Fillable Printable Simplified Acquisition Tabulation Source List/Abstract
Fillable Printable Simplified Acquisition Tabulation Source List/Abstract
Simplified Acquisition Tabulation Source List/Abstract
ORAL
CLOSING DATE
TOTAL DOLLAR VALUE
SUPPLIER'S DISCOUNT
TERMS
SUPPLIER'S F.O.B.
POINT/ INSPECTION
POINT
LAST AWARD
GENERAL SERVICES ADMINISTRATION
(Use reverse for remarks)
SIMPLIFIED ACQUISITION
TABULATION SOURCE
LIST/ABSTRACT
CONTRACT/ORDER NUMBER
PROCUREMENT SYNOPSIZED
YES NO N/A
LIST OF SUPPLIERS' DECLINING TO QUOTE PRICE
LIST OF SUPPLIER'S RESPONDING/QUOTATION RECEIVED
NSN AND ITEM DESCRIPTION
QUAN.
UNIT OF
ISSUE
UNIT
PRICE
TOTAL TOTAL TOTAL TOTAL
UNIT
PRICE
UNIT
PRICE
UNIT
PRICE
TOTAL
UNIT
PRICE
ACT NUMBER TABULATION DATE NAME OF BUYER
BUSINESS SIZE
SMALL OTHER
QUOTATION
WRITTEN
BASIS USED TO DEVELOP SOURCES (If
only one source is solicited explain the
absence of competition in remarks on
reverse)
WAS PREVIOUS SUPPLIER SOLICITED?
NOYES
DELIVERY REQUIRED WITHIN (Specify
days)
VENDOR DATE
PRICE
$
QUANTITY
NOYES
WAS PROCUREMENT SET ASIDE FOR SMALL
BUSINESS? (If "NO" explain the reason for not setting
aside in remarks on reverse)
IS THE LOW OFFEROR FOR THIS
PROCUREMENT ON THE DEBARRED
LIST?
ARE ITEMS COVERED BY STANDING PRICE QUOTATION
ON FILE WHICH EXPIRES ON
BASIS OF PRICE FAIRNESS/ REASONABLENESS (If required by
FAR 13.106)
APPROPRIATION SUPPLIER SELECTED DATE ORDERED
DATE
APPROVAL (If required)
GSA 2010 (REV. 3/1999)
NOYES
NOYES
DATE
