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Annex E1: Request for Product Substitution/Price Revision Form-Tier 3 (Archival, backup and near line) storage products

Request for Product Substitution Form (Excel - 22K) For Offerors Use Only

Company:________________

Date of request:________________

Page ___ of ____ Email to NMSO contracting authority

[] SUBSTITUTION ONLY

[] SUBSTITUTION WITH PRICE INCREASE

[] PRICE DECREASE ONLY

[] AMENDMENT(ORIGINAL DATED ____________)

[] ORIGINAL

NMSO No. E60EJ-11000S/___/EJ

CURRENT PRODUCT/MODEL

Category Configuration Product/Model OEM Part/Model # Bidder's Part # Ceiling Price
  DEFAULT        
           
           
           
  TOTAL Ceiling Price (provide if entirely new system is being substituted)  
           
  Optional Tape and Disk Drives      
           
           
  Other Related Options      
           
           

NEW PRODUCT/MODEL

Category Configuration Price Revision or Nature of Change Product/ Model OEM Part/ Model # Bidder's Part # New Unit Selling Price LIST price URL for Specifications
  DEFAULT              
                 
                 
                 
  TOTAL Total Price (provide if entirely new system is being substituted)    
                 
  Optional Tape and Disk Drives          
                 
                 
  Other Related Options            
                 
                 

Offeror Representative: ________________

Substitution Co-ordinator: _________________

Technical Approval Representative: _________________