21202908N2342_SF18 Pg. 1.pdf

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Attached to
Tiger Dams for U. S. Coast Guard Station Venice
Solicitation number
70Z02920Q8N234200
Issued by

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21202908N2342_SF18 Pg. 2.pdf PDF
21202908N2342_Brand Name Justification.pdf PDF
21202908N2342_FAR Clauses.pdf PDF
21202908N2342_Statement of Work.pdf PDF

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REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER) THIS RFQ IS IS NOT A SMALL BUSINESS SET ASIDE

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

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME TELEPHONE NUMBER

AREA CODE NUMBER

6. DELIVERY BY (Date)

7. DELIVERY

FOB DESTINATION

OTHER

(See Schedule)

8. TO:

a. NAME b. COMPANY

c. STREET ADDRESS

d. CITY e. STATE f. ZIPCODE

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE e. ZIP CODE

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 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)

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 15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print) b. TELEPHONE

AREA CODE

NUMBERc. TITLE (Type or print)

Previous edition not usable STANDARD FORM 18 (Rev. 6-95) Prescribed by GSA - FAR 48 (CPR) 53.215-1(a)

this_rfq_is_set_aside: X
this_rfq_is_not_set_aside:
page: 1
of_pages: 2
1_request_no: 70Z02920Q8N234200
2_date_issued: 7/20/2020
3_requistion_no: 21202908N2342
4_rating:
5_a_issued_by: USCG Base New Orleans 1790 Saturn Blvd. New Orleans, LA 70129
5_b_name: SK1 Jackie Robinson
5_b_area_code: 502
5_b_phone: 779-5329
6_delivery_by: 14 DAY ARO
7_delivery_fob_destination: X
7_delivery_other:
8_a_name:
8_c_street_address:
8_b_company:
8_d_city:
8_e_state:
8_f_zip_code:
9_a_name_of_consignee: U.S. Coast Guard Sta Venice
9_b_street_address: 436 Coast Guard Rd.
9_c_city: Venice
9_d_state: LA
9_e_zip_code: 70091
10_date: 7/24/2020
11_a_item_no:
0:
1:
2: 1
3: 2
4: 3
5:
6:
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8:
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10:
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18:
17:
11_b_supplies_svs:
0: Request Brand Name / Exact equipment
1: requested on attached Statement of Work
2: Materials
3: On-Site Training
4: Total
5:
6:
7: FEDERAL ACQUISITION REGULATION (FAR)
8: CLAUSES ARE INCLUDED
9: IN THIS ORDER AND ARE APPLICABLE.
10:
11:
12: VENDORS DOING BUSINESS WITH THE COAST
13: GUARD MUST BE REGISTERED OR BE WILLING
14: TO REGISTER WITH SAM,www.sam.gov
15:
16: NAISC: 237990
18: (See Attached Continuation Sheet)
17: Small Business Size Standard: 39.5M
11_c_quantity:
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3: 1
4: 1
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11_f_amount:
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1: 0
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3: 0
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5: 0
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12_b_20_calendar_days:
12_a_10_calendar_days:
12_c_30_calendar_days:
12_d_calendar_days:
12_d_percentage:
note_are_attached:
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13_a_name_of_qupter:
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15_date_of_quote:
16_signer_a_name:
16_signer_b_area_code:
16_signer_b_phone:
16_signer_c_title:
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