Quote_Sheet-Antennas,_Towers,_Parts.pdf

Quote Sheet

W912MM18Q5031 – Antennas, Towers, Parts

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. Please answer/fill-in all questions/blanks.

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

FOB (If origin, please provide cost) FOB Destination

Net Payment Terms

Warranty Information

Payment Method = < $5,000 = Credit Card / > $5,000 = Electronic Funds Transfer

Quote Sheet

W912MM18Q5031 – Antennas, Towers, Parts

Provide price for each of the items listed below (as specified in RFQ).

*If quoting ‘or Equal’ products, specify on the line below and provide a list of the Mfg/Brand and Model of the products being offered. Also attach detailed specifications and a description of how the 'or Equal' product(s) possess the same salient characteristics as the referenced products in the Materials List.

DESCRIPTION QUANTITY EXT PRICE

CLIN 0001 Antennas, Towers, and Parts per Materials List 1 PKG $_________

OR EQUAL ____________________________________________________________ 1 PKG $_________ (Specify if providing ‘or Equal’ products and provide requested info)

TOTAL $_________

Type/Printed Name of Person Authorized to Sign

Authorized Signature

Date