W912NR26RA003 Solicitation Worksheet.pdf

Solicitation Cover Worksheet: W912NR26RA003

TIMELINE

13 January 2026 / 4:00 p.m.– SAM.GOV Solicitation Issued

28 January 2026 / 10:00 a.m. – Deadline for questions/clarifications (If applicable)

30 January 2026 / 8:00 a.m – Solicitation closes

POINT OF CONTACT(S):

Contracting Office Address: USPFO for Louisiana, 420 F Street Louisiana Training Center Pineville, Pineville, LA 71360 Point of Contact(s) jake.b.howard.mil@army.mil, 318-290-5984, Mr. Jake Howard, Contract Specialist

Solicitation Cover WORKSHEET

VENDOR NAME: _______________________________________________________________

PHONE #______________________

FAX #___________________________

Point of Contact: ______________________________________________________________

CAGE CODE______________________ DUNS & BRADSTREET # ______________________

SIZE OF BUSINESS (SMALL/LARGE) _______________

SMALL BUSINESS SUB-CATEGORY (IF APPLICABLE) ______________________

NAME OF PERSON QUOTING PRICE___________________________________________

DATE QUOTE RECEIVED____________

Requirement Description:

Vendors are advised that the solicitation closes on 30 January 2026 / 8:00 a.m. Central Time. All quotes shall be emailed to Mr. Jake Howard, jake.b.howard.mil@army.mil.

COMMENTS: Prices are all inclusive meaning that all services and delivery need to be included.

Representation. As prescribed in 4.2105(a), complete the following representation in FAR Clause 52.204-24(d) Representation. The Offeror represents that —

(1) It will, will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (c)(1) of this section if the Offeror responds “will” in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that—It does, does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (c)(2) of this section if the Offeror responds “does” in paragraph (d) (2) of this section.

Vendor Name: _______________________________________________________________________________

Authorized Representative Name/Title: ____________________________________________________________ (Print Name/Title)

Authorized Representative Signature: ______________________________________________________________

NOTE: For your offer to be considered ensure the following:

• Worksheet has been accurately and completely filled out.

• Registration in SAM is current and accurate.

• Pricing for all items listed and total of all items complete.

• Representation selection has been made (#1 & #2).

• Submission made via email by the specified time and date.

W912NR26RA003

Total Price________________