RFQ_Jib_Hanks_Page_3.pdf

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Jib Hanks for USCGC EAGLE (WIX 327)
Solicitation number
2315855XQE460
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RFQ Page 3

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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: 3
of_pages: 3
1_request_no: 001
2_date_issued: 08-06-2015
3_requistion_no: 2315855XQE460
4_rating:
5_a_issued_by: USCGC EAGLE (WIX 327)
5_b_name: BMC JOHN ELSBREE
5_b_area_code: 860
5_b_phone: 625-0831
6_delivery_by: 05OCT2015
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: USCGC EAGLE (WIX 327)
9_b_street_address: 2401 Hawkins Point Road
9_c_city: BALTIMORE
9_d_state: MD
9_e_zip_code: 21226-5000
10_date:
11_a_item_no:
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11_b_supplies_svs:
0: 8)FAR 52.222-3 CONVICT LABOR
1: 9)FAR 52.222-19 CHILD LABOR-
2: COOPERATION WITH AUTHORITIES AND
3: REMEDIES
4: 10)FAR 52.222-26 EQUAL OPPORTUNITY
5: 11)FAR 52.222-35 EQUAL OPPORTUNITY TO
6: VETERANS
7: 12)FAR 52.222-36 AFFIRMATIVE ACTION FOR
8: WORKERS WITH DISABILITIES
9: 13)FAR 52.222-40 NOTIFICATION OF
10: EMPLOYEE RIGHTS UNDER THE NATIONAL
11: LABOR RELATIONS ACT
12: 14)FAR 52.222-54 EMPLOYMENT ELIGIBILITY
13: VERIFICATION
14: 15)FAR 52.223-18 ENCOURAGING
15: CONTRACTOR POLICIES TO BAN TEXT
16: MESSAGING WHILE DRIVING
18:
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11_f_amount:
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1: 0
2: 0
3: 0
4: 0
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:
note_are_not_attached:
13_a_name_of_qupter:
13_b_street_address:
13_c_county:
13_d_city:
13_e_state:
13_f_zip_code:
15_date_of_quote:
16_signer_a_name:
16_signer_b_area_code:
16_signer_b_phone:
16_signer_c_title:
Reset:

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