SF-18.doc

DOC document 96 KB Posted

Attached to
Perks Rehabilitation Federal contract opportunity
Solicitation number
1204N719Q0020
Issued by
Department of Agriculture Forest Service R6-Pacific Northwest Region

About this file

SF-18

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2019-1-all-specs_(1).pdf PDF
Fire_Protection_&_Suppression-R6-FS-6300-52.pdf PDF
RFQ-1204N719Q0020.docx DOCX document
CA5.txt TXT text file
2019-All_Drawings-signed.pdf PDF

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Text version

1204N719Q0004 Star Ranger Station Well Development Rogue River-Siskiyou National Forest Page | 45

REQUEST FOR QUOTATION

PAGE OF PAGES

(THIS IS NOT AN ORDER)
THIS RFQ
FORMCHECKBOX
IS
FORMCHECKBOX
IS NOT A SMALL BUSINESS SET- ASIDE
1
1. REQUEST NO.
2. DATE ISSUED
3. REQUISITION/PURCHASE REQUEST NO.
4. CERT. FOR NAT.DEF.
RATING
1204N719Q0020
6-19-19
962726
UNDER BDSA REG. 2

AND/OR DMS REG. 1

5a. ISSUED BY
6. DELIVER BY (Date)

Rogue River-Siskiyou National Forest Service 3040 Biddle Road, Medford, OR 97504 See Schedule

5b. FOR INFORMATION CALL (NO COLLECT CALLS)
7. DELIVERY
FORMCHECKBOX

FOB DESTINATION

NAME
TELEPHONE NUMBER

FORMCHECKBOX

OTHER (See Schedule)

AREA CODE
NUMBER
9. DESTINATION

Eric Grim – COR * Amy Chapman -CO

541
618-2065*
a. NAME OF CONSIGNEE

8. TO:

a. NAME
b. COMPANY
b. STREET ADDRESS
c. STREET ADDRESS
c. CITY
d. CITY
e. STATE
f. ZIP CODE
d. STATE
e. ZIP CODE
10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5A ON OR BEFORE 3:00 pm PDT
IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in BLOCK 5A. This request does not commit the Government to pay any costs incurred in the preparation of the
July 8, 2019
submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO.
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
(a)
(b)
(c)
(d)
(e)
(f)

Perks Rehabilitation Siskiyou Mountains Ranger District

Rogue River-Siskiyou National Forest Del Norte, Co., CA

SEE SCHEDULE OF ITEMS

Do Not Enter

Prices Here

Mail Quote to
Amy Chapman, Contracting Officer

Rogue River-Siskiyou National Forest 3040 Biddle Road

Medford, Oregon 97504

Or FAX to: 541-618-2148 Technical Point of Contact is Eric Grim, Civil Engineer - 541-618-2065

a. 10 CALENDAR DAYS (%)
b. 20 CALENDAR DAYS (%)
c. 30 CALENDAR DAYS (%)
d. CALENDAR DAYS

12. DISCOUNT FOR PROMPT PAYMENT

NUMBER
PERCENTAGE
NOTE: Additional provisions and representations
FORMCHECKBOX
are
FORMCHECKBOX

are not attached.

13. NAME AND ADDRESS OF QUOTER
14. SIGNATURE OF PERSON AUTHORIZED TO
15. DATE OF
a. NAME OF QUOTER
SIGN QUOTATION
QUOTATION
b. STREET ADDRESS
16. SIGNER
a. NAME (Type or print)
b. TELEPHONE

c. COUNTY

AREA CODE

d. CITY
e. STATE
f. ZIP CODE
c. TITLE (Type or Print)
NUMBER

NSN 7540-01-152-8084

Previous edition not usable

18-121
STANDARD FORM 18 (Rev. 6-95)

Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

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