QuoteSheet-17T0066.pdf

QUOTE SHEET

W912MM17T0066

To facilitate the most expeditious and equitable evaluation process possible, please use this format for providing requested pricing information. Be sure to submit/attach enough additional information to enable the Government to fully ascertain the specifications/capabilities of the equipment quoted.

COMPANY NAME

COMPANY ADDRESS

COMPANY POINT OF CONTACT (POC)

POC PHONE NUMBER and EMAIL

Federal Tax ID

CAGE Code (if known) or DUNS Number

Are annual representations and certifications complete? (re: FAR 52.212-3; www.sam.gov)

Yes or No (circle/mark)

GSA/CHESS/FSS Contract Number (if applicable)

Country of Product or Service Origin (Required)

Place of Manufacture (Required)

Delivery Terms (Days + ARO/ADC)

FOB (If origin, please provide cost)

Net Payment Terms

Warranty Information

Provide pricing for the items listed below.

DESCRIPTION QUANTITY EXT PRICE

Modular Office System with L-Shaped Work Station (6ft on each side) 2 EA $_________

- Includes pencil drawer, mobile file cabinet (box/letter, box/letter, file), file cabinet (file, file), power & data.

Modular Office System with L Shaped Work Station (4ft on each side) 1 EA $_________

- Includes pencil drawer, 2EA- mobile file cabinet (box/letter, box/letter, file) , 2EA – file cabinet (file, file), power & data.

Modular Wall Partitions and Blinds $_________

Stationary Seating Chairs 14 EA $_________

Delivery and Installation 1EA $_________

QUOTE SHEET

W912MM17T0066

Option: Mobile (rolling) file cabinet (box/letter, box/letter, file) 3EA $_________

TOTAL $____________

Type/Printed Name of Person Authorized to Sign

Authorized Signature

Date