Additional_Information_Sheet.docx

THIS IS A REQUEST FOR A QUOTATION ONLY.

IN ADDITION TO THE QUOTATION, PLEASE PROVIDE THE FOLLOWING INFORMATION

**GENERAL INFORMATION**

Does your company have active registration in the System for Award Management (SAM)?

Yes _____ No _____ *The vendor must have active registration in SAM to be eligible for an award.

**The vendor may create a new registration or update its representations through the following link —https://www.sam.gov/portal/public/SAM/**

Business Status (check those that apply):

Small ___ Large ___ Women-Owned Small Business ___ Disadvantaged ___ 8(a) ___ Service Disabled Veteran Owned Small Business ___

Delivery Terms:

(Unless otherwise specified, all shipments will be FOB Destination.)

Contract Type and Price Verification:

GSA/SEWP contract number (if applicable): _________ _________ or open market: __________ _____________

For GSA quotes, provide snapshots of the applicable items from the vendor’s GSA contract price list. For open market quotes, provide snapshots of the applicable items from the vendor’s published price list.

**SUPPLY INFORMATION**

(IF APPLICABLE)

Identify the principal plant or place of business where the items will be produced, supplied from stock, or where the service will be performed:

_____________________________________________________ (Street Address) _________________________________________________ (City, State, Zip+4)

Indicate whether the place of manufacture of the end product(s) is/are within or outside the United States: ________________

**Maintenance Information** (If APPLICABLE)

Period of coverage: ____________________________________________________

Phone number for technical support and contact person:

Other phone numbers, if applicable: ___________________________

Technical support email address: ________________________________________________________________________

Days and hours of coverage, e.g., 24/7/365 (24 hours a day, 7 days a week, 365 days a year for technical assistance): ________________________________________________________________________

Includes (check all that apply):

___ Updates ___ Upgrades ___ Fixes

Site visits (indicate how many will be necessary and any travel costs that apply): ___________

Other (provide specific information, including any additional costs):

Specify maintenance terms:

_____ Begins after expiration of warranty.

_____ Begins upon delivery/acceptance of product.

Please direct any questions to the Purchasing Agent.