Screening Information Request NAS MINI UPS DUE

1. REQUISITION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 16, 22, 23, & 28

3.AWARD/

EFFECTIVE DATE

2. CONTROCT NO.

7. FOR SOLICITATION

INFORMATION CALL:

9. ISSUED BY

4. ORDER NUMBER

5. SOLICITATION NUMBER

a. NAME

b. TELEPHONE NUMBER (No collect calls)

Tamara Maxwell

405-954-7734

CODE

8. OFFER DUE DATE/LOCAL TIME

4PM CST ON 11/04/2026

11. DELIVERY FOR FOB 12. DISCOUNT TERMS

DESTINATION UNLESS

BLOCK IS MARKED

10. THIS ACQUISITION IS

AAQ710-AFN

CODE

6. SOLICITATION

ISSUE DATE

6973GH-26-R-00177

UNRESTRICTED OR

AAQ-710 LOGISTICS CENTER ACQ

FAA AERONAUTICAL CENTER

PO BOX 25082

BLDG 014-AHQ, ROOM 233A

OKLAHOMA CITY OK 73125

14. DELIVER TO

PAGE 1 OF

AC-26-03195

SET ASIDE:

% FOR:

SEE SCHEDULE

SMALL BUSINESS

221122

SIC:

SIZE STANDARD:

A697349F

A697349F

697349 DOT FAA AJW-L300

M F OPERATING STOCK

6500 S MACARTHUR BLVD

OKLAHOMA CITY OK 731696901

13. METHOD OF SOLICITATION

1100

RFQ

15. ADMINISTERED BY

CODE

RFP

IFB

AAQ710-AFN

AAQ-710 LOGISTICS CENTER ACQ

FAA AERONAUTICAL CENTER

PO BOX 25082

BLDG 014-AHQ, ROOM 233A

OKLAHOMA CITY OK 73125

FACILITY

CODE

16a. CONTRACTOR/ CODE

OFFEROR

CODE

17a. PAYMENT WILL BE MADE BY

TELEPHONE NO.

17b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

SEE ADDENDUM

16b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18.
ITEM NO.

20.

QUANTITY

19.

SCHEDULE OF SUPPLIES/SERVICES

21.

UNIT

22.

UNIT PRICE

23.

AMOUNT

CO Tamara Maxwell
Delivery: 70 Days After Receipt Of Order
Continued...

24. ACCOUNTING AND APPROPRIATION DATA

25. TOTAL AWARD AMOUNT (For Government Use Only)

X 26. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED HEREIN

27. AWARD OF CONTRACT: REFERENCE

OFFER

DATED

. YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

29a. CONTRACT AUTHORITY (SIGNATURE OF CONTRACTING OFFICER)

28a. SIGNATURE OF OFFEROR/CONTRACTOR

28b. NAME AND TITLE OF SIGNER (Type or print)

28c. DATE SIGNED

29b. NAME OF CONTRACTING OFFICER (Type or print)

29c. DATE SIGNED

Tamara M. Maxwell

30a. QUANTITY IN COLUMN 20 HAS BEEN

RECEIVED

INSPECTED

31. SHIP NUMBER

ACCEPTED, AND CONFORMS TO THE

CONTRACT, EXCEPT AS NOTED:

32b. SIGNATURE OF AUTHORIZED CONTRACT AUTHORITY

REPRESENTATIVE

32c. DATE

PARTIAL

33. AMOUNT VERIFIED

CORRECT FOR

32. VOUCHER NUMBER

FINAL

36. PAYMENT

COMPLETE

35. CHECK NUMBER

PARTIAL

36. S/R ACCOUNT NUMBER

FINAL

37. S/R VOUCHER NUMBER