RFQ.pdf

12639518R0006

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

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 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)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

12/01/2017 886291

1 2

4700 RIVER ROAD

Unit 45

RIVERDALE MD 20737

USDA-APHIS-ASD-SCB

Multiple

USDA-APHIS-VS-NVSL

1920 Dayton Avenue

Ames

IA 50010

301 734-7405MICHAEL WESLEY

12/14/2017 1200 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Tax ID Number: Not Available DUNS Number: Not Available An Organized site visit is scheduled for December 8, 2017 at 10:30pm.

USDA APHIS NCAH

1920 Dayton Ave Ames, IA 50010 Karla K. Tebben Environmental Protection Specialist Ph: 515-337-7026 E-mail: Karla.K.Tebben@aphis.usda.gov

The site visit is optional.

Period of Performance: 01/01/2018 to 12/31/2023

Continued ...

12. DISCOUNT FOR PROMPT PAYMENT

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

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

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

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

12639518R0006

001 Base Year -Water sampling and Analysis 1 LS

LS means Lump Sump

Delivery: 01/01/2018

002 Option Year One - Water sampling and Analysis 1 LS

Anticipated Award Type: Firm-fixed-price

Delivery: 01/01/2019

003 Option Year Two Water sampling and Analysis 1 LS

LS means Lump Sump

Delivery: 01/01/2020

004 Option Year Three - Water Sampling and Analysis 1 LS

LS means Lump Sump

Delivery: 01/01/2021

005 Option Year Four -Water Sampling and Analysis 1 LS

LS means Lump Sump

Delivery: 01/01/2022

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)