75H70319Q00013_-_SF-18.pdf

75H70319Q00013

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

09/27/2019

1 73

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

10/18/2019 1700 PS

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

This acquisition is being solicited as a Requirements procurement IAW with FAR 16.503 Requirements Contract. As such there is no minimum guarantee nor is there a guarantee of work. The Government anticipates installing approximately twenty water service connections task orders during the base and option periods.

Contractor shall provide services IAW Attachment 1 - PWS, Attachment 2 and Exhibits 1-2.

Contractor is responsible to pull current Wage Determination in accordance with the Service Contract Act for the specific counties were services provided.

Period of Performance: 11/01/2019 to 10/31/2024

1 BASE YEAR

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 73

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70319Q00013

Delivery: 09/30/2019

Period of Performance: 11/01/2019 to 10/31/2020

1001 OPTION YEAR ONE (1)

(Option Line Item)

11/01/2020

Period of Performance: 11/01/2020 to 10/31/2021

2001 OPTION YEAR TWO (2)

(Option Line Item)

11/01/2021

Period of Performance: 11/01/2021 to 10/31/2022

3001 OPTION YEAR THREE (3)

(Option Line Item)

11/01/2022

Period of Performance: 11/01/2022 to 10/31/2023

4001 OPTION YEAR FOUR 4

(Option Line Item)

11/01/2023

Period of Performance: 11/01/2023 to 10/31/2024

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)