inspection contract sf18.docx

NAME OF OFFEROR OR CONTRACTOR

NAME OF OFFEROR OR CONTRACTOR

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

PAGES

1. REQUEST NO.

42-7C27-0-06 (ARRA)

2. DATE ISSUED

8/19/2010

3. REQUISITION/PURCHASE REQUEST No.

N/A

N/A

5a. ISSUED BY USDA, Rural Development Stillwater, OK {See Below for address}

6. DELIVER BY (DATE)

September 30, 2011

(405)

NUMBER

742-1004

9. DESTINATION

Stillwater, OK 74074 carolyn.stipe@ok.usda.gov

a. NAME OF CONSIGNEE

8. TO:

a. NAME

DUNS NUMBER __________________

b. COMPANY

b. STREET ADDRESS

c. STREET ADDRESS

c. CITY

d. CITY

e. ZIP CODE

10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5A ON OR BEFORE

4:30 P.M. on Friday September 10, 2010 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)

Construction Management for WEP and CF projects funded through allocations provided by the American Recovery and Reinvestment Act (ARRA) Please refer to page 37 for instructions for submitting your quote.

Each

NOTE: Additional provisions and representations |X| are |_| are not attached.

a. NAME OF QUOTER

SIGN QUOTATION

c. COUNTY

AREA CODE

d. CITY

e. STATE

f. ZIP CODE

c. TITLE (Type or print)

NUMBER

Previous edition not usable

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

Form FmHA 336 (8-87) Form FmHA 336 (8-87)