Attachment_02_Quote_Submission_Form.pdf

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Pile Repair Demonstration
Solicitation number
W912HZ-16-Q-6248
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Interested_Vendor_Questions_and_Answers_01JUN16.pdf PDF
Interested_Vendor_Questions_and_Answers_19MAY16.pdf PDF
Attachment_01_Performance_Work_Statement.pdf PDF
Attachment_02_Quote_Submission_Form.pdf PDF
Attachment_01_Performance_Work_Statement.pdf PDF

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QUOTE SUBMISSION FORM

Pile Jacketing Demonstration

Item Price Base Task Labor Base Task Travel Other TOTAL Base Task Price

Option 1 Labor Option 1 Travel Other TOTAL Option 1 Price

Option 2 Labor Option 2 Travel Other TOTAL Option 2 Price

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:______________________________________

PriceBase Contract Labor:
PriceBase Contract Travel:
PriceOther:
PriceTOTAL Base Contract Price:
PriceOption 1 Labor:
PriceOption 1 Travel:
PriceOther_2:
PriceTOTAL Option 1 Price:
PriceOption 2 Labor:
PriceOption 2 Travel:
PriceOther_3:
PriceTOTAL Option 2 Price:
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
Text3:
Text4:
Text5:

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