Attachment_02_Quote_Submission_Form_for_PCC_Pavement_Model.pdf

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Attached to
Demolition and Production of Airfield Quality Portland Cement Concrete (PCC) Pavement Model
Solicitation number
W912HZ-16-Q-9539
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QUOTE SUBMISSION FORM

Demolition and Production of Airfield Quality PCC Pavement Model

Item Total Price Demolition and Production of Airfield Quality PCC Pavement Model

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:______________________________________

Total PriceDemolition and Production of Airfield Quality PCC Pavement Model:
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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