Attachment_02_Quote_Submission_Form.pdf

QUOTE SUBMISSION FORM

Hot Mix Asphalt Model at the ERDC Hangar 2 Pavement Test Facility located in Vicksburg, Mississippi

Item Total Price Installation of a 25-ft wide by 300-ft long Hot Mix Asphalt Model in accordance with the Attachment 01 Performance Work Statement

TOTAL:

Engineer Research and Development Center

ATTN: Jody R. Criss 3909 Halls Ferry Rd.

Vicksburg, Mississippi 39180-6199 EMAIL: Jody.Criss@usace.army.mil

601-634-5248

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. 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:______________________________________ mailto:Jody.Criss@usace.army.mil