sf.18.70Z02921QPMW100.pdf

PDF 1 MB Posted

Attached to
repair broken Fire Hydrant piping under concrete slab Federal contract opportunity
Solicitation number
70Z02921QPMW100
Issued by
Department of Homeland Security US Coast Guard

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wage..determination.pdf PDF
Construction Clauses Provisions FAC 2021-04 - Copy.doc DOC document
sf.18.70Z02921QPMW100.pdf PDF
OF 336.cont.70Z02921QPMW100.pdf PDF
SOW.for.Fire.Hydrant.Repair.docx DOCX document

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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. 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

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME TELEPHONE NUMBER

AREA CODE NUMBER

6. DELIVERY BY (Date)

7. DELIVERY

FOB DESTINATION

OTHER

(See Schedule)

8. TO:

a. NAME b. COMPANY

c. STREET ADDRESS

d. CITY e. STATE f. ZIPCODE

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

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 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)

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

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

a. NAME OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION 15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print) b. TELEPHONE

AREA CODE

NUMBERc. TITLE (Type or print)

Previous edition not usable STANDARD FORM 18 (Rev. 6-95) Prescribed by GSA - FAR 48 (CPR) 53.215-1(a)

this_rfq_is_set_aside: X
this_rfq_is_not_set_aside:
page: 1
of_pages: 2
1_request_no: 00001
2_date_issued: 5/13/2021
3_requistion_no: 70Z02921QPMW100
4_rating:
5_a_issued_by: USCG Base New Orleans
5_b_name: clarence.henshaw@USCG.MIL
5_b_area_code: 504
5_b_phone: 253-4509
6_delivery_by:
7_delivery_fob_destination: X
7_delivery_other:
8_a_name:
8_c_street_address:
8_b_company:
8_d_city:
8_e_state:
8_f_zip_code:
9_a_name_of_consignee: CGC Sangamon
9_b_street_address: 97 Conference Center Dr.
9_c_city: East Peoria
9_d_state: IL
9_e_zip_code: 61611
10_date: 5/21/2021
11_a_item_no:
0: 1
1:
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11_b_supplies_svs:
0: PLEASE SEE SCOPE OF WORK.
1:
2: FEDERAL ACQUISITION REGULATION (FAR)
3: CLAUSES AND DEPARTMENT OF LABOR WAGE
4: RATES FOR CONSTRUCTION ARE INCLUDED
5: IN THIS ORDER AND ARE APPLICABLE.
6:
7:
8:
9: VENDORS DOING BUSINESS WITH THE COAST
10: GUARD MUST BE REGISTERED OR BE WILLING
11: TO REGISTER WITH THE
12: SAM, www.sam.gov
13:
14: NAICS:238220
15:
16: SEE SCOPE OF WORK
18:
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11_f_amount:
0: 0
1: 0
2: 0
3: 0
4: 0
5: 0
6: 0
7: 0
8: 0
9: 0
10: 0
11: 0
12: 0
13: 0
14: 0
15: 0
16: 0
18: 0
17: 0
12_b_20_calendar_days:
12_a_10_calendar_days:
12_c_30_calendar_days:
12_d_calendar_days:
12_d_percentage:
note_are_attached:
note_are_not_attached:
13_a_name_of_qupter:
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15_date_of_quote:
16_signer_a_name:
16_signer_b_area_code:
16_signer_b_phone:
16_signer_c_title:
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