FAR 12 Request for Quotations GEN BNOE FORM

REQUEST FOR QUOTATION

Contract Opportunities (SAM.gov)
NSN: 5640013713262

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:

OFFEROR:

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

DARO

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

5640013713262
$
$
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: VISTA, CA.

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.

TERMS OFFERED:

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:

If the IPD is ‘brand name or equal’ and the item offered is different than called out in the IPD, technical specifications must be submitted on the manufacturer’s part number being quoted so an ‘or equal’ determination can be made.

SELF CERTIFICATION:

By signing below, you are certifying that the information submitted on this form is accurate and meets the requirements listed in the RFQ. In the event your firm ships an item that does not meet the specifications of the requirement, your firm will be responsible for a refund of the payment, or a correct replacement item and any cost incurred by the government.

BASIS OF AWARD:

A vendor meeting all administrative compliance requirements in Section 3 above will receive a rating of pass and move forward to the final evaluation factor: Low Price.

If any required documents are not submitted or required field left blank on pages 1 and 2 of this document including the Section 3 questions or if the completion of required clauses and provision fill-ins are not made (as applicable), further consideration for award will not be made.