W912L9-15-T-0016 _Response_Sheet.docx

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W912L9-15-T-0016 Oil Water Separator Annual Maintenance
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W912L9-15-T-0016
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Please use this sheet to supply pricing and other necessary information in response to this request for quote.

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W912L9-15-T-0016, Oil Water Seprator Annual Maintenance Response Sheet Company Name, address, city, state, zip:_________________________________________________ Phone:______________________________ Point of Contact: ______________________ Tax Id: _______________________________ Cage code: ___________________________ Duns: _______________________________ Does this company have an active registration in SAM www.sam.gov ? ___Yes ___No Are the Reps and Certs FAR 52.212-3 completed in SAM for this company? ___Yes ___No Terms: ____ Net 30 _____ other amount (as shown): _________________________ Pricing:

CLIN 0001: 1 Job, Oil Water Separator Maintenance – Base Year(Delivery: NLT 30 Sep 2015) Non-Personal Service to provide all plant, labor, materials, tools, equipment, supervision and other items and services necessary to remove existing contaminants and water, power wash clean, change filters and validate proper function of the oil/water separator systems as listed in the statement of work.

CLIN 0002: 1 Job, Oil Water Separator Maintenance –Option Year 1 (Delivery: NLT 30 Sep 2016) Non-Personal Service to provide all plant, labor, materials, tools, equipment, supervision and other items and services necessary to remove existing contaminants and water, power wash clean, change filters and validate proper function of the oil/water separator systems as listed in the statement of work.

CLIN 0003: 1 Job, Oil Water Separator Maintenance –Option Year 2 (Delivery: NLT 30 Sep 2017) Non-Personal Service to provide all plant, labor, materials, tools, equipment, supervision and other items and services necessary to remove existing contaminants and water, power wash clean, change filters and validate proper function of the oil/water separator systems as listed in the statement of work.

CLIN 0004: 1 Job, Oil Water Separator Maintenance –Option Year 3 (Delivery: NLT 30 Sep 2018) Non-Personal Service to provide all plant, labor, materials, tools, equipment, supervision and other items and services necessary to remove existing contaminants and water, power wash clean, change filters and validate proper function of the oil/water separator systems as listed in the statement of work.

Signature of authorized estimator:___________________________ Typed Name of authorized estimator:_________________________

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