SF18-95a Request for Quote r1.pdf
PDF 14 KB Posted
- Solicitation number
- 246-22-Q-0139
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Text version
11. SCHEDULE (Include applicable Federal, State and local taxes)
ITEM NUMBER
(a)
SUPPLIES/SERVICES
(b)
QUANTITY
(c)
UNIT
(d)
UNIT PRICE
(e)
AMOUNT
(f)
1 Contractor shall furnish and install a water service line, pump house, pump, pressure tank and appurtenances in accordance with the Statement of Work and Drawings.
Additional Provisions and Conditions
(10 pages; 2-11 are attached hereto)
Scope of Work including Drawings (attached)
Statement of Work (2 pages), Drawing (1 page).
Davis Bacon General Wage Decision OK20220030
Dated 08/05/2022 is hereby incorporated, 7 pages
(attached)
FAR Clause 52.213-4 attached
FAR Clause 52.204-7 applies
Official Site Visit information page 10
1 JB
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 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
Previous edition not usable
STANDARD FORM 18 (REV. 6/1995)
Prescribed by GSA-FAR (48 CFR) 53.215-1(a)
REQUEST FOR QUOTATION
(THIS IS NOT AN ORDER)
1. REQUEST NUMBER
246-22-Q-0139 5a. ISSUED BY
THIS RFQ IS IS NOT A BUY-INDIAN SET-ASIDE
PAGE OF PAGES
RATING
6. DELIVER BY (Date)
Indian Health Svc-Oklahoma City Area, 701 Market Drive, Oklahoma City, OK 73114
5b. FOR INFORMATION CALL (NO COLLECT CALLS) 7. DELIVERY
OTHER
NAME FOB DESTINATION (See Schedule)
Jeffrey Earnest
8. TO:
a. NAME
To Prospective Offerors
c. STREET ADDRESS
d. CITY
9. DESTINATION
a. NAME OF CONSIGNEE
OEH&E Field Office
b. STREET ADDRESS
1201 Heritage Circle
c. CITY
Pawnee
e. ZIP CODE
74058
10. PLEASE FURNISH QUOTATIONS TO THE
ISSUING OFFICE IN BLOCK 5a ON OR
BEFORE CLOSE OF BUSINESS (Date)
09/20/2022
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.
d. STATE
OK
f. ZIP CODE e. STATE
b. COMPANY
NUMBER
951-3740
AREA CODE
TELEPHONE NUMBER
4. CERT. FOR NAT. DEF.
UNDER BDSA REG. 2
AND/OR DMS REG. 1
3. REQUISITION/PURCHASE REQUEST NUMBER
IHS1453741
2. DATE ISSUED
08/11/2022
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