693JK323Q0019 .pdf

693JK323Q0019

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

08/21/2023

1 2

Acquisition Services Division 1200 New Jersey Avenue SE, East Bldg, 3rd Fl Washington DC 20590

PIPELINE AND HAZARDOUS MATERIALS SA

LA'QUISE DURHAM

08/28/2023 1100 ES

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

This RFQ is for "OPEN MARKET" pricing (FAR Part 13 - Simplified Acquisition Procedures). The applicable NAICS CODE is 423490- Other Professional Equipment and Supplies Merchant Wholesalers. PHMSA's Accident Investigation Division (AID), Oklahoma City, has identified the need to procure 30 Air Monitors and accessories and provide training to investigators. The purpose of this RFQ is to procure a 30 Air Monitors and accessories to include a one hour training. Your company is invited to submit an Open Market quote (FAR Part 13 - Simplified Acquisition Procedures) in response to this Request For Quotation (RFQ) 693JK323Q0019 " 30 AIR MONITORS Procurement."

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)

693JK323Q0019

Shipping addresses will be provided upon award.

00001 J-G7C-Q-FHMO-NA2-5Y "G7C quad gas (LEL-MPS, O2, 30 EA

CO, H2S) monitor-Diffusion, 5 Year Warranty"

00002 P-DOCK-P-NA-5Y "G7 Bump and Calibration Dock Kit 25 EA complete with demand flow regulator, tubing and connector along w/ 5-year warranty"

00003 R-0.5 0.5 liter per minute fixed flow regulator 30 EA

(Requires cal gas cylinder)

00004 FX-60-155-5300 60-liter refillable cylinder quad 25 EA gas mixture (50% LEL CH4, 18% O2, 100 PPM CO, 25

PPM H2S)

00005 Vendor is responsible for providing PHMSA end 1 HR users a general overview of the operation of the meters including calibration. This training is expected to be conducted virtually.

(Not Separately Priced)

Please read the following incorporated documents below as they are part of this:

RFQ:

1. SF-18 (this document) / RFQ Details (Attachment A

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