Sol_A16PS00423.pdf

A16PS00423

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

05/05/2016

1 27

12220 Sunrise Valley Drive Contracting Office Reston VA 20191

BIA CENTRAL 00016

Multiple

703 390-6521Jawaid Khan

05/26/2016 1500 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

The Department of Interior, Bureau of Indian Affairs is issuing this request for quote for the purposes of entering into a Task Order award for Adult and Child Home Based Education services.

Please see the solicitation documentation for details.

Attachment 1: Requirements Attachment 2: Travel Request Form

Legacy Doc #: IA Government POC:

Jawaid Khan Contract Specialist DOI/Bureau of Indian Affairs Jawaid.Khan@bia.gov

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)

A - Solicitation/Contract Form Clauses

B - Supplies or Services/Prices Clauses

C - Description/Specifications Clauses

D - Packaging and Marking Clauses

E - Inspection and Acceptance Clauses

F - Deliveries or Performance Clauses

G - Contract Administration Data Clauses

H - Special Contract Requirements Clauses

I - Contract Clauses Clauses

J - List of Documents, Exhibits and Other Attachments List of Documents, Exhibits, and Other Attachments Clauses

K - Representations, Certifications, and Other Statements of Bidders Clauses

L - Instructions,Conditions, and Notices to Bidders Clauses

M - Evaluation Factors for Award Clauses

A - Solicitation/Contract Form

Clauses

B - Supplies or Services/Prices

Clauses

C - Description/Specifications

Clauses

D - Packaging and Marking

Clauses

E - Inspection and Acceptance

Clauses

F - Deliveries or Performance

Clauses

G - Contract Administration Data

Clauses

H - Special Contract Requirements

Clauses

I - Contract Clauses

J - List of Documents, Exhibits and Other Attachments

List of Documents, Exhibits, and Other Attachments

Attachment Number Title Date

1 A16PS00423 - Request for Quote 05/05/2016

Clauses

K - Representations, Certifications, and Other Statements of Bidders

Clauses

L - Instructions,Conditions, and Notices to Bidders

Clauses

M - Evaluation Factors for Award