70Z02720QP2P00000.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: ****FOR SMALL BUSINESS ONLY***

Request for quote to provide all labor, materials, and equipment needed for calibration, performance and safety checks using manufacturer suggested periodic calibration as per attached statement of work, FAR Clauses& Provisions, and DOL Wage Determination.

This RFQ is for the calibration, performance and safety checks using manufacturer suggested periodic calibration procedures and application per the governing body guidelines.

All bidders are strongly encouraged to visit the site to examine the property and verify quantities prior to submitting a bid.

Interested parties shall make arrangements for a site visit with Kyle Lind at 757-483-8557 Kyle.J.Lind@uscg.mil QUANTITY cREQUIREMENTS CONTINUATION ON PAGE 2:

CONTINUATION ON PAGE 3: Base year of 12/1/2019-11/30/2020 Option year 1: 12/1/2020-11/30/2021 Option year 2: 12/1/2021-11/30/2022 Option year 3: 12/1/2022-11/30/2023 Option year 4: 12/1/2023-11/30/2024

The Coast Guard Reserves the right to issue this service purchase on an all or none basis. The overall value to the government being the determining factor.

All Quotations shall include the following additional information:

• Contractor GSA Contract# (if applicable)

• Contractor Tax Identification Number

• Contractor Dun & Bradstreet (DUNS) Number

• Accurate quote meeting all specifications therein

Submit this form along with your quote & one copy of your business and/ or contractor's license & liability insurance certificate.

CONTRACTOR MUST BE REGISTERED IN WWW.SAM.GOV IN ORDER TO OBTAIN THIS CONTRACT AWARD.

QUANTITYCONTINUATION ON PAGE 3:

UNITCONTINUATION ON PAGE 3:

The applicable Small Business Size Standard in accordance with NAICS Code - $20500000.00

HSAR Clause 3052.209-70 Prohibition on Contracts with Corporate Expatriates " For more information on this see the Department of Homeland Security Acquisition Regulations:

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

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

End of Requirement