0001 Apollo Anesthesia System (Including initial operation training, Japanese version operation manual, installation work on the site, Bldg 99 - Misawa Air Force Base Japan) Manufacturing by: Drager Medical Company. Or Equal. Quantity: 3 Unit If item is ??Or equal??, Manufacture??s Name: Brand: Model or Part Number: *Specs, Catalogue, sample or any information of ??Or Equal?? item shall be submitted along with this quotation. (IAW FAR 52.211-6 Brand Name or Equal, Aug 99) If Item is under GSA Contract, Contract No.: Expiration Date: *The schedule of GSA shall be submitted along with the quotation. ***************************************************************** a. Ship to FOB, P.O.E. (Traffic Management Office, Attn: SSgt Shameka Swinson 90 Ragsdale Street Bldg. 977, Travis AFB, CA 94535, TCN FM520562770029): Yes ____ ??Total weight __________ lbs. & Total cubic size ___________ ft.??. Or shipment by parcel post to FOB, Destination (our APO address) via USPS Priority Mail: Yes ____. *All item to be quoted to FOB, P.O.E. (Travis AFB, CA.) including shipping charges unless the shipment is to be made by parcel post to FOB, Destination (our APO address) via USPS Priority Mail. b. Warranty period, if any: . c. Business size: small large . *Quotations received from concerns that are not small business shall be considered nonresponsive and will be rejected unless the item is under GSA schedule. (IAW FAR 52.219-6 Notice of Total Small Business Set-Aside, Jun 03) d. Your minimum order amount (MOA): $ . e. Variation in Quantity: . f. Proposed delivery is days after receipt of order. g. Prompt payment discount terms: . h. Quoted by Name: . Title: . *Your Ordering Address, Tel No. and Fax No* *Your Remit to Address if Different from Ordering Address* Your CAGE Code: DUNS #: TIN No.: Central Contractor Registration (CCR) Registered or Updated, whichever is later, on (Date) . *Lack of registration in the CCR database will make an offeror ineligible for award. And the Contractor is required to confirm on an annual basis that its information in the CCR database is accurate and complete at http://www.ccr.gov/. (IAW FAR 52.232-33 Payment by Electronic Funds Transfre-Central Contractor Registration, Oct 03)

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