SF-18_.doc
DOC document 55 KB Posted
- Attached to
- BEHAVIORAL HEALTH CONFERENCE Federal contract opportunity
- Solicitation number
- 17-080
About this file
SF18
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SOLICITATION_2_OF_2.pdf | ||
| SOLICITATION_1_OF_2.pdf |
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Text version
REQUEST FOR QUOTATIONS
(THIS IS NOT AN ORDER)
| THIS RFQ X IS IS NOT A SMALL BUSINESS SET-ASIDE |
| PAGE OF PAGES |
1-2
1. REQUEST NO.
RFQ-17-080
2. DATE ISSUED
5/4/2017
3. REQUISITION/PURCHASE REQUEST NO.
IHS1321831
4. CERT.FOR NAT. DEF.
UNDER BDSA REG.2
AND/OR DMS REG. 1
RATING
5A. ISSUED BY
Aberdeen Area Indian Health Service, 115 4th Avenue SE
Federal Building, Room 309, Aberdeen, South Dakota 57401
6. DELIVER BY (Date)
NEGOTIABLE
| 5b. FOR INFORMATION CALL (NO COLLECT CALLS) |
| 7. DELIVERY OTHER |
FORMCHECKBOX
FOB DESTINATION FORMCHECKBOX
(See Schedule)
NAME
KRISTINA J BAKER
CONTRACT SPECIALIST
KRISTINA.BAKER@IHS.GOV
| TELEPHONE NUMBER |
| 9. DESTINATION |
AREA CODE
NUMBER
226-7241
a. NAME OF CONSIGNEE
GPAIHS – BEHAVIORAL HEALTH
TO:
b. STREET ADDRESS
115 4TH AVE SE, RPPM 309
a. NAME
b. COMPANY
c. CITY
ABERDEEN
c. STREET ADDRESS
d. CITY
e. STATE
f. ZIP CODE
d. STATE
SD
e. ZIP CODE
57401
10. PLEASE FURNISH QUOTATIONS TO
THE ISSUING OFFICE IN BLOCK
5a ON OR BEFORE CLOSE OF
BUSINESS (Date)
5/12/2017 @5pm CST 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)
ITEM NO.
(a)
SUPPLIES/SERVICES
(b)
QUANTITY
(c)
UNIT
(d)
UNIT PRICE
(e)
AMOUNT
(f)
Firm Fixed-Price, Non-Personal Service Task Order to organize the Great Plains Annual Behavioral Health Conference by providing presenters, training, networking as well as Continuing Education requirements to the Great Plains Behavioral Health Staff.
Contractor will have the conference scheduled no later than 30 days after award.
NATIVE AMERICAN OWNED BUSINESS SET-ASIDE
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 FORMCHECKBOX are FORMCHECKBOX are not attached.
| 13. NAME AND ADDRESS OF QUOTER |
| 15. SIGNATURE OF PERSON AUTHORIZED TO |
SIGN QUOTATION
15. DATE OF
QUOTATION
a. NAME OF QUOTER
b. STREET ADDRESS
c. COUNTY
16. SIGNER
a. NAME (Type of print)
b. TELEPHONE
AREA CODE
| d. CITY |
| e. STATE |
| f. ZIP CODE |
| c. TITLE (type or print) |
| NUMBER |
AUTHORIZED FOR LOCAL REPRODUCTION
FormFlow/Delrina Inc.
STANDARD FORM 18 (REV 6-95)
Previous edition not usable
Prescribed by GSA-FAR (48 CFR) 53-215-1(a)
CONTINUATION FOR RFQ-17-080
PAGES
ITEM NO.
(a)
SUPPLIES/SERVICES
(b)
QUANTITY
(c)
UNIT
(d)
UNIT PRICE
(e)
AMOUNT
(f)
1.
Organization of Great Plains Area Annual Behavioral Health Conference.
DUNS & BRADSTREET NUMBER:
(The Duns & Bradstreet number is required. Provided you do not have it, you may call 866-705-5711 and obtain one.) You will need a DUNS & BRADSTREET NUMBER to be awarded the purchase order and registered with the System for Award Management; you can register at www.sam.gov.
The quoter is hereby notified that they must be registered in the System for Award Management (SAM) before the Government will issue an award. (You may do this by going to www.sam.gov to register and you are required to update this registration every year prior to the expiration date.)
FEDERAL TAX ID NUMBER:
EMAIL ADDRESS:
| TOTAL |
| $__________ |
File details come from the government source that posted it. Updated .