70Z08521Q30048B00.docx

**EMERGENCY ORDER **

**PLEASE EXPEDITE QUOTE**

Request for Quotation

USCG SURFACE FORCES LOGISTICS CENTER

2401 Hawkins Point Road, Mail Stop: 26 Baltimore, MD 21226-5000

TO: SK3 Ryan West Voice: 410-762-6434 E-mail: ryan.d.west@uscg.mil

Please provide a quotation for the following, (E-mail on this form), no later than 04/10/21 at 12:00 PM EST Ref. No. 70Z08521Q30048B00

This acquisition is: __Unrestricted / _X_Set aside: _100 _% for: Small business

PLEASE COMPLETE ALL HIGHLIGHTED INFORMATION

FROM: DATE:

ADDRESS:

CONTACT: _________________________________

PHONE: ________________________ FAX NUMBER: ________________________

· ITEM 1

NSN: 3030 01-600-0553

PART NUMBER: MI08BX69

DESCRIPTION: BELT, FLAT

ALTERNATE P/N: N/A

MFG: N/A

QUANTITY: 58 EA UNIT PRICE: ___________ TOTAL: ___________

DESCRIPTIVE SPEC DATA:

MFR P/N: MI08BX69

DRIVE BELT FOR REVERSE OSMOSIS HIGH PRESSURE PUMP

PRESERVE AND PACKAGE INDIVIDUALLY ADEQUATELY TO PREVENT DAMAGE TO THE GASKET DURING

SHIPPING AND HANDLIING

PRESERVATION, PACKAGING & MARKING SHALL BE IN ACCORDANCE WITH SPECIFICATIONS:

PRESERVE/PACKAGE IAW MIL-STD-2073-1E METHOD 10 DATED: 04/22/19

INDIVIDUALLY PACKAGED, BOXED, AND LABELED

· ITEM 2

NSN: 4330 01-561-7999

PART NUMBER: MI020220

DESCRIPTION: FILTER ELEMENT, FLUID

ALTERNATE P/N: N/A

MFG: N/A

QUANTITY: 600 EA UNIT PRICE: ___________ TOTAL: ___________

DESCRIPTIVE SPEC DATA:

MI020220

FILTER ELEMENT, FLUID 20 MICRON

MFR LIFESTREAM WATER SYSTEMS INC

SUPPORTS: REVERSE OSMOSIS WATER PURIFIER PLANT

END USE: USED ON USCGC 418 FT WMSL REVERSE OSMOSIS DISTILLING PLANT

PRESERVE AND PACKAGE INDIVIDUALLY ADEQUATELY TO PREVENT DAMAGE TO THE GASKET DURING

SHIPPING AND HANDLIING

PRESERVATION, PACKAGING & MARKING SHALL BE IN ACCORDANCE WITH SPECIFICATIONS:

PRESERVE/PACKAGE IAW MIL-STD-2073-1E METHOD 10 DATED: 04/22/19

MARK IAW MIL-STD-129

· ITEM 3

NSN: 5331 01-588-1561

PART NUMBER: MI020036

DESCRIPTION: O-RING

ALTERNATE P/N: N/A

MFG: N/A

QUANTITY: 245 EA UNIT PRICE: ___________ TOTAL: ___________

DESCRIPTIVE SPEC DATA:

P/N: MI020036

NAME: O-RING

END ITEM USE REVERSE OSMOSIS WATER PURIFIER PLANT

PRESERVE AND PACKAGE INDIVIDUALLY ADEQUATELY TO PREVENT DAMAGE TO THE GASKET DURING

SHIPPING AND HANDLIING

PRESERVATION, PACKAGING & MARKING SHALL BE IN ACCORDANCE WITH SPECIFICATIONS:

MARK IAW MIL-STD-129

· ITEM 4

NSN: 4330 01-650-2904

PART NUMBER: MI030045

DESCRIPTION: FILTER ELEMENT, FLUID

ALTERNATE P/N: N/A

MFG: N/A

QUANTITY: 20 EA UNIT PRICE: ___________ TOTAL: ___________

DESCRIPTIVE SPEC DATA:

MI030045

FILTER ELEMENT

SUPPORTS: REVERSE OSMOSIS WATER PURIFIER PLANT

END USE: USED ON USCGC 418 FT WMSL REVERSE OSMOSIS DISTILLING PLANT

PRESERVE AND PACKAGE INDIVIDUALLY ADEQUATELY TO PREVENT DAMAGE TO THE GASKET DURING

SHIPPING AND HANDLIING

PRESERVATION, PACKAGING & MARKING SHALL BE IN ACCORDANCE WITH SPECIFICATIONS:

PRESERVE/PACKAGE IAW MIL-STD-2073-1E METHOD 10 DATED: 04/22/19

MARK IAW MIL-STD-129

· ITEM 5

NSN: 4620 01-619-8935

PART NUMBER: PV090100

DESCRIPTION: SUCTION STABILIZER

ALTERNATE P/N: N/A

MFG: N/A

QUANTITY: 04 EA UNIT PRICE: ___________ TOTAL: ___________

DESCRIPTIVE SPEC DATA:

PV090100

SUPPORTS: REVERSE OSMOSIS WATER PURIFIER PLANT

END USE: USED ON USCGC 418 FT WMSL REVERSE OSMOSIS DISTILLING PLANT

PRESERVE AND PACKAGE INDIVIDUALLY ADEQUATELY TO PREVENT DAMAGE TO THE GASKET DURING

SHIPPING AND HANDLIING

PRESERVATION, PACKAGING & MARKING SHALL BE IN ACCORDANCE WITH SPECIFICATIONS:

PRESERVE/PACKAGE IAW MIL-STD-2073-1E METHOD 10 DATED: 04/22/19

MARK IAW MIL-STD-129

· ITEM 6

NSN: 4610 01-660-6355

PART NUMBER: MI310505

DESCRIPTION: DESSICANT 2 BAG PACK

ALTERNATE P/N: N/A

MFG: N/A

QUANTITY: 08 EA UNIT PRICE: ___________ TOTAL: ___________

DESCRIPTIVE SPEC DATA:

PART NUMBER: MI310505

SUPPORTS: REVERSE OSMOSIS WATER PURIFIER PLANT

END USE: USED ON USCGC 418 FT WMSL REVERSE OSMOSIS DISTILLING PLANT

PRESERVE AND PACKAGE INDIVIDUALLY ADEQUATELY TO PREVENT DAMAGE TO THE GASKET DURING

SHIPPING AND HANDLIING

PRESERVATION, PACKAGING & MARKING SHALL BE IN ACCORDANCE WITH SPECIFICATIONS:

PRESERVE/PACKAGE IAW MIL-STD-2073-1E METHOD 10 DATED: 04/22/19

MARK IAW MIL-STD-129

· ITEM 7

NSN: 4610 01-648-6028

PART NUMBER: M1060524

DESCRIPTION: MEMBRANE, ADAPTER

ALTERNATE P/N: N/A

MFG: N/A

QUANTITY: 06 EA UNIT PRICE: ___________ TOTAL: ___________

DESCRIPTIVE SPEC DATA:

MEMBRANE, ADAPTER, P/N: M1060524

INDIVIDUALLY PACKAGED IN ACCORDANCE WITH MIL-STD-2073-I E METHOD 10, USING WEATHERRESISTANT

PAPERBOARD FOLDING WITH WATERPROOF BARRIER MATERIALS AND CUSHIONED, AS

NEEDED IN BUBBLE-WRAP, BAGGED AND PACKED IN AN APPROPRIATELY SIZED ASTM-D5118

FIBERBOARD BOX. BAG CLOSURE SHALL BE EFFECTED BY HEAT-SEALING, ADHESIVES, OR TAPING.

OTHER TYPE BAG CLOSURES SUCH AS PRESSURE-FIT, ZIPPER, AND OTHERS, ARE ACCEPTABLE.

PLACED INSIDE OF BAG SHALL BE DESICCANT IN ACCORDANCE WITH TYPE II OR III OF MIL-D- 3464.

MARKING IAW MIL-STD-129R

PRESERVATION, PACKAGING & MARKING SHALL BE IN ACCORDANCE WITH SPECIFICATIONS:

MIL-STD-2073-1E W/CHANGE 17, METHOD 10 DATED: 04/11/15

INDIVIDUALLY MARKED, PACKED AND BARCODED

· ITEM 8

NSN: 6685 01-619-7146

PART NUMBER: PV090050

DESCRIPTION: DAMPNER, FLUID PRESSURE

ALTERNATE P/N: N/A

MFG: N/A

QUANTITY: 06 EA UNIT PRICE: ___________ TOTAL: ___________

DESCRIPTIVE SPEC DATA:

PULSATION DAMPENER

P/N: PV090050

INDIVIDUALLY PACKAGED IN ACCORDANCE WITH MIL-STD-2073-I E METHOD 10, USING WEATHERRESISTANT

PAPERBOARD FOLDING WITH WATERPROOF BARRIER MATERIALS AND CUSHIONED, AS

NEEDED IN BUBBLE-WRAP, BAGGED AND PACKED IN AN APPROPRIATELY SIZED ASTM-D5118

FIBERBOARD BOX. BAG CLOSURE SHALL BE EFFECTED BY HEAT-SEALING, ADHESIVES, OR TAPING.

OTHER TYPE BAG CLOSURES SUCH AS PRESSURE-FIT, ZIPPER, AND OTHERS, ARE ACCEPTABLE.

PLACED INSIDE OF BAG SHALL BE DESICCANT IN ACCORDANCE WITH TYPE II OR III OF MIL-D- 3464.

MARKING IAW MIL-STD-129R

END USE: REVERSE OSMOSIS WATER PURIFIER PLANT

PRESERVATION, PACKAGING & MARKING SHALL BE IN ACCORDANCE WITH SPECIFICATIONS:

INDIVIDUALLY PACKAGE IAW MIL-STD-2073-IE METHOD 10 DATED: 10/01/18

INDIVIDUALLY MARKED, PACKED AND BARCODED

· ITEM 9

NSN: 2940 01-583-0588

PART NUMBER: MI020050

DESCRIPTION: FILTER ELEMENT, FLUID

ALTERNATE P/N: N/A

MFG: N/A

QUANTITY: 155 EA UNIT PRICE: ___________ TOTAL: ___________

DESCRIPTIVE SPEC DATA:

MI020050

SUPPORTS: REVERSE OSMOSIS WATER PURIFIER PLANT

END USE: USED ON USCGC 418 FT WMSL REVERSE OSMOSIS DISTILLING PLANT

PRESERVE AND PACKAGE INDIVIDUALLY ADEQUATELY TO PREVENT DAMAGE TO THE GASKET DURING

SHIPPING AND HANDLIING

PRESERVATION, PACKAGING & MARKING SHALL BE IN ACCORDANCE WITH SPECIFICATIONS:

PRESERVE/PACKAGE IAW MIL-STD-2073-1E METHOD 10 DATED: 04/22/19

MARK IAW MIL-STD-129

· ITEM 10

NSN: 4620 01-619-2779

PART NUMBER: MI160102

DESCRIPTION: CARTRIDGE, BROMINATOR

ALTERNATE P/N: N/A

MFG: N/A

QUANTITY: 30 EA UNIT PRICE: ___________ TOTAL: ___________

DESCRIPTIVE SPEC DATA:

CARTRIDGE, BROMINATOR

P/N: MI160102

END USE 418 WMSL PW SYSTEMS ONBOARD CUTTER

PRESERVE AND PACKAGE INDIVIDUALLY ADEQUATELY TO PREVENT DAMAGE TO THE GASKET DURING

SHIPPING AND HANDLIING

PRESERVATION, PACKAGING & MARKING SHALL BE IN ACCORDANCE WITH SPECIFICATIONS:

PRESERVE/PACKAGE IAW MIL-STD-2073-1E METHOD 10 DATED: 04/22/19

MARK IAW MIL-STD-129

· ITEM 11

NSN: 5331 01-663-1831

PART NUMBER: MI020167

DESCRIPTION: O-RING

ALTERNATE P/N: N/A

MFG: N/A

QUANTITY: 58 EA UNIT PRICE: ___________ TOTAL: ___________

DESCRIPTIVE SPEC DATA:

O-RING

P/N: MI020167

END USE: 418 WMSL REVERSE OSMOSIS DISTILLING PLANT

PRESERVE AND PACKAGE INDIVIDUALLY ADEQUATELY TO PREVENT DAMAGE TO THE GASKET DURING

SHIPPING AND HANDLIING

PRESERVATION, PACKAGING & MARKING SHALL BE IN ACCORDANCE WITH SPECIFICATIONS:

MARK IAW MIL-STD-129

Please complete:

ABLE TO COMPLY WITH THE ABOVE PACKING REQUIREMENTS: YES_____NO_____

INDIVIDUAL PACK & MARK: YES_____NO_____ BAR-CODE: YES _____NO_____

REQUESTED DELIVERY: 03/31/2021

EARLIEST PROPOSED DELIVERY: _________Timeframe____Weeks/Days (circle one)

Payment Accepted: Gov. Purchase Card________ Purchase Order_________

PAYMENT TERMS:__________________________SMALL BUSINESS ? YES: __ NO: __

DUNS NO.: __________________________________

TIN NO.:______________________________ (Must fill in this item at all times)

ACTIVE IN SYSTEM FOR AWARD MANAGEMENT (REQUIRED FOR AWARD – SEE

(www.sam.gov): _______YES ________NO

Part covered under GSA Contract YES______NO_______(if yes, mark below)

CONTRACT NUMBER: ______________________

Note: FOB Destination pricing is preferred, however, if item quoted is not FOB Destination quotation must include as a separate line item the following:

* Shipping charge: $_________ *FOB Origin price from (City, State): ________________________________________

*SHIP TO:

PREPARATION FOR DELIVERY

PRESERVATION, PACKING, & MARKING SHALL BE IN ACCORDANCE WITH SPECIFICATIONS:

-All material shipped to the U.S. Coast Guard, Surface Forces Logistics Center must be accompanied by an itemized packing list securely attached to the outside of the package.

All packing lists shall cite the purchase Order Number (when issued after award) with the package in such a manner as to provide identification.

Material shall be packed for shipment in such a manner as to afford adequate protection to the item against corrosion, deterioration, and physical damage during shipment from the supply source to the U.S. Coast Guard, SFLC locations.

Package shall also provide adequate protection for warehouse storage and multiple shipments.

All packages shall have Purchase Order Number, Stock Number and Vendor name and Part Number clearly marked on the exterior of the package.

All deliveries are to be made Monday through Friday between the hours of 7:00 A.M. to 1:00 P.M.

*DO NOT DIRECT SHIP FREIGHT CHARGES above $250.00. Please contact the procurement official with dimensions and weight so they can arrange a carrier pick up. Bill of Lading is required *

PAYMENT INFORMATION (NON-CREDIT CARD ORDERS)

Please read thoroughly to avoid invoice rejection.

All invoices must contain the following information: CG contract number, vendor’s invoice number, vendor’s DUNs & TINs number, cage number, PO item number, description of supplies or services, unit prices and extended totals. FOB Origin shipping costs will be indicated as a separate line item on the invoice (if applicable). Shipping cost $100 or more must be accompanied by a separate freight invoice when submitting an invoice(s) for payment (if applicable).

The preferred method to submit an invoice is by email to FIN-SMB-YardTeam@uscg.mil to receive payment. Additionally, a copy of the invoice must also be sent to the PO Issuing Office at: ryan.d.west@uscg.mil

An alternative method to submit an invoice is by mail to USCG YARD, P.O. Box 4122, Chesapeake, VA., 23327-4122. However, an invoice still must be sent via email to ryan.d.west@uscg.mil for record entry.

Billing inquiries: For questions relating to payment of invoices please contact Chesapeake Yard Team Customer Service at (800) 564-5504.

PREPARATION FOR DELIVERY * PREPARATION FOR DELIVERY * PREPARATION FOR DELIVERY

U.S. COAST GUARD APPROVED LABEL SHOULD HAVE THE FOLLOWING:

· PURCHASE ORDER NUMBER

· NATIONAL STOCK NUMBER

· PART NUMBER

· ITEM NAME AND QUANTITY

· VENDOR NAME

PREPARATION FOR DELIVERY * PREPARATION FOR DELIVERY * PREPARATION FOR DELIVERY