Open Market Request for Quotations BN FORM

REQUEST FOR QUOTATION

Contract Opportunities (SAM.gov)
Olsun Electrics 300 KVA Pad Mount Transformer

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

Olsun Electrics 300
KVA Transformer
Testing-Post
Shipping

Requested
Qty

DARO

Shipping

Total

N/A

Manufacturer and Country of
Part Number
Origin
Quoting
(COO)

N/A

This requirement consists of one order and will be shipping to:

NAVAL BASE SAN DIEGO, CA 92136

Quoted Price (EA)
Extended
(Discount
Requested)
Quoted Price

$

$

$

$

$

$
$

NOTE: Full delivery addresses will either be disclosed at time PO is issued, or the vendor may be required to contact the GSA Transportation Department at [email protected] or NAVSUP at [email protected] to obtain additional shipping instructions.

2. TERMS OFFERED:

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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 _

If not registered at time of quote submission, vendor will be required to be registered prior to award. Only the lowest quoting offeror will be assisted with registration if not previously registered.

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): •

•

•
___X
___X

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