Attachment_02_Quote_Submission_Form.pdf

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Brand Name Purchase of KI Torsion Chairs and 2gether Tables with Delivery and Installation
Solicitation number
W912HZ16Q0364
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QUOTE SUBMISSION FORM

Item Price Quantity of 50: (TLFAU) KI Torsion Four-Leg Armchair, Upholstery Seat/Black Grade 1 Fabric. Options – (BF) Back Flex

Quantity of 40: (1104) KI Design Line Folding Chair, Upholstery Seat/Black Grade 1 Fabric

Quantity of 16: (IT2472RX-ASN) 24x72 inch 2Gether Rectangular Flip Top Tables. Laminate Color – (ASN) Asian Night. Base Finish – Champagne. Options – 2 Cutouts per table for power blocks. Location for power blocks E1 and E3.

Quantity of 16: (IT72MP) Modesty Panels for 24x72 inch Tables

Quantity of 32: (PMSPDM) Worksurface Power/Data Power Modules for Tables – Color Black

Delivery of all Items

Assembly and Installation of all Items

TOTAL Price

Engineer Research and Development Center

Contracting Office ATTN: Jody R. Criss 3909 Halls Ferry Rd.

Vicksburg, Mississippi 39180-6199 EMAIL: Jody.Criss@usace.army.mil

601-634-5248

REGISTERED IN THE SYSTEM FOR AWARD MANAGMENT (SAM), FORMERLY CCR?

YES____ NO____

NOTE: If you are not registered with SAM (formerly CCR), an award cannot be made to your institution. You may register electronically at https://www.sam.gov/portal/public/SAM/.

Registering electronically will expedite the registration process but may not ensure registration prior to the award of the contract.

Please provide the following information:

Contractor Point of Contact: ______________________________________________________

Point of Contact Phone Number: ___________________________________________________

Point of Contact E-mail Address:___________________________________________________

Contractor DUNS #:_____________________________________________________________

Contractor Cage Code: ___________________________________________________________

Contractor Tax ID: ______________________________________________________________

This Quote is Valid Through the Following Date:______________________________________

PriceQuantity of 50 TLFAU KI Torsion FourLeg Armchair Upholstery SeatBlack Grade 1 Fabric Options BF Back Flex:
PriceQuantity of 40 1104 KI Design Line Folding Chair Upholstery SeatBlack Grade 1 Fabric:
PriceQuantity of 16 IT2472RXASN 24x72 inch 2Gether Rectangular Flip Top Tables Laminate Color ASN Asian Night Base Finish Champagne Options 2 Cutouts per table for power blocks Location for power blocks E1 and E3:
PriceQuantity of 16 IT72MP Modesty Panels for 24x72 inch Tables:
PriceQuantity of 32 PMSPDM Worksurface PowerData Power Modules for Tables Color Black:
PriceDelivery of all Items:
PriceAssembly and Installation of all Items:
PriceTOTAL Price:
Contractor Point of Contact:
Point of Contact Phone Number:
Point of Contact Email Address:
Contractor DUNS:
Contractor Cage Code:
Contractor Tax ID:
This Quote is Valid Through the Following Date:
Check Box1: Off
Check Box2: Off

File details come from the government source that posted it. Updated .