Header
Contract or order number, accounting control transaction (ACT) number, tabulation date, buyer, whether the procurement was synopsized, business size boxes, quotation type and closing date.
GSA2010
Simplified Acquisition Tabulation Source List/Abstract
GSA Form 2010 prints the heading Small Purchase Tabulation Source List/Abstract. GSA's forms page lists it as Simplified Acquisition Tabulation Source List/Abstract, with a current revision date of 02/2020 and the authority or regulation APD 2800.12B. The footer reads GENERAL SERVICES ADMINISTRATION and GSA 2010 (REV. 2/2020), and GSA hosts it in its forms library.
The form records a purchase and the quotations received for it: the contract or order number, the buyer, business size and quotation type, suppliers declining to quote, up to five responding suppliers with unit prices and totals per item, the last award, set-aside and debarment questions, the supplier selected and an approval signature. The back is for remarks. It prints no instructions, OMB number or privacy statement.
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Contract or order number, accounting control transaction (ACT) number, tabulation date, buyer, whether the procurement was synopsized, business size boxes, quotation type and closing date.
Suppliers declining to quote a price, and up to five columns for suppliers responding with a quotation.

National stock number (NSN), item and description, quantity, unit of issue, and a unit price and total for each supplier, plus a supplemental or additional estimate cost row.
Total dollar value, the supplier's discount terms and the supplier's free on board (FOB) point or inspection point for each supplier.
The basis used to develop sources, whether the previous supplier was solicited, delivery required within a number of days, and the last award's vendor, date, price and quantity.
Set aside for small business, low offeror on the debarred list, standing price quotation on file, basis of price fairness or reasonableness, appropriation, supplier selected, date ordered and approval signature.
Enter the contract or order number, ACT number, tabulation date, buyer and extension, and mark the synopsis, business size and quotation boxes and the closing date.
Enter suppliers declining to quote in the left box and responding suppliers across the top of the price columns.
For each item, enter the NSN and description, quantity, unit of issue, and each supplier's unit price and total, then the total dollar value, discount terms and FOB point.
Give the basis used to develop sources, whether the previous supplier was solicited, the delivery days and the last award details. The form says that if only one source is solicited, explain the absence of competition in remarks on the reverse.
Mark yes or no for the set-aside, debarred list and standing price quotation questions. The form says that if the procurement was not set aside for small business, explain the reason in remarks on the reverse.
Enter the basis of price fairness or reasonableness if required by FAR 13.106, the appropriation, supplier selected and date ordered, then the approval signature and date if required.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form prints no address and does not say where it is filed.
GSA's page lists the authority or regulation as APD 2800.12B. The form cites Federal Acquisition Regulation FAR 13.106 for the basis of price fairness or reasonableness, if required.
The footer says to use the reverse for remarks. The back of the form is a single Remarks box.
GSA's page lists the title Simplified Acquisition Tabulation Source List/Abstract. The PDF heading reads Small Purchase Tabulation Source List/Abstract.
The top row has a block for the name of the buyer and extension, next to the contract or order number and the tabulation date.
The bottom row has an approval signature line, marked if required, with a date.
The form lists the suppliers responding and the quotations received. Suppliers do not sign it.
A separate box lists suppliers declining to quote a price.
The form does not name an office. Its blocks show these roles.
The agency’s own page for Form GSA2010.
The official blank form, to print or fill by hand.
No tool matches that search.
The footer reads GENERAL SERVICES ADMINISTRATION and GSA 2010 (REV. 2/2020). GSA hosts it in its forms library and its page lists the authority or regulation as APD 2800.12B.
GSA's forms page lists GSA2010 as Simplified Acquisition Tabulation Source List/Abstract. The PDF on that page prints the heading Small Purchase Tabulation Source List/Abstract.
The price grid has five supplier columns, each with a unit price and total, plus a separate box for suppliers declining to quote a price.
Remarks. The form points there to explain the absence of competition when only one source is solicited, and the reason for not setting aside a procurement for small business.
The form has one approval signature line with a date, marked if required. The buyer is named with an extension in the top row.
The PDF prints no separate instructions, only short notes in some blocks. GSA's page lists the current revision date as 02/2020.