Sol_140P8320Q0014.pdf

140P8320Q0014

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

02/05/2020 0040475143

1 2

600 E. Park Avenue Port Angeles WA 98362-6757

NPS, PWR - OLYM MABO

04/06/2020

NPS Mount Rainier National Park

L-201 Park Warehouse

Longmire

WA 98397

360 569-6542Hal Hoversten

02/20/2020 1700 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Offerors must be registered and have active profiles with full representations and certifications in the System for Awards Management (SAM.gov) database to be considered responsive and eligible for award.

https://www.sam.gov Legacy Doc #: NPS Period of Performance: 02/24/2020 to 04/06/2020

00010 Water filters as identified in the combined-synopsis solicitation.

Line 10 Twenty-five (25) each #HPM99-CCX-2SR, $______ case $______ total

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)

140P8320Q0014

Line 20 Thirty-two (32) each cases #HPM99-CC-2SR, $______ case $______ total

Line 30 Four (4) each cases #AR1TP2P-EVP, $______ case $______ total

Line 40 Two(2) each cases ART5P2P-EVP, $______ case $______ total

Line 50 One(1) each case #ART10P2P-EVP, $______ case $______ total

Line 60 Ten (10) each cases #ART25P2P-EVP, $______ case $______ total

Line 70 Four (4) each cases #ART50P2P-EVP, $______ case $______ total

Line 80 Five (5) each cases #EP50R40PE, $______ case $______ total

Line 90 Thirteen (13)each cases #EP50R30PE, $______ case $______ total

Grand total: 1 Lump Sum $__________

Product/Service Code: 4610

Product/Service Description: WATER PURIFICATION

EQUIPMENT

Delivery: 04/06/2020

Contractors will be required to submit a single

PDF invoice through the Internet Payment

Platform: https://www.ipp.gov

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