STATION_CAPE_CHARLES_Waste_removal_SF-18.pdf

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REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE PAGE OF PAGES

1. REQUEST NO.

RFQ #

2. DATE ISSUED

3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY

6. DELIVER BY (Date)

5b. FOR INFORMATION CALL (NO COLLECT CALLS) 7. DELIVERY

OTHER

FOB DESTINATION (See Schedule) NAME email:

TELEPHONE NUMBER

AREA CODE

NUMBER

9. DESTINATION

a. NAME OF CONSIGNEE

8. TO:

a. NAME

b. COMPANY b. STREET ADDRESS

c. STREET ADDRESS c. CITY

d. CITY e. STATE f. ZIP CODE d. STATE

e. ZIP CODE

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date)

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 service. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotation must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO.

(a)

SUPPLIES/ SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

********************REQUIREMENT(S) ************************

CONTINUATION ON PAGE 2

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 are are not attached.

13. NAME AND ADDRESS OF QUOTER 14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF QUOTATION

a. NAME OF QUOTER

b. STREET ADDRESS 16. SIGNER

a. NAME (Type or print) b. TELEPHONE

c. COUNTY AREA CODE

d. CITY e. STATE f. ZIP CODE c. TITLE (Type or print) NUMBER

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED

PAGES

2 of

NAME OF OFFEROR OR CONTRACTOR

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

CONTINUATION ON PAGE 3

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

Sponsored by GSA FAR (48 CFR) 53.110

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED

PAGES

of

NAME OF OFFEROR OR CONTRACTOR

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

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

Sponsored by GSA FAR (48 CFR) 53.110

CONTINUATION ON PAGE 2: Waste removal services for USCG Station Cape Charles, 1 Marina Road, Cape charles VA 23310

BASE YEAR: 10/1/2019 - 09/30/2020

OPTION YEAR #1: 10/1/2020-09/30/2021

OPTION YEAR #2: 10/1/2021-09/30/2022

OPTION YEAR #3: 10/1/2022-09/30/2023

OPTION YEAR #4: 10/1/2023-09/30/2024

QUANTITY cREQUIREMENTS CONTINUATION ON PAGE 2: 12 MO

12 MO

12 MO

12 MO

12 MO

CONTINUATION ON PAGE 3:

All Quotations shall include the following additional information:

• Contractor GSA Contract# (if applicable)

• Contractor Tax Identification Number

• Contractor Dun & Bradstreet (DUNS) Number

• Product information showing all specifications and capabilities for the product being offered for review in meeting the Government's need.

*****QUOTATION EVALUATION FACTORS*********

Quotes will be evaluated on a lowest price technically acceptable basis (LPTA). The lowest priced quote will be evaluated for technical acceptability. If it is found to be acceptable, award will be made. If it is not found acceptable, the next lowest quote will be evaluated

All quotations furnished in response to this RFQ may be submitted via email with the Subject Line to read:

RFQ # 70Z02720Q5AJ028

email: Heather.K.Gillespie@uscg.mil

For questions/concerns please contact SKC Heather Gillespie at the email above or at: 757-295-2227.

The NAICS Code for this requirement is 562111 Solid Waste Collection

The applicable Small Business Size Standard in accordance with NAICS Code 562111 is $41.5M

https://www.dhs.gov/xlibrary/assets/opnbiz/hsar.pdf

The United States Coast Guard is tax exempt, and the tax exempt number is B239641.

Payments will be made via Purchase Order or Government-wide purchase Card

End of Requirement