Offer Price Breakdwon - Domestic.pdf

PDF 137 KB Posted

Attached to
2. 3 SOUTH DOMESTIC INTOPLANE Amendment 0006
Solicitation number
SPE607-23-R-0202-0006
Issued by

About this file

This document is an Offer Price Breakdown Sheet for Jet A fuel with and without Fuel System Icing Inhibitor (FSII), designed for a domestic aviation fuel procurement. The form requires vendors to provide detailed pricing information, including market price (referencing Platts/OPIS), into-plane fees, total unit price, FSII price, into truck pricing, and rapid refuel pricing, with a reference date of 29 October 2024. Vendors must specify their CAGE code, business size, estimated quantity of gallons, and select a publication for market price adjustments, with options to indicate price change frequency (Monday, Tuesday, weekly, monthly, or other).

The second page of the document includes additional vendor information requirements such as refinery hours of operation (preferring 24/7), holiday service availability, refueler details, and authorized negotiator contact information. The form follows DLA Energy guidelines (referenced as APR 2007) and requires vendors to provide comprehensive contact information for the refueler/FBO, including point of contact, physical address, and source/refinery details. The document is structured to capture precise fuel supply logistics and pricing for a potential federal aviation fuel contract.

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Text version

OFFER PRICE BREAKDOWN SHEET (Domestic version)

Jet A w/o FSII and Jet A w/FSII

AIRPORT NAME AND ICAO CODE:

(Identify the airport and its ICAO code found in the solicitation schedule)

VENDOR CAGE CODE: LARGE OR SMALL BUSINESS:

CLIN NUMBER: STATE/ COUNTRY:

EST QUANTITY GALLONS:

IF THE INCUMBENT, STATE YOUR CONTRACT NUMBER #:

REFERENCE DATE: 29 October 2024

MARKET PRICE (PLATTS/OPIS) FOR THE ABOVE REFERENCE DATE:

INTO-PLANE FEE (Differential & additional fees not including FET )

JET A TOTAL UNIT PRICE: (Sum of A and B)

FSII PRICE: (If none, state “None.”)

INTO TRUCK (If applicable if none, state none):

RAPID REFUEL PRICE (If applicable, if none state NONE)

TOTAL PRICE ( Sum of C thru F)

PUBLICATION/REFERENCE SELECTED FOR MARKET PRICE ADJUSTMENT

PLATTS: __________________________________________________________________________

OPIS: __________________________________________________________________________

OTHER: __________________________________________________________________________

Prices will change on [ ] Monday [ ] Tuesday [ ] Weekly [ ] Monthly [ ] Other_____________

($ USD Currency)

$ A.

$ B.

$ C.

$ D.

$ E.

$ F.

$________________G.

Refinery/

Hours of Operations [ ] 24 hours per day, 7 days per week (preferred) OR [ ] Other (Specify hours/call-out, and phone number for call-outs):

Circle One

Holidays Included: YES or NO

Are you the REFUELER for this offer under this location? (Please check one)

**** (Commitment letter must match the name and Address of the Refueler/FBO information below. COA or COQ must be in English)

Refueler (FBO) Point of Contact Name:

Full Physical Address (Country & State)

Person at Facility Phone Number:

Source Name:

Physical Address:

Phone Number:

K-0002 - K33.01 Authorized Negotiators (Reference: DLA Energy APR 2007)

Name & Title: Email &Phone:

Name & Title: Email & Phone:

YES NO

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