RFQ_NO._693C7319Q000029.pdf

693C7319Q000029

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

05/29/2019 HFLETS190041PR

1 2

Eastern Federal Lands Highway Div.

21400 Ridgetop Circle

ATTN: JAN BEAVER

Federal Highway Administration

703-404-6216 Sterling VA 20166-6511

06/13/2019

Federal Highway Administration

Eastern Federal Lands Highway Div.

21400 Ridgetop Circle

Sterling

VA 20166-6511

703 404-6216Jan Beaver

06/13/2019 1500 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

***ALL VENDOR RESPONSES SHOULD INCLUDE

AUTHORIZATION/CERTIFICATION TO SERVICE DYNATEST

FALLING WEIGHT DEFLECTOMETER.***

PROVIDE GOVERNMENT PRICING FOR THE FOLLOWING:

IT Related Pur: NO

00001 DYNATEST FALLING WEIGHT DEFLECTOMETER (FWD)

8002-229 CP15 UPGRADE ITEMS DUE TO A MALFUNCTION

IN THE ELECTRONIC SYSTEM, THE 9000 PROCESSOR.

THE REQUIRED SERVICES AND PARTS ARE NO LONGER

SUPPORTED BY THE MANUFACTURER. THE CP15 IS THE

CURRENT SYSTEM SUPPORTED BY THE MANUFACTURER AND

IS ALSO COMPATIBLE WITH CURRENT COMPUTER SOFTWARE.

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 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

693C7319Q000029

00002 ITEM 2001096 - DYNATEST BRONZE 1-YEAR SERVICE

PLAN, FOR FALLING WEIGHT DEFLECTOMETER (FWD), TO

INCLUDE HYDRAULIC SERVICE; REPLACEMENT OF:

MOTOR RELAY, PRESSURE SWITCHES, C&D VALVES, OIL

FILTER, INNER RING, HEAVY SPRING, AND WEIGHT LIFT

FLANGE; AND CALIBRATION BASED ON AASHTO R32 FOR

THE EQUIPMENT TO PROVIDE DATA.

00003 TRAINING - 3-DAY TRAINING TO INCLUDE, FWD

OPERATIONS/MAINTENANCE/TROUBLESHOOTING WITH

UPGRADES.

PROVIDE THE FOLLOWING INFORMATION WITH YOUR

QUOTATION:

DUN & BRADSTREET (DUNS) NUMBER:

FEDERAL TAX ID NUMBER:

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. FAR

CLAUSE 52.232-33 REQUIRES SAM REGISTRATION FOR

PAYMENT. IN ADDITION, WHEN SETTING UP VENDOR

INFORMATION IN THE SAM DATABASE, THE D&B LEGAL

NAME SHOULD BE THE SAME AS THE IRS CONSENT NAME.

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,

OR MAIL TO THE ADDRESS IN BLOCK NO. 9, AND MUST

BE RECEIVED BY 3:00 PM, EST, THURSDAY,

JUNE 13, 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 RESPONSE VIA EMAIL TO ALL

VENDORS.

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