RFQ_NO._693C7319Q000007.pdf

693C7319Q000007

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

01/17/2019 HFLEAD190019PR

1 4

Eastern Federal Lands Highway Div.

ATTN: JAN BEAVER

21400 Ridgetop Circle

Federal Highway Administration

703-404-6216 Sterling VA 20166-6205

01/31/2020

Federal Highway Administration

Eastern Federal Lands Highway Div.

Administrative Services Office 21400 Ridgetop Circle

Sterling

VA 20166-6205

703 404-6216Jan Beaver

02/01/2019 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 13, SIMPLIFIED

ACQUISITION PROCEDURES.

PROVIDE PRICING FOR THE FOLLOWING SHARP EQUIPMENT

MAINTENANCE LOCATED AT THE FEDERAL HIGHWAY

ADMINISTRATION, 21400 RIDGETOP CIRCLE, STERLING,

VIRGINIA, THROUGH JANUARY 31, 2020.

***PLEASE NOTE IF ANY SUPPLIES ARE INCLUDED IN

COST OF MAINTENANCE.***

IT Related Pur: NO

00001 Provide Maintenance Agreement for FY19 on Sharp Copiers and Fax Machines located in the Sterling, VA office of Eastern Federal Lands Highway 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 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

693C7319Q000007

Division

Model Number: MX-4101NJ

Serial Number: 20000755

B&W Copies Included Per Month: 7,000

B&W Excess Copy Charge for each copy/print made per month:

Color Copies Included Per Month: 7,000

Color Excess Copy Charge for each copy/print made per month:

12 Months

00002 Model Number: ARM620UJ

Serial Number: 60000904

B&W Copies Included per month: 8,000

B&W Excess Copy Charge for each copy/print made per month:

12 Months

00003 Model Number: ARM620UJ

Serial Number: 40000392

B&W Copies Included per month: 8,000

B&W Excess Copy Charge for each copy/print made per month:

12 Months

00004 Model Number: ARM620UJ

Serial Number: 40000885

B&W Copies Included per month: 8,000

B&W Excess copy Charge for each copy/print made per month:

12 Months

00005 Model Number: MX-4101NJ

Serial Number: 0000313

B&W Copies included per month: 1,000

B&W Excess Copy Charge for each copy/print made per month:

Color Copies included per month: 5,000

Color Excess Copy Charge for each copy/print made per month:

12 Months

Continued ...

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

3 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

693C7319Q000007

00006 Model Number: MX-4101NJ

Serial Number: 20001085

B&W Copies include per month per month: 1,000

B&W Copy Charge for each copy/print made per month:

Color Copies included per month: 3,000

Color Express Copy Charge for each copy/print made per month:

12 Months

00007 Model Number: MX5001N

Serial Number: 90000337

B&W Copies included per month: 2,000

B&W Excess Copy Charge for each copy/print made per month:

Color Copies included per month: 3,000

Color Excess Copy Charge for each copy/print made per month:

12 Months

00008 Model Number: MX5001NJ

Serial Number: 1000039X

B&W Copies included per month: 1,000

B&W Excess Copy Charge for each copy/print made per month:

Color Copies included per month: 2,000

Color Excess Copy Charge for each copy/print made per month:

12 Months

00009 Model Number: MX7040N

Serial Number: 2514338Y

B&W Copies included per month: 3,000

B&W Excess Copy Charge for each copy/print made per month:

Color Copies included per month: 10,000

Color Excess Copy Charge for each copy/print made per month:

12 Months

00010 Model Number: FO-2081

Serial Number: 25015024

Continued ...

4 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

693C7319Q000007

00011

12 Months

Model Number: FO-2081

Serial Number: 25014974

12 Months

IMPORTANT PAYMENT REQUIREMENT: IN ACCORDANCE WITH

FEDERAL ACQUISITION REGULATION (FAR) SUBPART

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, EMAIL: JAN.BEAVER@DOT.GOV,

AND MUST BE RECEIVED BY 3:00 PM, EST, FRIDAY,

FEBRUARY 1, 2019.

ALL TECHNICAL QUESTIONS SHOULD BE DIRECTED VIA

EMAIL TO: JAN.BEAVER@DOT.GOV. QUESTIONS WILL THEN

BE FORWARDED TO THE CONTRACTING OFFICER'S

REPRESENTATIVE FOR RESPONSES.

PLEASE PROVIDE THE FOLLOWING INFORMATION WITH

YOUR QUOTATION:

DUN & BRADSTREET (DUNS) NUMBER:

FEDERAL TAX ID NUMBER: