Attch1_Price_Proposal_20121001.docx

CONTAMINATION INDICATION / RFP W911QY-13-R-0001

DECONTAMINATION ASSURANCE SYSTEM (CIDAS)

ATTACHMENT J1- PRICE PROPOSAL FORM

Include this form completed with your proposal

DESCRIPTION: The Offeror shall price their product using this form using the product configuration that most closely fits the proposed product. The product configurations below accommodate offerors who have one indicant technology that can detect both nerve and blister agents (Product Configurations 1 or 2) or who offer two indicant technologies, one for nerve agents and another for blister agents (Product Configurations 3 or 4). If the offeror has a training/simulation indicant (an inert indicant used for training purposes) that is cost effective, the offeror may propose their products using Product Configurations 2 or 4. Offerors who do not have a training/simulation indicant must propose their products using Product Configurations 1 or 3. The price proposed must include shipping and handling, as well as all other plant, labor, supplies, materials, equipment, transportation and supervision necessary to deliver the products to the locations specified in the quantities (see Note 1) specified within forty-five (45) days After Date of Contract (ADC). All work required shall be in strict accordance with the detailed requirements of the technical provisions and specifications. All deliveries shall be F.O.B. Destination to the locations indicated in the quantities indicated.

For testing purposes, delivery is required at multiple locations for the quantities specified. Delivery Locations are as follows:

1. Indicator Efficacy Testing / Pot Life and Material Compatibility Testing: Hazardous Material Research Center, Battelle Memorial Institute, Columbus, OH

Battelle Memorial Institute (DoDAAC - W81XAG) ATTN: Gary Stickel 1425 State Route 142 West Jefferson, Ohio 43162

2. Individual Protective Equipment Compatibility Testing - Dugway Proving Grounds, Dugway, UT

U.S. Army Dugway Proving Ground (DoDAAC - W909NB) Chemical Test Division, WDTC ATTN: Herbert Davila

TEDT-DPW-CTC

Building 4564, B-Street Dugway, UT 84022-5000

3. Accelerated Aging / Shelf Life Testing - Hazardous Material Research Center, Battelle Memorial Institute, Columbus, OH

(Same as 1. above)

4. Human Factors Evaluation - Aberdeen Test Center, Aberdeen, MD

US Army Aberdeen Test Center (ATC) (DoDAAC - W81C5M) ATTN: TEDT-AT-WFS/Don Craig 400 Colleran Rd., Building 358 Aberdeen Proving Ground, MD 21005

All offerors must price CLINs 0001, 0006 and 0007. All offerors must price one of the product configurations.

0001 Man-portable Applicator 5 Each $___________ $_____________

Product Configuration 1:

This configuration is for offerors who are proposing one indicant technology that can detect both nerve and blister agents and who DO NOT offer a training/simulation indicant.

Product Configuration 2:

This configuration is for offerors who are proposing one indicant technology that can detect both nerve and blister agent and who DO offer a training/simulation indicant.

Product Configuration 3:

This configuration is for offerors who are proposing one indicant technology for Blister agent and a separate indicant technology for Nerve agents and who DO NOT offer a training/simulation indicant.

Product Configuration 4:

This configuration is for offerors who are proposing one indicant technology for Blister agent and a separate indicator spray for Nerve agents and who DO offer a training/simulation indicant.

0006 Training 1 Lump Sum $_____________

0007 Manufacturing Readiness Assessment 1 Lump Sum $_____________

0008 Technical Manual 1 Each NOT SEPERATELY PRICED

0009 Training Materials 1 Each NOT SEPERATELY PRICED

0010 MRA Questionnaire 1 Each NOT SEPERATELY PRICED

Note 1: The quantities requested are in gallons, however, this solicitation allows for liquid, powder or other mixtures/configurations of product to be proposed. The offeror must propose their product in units of measure that will achieve the quantities requested in this sheet and are able to be drawn by testers as indicated in the description of the options. For example, an offeror may propose 20 individual kits containing two liquids that will yield 20 individual gallons of indicant technology when water is added, and one set of two 20 gallon drums of liquids to which water must be added to satisfy the 50 gallon requirement.

* Product will be pulled throughout testing to prepare/use in 1 gallon increments. Packaging should allow for the preparation/use of 1 gallon increments without compromising the entire quantity of delivered indicant.

** This quantity must be packaged and shipped in individual units that will each yield 1 gallon of indicant in order to perform shelf life testing.

SIGNATURE: COMPANY NAME DATE

Name and title of person authorized to sign