Attachment_02_Quote_Submission_Form.pdf
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- Solicitation number
- W912HZ19Q2524
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| File | Type | Posted |
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| Attachment_01_Description_Requirement.pdf |
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QUOTE SUBMISSION FORM
Rental Equipment at Range 15A Fort Polk, Louisiana
01 April 2019 through 27 April 2019
Item Price Two (2) – D6N Earth Moving Dozers with enclosed cab (Komatsu D61PX-24 or similar)
Two (2) – 30yd. Dump Trucks
One (1) – Large Excavator (Komatsu PC360LC-11 or similar)
One (1) – Midsize Excavator (Komatsu PC290LC or similar)
One (1) – 3yd. Front End Loader (Caterpillar or similar)
One (1) – Vibratory Steel Wheel Roller (without sheep's foot attachment)
Delivery and Pick-Up
Total Price
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)?
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:
mailto:Jody.Criss@usace.army.mil
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:______________________________________
| PriceTwo 2 D6N Earth Moving Dozers with enclosed cab Komatsu D61PX24 or similar: |
| PriceTwo 2 30yd Dump Trucks: |
| PriceOne 1 Large Excavator Komatsu PC360LC11 or similar: |
| PriceOne 1 Midsize Excavator Komatsu PC290LC or similar: |
| PriceOne 1 3yd Front End Loader Caterpillar or similar: |
| PriceOne 1 Vibratory Steel Wheel Roller without sheep s foot attachment: |
| PriceDelivery and PickUp: |
| 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 |
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