SF-18_RFQ.pdf

NO RISK LEVEL DESIGNATION

28321319Q00000136

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

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)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

01/08/2019 3303-19-1096

1 27

Office of Acquisition and Grants 1540 Robert M. Ball Building 6401 Security Blvd

Social Security Administration

Baltimore MD 21235

Social Security Administration

410-966-4055 Rcvg Hrs: 6:00a-2:30p National Computer Ctr Loading Dock 6201 Security Blvd

Baltimore

MD 21235-2000

410 966-8765RICK BOLT

01/11/2019 1200 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Renewal of 28321318P00051088 for Microsoft Dynamics 365 licenses.

The following is a Request for Quote (RFQ) for maintenance on various software products manufactured by Microsoft. Please provide your most favorable open market quote for the renewal of maintenance for the various software items listed below:

Maintenance on the item below includes a subscription to upgrades, updates, and fixes as well as technical support.

0001 12 months subscription for DYNCRMOLPROFORGOV 150 EA Continued ...

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

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 27

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

28321319Q00000136

SHRDSVR ALNG SUBSVL MVL PERUSR ALL LANGUAGES

SAAS. Manufacturer Part Number: FT9-00001

0002 12 months subscription for DYNCRMOL 1 EA

TESTINSTFORGOV SHRDSVR ALNG SUBSVL MVL SRVCS

E-CERTIFICATE. Manufacturer Part number:

FU5-00001

0003 12 months subscription for 2 EA

DYN365EFORTEAMMEMBERSGOV SHRDSVR ALNG MVL PERUSR

ALL LANGUAGES SAAS. Manufacturer Part number:

DGY-00011

0004 12 months subscription for 1 EA

DYN365ECSTENGADDLPRTLGOV SHRDSVR ALNG SUBSVL MVL

ADDON ALL LANGUAGES SAAS. Manufacturer Part number: DJJ-00001

0005 12 months subscription for 1 EA

DYN365ECSTENGNONPRODINSTGOV SHRDSVR ALNG SUBSVL

MVL SRVCS ALL LANGUAGES SAAS. Manufacturer part number: DJW-00001

* - INSTRUCTIONS - *

You must submit with their quotation the following articles:

• Completed Additional Information Sheet;

• Your Tax Identification Number (TIN);

• Your Dun & Bradstreet Number (DUNS); and

• A copy of your commercial price list

* - EVALUATION OF QUOTATIONS - *

SSA intends to award a single firm-fixed price contract for this procurement.

The document titled "RFQ Additional Information" is embedded in Section D,Pg 24.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)