03.03__CombSyn_Attachment_I_-_SF_18.pdf

70CDCR18Q00000027

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

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 ASIDE

192118FPHSHOE3038

1 3

Immigration and Customs Enforcement Office of Acquisition Management 24000 Avila Road, Room 3104

ICE/Detent Mngt/Detent Contract-LAG

Laguna Niguel CA 92677

30 Days After Award

a. NAME OF CONSIGNEE

Immigration & Customs Enforcement

b. STREET ADDRESS

Detention & Removal Operation Florence Detention Center 3250 N. Pinal Parkway Ave

Florence

AZ 85132

949 425-7030NATASHA NGUYEN

08/16/2018 1200 PT

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

0001 3000 PR

0002 3000 PR

Note: The anticipated purchase order will have fixed unit prices with not-to-exceed (NTE) quantities for each CLIN as listed below.

Attachment II- Statement of Work

Base Year Period:

September 1, 2018 - August 31, 2019

Heavy-Duty Step-ins, Canvas, Deck with Toe Cap Shoes. Color: Orange, Size: 5-13

Versatile PVC Sandals. Color: Orange, Size: 9 & 12 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)

X

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)

70CDCR18Q00000027

1001 3000 PR

1002 3000 PR

2001 3000 PR

2002 3000 PR

3001 3000 PR

3002 3000 PR

Option Year One Period:

September 1, 2019 - August 31, 2020

Heavy-Duty Step-ins, Canvas, Deck with Toe Cap

Shoes. Color: Orange, Size: 5-13

(Option Line Item)

09/01/2019

Versatile PVC Sandals. Color: Orange, Size: 9 & 12

(Option Line Item)

09/01/2019

Option Year Two Period:

September 1, 2020 - August 31, 2021

Heavy-Duty Step-ins, Canvas, Deck with Toe Cap

Shoes. Color: Orange, Size: 5-13

(Option Line Item)

09/01/2020

Versatile PVC Sandals. Color: Orange, Size: 9 & 12

(Option Line Item)

09/01/2020

Option Year Three Period:

September 1, 2021 - August 31, 2022

Heavy-Duty Step-ins, Canvas, Deck with Toe Cap

Shoes. Color: Orange, Size: 5-13

(Option Line Item)

09/01/2021

Versatile PVC Sandals. Color: Orange, Size: 9 & 12

(Option Line Item)

09/01/2021

Delivery: 30 Days After Award

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)

70CDCR18Q00000027

4001 3000 PR

4002 3000 PR

5001 1500 PR

5002 1500 PR

Option Year Four Period:

September 1, 2022 - August 31, 2023

Heavy-Duty Step-ins, Canvas, Deck with Toe Cap Shoes. Color: Orange, Size: 5-13

(Option Line Item)

09/01/2022

Versatile PVC Sandals. Color: Orange, Size: 9 & 12 (Option Line Item)

09/01/2022

Six(6) Month Extension Period:

September 1, 2023 - February 29, 2024

Heavy-Duty Step-ins, Canvas, Deck with Toe Cap Shoes. Color: Orange, Size: 5-13

(Option Line Item)

09/01/2023

Versatile PVC Sandals. Color: Orange, Size: 9 & 12 (Option Line Item)

09/01/2023

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