QuotationSubmissionForm.docx
DOCX document 17 KB Posted
- Solicitation number
- W912ES-13-T-0079
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Quotation Submission Form
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment_0004.pdf | ||
| Amendment_0003.pdf | ||
| Amendment_0002.pdf | ||
| Responses_to_Questions_06.27.13.pdf | ||
| Amendment_0001.pdf | ||
| StandardForm1449.pdf | ||
| ScopeOfWork.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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