Sol_1305M324Q0272_Amd_0001.pdf

1305M324Q0272/0001

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

06/05/2024

1 2

325 BROADWAY, SOU6

BOULDER CO 80305

WAD-SAP

Multiple

303 578-2579CASEY KEATING

MD

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

AMENDMENT 0001 - UPDATED TECHNICAL SPECIFICATION

(SON)

PROVIDE DOCUMENTATION DEMONSTRATING TECHNICAL

SPECIFICATIONS IN ACCORDANCE WITH THE AMENDED

STATEMENT OF NEED(SON).

USE THIS “STANDARD FORM 18” FORM FOR YOUR QUOTE.

VENDOR UIE# ____________________.

QUOTE CANNOT BE ACCEPTED FROM YOUR COMPANY IF YOU

ARE NOT REGISTERED AND ACTIVE IN THE FOLLOWING

WEBSITE: HTTPS://WWW.SAM.GOV/

QUOTE’S RECEIVED FROM CONTRACTORS WHO ARE NOT

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)

1305M324Q0272/0001

ACTIVE IN SAM WILL NOT BE CONSIDERED.

PLEASE PROVIDE YOUR WILL OR WILL NOT STATEMENT

PER 52.204-24 UNLESS YOUR REPS AND CERTS HAVE

BEEN UPDATED IN SAM PER 52.204-26.

THE GOVENRMENT DOES NOT ACCEPT RESPONSIBILITY FOR

NON-RECEIPT OF QUOTES. IT IS THE CONTRACTOR’S

RESPONSIBILITY TO REQUEST A CONFIRMATION OF THE

QUOTE RECEIPT.

100% SMALL BUSINESS SET-ASIDE, FIRM FIXED PRICE,

PURCHASE ORDER TO BE AWARDED TO THE LOW PRICED,

TECHNICALLY ACCEPTABLE QUOTE PER FAR 52.212-2.

PROVIDE ALL DOCUMENTATION PER FAR 52.212-2 TO BE

ELIGIBLE FOR AWARD.

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