FAR 12 Request for Quotations FORM.docx

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REQUEST FOR QUOTATION

Contract Opportunities (SAM.gov)
NSN: 5133016411062

HAVE YOU UPDATED YOUR REPRESENTATIONS AND CERTIFICATIONS LATELY ON WWW.SAM.GOV?

IF NOT, BE SURE TO DO SO PRIOR TO CLOSING OF SOLICITATION.

PLEASE COMPLETE THE FOLLOWING INFORMATION:

1.​ OFFEROR:

Please provide pricing for the following NSN. See Terms & Conditions on following pages.

Requirement

Requested
Quantity DARO

5130015669115

Manufacturer and Country of Quoted Price (EA)
Part Number
Origin
(Discount
Extended
Quoting
(COO)
Requested)
Quoted Price

$

$

Please let us know if this quote can be used for future orders by completing the valid through date below. This requirement consists of one order and will be shipping to:​ BASTROP, LA 71220.
NOTE: Delivery addresses will either be disclosed at time PO is issued, or the vendor may be required to contact NAVSUP or GSA’s New York Transportation Department at time of shipment to obtain shipping information.

2.​ TERMS OFFERED:

3.​ ADMINISTRATIVE COMPLIANCE:

NOTE: The below requirements marked with an (x) are to be completed and/or acknowledged. If any applicable blanks are not complete, the vendor’s quote will NOT be considered for award. ___X _ Provided all requested documents by the close date and time of the solicitation to include: ​
●​ All required Provision and Clause fill-ins submitted (as applicable):

●​ My company is registered with SAM.gov and has provided responses to the provisions that require Offeror completion of information, representations, and certifications: ●​ In accordance with Provision 52.240-90(c) (GSA Class Deviation RFO-2025-12), Covered telecommunications equipment or services representations. By submission of its offer, the Offeror represents that, after conducting a reasonable inquiry (1) It 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, except as waived by the solicitation, or as disclosed in paragraph (g); and (2) It does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services, except as waived by the solicitation, or as ●​ In accordance with Provision 52.240-90(d) (GSA Class Deviation RFO-2025-12), ASCSA Representation. By submission of this offer, the offeror represents that it has conducted a reasonable inquiry, and that the offeror does not propose to provide or use in response to this