RFQ_NO._693C7319Q000002.pdf

693C7319Q000002

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

HFLECO190026PR

1 3

Eastern Federal Lands Highway Div.

21400 Ridgetop Circle

ATTN: JAN BEAVER

Federal Highway Administration

703-404-6216 Sterling VA 20166-6511

08/01/2019

Federal Highway Administration

Eastern Federal Lands Highway Div.

1827 Jack Delozier Dr.

Sevierville

TN 37876

703 404-6216Jan Beaver

12/06/2018 1500 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

THIS SOLICITATION IS PREPARED IN ACCORDANCE WITH

FEDERAL ACQUISITION REGULATION PART 13,

SIMPLIFIED ACQUISITION PROCEDURES.

IT Related Pur: IT PURCHASE-NO

00001 SUBMIT A PRICE QUOTATION IN ACCORDANCE WITH THE

ATTACHED STATEMENT OF WORK TO PROVIDE CALIBRATION

SERVICES FOR THE MATERIALS LABORATORY LOCATED IN

THE FEDERAL HIGHWAY ADMINISTRATION'S SEVIERVILLE,

TENNESSEE, OFFICE. YOUR QUOTATION MUST INCLUDE A

WRITTEN BREAKDOWN OF COSTS AND ADDRESS ALL

REQUIREMENTS IN THE SOW.

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 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

693C7319Q000002

SUBMIT COST FOR TRAVEL REQUIRED TO PERFORM

SERVICES AS OUTLINED IN THE ATTACHED STATEMENT OF

WORK. AIRFARE, LODGING, MEALS, AND MISCELLANEOUS

EXPENSES SHALL BE ON A REIMBURSABLE BASIS WITH

THE MEALS AND LODGING NOT TO EXCEED THE MAXIMUM

ALLOWABLE PER DIEM RATE ESTABLISHED BY THE GSA

FEDERAL REGULATIONS (14 CFR 301-304) FOR SEVIER

COUNTY, TENNESSEE, AT TIME OF TRAVEL.

MISCELLANEOUS EXPENSES MUST BE SUPPORTED WITH

RECEIPTS. ANY LOCAL TRAVEL SHALL BE REIMBURSED

AT THE GSA RATE (PER MILE) AT TIME OF TRAVEL.

PLEASE ANNOTATE ESTIMATED TRAVEL COSTS TO INCLUDE

INITIAL ON-SITE SERVICE CALL TO BE SCHEDULED IN

JANUARY 2019, AND ON-SITE SERVICE CALL TO BE

SCHEDULED 6 MONTHS AFTER INITIAL SERVICE CALL.

IMPORTANT PAYMENT REQUIREMENT:

IN ACCORDANCE WITH FEDERAL ACQUISITION REQULATION

(FAR) SUBPART PART 4.1102, PROSPECTIVE

CONTRACTORS SHALL BE REGISTERED IN THE SYSTEM FOR

AWARD MANAGEMENT (SAM) DATABASE PRIOR TO AWARD OF

A CONTRACT. ALSO, FAR CLAUSE 52.232-33 REQUIRES

SAM REGISTRATION FOR PAYMENT. SAM REGISTRATION

IS AVAILABLE ONLINE AT WWW.SAM.GOV.

RESPONSES TO QUOTATION WILL BE ACCEPTED VIA FAX

NUMBER 571-434-1551, OR E-MAIL:

JAN.BEAVER@DOT.GOV AND MUST BE RECEIVED BY

3:00 P.M., EST, THURSDAY, DECEMBER 6, 2018.

THIS SOLICITATION INCORPORATES BY REFERENCE, WITH

THE SAME FORCE AND EFFECT AS IF THEY WERE GIVEN

IN FULL TEXT, THE FOLLOWING FEDERAL ACQUISITION

REGULATION (FAR) PROVISIONS AND CLAUSES:

52.204-8 ANNUAL REPRESENTATIONS AND

CERTIFICATIONS.

THE REPRESENTATIONS AND CERTIFICATIONS MUST BE

FILLED IN ONLINE AT WWW.SAM.GOV.

52.204-10 REPORTING EXECUTIVE COMPENSATION AND

FIRST-TIER SUBCONTRACT AWARDS.

PLEASE PROVIDE THE FOLLOWING WITH YOUR QUOTATION:

FEDERAL TAX ID NUMBER:

DUN AND BRADSTREET (DUNS) NUMBER:

Continued ...

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

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

693C7319Q000002

***ANY QUESTIONS REGARDING THIS SOLICITATION

SHOULD BE SENT VIA EMAIL FOR RESPONSE TO:

JAN.BEAVER@DOT.GOV.***

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