Offer_Submission_Form.pdf

OFFER SUBMISSION FORM

Fiber Reinforced Polymer (FRP) Matting

Item No Supplies/Services Quantity Unit Unit Price Total Amount 0001 Fiber Reinforced

Polymer (FRP) Mat 20 Each

0002 Shipping 1 Each

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

Engineer Research and Development Center ATTN: Janalyn Dement 3909 Halls Ferry Rd.

Vicksburg, Mississippi 39180-6199 EMAIL: Janalyn.H.Dement@usace.army.mil 601-634-5232

2. REGISTERED IN THE SYSTEM FOR AWARD MANAGEMENT (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.

2. 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: _______________________________