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OCFO/ACM
February 2020
ATTACHMENT 1 – VENDOR QUOTATION FORM
RFQ Number: 001- 2024 PC BENIN
Vendor: Vendor’s Business Address:
Authorized Representative:
Name:
Position/Title:
Phone Number:
E-mail Address:
Quoted Prices (Inclusive of Administrative and/or Overhead Costs):
Description (Make, Model,
and Body Style)
Unit Price
(Without Taxes)
Model GUN 155 L
specifications and Chart 01 in
RFQ for specific requirements)
By checking this box, I confirm that the vehicle quoted above include all of the standard specifications and
all specific requirements specified in the RFQ. I have attached full vehicle specification sheets for the
quoted vehicle to this quotation.
☐
By checking this box, I confirm that, if awarded a contract for the vehicle quoted above, the vendor I
represent is able to register all vehicle(s) with the proper authorities in Benin, identifying the US Embassy
of Benin as the legal owner of the vehicle in accordance with US Embassy requirements, which will be
provided to the vendor by the US Embassy and/or Peace Corps. ☐
By checking this box, I confirm that 1) if awarded a contract for the vehicle quoted above, I will be
importing it/them into Benin to satisfy the requirement.
☐ By checking this box, I further confirm that
the vendor I represent is able to complete the customs clearance based on duty exemption approval
documents provided to the vendor by the Peace Corps; transport the vehicle to Port de Cotonou; and
complete the necessary importation registration paperwork. ☐
Items/Services Included in Total Quoted Price Above but Not Indicated in Chart:
Quoted Work or Delivery Schedule (If Any):
Quoted Payment Terms:
Quoted Warranty Terms (The manufacturer’s commercial warranty registered to the Peace Corps as the
first registered owner is the minimum required.):
SUPPLIER AUTHORIZED REPRESENTATIVE
Signature: ___________________________________
Date: _______________________________________