Attachment_02_Quote_Submission_Form.pdf
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- W912HZ16R0022
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QUOTE SUBMISSION FORM
Modifications to Active Seismic Imaging (ASI) System
Item Total Price Modifications to Active Seismic Imaging (ASI) System
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 PriceModifications to Active Seismic Imaging ASI System: |
| 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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