1ST PAGE OF REQUEST FOR QUOTE
Document Sample


REQUEST FOR QUOTATIONS
(THIS IS NOT AN ORDER)
1.) Request No.: 2.) Date Issued: 3.) RFQ No.:
09/02/09 DTFAWA-09-R-06215
5.) Issued By: 6.) Deliver by:
FEDERAL AVIATION ADMINISTRATION __Reference Statement of Work_
800 Independence Ave., SW Rm 402 7.) Delivery:
Washington, DC 20591 (X) FOB Destination
( ) Other (Pre-pay & Add)
8.) For more info. call: Chrissy Roylance 9.) Please furnish quote by 4:00 PM
Chrissy.roylance@faa.gov EST:
09/11/09
10.) To: (Name and address) 11.) Destination:
Washington, DC
12.) Business ( ) Small ( ) Other than small ( )SEDB/8(a) ( )Very Small
Classification: ( ) Disadvantaged ( ) Woman Owned ( )Service-Disabled Vet-Owned
IMPORTANT:This is a request for information, and quotations furnished are not offers. If you are unable to quote,
please so indicate on this form and return it. This does not commit the Government to pay any costs incurred in the
preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic
origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for
Quotations must be completed by the quoter.
Item No. Supplies / Services Qty. Unit Unit Price Amount
Request for quote for the following supplies and/or
services in accordance with the attached statement
of work:
1.
Contractor shall provide the items in
accordance with the attached Statement
of Work.
1 Each $________ $________
Attachment 1: Statement of Work
Attachment 2: PO Terms and Conditions
14.) Discount for prompt payment 10 calendar days 20 calendar days 30 calendar days
_____% _____% _____%
Name and address of offeror 16. Signature of person authorized to Date of Quotation
sign quote. _________________
18. telephone No.
_____________________________________
17. Name and Title of Signer ________________
(Type/print) FAX No:
_________________
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