SF_18_to_Solicitation_No._75H70319Q00007.pdf
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- Solicitation number
- 75H70319Q00007
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SF 18. Please complete and fill out and return with response.
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75H70319Q00007
1. REQUEST NO.
5a. ISSUED BY
NAME
a. NAME
c. STREET ADDRESS
d. CITY
10. PLEASE FURNISH QUOTATIONS TO
THE ISSUING OFFICE IN BLOCK 5a ON
OR BEFORE CLOSE OF BUSINESS (Date)
2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.
UNDER BDSA REG. 2
AND/OR DMS REG.1
RATING
6. DELIVERY BY (Date)
7. DELIVERY
9. DESTINATION
a. NAME OF CONSIGNEE
b. STREET ADDRESS
PAGE OF PAGES
5b. FOR INFORMATION CALL: (No collect calls)
TELEPHONE NUMBER
AREA CODE NUMBER
8. TO:
b. COMPANY
e. STATE f. ZIP CODE
c. CITY
d. STATE e. ZIP CODE
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)
THIS RFQ
REQUEST FOR QUOTATION
(THIS IS NOT AN ORDER)
IS IS NOT A SMALL BUSINESS SET ASIDEX
1 53
John E Moss Federal Bldg 650 Capitol Mall, Suite 7-100 Sacramento CA 95814
California Office of the Director Multiple
IHSCALIFORNIA
650 Capitol Mall, Suite 7-100
Sacramento CA 95814
Sacramento
CA 95814
916 930-3927WESLEY SIMMONS
1700 ET
FOB DESTINATION
OTHER
(See Schedule)X
ITEM NO.
(a)
SUPPLIES/SERVICES
(b)
QUANTITY
(c)
UNIT
(d)
UNIT PRICE
(e)
AMOUNT
(f)
The California Area Indian Health Service (CAIHS) has the need for software services. Structured Query Language (SQL) and ASP.net programming services to support and maintain the custom application.
This is a small business set-aside and a firm fix price contract.
Performance period for services will be June 1, 2019-May 31, 2020 with four (4) potential option years.
The contractor shall perform services outlined in the attached Performance Work Statement (PWS) and applicable attachments.
Continued ...
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
13. NAME AND ADDRESS OF QUOTER
b. STREET ADDRESS
c. COUNTY
d. CITY e. STATE f. ZIP CODE
14. SIGNATURE OF PERSON AUTHORIZED TO
SIGN QUOTATION
16. SIGNER
a. NAME (Type or print)
c. TITLE (Type or print)
a. NAME OF QUOTER
AREA CODE
NUMBER
15. DATE OF QUOTATION
b. TELEPHONE are are not attached
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition not usable
STANDARD FORM 18 (REV. 6-95)
Prescribed by GSA - FAR (48 CFR) 53.215-1(a)
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
2 53
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70319Q00007
This award will be a lowest priced technically acceptable source selection, with the lowest priced offeror being evaluated first, and deemed technically acceptable.
1 Base Year
Delivery: 04/11/2019
Period of Performance: 06/01/2019 to 05/31/2020
2 Option Year 1
(Option Line Item)
06/01/2019
Period of Performance: 06/01/2020 to 05/31/2021
3 Option Year 2
(Option Line Item)
06/01/2021
Period of Performance: 06/01/2021 to 05/31/2022
4 Option Year 3
(Option Line Item)
06/01/2023
Period of Performance: 06/01/2022 to 05/31/2023
5 Option Year 4
(Option Line Item)
06/01/2024
Period of Performance: 06/01/2023 to 05/31/2024
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
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