PLATE

<p>Please see attached solicitation.&nbsp;</p>

<p><strong>Please make sure to fill out HMDRFQINFO on pages 20-23 of the solicitation to be considered for this competition. . YOU MUST STATE YOUR DELIVERY TIME (whatever that may be) and MFR.&nbsp;</strong></p>

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<p>Evaluation criteria is Lowest Price Technically Acceptable (LPTA). PPIRS will be used to determine vendor responsibility. &nbsp;Potential contractors will be screened for responsibility in accordance with FAR 9.104.&nbsp;</p>

<p>YOUR COMPANY INFORMATION<br />
YOUR BUSINESS SIZE: ___ Large (LG), ___ Small (SB), ___ Small-Disadvantaged Business (SDB),<br />
___ Veteran-Owned Small Business (VOSB), ___ Women-Owned Small Business (WOSB),<br />
___ Economically Disadvantaged Women-Owned Small Business (EDWOSB), ___ Service Disabled Veteran Owned Small Business (SDOVSB), ___ (HUBZONE), ___ (8a).</p>

<p>QUOTING AS MANUFACTURER? Yes ___ &nbsp; No ___<br />
Name of Quoted Manufacturer ___________________ &nbsp;&nbsp;<br />
QUOTING AS: ___ AUTHORIZED DISTRIBUTOR &nbsp; or &nbsp; ___ THIRD PARTY DEALER<br />
Do you have dealer independence to set your own prices? Yes_____ No______<br />
CAGE Code: _______</p>

<p><br />
SHIPPING INFORMATION</p>

<p>PLACE OF MFG/COUNTRY OF ORIGIN: ______/_______&nbsp;<br />
ESTIMATED DELIVERY TO PEARL HARBOR__________ Calendar Days ARO<br />
FOB TERMS: DESTINATION&nbsp;</p>

<p>SHIP TO: &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<br />
DoDAAC: N32253<br />
Country Code: USA<br />
PEARL HARBOR NAVAL SHIPYARD IMF<br />
667 SAFEGUARD STREET, BLDG 167-1 RECV 808-<br />
473-8000X4961<br />
PEARL HARBOR, HI 96860-5033<br />
UNITED STATES</p>

<p>Government Representative, DLA Distribution<br />
Email: distrcustomerservice@dla.mil &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<br />
Phone: 808-473-8000 X4961</p>

Point of Contact

• Quincey Dillenback — quincey.dillenback.civ@us.navy.mil — 80847380004697

View on SAM.gov

https://sam.gov/workspace/contract/opp/e7683fe98ee3452684e6456e0871be29/view