12805B21Q0342 (1).pdf

12805B21Q0342

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

06/21/2021 1029017

1 2

2150 CENTRE AVENUE

BLDG D, SUITE 300

FORT COLLINS CO 80526

USDA ARS PA AAO ACQ/PER PROP

Multiple

PA CEREAL CROPS RESEARCH

Hard Spring &Durum Wheat Qlty 1250 Bolley Dr. Harris Hall 214 PO Box 6050, FARGO

ND 5810-6050

970 492-7006DYLLAN LIAL

06/25/2021 1300 MS

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

This solicitation will result in a Firm Fixed Price Contract This is a Small Business set aside This will be evaluated as Lowest Price Technically Acceptable This also includes Brand Name or Equal.

Quote can be emailed to dyllan.lial@usda.gov Period of Performance: 07/01/2021 to 08/30/2021

0001 Cgrain Value¿ Grain analyzer 1 EA Requisition No: 1029017

Delivery: 08/30/2021

0002 ANN Application (Oat) 1 EA Requisition No: 1029017 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)

12805B21Q0342

Delivery: 08/30/2021

0003 Software license, support and calibration of 1 EA defects, annual fee

Requisition No: 1029017

Delivery: 06/30/2022

Period of Performance: 07/01/2021 to 06/30/2022

0004 ANN Application (Groat) 1 EA

Requisition No: 1029017

Delivery: 08/30/2021

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