RFQ-11QM020 Ceiling Fan with Light Kit.pdf

Attachment RFQ No.: FA5270-11-Q-M020

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REQUEST FOR QUOTATION

Solicitation Issue Date: 11 Mar 11

From: 18 th

Contracting Squadron To: All Qualified Interested Parties

Unit 5199, Bldg 95 Your Company Name: _______________

Kadena Air Base, Japan

APO AP 96368

POC: Mr. Yushi Nakamura

FAX No: 011-81-611-734-4795 TEL: 011-81-611-734-4712

E-mail: yushi.nakamura.jp@kadena.af.mil

Responses must be received NLT: 17 Mar 2011, 15:00pm (Japan Standard Time)

Submit written offers only, oral offers will not be accepted. Please respond to this RFQ by providing the following information in this document and returning one (1) copy to the 18 th Contracting Squadron fax or email above.

*Please answer “*CONTRACTOR RESPONSIBILITY” questions and provide your signature.

Item Description QTY Unit Price Extended Amount

0001 Ceiling Fan with Light Kit 1000 EA $ $

Specifications

52 inch Ceiling Fan 5-blades

3-light Kit

Frosted glass hardware finish = Antique Brass Reversible motor function

Mfr: SHAANXI

P/N: AM-FFM52

“Brand Name Or Equal”

If quoting equal product, please provide below information along with specifications or detailed catalog excerpt:

MFR:_________________, BRAND/MODEL:______________________

P/N:____________________________

GRAND TOTAL $__________________________

mailto:yushi.nakamura.jp@kadena.af.mil

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* FOB: Destination

* Door to door shipping cost to below address must be included in the line item price.

BLDG # 1474

Kadena Air Base, Okinawa, Japan

904-0000

CONTRACTOR RESPONSIBILITY

In accordance with Federal Acquisition Regulation (FAR), para, 9.104-1, the Government is required to make a determination of contractor responsibility. Please answer the following questions and sign below.

(i) The Offeror has [_] has not [_], within a three-year period preceding this offer, had one or more contracts terminated for default by any Federal agency.

(ii) Have [_] have not [_], adequate financial resources to perform the contract, or the ability to obtain them.

(ii) Can [_] cannot [_], to comply with the required or proposed delivery or performance schedule, taking into consideration all existing commercial and governmental business commitments;

(iv) Have [_] have not [_], the necessary production, construction, and technical equipment and facilities, or the ability to obtain them

(v) Have [_] have not [_], the necessary organization, experience, accounting and operational controls, and technical skills, or the ability to obtain them (including, as appropriate, such elements as production control procedures, property control systems, quality assurance measures, and safety programs applicable to materials to be produced or services to be performed by the prospective contractor and subcontractors).

Contractor Response:

I certify on that all answers above are answered above are correct to the best of my knowledge. If for any reason any answer changes before award, I will notify the government immediately.

Signature

Date:

Position:

Name:

NOTICE TO OFFERORS

Please fill out all requested information. If incomplete, you may be excluded from competition. If you are quoting on an exact item as specified in the item description, please state “quoting exact item." If you are quoting an equal item, please provide manufacturer’s name and specification or detailed catalog excerpt. If you do not provide any comment, we assume you are quoting on the manufacturer and part number as stated in the item description.

To be eligible to receive an award resulting from this solicitation, contractors must be registered in the DoD Central Contractor

Registration (CCR) database, NO EXCEPTIONS. To register, you may apply through the Internet at http://www.ccr.gov http://www.ccr.gov/

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It is the contractor’s responsibility to be familiar with applicable clauses and provisions. Clauses and provisions can be found at: http://farsite.hill.af.mil/vffar1.htm

VENDOR’S QUOTE INFORMATION

PAYMENT

TERMS

ESTIMATED

DELIVERY

DATE

QUOTE

EXPIRATION

DATE

WARRANTY QUOTED BY

VENDOR INFORMATION

COMPANY NAME &

ORDERING ADDRESS

POINT OF CONTACT PHONE NUMBER FAX NUMBER

E-MAIL ADDRESS REMIT TO ADDRESS CAGE CODE TAX ID NUMBER

DUNS NUMBER SIZE OF BUSINESS WEB ADDRESS QUOTE DATE

http://farsite.hill.af.mil/vffar1.htm