19RP3825Q0059_SF18 (1).pdf

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Supply and Delivery of Medical Supplies for JUSMAG
Solicitation number
19RP3825Q0059
Issued by

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This is a Standard Form 18 (SF-18) Request for Quotation issued by GSO/Contracting & Procurement at the U.S. Embassy in Manila, Philippines for the supply and delivery of medical supplies for JUSMAG. The RFQ number is 19RP3825Q0059 with a requisition number PR15139537.

The solicitation is not a small business set-aside and has a response deadline of March 6, 2025. It was issued on February 19, 2025 with delivery requirements to be specified in the schedule. The award will be made on a firm-fixed price basis, and vendors must be registered in the System for Award Management (SAM) for contracts over $30K. The point of contact is Abegail B. Lamban-Tubo at 632-301-2000 x 2713. The complete details of required medical supplies are referenced in an attached file not shown in this form. Additional provisions and representations are indicated as being attached to this RFQ.

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19RP3825Q0059_TECH SPECS (1).xlsx XLSX spreadsheet
19RP3825Q0059_Presol.pdf PDF

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REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

b. TELEPHONE

AREA CODE

NUMBER

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

8. TO:

b. COMPANYa. NAME

c. STREET ADDRESS

d. CITY e. STATE f. ZIP CODE

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE e. ZIP CODE

7. DELIVERY

FOB DESTINATION

OTHER

(See Schedule)

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date)

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 service. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotation 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)

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 are are not attached.

13. NAME AND ADDRESS OF QUOTER

a. NAME OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

PAGE OF PAGES

1. REQUEST NO. 2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY 6. DELIVER BY (Date)

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME TELEPHONE NUMBER

AREA CODE NUMBER

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REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ

IS

IS NOT A SMALL BUSINESS SET-ASIDE

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

b. TELEPHONE

AREA CODE

NUMBER

STANDARD FORM 18 (REV. 6-95) Prescribed by GSA-FAR (48 CFR) 53.215-1(a) AUTHORIZED FOR LOCAL REPRODUCTION Previous edition not usable

8. TO:

b. COMPANY

a. NAME

c. STREET ADDRESS

d. CITY

e. STATE

f. ZIP CODE

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE

e. ZIP CODE

7. DELIVERY

FOB DESTINATION

OTHER

(See Schedule)

10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date) 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 service. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotation 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)

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 are are not attached.

13. NAME AND ADDRESS OF QUOTER

a. NAME OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY

e. STATE

f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION

PAGE

OF

PAGES

1. REQUEST NO.

2. DATE ISSUED

3. REQUISITION/PURCHASE REQUEST NO.

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

RATING

5a. ISSUED BY

6. DELIVER BY (Date) 5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME

TELEPHONE NUMBER

AREA CODE

NUMBER

THIS RFQ IS A SMALL BUSINESS SET-ASIDE.: 0
7. DELIVERY. FOB DESTINATION: 0
NOTE: Additional provisions and representations are attached.: 1
NOTE: Additional provisions and representations are not attached.: 0
7. DELIVERY. OTHER (See Schedule): 0
THIS RFQ IS NOT A SMALL BUSINESS SET-ASIDE.: 0
PAGE OF: 1
4. CERT. FOR NAT. DEF. UNDER BDSA REG. 2 AND/OR DMS REG. 1. RATING:
3. REQUISITION/PURCHASE REQUEST NUMBER: PR15139537
1. REQUEST NUMBER: 19RP3825Q0059
5a. ISSUED BY: GSO/Contracting & Procurement
5b. FOR INFORMATION CALL (NO COLLECT CALLS). NAME: ABEGAIL B. LAMBAN-TUBO
8. TO. a. NAME:
13. NAME AND ADDRESS OF QUOTER. f. ZIP CODE:
16. SIGNER. a. NAME (Type or print):
16. SIGNER. b. TELEPHONE. AREA CODE:
16. SIGNER. b. TELEPHONE. NUMBER:
16. SIGNER. c. TITLE (Type or print):
13. NAME AND ADDRESS OF QUOTER. e. STATE:
13. NAME AND ADDRESS OF QUOTER. d. CITY:
13. NAME AND ADDRESS OF QUOTER. b. STREET ADDRESS:
13. NAME AND ADDRESS OF QUOTER. c. COUNTRY:
13. NAME AND ADDRESS OF QUOTER. a. NAME OF QUOTER:
8. TO. c. STREET ADDRESS:
8. TO. d. CITY:
11. SCHEDULE (Include applicable Federal, State and local taxes). ITEM NUMBER. COLUMN A. Line 18 of 18:
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: SUPPLY AND DELIVERY OF MEDICAL
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: SUPPLIES* FOR JUSMAG
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: *Please see the attached file for complete details.
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.:
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: The attached FAR/DOSAR Clauses will form part
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: of the resultant order.
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Note: All actions which are over $30K,
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: prospective vendor must be registered with
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: System of Award Management (SAM).
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT. COLUMN D.:
8. TO. e. STATE:
8. TO. f. ZIP CODE:
5b. FOR INFORMATION CALL (NO COLLECT CALLS). TELEPHONE NUMBER. AREA CODE: 632
8. TO. b. COMPANY:
5b. FOR INFORMATION CALL (NO COLLECT CALLS). TELEPHONE NUMBER. NUMBER: 301-2000 x 2713
9. DESTINATION. a. NAME OF CONSIGNEE:
9. DESTINATION. b. STREET ADDRESS:
9. DESTINATION. c. CITY:
9. DESTINATION. e. ZIP CODE:
9. DESTINATION. d. STATE:
PAGES: 54
2. DATE ISSUED. Enter 2 digit month, 2 digit day and 4 digit year.: 2025-02-19
10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date). Enter 2 digit month, 2 digit day and 4 digit year.: 2025-03-06
15. DATE OF QUOTATION. Enter 2 digit month, 2 digit day and 4 digit year.:
6. DELIVER BY (Date). Enter 2 digit month, 2 digit day and 4 digit year.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.: 0.00000000
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.: 0.00000000
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
12. DISCOUNT FOR PROMPT PAYMENT. a. 10 CALENDAR DAYS (%):
12. DISCOUNT FOR PROMPT PAYMENT. b. 20 CALENDAR DAYS (%):
12. DISCOUNT FOR PROMPT PAYMENT. c. 30 CALENDAR DAYS (%):
12. DISCOUNT FOR PROMPT PAYMENT. d. CALENDAR DAYS. NUMBER:
12. DISCOUNT FOR PROMPT PAYMENT. d. CALENDAR DAYS. PERCENTAGE:
14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION. Digital Signature:
14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION. This is a protected field:

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