SF18_70Z08121QPEC129.pdf

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Attached to
USCG Base Elizabeth City Building 97 Generator & Quick Disconnect Install
Solicitation number
70Z08121QPEC129
Issued by

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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: 1
1_request_no: 70Z08121QPEC129
2_date_issued: 07/09/2021
3_requistion_no: 21-21-811PEC129
4_rating:
5_a_issued_by: SK3 Briana Beaver, USCG Airstation Elizabeth City(P&C)
5_b_name: SK3 Briana Beaver
5_b_area_code: 252
5_b_phone: 335-6518
6_delivery_by: 9/01/2021
7_delivery_fob_destination: X
7_delivery_other:
8_a_name: Prospective Offerors
8_c_street_address:
8_b_company:
8_d_city:
8_e_state:
8_f_zip_code:
9_a_name_of_consignee: USCG Base Elizabeth City,Bld 97
9_b_street_address: 1664 Weeksville rd
9_c_city: Elizabeth City
9_d_state: NC
9_e_zip_code: 27909
10_date: 07/30/2021
11_a_item_no:
0:
1:
2:
3: 001
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11_b_supplies_svs:
0: VENDOR IS TO PROVIDE WITH THE FOLLOWING
1: SERVICES:
2:
3: Providing all supervision, labor,
4: transportation, equipment, parts,
5: tools, and materials necessary for
6: Bldg 97/FED portable E-Gen connection
7: as per Scope of Work.
8:
9:
10: FAR Clauses & Provisions and Service
11: Act Wage Rates are applicable
12:
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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:
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12_c_30_calendar_days:
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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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