B08.02_Quote_Submission_Form_Fort_Polk_heavy_equipment_rental.pdf

QUOTE SUBMISSION FORM

Heavy Equipment Rental at Range 19 or 16, Fort Polk, Louisiana

May 06, 2019 – December 26, 2019

ITEM QTY UNIT DELIVERY PICKUP MOVE PRICE

Backhoe (Anticipated Dates

06 MAY – 26 AUG)

4 months 1 1

Forklift (Anticipated Dates

06 MAY – 26 AUG)

4 months 1 1

Roller (Anticipated Dates

13 MAY – 10 JUN)

1 month 1 1

Excavator (Anticipated Dates

13 MAY – 10 JUN)

1 month 1 1 1

Loader (Anticipated Dates

13 MAY – 10 JUN)

1 month 1 1

Dozer (Anticipated Dates

13 MAY – 10 JUN)

1 month 1 1 1

Roller (Anticipated Dates

17 JUN – 01 JUL)

2 weeks 1 1

Excavator (Anticipated Dates

17 JUN – 01 JUL)

2 weeks 1 1 1

Loader (Anticipated Dates

17 JUN – 01 JUL)

2 weeks 1 1

Dozer (Anticipated Dates

17 JUN – 01 JUL)

2 weeks 1 1 1

OPTION Backhoe 1 month 1 1

OPTION Forklift 1 month 1 1

OPTION Backhoe 2 months 1 1

OPTION Forklift 2 months 1 1

OPTION Roller 1 week 1 1

OPTION Excavator 1 week 1 1

OPTION Loader 1 week 1 1

OPTION Dozer 1 week 1 1

OPTION Roller 1 month 1 1

OPTION Excavator 1 month 1 1 1

OPTION Loader 1 month 1 1

OPTION Dozer 1 month 1 1 1

OPTION Roller 1 month 1 1

OPTION Excavator 1 month 1 1 1

OPTION Loader 1 month 1 1

OPTION Dozer 1 month 1 1 1

OPTION Roller 2 weeks 1 1

OPTION Excavator 2 weeks 1 1

OPTION Loader 2 weeks 1 1

OPTION Dozer 2 weeks 1 1

TOTAL

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

1. 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: _______________________________