Valve Clapper

** THIS IS NOT AN ORDER **

PLEASE PROVIDE DELIVERED PRICES (FOB DESTINATION)

REFERENCE/PR: 6286E068/SPMYM327Q4003

QUOTE DUE: 11/04/2026 10:00 AM EST

Set Aside: Small Business

FSC/NAICS: 4820/332919

Size Standard: 750
Your Company Info:
Vendor:
ATTN: Government Sales
FAR PART(s): 13 ☒ or 13.5 ☐
Phone:
Fax:
Email:

DLA MARITIME – PORTSMOUTH

Desk Phone: 207-438- Email: [email protected]

***PLEASE FILL OUT THIS FORM COMPLETELY***

** In accordance with FAR 52.204-7(b)(1), an Offeror is required to be registered in SAM when submitting an offer or quotation, and must be listed as active, to prevent unduly delaying award. Information, instructions, forms, etc. for the System for Award Management (SAM) are available at https://sam.gov/content/home **

PRICE LISTING/GSA

Is this a PRICE LISTED item? Yes ___ No ___. If Yes, include copy of price list with your quote.

SHIPPING INFORMATION

IF NOT USA, DUTY INCLUDED IN PRICE Yes ___ No ___

Portsmouth Naval Shipyard

Receiving Officer FOB TERMS (CIRCLE): DESTINATION OR ORIGIN

BLDG 170

IMPORTANT NOTE: The below Required Delivery Date (RDD) shall be met or exceeded in order to ensure your offer is considered responsive. If no offers are received which meet or exceed the Government’s RDD, award may proceed to the LPTA offeror, and may be made based on soonest delivery.

PAYMENT INFORMATION

Please indicate the method (s) of payment you accept (Government Purchase Card: GPC or Wide Area Workflow: WAWF). Payment terms are always Net 30 AFTER the material has passed inspection and has been accepted.

YOUR COMPANY INFORMATION

YOUR BUSINESS SIZE (CIRCLE ONE): Large (LG), Small (SB), Small-Disadvantaged Business (SDB), Veteran-Owned Small Business (VOSB), Women-Owned Small Business (WOSB), Economically Disadvantaged Women-Owned Small Business (EDWOSB), Service Disabled Veteran Owned Small Business (SDOVSB), (HUBZONE), (8a).

QUOTING AS MANUFACTURER? Yes ___ No ___

AUTHORIZED DEALER? Yes ___ No ___ IF DEALER, MFG SIZE (CIRCLE ONE): SB or LB

Representations must be filled in below, and provided with the submission of the quote. Offers received without completed representaions may not be considered for award.

MATERIAL INFORMATION

Is Shipping/Freight included in the Unit Price?: Yes ☒ or No ☐

ITEM DESCRIPTION QTY U/I UNIT PRICE TOTAL PRICE

0001 1” VALVE CLAPPER ASSEMBLY 12 EA

1" VALVE CLAPPER ASSEMBLY.EMERSON AUTOMATION SOLUTIONS

PART#S90051/300453.DWG NS-4070.REV D,ASSY B, NS-4073.

ASSEMBLY CONSISTS OF (1 )EA CLAPPER,PC-3.(1 )EA CLAPPER PIN