Program 1016‐S Term Date of Award to 2/28/2021

TITLE: DOE Fact Sheet Mailers

ITEM NO DESCRIPTION BASIS OF AWARD UNIT RATE COST UNIT RATE COST 

I. COMPLETE PRODUCT: prices quoted shall include the cost

of all required materials and operations necessary for the

complete production and distribution of the product(s)

listed in accordance with these specifications.

(a) Black ink, per page.

(1) Make‐ready and/or Setup 90 N/C $ ‐ 30.00 2,700.00 $ 

(2) Running per 100 copies 1251 5.8488 7,316.85 $ 7.10 8,882.10 $ 

II. ADDITIONAL OPERATIONS: Prices quoted shall include

the cost of all required materials and operations necessary

for the complete operations as listed below.

(a) Computer time work that does not fit the scope of the

contract, cost per hour. 2 75.00 150.00 $ 90.00 180.00 $ CONTRACTOR TOTALS $7,466.85 $11,762.10 DISCOUNT NET $ ‐ 2.00% 235.24 $ 

DISCOUNTED TOTALS 30 days 7,466.85 $ 30 days 11,526.86 $ 

Reviewed by: __________

AWARDED

Abbott's Printing

460‐00334

WestJan Ent. Inc dba

Minuteman Press

460‐93937
Program 1016-S 

Specifications by FB 

Reviewed by RW Page 1 of 12 

QUOTATION REQUEST 

U.S. GOVERNMENT PUBLISHING OFFICE 

Seattle, Washington 

GENERAL TERMS, CONDITIONS, AND SPECIFICATIONS 

 

For the Procurement of 

DOE Fact Sheet Mailers 

as requisitioned from the U.S. Government Publishing Office (GPO) by the 

Department of Energy/Mission Support Alliance 

Richland, Washington 

Single Award 

BID OPENING: Quotes shall be publicly opened at 2 p.m., prevailing Seattle time, on March 5, 2020.

TERM OF CONTRACT: The term of this contract is for the period beginning Date of Award and ending February 

28, 2021, plus up to four optional 12-month extension period(s) that may be added in accordance with the "Option 

to Extend the Term of the Contract" clause in Section 1 of this contract. 

PRODUCTION AREA: It is assumed that all production facilities used in the manufacture of the products ordered 

under this contract will be located within a 25-mile radius of Richland WA. 

Any bidder intending to use production facilities outside this area should furnish information, with the quote (see 

page 11), which will on its face demonstrate ability to meet the schedule requirements. The determination by the 

Government of the acceptability of this information in no way relieves the successful bidder of the responsibility 

for compliance with these schedule requirements. 

This is a Small Purchase Term Contract: Submit quote to: U.S. GOVERNMENT PUBLISHING OFFICE; 4735 E. 

Marginal Way South; Suite 1111; Seattle; Washington; 98134. Fill out Section 4; Schedule of Prices; of this 

specification. Mark your quote “ATTN: 1016-S” on the outside of the envelope. Facsimile quotes in response to 

this solicitation are permitted. Facsimile quotes may be submitted directly to Seattle GPO, Fax No. (206)764-6706. 

The Program number (Program 1016-S) and quotes due by date must be specified with the quote. Refer to Facsimile 

Bids in Solicitation Provisions of GPO Contract Terms, GPO Publication 310.2, as revised January 2018. Hand 

delivered quotes are to be taken to: U.S. GOVERNMENT PUBLISHING OFFICE; 4735 E. Marginal Way South; 

Suite 1111; Seattle; Washington; 98134, between the hours of 8:00 a.m. and 2:00 p.m., prevailing Pacific time, 

Monday through Friday. TELEPHONE QUOTATIONS ARE NOT ACCEPTABLE. If further instruction or 

assistance is required, call (206)764-3726. 

NOTE: QUOTES RECEIVED AT 2:00 P.M. AND AFTER ON THE QUOTES DUE BY DATE SPECIFIED 

ABOVE WILL NOT BE CONSIDERED FOR AWARD.

The GPO 910 “BID” Form is no longer required. Bidders are to fill out, sign/initial, as applicable, all pages of 

SECTION 4. – SCHEDULE OF PRICES. 

Abstracts of contract prices are available at https://www.gpo.gov/how-to-work-with-us/vendors/contract-pricing

For information of a technical nature call Felicia Buchko, Phone: (206)764-3726 Ext. #3; or e-mail 

infoseattle@gpo.gov 
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DOE Fact Sheet Mailers 

1016-S 

SECTION 1.- GENERAL TERMS AND CONDITIONS 

GPO CONTRACT TERMS: Any contract which results from this Quotation Request will be subject to the 

applicable provisions, clauses, and supplemental specifications of GPO Contract Terms (GPO Publication 310.2, 

effective December 1, 1987 (Rev. 01-18)) and GPO Contract Terms, Quality Assurance Through Attributes 

Program for Printing and Binding (GPO Publication 310.1, effective May 1979 (revised 9-19)). 

GPO Contract Terms (GPO Publication 310.2) – https://www.gpo.gov/docs/default-source/forms-and-standardsfiles-for-vendors/contractterms2018.pdf

GPO QATAP (GPO Publication 310.1) – https://www.gpo.gov/docs/default-source/forms-and-standards-files-forvendors/qatap-rev-09-19.pdf. 

BIDDERS, PLEASE NOTE: GPO has issued a new GPO Publication 310.2, GPO Contract Terms - Solicitation 

Provisions, Supplemental Specifications, and Contract Clauses (Rev 1-18). Prospective bidders should carefully 

read this publication as the applicable terms within become an integral part of this contract. The document is 

posted at https://www.gpo.gov/how-to-work-with-us/vendors/forms-and-standards along with a list of major 

revisions. 

SUBCONTRACTING: The predominant production function is presswork. 

QUALITY ASSURANCE LEVELS AND STANDARDS: The following levels and standards shall apply to 

these specifications: 

Product Quality Levels: 

 (a) Printing Attributes -- Level III. 

 (b) Finishing Attributes -- Level III. 

Inspection Levels (from MIL-STD-105): 

 (a) Non-destructive Tests - General Inspection Level I. 

 (b) Destructive Tests - Special Inspection Level S-2. 

Specified Standards: The specified standards for the attributes requiring them shall be: 

 Attribute Specified Standard 

P-7. Type Quality and Uniformity Government Furnished Material 

CONTRACTING METHOD: This contract is being advertised as, and shall be awarded as, a Small Purchase 

contract, in accordance with the U. S. Government Publishing Office Printing Procurement Regulation (PPR: GPO 

Publication 305.3), Chapter VII, Section 4. The sealed bidding terminology as used throughout these specifications 

is synonymous with their negotiated procurement counterparts unless specifically stated otherwise. Negotiated 

pursuant to 41 U.S.C. 5(1). 

OPTION TO EXTEND THE TERM OF THE CONTRACT: The Government has the option to extend the 

term of this contract for a period of 12 months by written notice to the contractor not later than 30 days before the 

contract expires. If the Government exercises this option, the extended contract shall be considered to include this 

clause, except, the total duration of the contract may not exceed 5 years as a result of, and including, any extensions 

added under this clause. Further extension may be negotiated under the “Extension of Contract Term” clause. See 

also “Economic Price Adjustment” for authorized pricing adjustment(s). 

 
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DOE Fact Sheet Mailers 

1016-S 

EXTENSION OF CONTRACT TERM: At the request of the Government, the term of any contract resulting 

from this solicitation may be extended for such period of time as may be mutually agreeable to the GPO and the 

contractor. 

ECONOMIC PRICE ADJUSTMENT: The pricing under this contract shall be adjusted in accordance with this 

clause, provided that in no event will any pricing adjustment be made that would exceed the maximum permissible 

under any law in effect at the time of the adjustment. There will be no adjustment for orders placed during the first 

period specified below. Pricing will thereafter be eligible for adjustment during the second and any succeeding 

performance period(s). For each performance period after the first, a percentage figure will be calculated as 

described below and that figure will be the economic price adjustment for that entire next period. Pricing 

adjustments under this clause are not applicable to reimbursable postage or transportation costs, or to paper, if paper 

prices are subject to adjustment by separate clause elsewhere in this contract. 

For the purpose of this clause, performance under this contract will be divided into successive periods. The first 

period will extend from Date of Award and ending February 28, 2021, and the second and any succeeding period(s) 

will extend for 12 months from the end of the last preceding period, except that the length of the final period may 

vary. The first day of the second and any succeeding period(s) will be the effective date of the economic price 

adjustment for that period. 

Pricing adjustments in accordance with this clause will be based on changes in the seasonally adjusted “Consumer 

Price Index For All Urban Consumers - Commodities Less Food” (Index) published monthly in the CPI Detailed 

Report by the U.S. Department of Labor, Bureau of Labor Statistics. 

The economic price adjustment will be the percentage difference between Index averages as specified in this 

paragraph. An index called the variable index will be calculated by averaging the monthly Indexes from the 12-

month interval ending three (3) months prior to the beginning of the period being considered for adjustment. This 

average is then compared to the average of the monthly Indexes for the 12-month interval, called the base index. 

The percentage change (plus or minus) of the variable index from the base index will be the economic price 

adjustment for the period being considered for adjustment. 

The Government will notify the contractor by contract modification specifying the percentage increase or decrease 

to be applied to invoices for orders placed during the period indicated. The contractor shall apply the percentage 

increase or decrease against the total price of the invoice less reimbursable postage or transportation costs and 

separately adjusted paper prices. Payment discounts shall be applied after the invoice price is adjusted. 

If the Government exercises an option, the extended contract shall be considered to include this economic price 

adjustment clause. 

ORDERING: Items to be furnished under this contract shall be ordered by the issuance of print orders by the 

Government. Orders may be issued under this contract from Date of Award and ending February 28, 2021, plus 

for such additional period(s) as the contract is extended. All print orders issued hereunder are subject to the terms 

and conditions of the contract. The contract shall control in the event of conflict with any print order. A print order 

shall be "issued" upon notification by the Government for purposes of the contract when it is electronically 

transmitted or otherwise physically furnished to the contractor in conformance with the schedule. 

ASSIGNMENT OF JACKETS, PURCHASE AND PRINT ORDERS: A GPO jacket number will be 

assigned and a purchase order issued to the contractor to cover work performed. The purchase order will be 

supplemented by an individual Print Order for each job placed with the contractor. The print order, when issued, 

will indicate the quantity to be produced and any other information pertinent to the particular order. 

 
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DOE Fact Sheet Mailers 

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PAYMENT: Submitting invoices for payment via the GPO fax gateway (if no samples are required) utilizing the 

GPO barcode coversheet program application is the most efficient method of invoicing. Instruction for using this 

method can be found at the following web address: 

http://winapps.access.gpo.gov/fms/vouchers/barcode/instructions.html. 

Invoices may also be mailed to: U.S. Government Publishing Office, Office of Financial Management, Attn: 

Comptroller, Stop: FMCE, Washington, DC 20401. 

For more information about the billing process refer to the General Information of the Office of Finance web page 

located at https://www.gpo.gov/how-to-work-with-us/vendors/how-to-get-paid. 

REQUIREMENTS: This is a requirements contract for the items and for the period specified herein. 

Shipment/delivery of items or performance of work shall be made only as authorized by orders issued in accordance 

with the clause entitled "Ordering." The quantities of items specified herein are estimates only, and are not 

purchased hereby. Except as may be otherwise provided in this contract, if the Government's requirements for the 

items set forth herein do not result in orders in the amounts or quantities described as "estimated," it shall not 

constitute the basis for an equitable price adjustment under this contract. 

Except as otherwise provided in this contract, the Government shall order from the contractor all the items set forth 

which are required to be purchased by the Government activity identified on page 1. 

The Government shall not be required to purchase from the contractor, requirements in excess of the limit on total 

orders under this contract, if any. 

Orders issued during the effective period of this contract and not completed within that time shall be completed by 

the contractor within the time specified in the order, and the rights and obligations of the contractor and the 

Government respecting those orders shall be governed by the terms of this contract to the same extent as if 

completed during the effective period of this contract. 

If shipment/delivery of any quantity of an item covered by the contract is required by reason of urgency prior to the 

earliest date that shipment/delivery may be specified under this contract, and if the contractor will not accept an 

order providing for the accelerated shipment/delivery, the Government may procure this requirement from another 

source. 

The Government may issue orders which provide for shipment/delivery to or performance at multiple destinations. 

Subject to any limitations elsewhere in this contract, the contractor shall furnish to the Government all items set 

forth herein which are called for by print orders issued in accordance with the "Ordering" clause of this contract. 

FACSIMILE BIDS: Facsimile bids are permitted. 

 (a) Definition. "Facsimile bid," as used in this solicitation, means a bid, modification of a bid, or withdrawal of 

a bid that is transmitted to and received by the Government via electronic equipment that communicates and 

reproduces both printed and handwritten material. 

 (b) Bidders may submit facsimile bids as responses to this solicitation. These responses must arrive at the place 

and by the time specified in the solicitation 

 
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DOE Fact Sheet Mailers 

1016-S 

 (c) Facsimile bids that fail to furnish required representations or information or that reject any of the terms, 

conditions, and provisions of the solicitation will be excluded from consideration. 

 (d) Facsimile bids must contain the required signatures. 

 (e) The Government reserves the right to make award solely on the facsimile bid. However, bidders agree to 

promptly submit the complete original signed bid. 

 (f) Submit facsimile bid to FAX No. (206)764-6706, one bid per facsimile. 

 (g) If the bidder chooses to transmit a facsimile bid, the Government will not be responsible for any failure 

attributable to the transmission or receipt of the facsimile bid including, but not limited to, the following: 

 (1) Receipt of garbled or incomplete bid. 

 (2) Availability or condition of the receiving facsimile equipment. 

 (3) Incompatibility between the sending and receiving equipment. 

 (4) Delay in transmission or receipt of bid. 

 (5) Failure of the bidder to properly identify the bid. 

 (6) Illegibility of bid. 

 (7) Security of bid data. 

PREAWARD SURVEY: In order to determine the responsibility of the prime contractor or any subcontractor, 

the Government reserves the right to conduct an on-site preaward survey at the contractor's/subcontractor's facility 

or to require other evidence of technical, production, managerial, financial, and similar abilities to perform, prior to 

the award of a contract. As part of the financial determination, the contractor in line for award may be required to 

provide one or more of the following financial documents: 

1) Most recent profit and loss statement 

2) Most recent balance sheet 

3) Statement of cash flows 

4) Current official bank statement 

5) Current lines of credit (with amounts available) 

6) Letter of commitment from paper supplier(s) 

7) Letter of commitment from any subcontractor 

The documents will be reviewed to validate that adequate financial resources are available to perform the contract 

requirements. Documents submitted will be kept confidential and used only for the determination of responsibility 

by the Government. Failure to provide the requested information in the time specified by the Government may 

result in the Contracting Officer not having adequate information to reach an affirmative determination of 

responsibility. 

The security and confidentiality of Government legal documents handled and stored by the contractor during the 

execution of this contract are of critical importance. Should the preaward survey reveal a security deficiency that 

jeopardizes or otherwise compromises the secure and confidential operation of this contract as specified herein, the 

Government reserves the right to declare the contractor nonresponsible if such a deficit cannot be remedied by the 

contractor in a timely fashion and at no additional expense to the Government. 

 
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SECTION 2.- SPECIFICATIONS 

SCOPE: These specifications cover the production of fact sheets including printing, collating, folding and 

tabbing for mailing. 

TITLE: DOE Fact Sheet Mailers 

FREQUENCY OF ORDERS: 10 to 20 orders per year. 

NUMBER OF PAGES: 1 to 8 pages. An average of 6 pages per order. 

QUANTITY: Approximately 1,390 copies per order. 

TRIM SIZE: 

page size: 8.5 x 11” 

final size: 8.5 x 5.5” 

GOVERNMENT TO FURNISH: 

Digital files could include but are not limited to: PDF files 

At the option of the agency electronic media will occasionally be sent via email or contractor’s FTP (File Transfer 

Protocol) site. 

Print Order (GPO Form 2511) 

GPO Form 905 for shipping containers labels. 

Identification marks such as register marks, ring folios, rubber stamped jacket numbers, commercial identification 

marks of any kind, etc., except form number and revision date, carried on copy or film or in electronic files, must 

not print on finished product. 

CONTRACTOR TO FURNISH: 

All materials and operations, other than those listed under "Government to Furnish," necessary to produce the 

products in accordance with these specifications. 

The contractor will host a secure FTP (File Transfer Protocol) service and Secure Sockets Layer (SSL) or 

Transfer Layer Security (TLS) encryption. The servers must be redundant and located in a secure locked, climate 

controlled, fire-resistant facility. 

The contractor must provide website information allowing the ordering agencies to post and retrieve Government 

furnished materials from their secure website. 

Prior to image processing, the contractor shall perform a basic preflight check of the furnished media and 

publishing files to assure correct output of the required reproduction image. If any errors, media damage, or data 

corruption that might interfere with proper file image processing are discovered during inspection by the 

contractor, work must be discontinued and further instructions should immediately be requested from the agency. 

 
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This preflight must identify any problem areas with digital file submission and must include but not be limited to 

missing or damaged fonts, damaged disks, missing bleeds, improper trim size, and improper color definition. The 

Contractor is also responsible for creating or altering any necessary trapping, setting proper screen angles and 

frequency (unless indicated otherwise by the Government), and defining proper file output selection for the 

imaging device being used. All furnished files must be imaged as necessary to meet the assigned Quality 

Assurance Through Attributes Program (QATAP) level. 

When required, upon completion of each order, the contractor must furnish final production native application 

files (digital deliverables) with the furnished material. The digital deliverables must be an exact representation of 

the final printed product and shall be returned on the same type of storage media as was originally furnished. The 

Government will not accept, as digital deliverables, PostScript files, Adobe Acrobat Portable Document Format 

(PDF) files, or any proprietary file formats other than those supplied, unless specified by the Government. 

COMPUTER TIME WORK: Will consist of minor repairs and/or corrections required by the ordering agency 

that do not fit the scope of the contract. Time work will be rounded up to closest 15 minute increments. Prior to 

work, the contractor will be required to inform the agency of the approximate time required for repairs or 

corrections.

Prior to making revisions, the contractor will copy the furnished files and make all changes to the copy. 

Time required for re-work due to contractor error will not be billed to the ordering agency. 

PRINTING: At contractor’s option, the product may be produced via conventional offset or digital printing 

provided that Quality Level 3 standards are maintained. Final output must be a minimum of 150 line screen and at 

a minimum resolution of 1200 x 1200 x 1 dpi or 600 x 600 x 4 bit depth technology. 

INK: Black 

BINDING: Contractor to half-fold to 8.5 x 5.5” and apply closure tabs. Tabbing must meet current U.S. Postal 

Services standards for mailing. 

STOCK/PAPER: The specifications of all paper furnished must be in accordance with those listed herein or listed 

for the corresponding JCP Code numbers in the "Government Paper Specification Standards No. 12" dated March, 

2011. http://www.gpo.gov/pdfs/customers/sfas/vol12/vol_12.pdf. 

Color of paper furnished shall be of a uniform shade and a close match by visual inspection of the JCP. The 

Contracting Officer reserves the right to reject shipments of any order printed on paper the color of which, in his 

opinion, materially differs from that of the color specified. 

White Writing Paper, basis size 17 x 22”, basis weight 24 lbs. per 500 sheets, equal to JCP Code D10. 

MARGINS: Adequate gripper. Maintain margins as indicated on Government Furnished Material. 

PACKING: Pack suitable units as indicated on the print order. Pack in shipping containers not to exceed 45 

pounds when fully packed. 

LABELING AND MARKING: Use GPO form 905 to mark all shipping containers. 

 
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DISTRIBUTION: Deliver f.o.b. destination to Richland, WA 

Deliveries are not accepted after 3:00PM. 

Unless specified on the Print Order deliveries are not accepted on Fridays. 

All expenses incidental to picking up of Government furnished materials and returning materials must be borne by 

the contractor. 

Contractor must notify the ordering agency on the same day that the product ships/delivers via e-mail sent to the 

agency. Call the agency to confirm receipt of documentation. The subject line of this message shall be 

"Distribution Notice for PROGRAM 1016-S, PRINT ORDER XXXXX". The notice must provide all applicable 

tracking numbers, shipping method, and Title. Contractor must be able to provide copies of all delivery, mailing, 

and shipping receipts upon agency request. 

SCHEDULE: Adherence to this schedule must be maintained. Contractor must not start production of any job 

prior to receipt of the individual print order (GPO Form 2511). 

No definite schedule for pickup of material can be predetermined. 

Print Orders and furnished material must be picked up f.o.b. destination from and returned to the agency that will 

be indicated on individual print orders. 

The following schedule begins the workday after notification of the availability of print order and furnished 

material. 

Orders must be completed and delivered within from 1 to 2 workdays. 

The ship/deliver date indicated on the print order is the date products ordered for delivery f.o.b. destination must be 

delivered to the destination(s) specified. 

Unscheduled material such as shipping documents, receipts or instructions, delivery lists, labels, etc., will be 

furnished with each order or shortly thereafter. In the event such information is not received in due time, the 

contractor will not be relieved of any responsibility in meeting the shipping schedule because of failure to request 

such information. 

 
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SECTION 3.- DETERMINATION OF AWARD 

The Government will determine the lowest quote by applying the prices offered in the "Schedule of Prices" to the 

following units of production which are the estimated requirements to produce one year’s production under this 

contract. These units do not constitute, nor are they to be construed as, a guarantee of the volume of work which 

may be ordered for a like period of time. 

The following item designations correspond to those listed in the "Schedule of Prices." 

I. (a) 1. 90 

 2. 1251 

II. (a) 2 

 
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SECTION 4.- SCHEDULE OF PRICES 

Quotes offered are f.o.b. destination. 

Prices must include the cost of all required materials and operations for each item listed in accordance with these 

specifications. 

Bidder must make an entry in each of the spaces provided. Quotes submitted with any obliteration, revision, or 

alteration of the order and manner of submitting quotes, may be declared nonresponsive. 

An entry of NC (No Charge) shall be entered if bidder intends to furnish individual items at no charge to the 

Government. 

Quotes submitted with NB (No Bid), N/A, or blank spaces for an item may be declared nonresponsive. 

The Contracting Officer reserves the right to reject any offer that contains prices for individual items of production 

(whether or not such items are included in the Determination of Award) that are inconsistent or unrealistic in regard 

to other prices in the same offer or to GPO prices for the same operation if such action would be in the best interest 

of the Government. 

All vouchers submitted to the GPO shall be based on the most economical method of production. 

Fractional parts of 100 will be prorated at the per 100 rate, when applicable. 

I. COMPLETE PRODUCT: Prices quoted shall include the cost of all required materials and operations 

necessary for the complete production and distribution of the product(s) listed in accordance with these 

specifications. 

 Make-ready Running per 

 and/or Setup 100 copies 

(1) (2) 

(a) Black ink, per page. $__________ $__________ 

II. ADDITIONAL OPERATIONS: Prices quoted shall include the cost of all required materials and 

operations necessary for the complete operations as listed below. 

(a) Computer time work that does not fit 

 the scope of the contract, cost per hour. $__________ 

__________ 

(Initials) 
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My production facilities are located within the assumed area of production........._______yes _______no 

NOTICE: Bidders OUTSIDE the assumed production area specified on page one of these specifications must 

complete the following information. 

Proposed carrier(s) for pickup of Government Furnished Material: _______________________________. 

Number of hours from acceptance of print order to pickup of Government Furnished Material: ________. 

Number of hours from pickup of Government Furnished Material to delivery at contractor’s plant: _____. 

Proposed carrier(s) for delivery of completed product: ________________________________________. 

Number of hours from notification to carrier to pickup of completed product: ______________________. 

Number of hours from pickup of completed product to delivery at destination: _____________________. 

SHIPMENT(S): Shipments will be made from: City __________________________, State ________________ 

The city(ies) indicated above will be used for evaluation of transportation charges when shipment f.o.b. contractor’s 

city is specified. If no shipping point is indicated above, it will be deemed that the bidder has selected the city and 

state shown below in the address block, and the quote will be evaluated and the contract awarded on that basis. If 

shipment is not made from evaluation point, the contractor will be responsible for any additional shipping costs 

incurred. 

DISCOUNTS: Discounts are offered for payment as follows: __________ Percent, _________calendar days. See 

Article 12 “Discounts” of Solicitation Provisions in GPO Contract Terms (Publication 310.2). 

AMENDMENT(S): Bidder hereby acknowledges amendment(s) number(ed) ____________________________ 

QUOTE ACCEPTANCE PERIOD: In compliance with the above, the undersigned agrees, if this quote is 

accepted within____________ calendar days (60 calendar days unless a different period is inserted by the bidder) 

from the date for receipt of quotes, to furnish the specified items at the price set opposite each item, delivered at the 

designated points(s), in exact accordance with specifications. 

NOTE: Failure to provide a 60-day quote acceptance period may result in expiration of the quote prior to award. 

 
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BIDDER’S NAME AND SIGNATURE: Unless specific written exception is taken, the bidder, by signing and 

submitting a quote, agrees with and accepts responsibility for all certifications and representations as required by 

the solicitation and GPO Contract Terms - Publication 310.2. When responding by fax or mail, fill out and return 

one copy of all pages in “SECTION 4. – SCHEDULE OF PRICES,” including initialing/signing where indicated. 

Failure to sign the signature block below may result in the quote being declared non-responsive. 

Bidder ___________________________________________________________________________________ 

 (Contractor Name) (GPO Contractor’s Code) 

 ___________________________________________________________________________________________ 

(Street Address) 

 ___________________________________________________________________________________________ 

(City – State – Zip Code) 

By _________________________________________________________________________________________ 

 (Printed Name, Signature, and Title of Person Authorized to Sign this Quote) (Date) 

 ___________________________________________________________________________________________ 

 (Person to be Contacted) (Telephone Number) (Email) 

FOR GPO USE ONLY 

******************************************************************************************* 

Contracting Officer Review________ Date_________ Certifier__________ Date__________