SF18-95a Request for Quote 246-24-Q-0173.pdf
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- Solicitation number
- 246-24-Q-0173
About this file
This document is a Request for Quotation (RFQ) for leachfield chamber supplies for the Lawton Indian Health Service office. The solicitation has a requirement number of 246-24-Q-0173 and an estimated price range of less than $25,000. This is a 100% Indian Owned set-aside under NAICS code 221320. The period of performance requested is FOB 30 days from date of award. Quotes are due by July 24, 2024 and should be submitted via email or in a sealed envelope. Award will be made to the responsible, responsive offeror with the lowest reasonable price that meets all technical specifications. Offerors must provide a firm, fixed price quote, technical specifications, past performance, and the required Indian Economic Enterprise Representation Form.
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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 The Contractor shall furnish leachfield chamber supplies as requested in the attached Statement of Work.
Additional Provisions and Conditions (10 pages; 2-11 are attached hereto)
Scope of Work includes: Statement of Work (1 page), (attached).
Estimated price range on this solicitation: Less than $25,000.
FAR Clause 52.212-4 attached FAR Clause 52.204-7 applies
1 LS
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
246-24-Q-0173 5a. ISSUED BY
THIS RFQ IS IS NOT A BUY-INDIAN SET-ASIDE
PAGE OF PAGES
RATING
6. DELIVER BY (Date)
Oklahoma City Area Office Indian Health Service 701 Market Dr. Oklahoma City, OK73114
Noleen Powell, Contract Specialist Noleen.Powell@ihs.gov
d. CITY
9. DESTINATION
a. NAME OF CONSIGNEE
OEH&E Field Office
b. STREET ADDRESS
1515 Lawrie Tatum Rd
c. CITY
Lawton
e. ZIP CODE
73507
10. PLEASE FURNISH QUOTATIONS TO THE
ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date)
07/24/2024
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
951-3975
AREA CODE
TELEPHONE NUMBER
4. CERT. FOR NAT. DEF.
UNDER BDSA REG. 2
AND/OR DMS REG. 1
3. REQUISITION/PURCHASE REQUEST NUMBER
IHS1498184
2. DATE ISSUED
07/12/2024
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