2009Q-11335.doc

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REPLACEMENT AIR FILTERS
Solicitation number
2009-Q-11335
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AMENDMENT #3 TO CHANGE LINE ITEMS #4 AND #5

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REQUEST FOR QUOTATIONS

(THIS IS NOT AN ORDER)

THIS RFQ

PAGE OF PAGES

1. REQUEST NO.

2009-Q-11335

2. DATE ISSUED

06/03/2009

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
Kim Groves (kpg0@cdc.gov)
(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)

AMENDMENT 3

Amendment to correct Line Items #4 & #5

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 (22-24 Pleats), Merv 8, 40%

24" x 24" x 4"

240 Each

0002
Filter - High Capacity Pleated Air Filters, (18-22 Pleats), Merv 8, 40%

24" x 24" x 2"

60 Each

0003
Filter - High Capacity Pleated Air Filters, (10-12 Pleats), Merv 8, 40%

24" x 12" x 2"

20 Each

0004
Filter - 95% V-Bank Mini Pleat Air Filters, Merv 14, (same as Air Handler 4E412)

24" x 24" x 12"

220 Each

0005
Filter - 95% V-Bank Mini Pleat Air Filters, Merv 14,

24" x 12" x 12"

8 Each

0007
Filter - Carbon Impregnated Pleated Air Filter, Odor Control (to remove exhaust fumes)

24" x 24"x 4" 30 Each

AIR FILTERS ARE NOT ANTI-BACTERIAL

ALL INQUIRIES MUST BE MADE THROUGH THE EMAIL LISTED ON THE FIRST PAGE.

OTHER

(See Schedule)

FOB

DESTINATION

7. DELIVERY

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