Request for Quote modified 3_70Z04523QKODI0134.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: U.S. Coast Guard Base Kodiak requires services for the preparation, shipment, and off-site disposal/recycling of hazardous waste and/or other regulated wastes as noted in section 12 of SOW.

Contractor to provide all services necessary for the shipment, preparation, transportation, final treatment, disposal, and/or recycling of items listed IAW all local, state, and federal laws and regulations, and the terms and conditions of this contract. These services include all necessary personnel, including applicable Subcontractors, labor, transportation, equipment, and the compilation and submission of all documentation required by this contract.

Upon notice to proceed, contractor will have 30 days to initiate shipment.

Work to be performed IAW attached SOW.

100% SMALL BUSINESS SET ASIDE

Govt Estimate NTE $60,000.00 QUANTITY cREQUIREMENTS CONTINUATION ON PAGE 2:

CONTINUATION ON PAGE 3: NAICS CODE 562112

Hazardous Waste Collection Size Standard: $47M

All Quotations shall include the following additional information:

• Contractor Unique Entity Identifier (UEI)

• Contractor MUST be registered in SAM.GOV in accordance with FAR Subpart 4.1102

Evaluations will be made based on specifications of services offered, price and delivery time. After evaluation, award will be FIRM FIXED PRICE to the lowest offer technically acceptable

Submit all quotes electronically to:

Jacqueline.L.Robinson@uscg.mil

ATTACHED FAR CLAUSES APPLY

COMMERCIAL PRODUCTS AND SERVICES- Provisions & Clauses FAC 2022-08 Effective: 10/28/2022

Service Contract Act WD# 2015-5687, Revision 19, Dated 12/27/2022 applies

QUANTITYCONTINUATION ON PAGE 3:

UNITCONTINUATION ON PAGE 3: