QuotationSubmissionForm.docx

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Attached to
Rotating Cam Limit Switch Systems for Lock Tainter Gate Federal contract opportunity
Solicitation number
W912ES-13-T-0079
Issued by
Department of the Army Corps of Engineers Engineering District St Paul

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Quotation Submission Form

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Amendment_0004.pdf PDF
Amendment_0003.pdf PDF
Amendment_0002.pdf PDF
Responses_to_Questions_06.27.13.pdf PDF
Amendment_0001.pdf PDF
ScopeOfWork.pdf PDF
StandardForm1449.pdf PDF

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Quotation Submission Form Solicitation W912ES-13-T-0079

1. Vendor Information

Name of Firm:_________________________________________
Address:_________________________________________
Point of Contact:_________________________________________
Title:_________________________________________
Telephone:_________________________________________
Email:_________________________________________

2. Price

Item No.
Description
Quantity
Unit
Unit Price
Total Amount
0001
Tainter Gate Limit Switch Systems
2
EA
___________
_______________

3. Relevant Experience

Please provide relevant experience information for the firm to perform the fabrication/manufacturing of equipment.

Will fabrication/manufacturing of equipment be self-performed? ___ Yes ___ No

If no, please identify the subcontractor proposed to perform this work:

Name of Firm:_________________________________________
Address:_________________________________________
Point of Contact:_________________________________________
Title:_________________________________________
Telephone:_________________________________________
Email:_________________________________________

Examples of Relevant Experience.

Example # 1:

Contract Number:________________________________________________________
Contract Title:________________________________________________________
Contract Location:________________________________________________________

Work Performed as: __ Prime contractor __Subcontractor __Other(_________________)

Award Date: _____________________________________________ Completion Date or % Complete: ____________________________ Contract Price (Award Amount):_____________________________

Project Description (How is this project relevant to project of submission? Specify similar equipment, requirements, conditions, etc. as applicable)

Client Information:

Client/Agency Name:________________________________________________________
Contact Name /Title:________________________________________________________
Phone Number:________________________________________________________
Email Address:________________________________________________________

Example # 2:

Contract Number:________________________________________________________
Contract Title:________________________________________________________
Contract Location:________________________________________________________

Work Performed as: __ Prime contractor __Subcontractor __Other(_________________)

Award Date: _____________________________________________ Completion Date or % Complete: ____________________________ Contract Price (Award Amount):______________________________

Project Description (How is this project relevant to project of submission? Specify similar equipment, requirements, conditions, etc. as applicable)

Client Information:

Client/Agency Name:________________________________________________________
Contact Name /Title:________________________________________________________
Phone Number:________________________________________________________
Email Address:________________________________________________________

Example # 3:

Contract Number:________________________________________________________
Contract Title:________________________________________________________
Contract Location:________________________________________________________

Work Performed as: __ Prime contractor __Subcontractor __Other(_________________)

Award Date: _____________________________________________

Project Description (How is this project relevant to project of submission? Specify similar equipment, requirements, conditions, etc. as applicable)

Client Information:

Client/Agency Name:________________________________________________________
Contact Name /Title:________________________________________________________
Phone Number:________________________________________________________
Email Address:________________________________________________________

Award Date: _____________________________________________

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