QuoteSheet-Bldg12.docx

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REMOVE AND REPLACE FLOOR COATING BLDG 12
Solicitation number
W912MM17T0077
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QUOTE SHEET

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Amendment1-RFQBldg12.pdf PDF
Bldg_12_Floor_Plan.pdf PDF
RFQ-Bldg12.pdf PDF
DeliveryInstall-Bldg12FloorCoating.pdf PDF
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QUOTE SHEET

W912MM17T0077

BUILDING 12 FLOOR COATING

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)

FOB (If origin, please provide cost)

Net Payment Terms

Warranty Information

Payment Method
= < $3,000 = Credit Card / > $3000 = Electronic Funds Transfer

Provide prices on page 2…

PROPOSED START DATE

PAST PERFORMANCE

PROJECT TITLE/DESCRIPTION OWNER/LOCATION POINT OF CONTACT

DESCRIPTION PRICE

PROVIDE AND INSTALL FLOOR COATING AT BUILDING 12 ENGINE SHOP FACILITY

CONTRACTOR MANPOWER REPORTING

TOTAL

Type/Printed Name of Person Authorized to Sign

Authorized Signature

Date

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