Attachment_02_Quote_Submission_Form.pdf

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46-inch Penetrator with Hex Head Anchor (or equivalent)
Solicitation number
W912HZ-16-Q-1830
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Attachment_01_Description_of_Requirement.pdf PDF

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QUOTE SUBMISSION FORM

46-inch Penetrator™ with Hex Head Anchor (or equivalent)

Item Price 46-inch Penetrator™ with Hex Head Anchor (or equivalent) Shipping Other

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:______________________________________

Price46inch Penetrator™ with Hex Head Anchor or equivalent:
PriceShipping:
PriceOther:
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

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