RFQ_NO._693C7319Q000045.pdf

693C7319Q000045

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

09/25/2019

1 3

Eastern Federal Lands Highway Div.

Acquisitions Office 21400 Ridgetop Circle

Federal Highway Administration

ATTN: JAN BEAVER

Sterling VA 20166-6511

10/03/2019

Federal Highway Administration

Eastern Federal Lands Highway Div.

Planning and Programming Office 21400 Ridgetop Circle

Sterling

VA 20166-6205

703 404-6216Jan Beaver

10/03/2019 1600 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.

THIS WILL BE A FIRM, FIXED PRICE CONTRACT.

SUBMIT PRICE QUOTATION IN ACCORDANCE WITH THE

ATTACHED STATEMENT OF WORK AND SUPPORTING

DOCUMENTS TO PERFORM SERVICES FOR PROJECT WV ERFO

FS 2016-1(2) RBC RELOCATION AND MONITORING,

LOCATED IN ELKINS, WEST VIRGINIA.

YOUR QUOTATION MUST INCLUDE FOR EACH TASK IN THE

ATTACHED STATEMENT OF WORK, A BREAKDOWN OF COSTS.

- DIRECT MISCELLANEOUS EXPENSES (NOT TO EXCEED)

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)

693C7319Q000045

MISCELLANEOUS EXPENSES, IF APPLICABLE, SUCH AS

ADMINISTRATIVE COSTS, MUST IDENTIFY ACTUAL

BREAKDOWN OF HOURS AND COSTS.

- DIRECT TRAVEL EXPENSES (NOT TO EXCEED) TRAVEL

(AIRFARE, LODGING, MEALS, AND MISCELLANEOUS

EXPENSES) REQUIRED FOR PERFORMING SERVICES.

AIRFARE SHALL BE ON A REIMBURSABLE BASIS WITH

MEALS AND LODGING NOT TO EXCEED THE MAXIMUM

ALLOWABLE PER DIEM RATE ESTABLISHED BY THE GSA

FEDERAL TRAVEL REGULATIONS (41 CFR 301-304) AT

TIME OF TRAVEL.

- OTHER MISCELLANEOUS EXPENSES SUCH AS CAB FARE

OR RENTAL CAR, AND AIRLINE TRAVEL MUST BE

SUPPORTED WITH RECEIPTS.

IT Related Pur: NO

00001 RUNNING BUFFALO CLOVER RELOCATION AND MONITORING

- PROJECT WV ERFO FS 2016-1(2).

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 ON OR BEFORE 4:00 PM, EST, THURSDAY,

OCTOBER 3, 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.

PLEASE PROVIDE THE FOLLOWING INFORMATION WITH

YOUR QUOTATION:

DUNS NUMBER:

CAGE CODE:

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.

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)

693C7319Q000045

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.

***NOTE: AWARD MAY BE BASED ON OTHER THAN THE

LOWEST COST AND WILL BE BASED ON THE BEST VALUE

TO THE GOVERNMENT. PRICE AND OTHER FACTORS WILL

BE CONSIDERED. AWARD SHALL BE BASED ON PROPOSED

METHODS AND TECHNIQUES TO PERFORM THE

REQUIREMENTS OF THE STATEMENT OF WORK,

QUALIFICATIONS, AND EXPERIENCE. ***

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