BidSubmissionForm_W912HZ-16-R-1777.pdf

BID SUBMISSION FORM

W912HZ-16-R-1777

ITEM NO

SUPPLIES/SERVICES QUANTITY

UNIT

Each

UNIT PRICE TOTAL AMOUNT

F-71 12-ft AM2 Sheets

ITEM NO

SUPPLIES/SERVICES

F-72 6-ft AM2 Sheets

QUANTITY

UNIT

Each

UNIT PRICE TOTAL AMOUNT

ITEM NO

SUPPLIES/SERVICES QUANTITY

UNIT

Each

UNIT PRICE TOTAL AMOUNT

F-74 Stakes & Edgeclamps

1. PLEASE MAIL OR EMAIL YOUR QUOTATION TO THE FOLLOWING ADDRESS:

USACE-VICKSBURG DISTRICT

ATTN: Leah Cobb

3909 Halls Ferry Rd.

VICKSBURG, MISSSISSIPPI 39180-6199

EMAIL: Leah.B.Cobb@usace.army.mil

DELIVERY SCHEDULE: TO BE COORDINATED WITH GOVERNMENT PERSONNEL

2. 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.

3. Complete applicable information on the bid schedule after review of the Performance Work Statement.

4. Delivery time after receipt of the Award: As soon as possible but NLT 120 Business Days after Receipt of the Award. Are you capable of meeting this delivery schedule?

Yes No

5. Please provide the following information:

Contractor point of contact:

Point of Contact Phone Number:

Point of Contact E-mail Address:

mailto:Leah.B.Cobb@usace.army.mil http://www.sam.gov/portal/public/SAM/

Contractor DUNS #:

Contractor Cage Code:

Contractor Tax ID: