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SF 18

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REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)
THIS RFQ _ IS x IS NOT A SMALL BUSINESS SET-ASIDE
Page 1 of 2

1. REQUEST NO

19LG7519Q0001

2. DATE ISSUED

10/16/2018

3. REQUISITION/PURCHASE REQUEST NO.

7760506

4. CERT. FOR NAT. DEF. UNDER BDSA REG. 2 AND/OR DMS REG. 1
(
RATING

5a. ISSUED BY

AMERICAN EMBASSY RIGA

SAMNERA VELSA STREET 1,

RIGA 1510

6. DELIVER BY (Date)

02/01/2019

5b. FOR INFORMATION CALL (NO COLLECT CALLS)
7. DELIVERY
NAME
TELEPHONE NUMBER

_ FOB DESTINATION

x OTHER (See Schedule)

John Langer
Riga-ProcurementSection @state.gov
9. DESTINATION

a. NAME OF CONSIGNEE

8. TO:

AMERICAN EMBASSY RIGA

a. NAME

b. COMPANY

b. STREET ADDRESS

c. STREET ADDRESS

c. CITY

d. CITY

e. STATE

f. ZIP CODE

d. STATE

e. ZIP CODE

10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5A ON OR BEFORE 16:00 11/01/2018
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)

1.
Preventive maintenance services of the electrical switchgears at the American Embassy Riga
1
SV
2.
Spare parts ( delivery included)
2
SET

l

a. 10 CALENDAR DAYS (%)
b. 20 CALENDAR DAYS (%)
c. 30 CALENDAR DAYS (%)
d. CALENDAR DAYS
12. DISCOUNT FOR PROMPT PAYMENT
(

NUMBER

PERCENTAGE

NOTE:

Additional provisions and representations [x ] are [ ] are not attached.

13. NAME AND ADDRESS OF QUOTER
14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION
15. DATE OF QUOTATION

a. NAME OF QUOTER

STREET ADDRESS
16. SIGNER
a. NAME (Type or print)
b. TELEPHONE

c. COUNTY

AREA CODE

d. CITY
e. STATE
f. ZIP CODE
c. TITLE (Type or print)
NUMBER

AUTHORIZED FOR LOCAL REPRODUCTION

STANDARD FORM 18 (REV. 6-95)

Previous edition not usable Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

FORMCHECKBOX

11. SCHEDULE

(Include applicable Federal, State and local taxes)

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

1
Circuit breaker SIEMENS WL for the utility room, WL1600AF+ETU745 Electrically Operated.S2D316TH9CXGWCN
1
EA
2
Circuit breaker SIEMENS WL for the Chancery room, WL3200AF+ ETU745 Electrically Operated.S2A332YHKBEBSCN
1
EA
3
WLETU745,WL trip Unit
2
EA
4
Trip units display(above the trip units). LCD48 Option display for ETU745 trip unit.WLLCD48
2
EA
5
48 volts DC close coil for the WL breaker. WLRCS48 Close Coil 48VDC
3
EA
6
48 volts DC open coil for the WL breaker. WLST48 Shunt Trip 48VDC
3
EA
7
48 volts DC UVR coil for the WL breaker. WLUVD48 Under voltage Relay with delay
3
EA
8
120 volts AC close coil for the WL breaker. WLRCS120 Close Coil 120VAC
2
EA
9
120 volts AC open coil for the WL breaker. WLST120 Shunt Trip 120VAC
2
EA
10
120 volts AC UVR coil for the WL breaker. WLUVD120 Under voltage Relay with delay.
2
EA
11
120 volts AC Charging motor for WL breaker. WLELCMTR120S Motor Operator 120VAC
1
RA
12
48 volts AC Charging motor for WL breaker.WLELCMTR48 Motor Operator 48VAC
2
EA
13
Ground Fault and Alarm Module. WLGFM48 ground fault trip/alarm module
2
EA
14
Communication module. WLCM16MD Com 16 Modbus communication module
3
EA
15
Warranty
1
EA
16
Delivery
1
EA
17
Preventive maintenance services for the equipment listed in the Attachment No. 2.
1
SV

FORMCHECKBOX

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