2009-Q-11335.doc
DOC document 85 KB Posted
- Attached to
- REPLACEMENT AIR FILTERS
- Solicitation number
- 2009-Q-11335
About this file
Request for Quote
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| File | Type | Posted |
|---|---|---|
| 2009Q-11335.doc | DOC document | |
| 2009-Q-11335 AMENDMENT 2.doc | DOC document | |
| 2009-Q-11335.doc | DOC document |
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Text version
REQUEST FOR QUOTATIONS
(THIS IS NOT AN ORDER)
THIS RFQ
PAGE OF PAGES
1. REQUEST NO.
2009-Q-11335
2. DATE ISSUED
05/27/2009
3. REQUISITION/PURCHASE REQUEST NO.
00HCCA16-2009-69527
4. CERT. FOR NAT. DEF.
UNDER BDSA REG. 2
AND/OR DMS REG. 1
RATING
5a. ISSUED BY
Centers for Disease Control and Prevention (PGO)
Acquisition & Assistance Field Branch
1095 Willowdale Rd.
Morgantown WV 265052845
6. DELIVERY BY (Date)
5b. FOR INFORMATION CALL (No collect calls)
| NAME |
| FAX NUMBER |
| AREA CODE |
| NUMBER |
| Kimberly P. Groves |
| (304) |
| 285-6083 |
| 8. TO: |
| 9. DESTINATION |
| a. NAME |
| b. COMPANY |
| a. NAME OF CONSIGNEE |
| c. STREET ADDRESS |
| b. 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 CLOSE OF BUSINESS (Date)
JUNE 27, 2009
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. 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)
PRICE FIRM FOR ______ DAYS.
IF THE ITEMS LISTED ARE ON THE FEDERAL CONTRACT SCHEDULE, PLEASE INDICATE THE CONTRACT NUMBER ____________________
“See Continuation Page”
| 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 |
| 14. SIGNATURE OF PERSON AUTHORIZED TO |
SIGN QUOTATION
15. DATE OF
QUOTATION
a. NAME OF QUOTER
| b. 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)
Line Items
| ITEM |
| SUPPLIES / SERVICES |
| QTY / UNIT |
| UNIT PRICE |
| EXTENDED PRICE |
| 0001 |
| Filter - High Capacity Pleated Air Filters 24" x 24" x 4" |
240 Each
| 0002 |
| Filter - High Capacity Pleated Air Filters 24" x 24" x 2" |
60 Each
| 0003 |
| Filter - High Capacity Pleated Air Filters 24" x 12" x 2" |
20 Each
| 0004 |
| Filter - 95% DOP merv 16 V-Bank Mini Pleat Air Filters 24" x 24" x 12" |
220 Each
| 0005 |
| Filter - 95% DOP merv 16 V-Bank Mini Pleat Air Filters 24" x 12" x 12" |
8 Each
| 0007 |
| Filter - Carbon Impregnated Pleated Air Filter 24" x 24"x 4" |
| 30 Each |
OTHER
(See Schedule)
FOB
DESTINATION
7. DELIVERY
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