE, COTTAGE, LOWFAT, CREAMED, 5LB 5 LB Container (CO) 3 -$ 3 -$ -$ 5 891001E113404 SOUR CREAM, CULTURED OR ACIDIFIED, 5 LB 5 LB Container (CO) 1 -$ 1 -$ -$ 6 Various YOGURT, NONFAT, CHL, ASSORTED, BLENDED, 6 OZ CO Container (CO) 0 -$ -$ -$ 7 -$ -$ -$ 8 -$ -$ -$ 9 -$ -$ -$

10 -$ -$ -$ 11 -$ -$ -$ 12 -$ -$ -$ 13 -$ -$ -$ 14 -$ -$ -$ 15 -$ -$ -$ 16 -$ -$ -$ 17 -$ -$ -$ 18 -$ -$ -$ 19 -$ -$ -$ 20 -$ -$ -$ 21 -$ -$ -$ 22 -$ -$ -$

Specify Yogurt Flavors Available Product Code

Aggregate Total: -$

Item Numbers 1-3: Class 1 Items Firm Fixed price with EPA Adjustments

Item Numbers 4-6: Class 2 items Firm Fixed Price for Each Tier

Wholesale Price

TIER 1 (Year 1&2) TIER 2 (Year 3)

Aggregate Price Remarks:

Lead Time in Hours

Group I SOI