Quote_Sheet-W912MM17T0072.pdf
PDF 86 KB Posted
- Attached to
- Hush House Transformer
- Solicitation number
- W912MM17T0072
About this file
Quote Sheet for Hush House Transformer.
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Other files
| File | Type | Posted |
|---|---|---|
| SiteVisitNotes&QnA-Amendment_1.pdf | ||
| RFQ-W912MM17T0072.pdf | ||
| DeliveryInstall-W912MM17T0072.pdf |
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QUOTE SHEET
W912MM17T0072 – Hush House Transformer
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 for each line item)
Delivery Terms (ARO/ADC) 30 Days After Date of Contract (or specify earliest delivery date)
FOB (If origin, please provide cost) FOB Destination
Net Payment Terms
Warranty Information
Payment Method = < $3,500 = Credit Card / > $3500 = Electronic Funds Transfer
QUOTE SHEET
W912MM17T0072 – Hush House Transformer
Provide price for each of the items listed below (IAW Delivery and Installation).
DESCRIPTION QUANTITY PRICE EACH EXT PRICE
CLIN 0001 225 KVA Transformer 1 EA $_________ $_________
CLIN 0002 500 MCM (3 plus ground) Copper Wire 380 Ft $_________ $_________
CLIN 0003 Miscellaneous Materials and Supplies 1 EA $_________ $_________
CLIN 0004 Tear‐out and Installation 1 EA $_________ $_________
TOTAL $_________
Type/Printed Name of Person Authorized to Sign
Authorized Signature
Date
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