sf_18_request_for_quote.doc

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BEAVERHEAD-DEERLODGE NF, Perkins Gulch AOP Construction
Solicitation number
AG-0356-S-14-0014
Issued by

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SF-18

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REQUEST FOR QUOTATION

PAGE OF PAGES

(THIS IS NOT AN ORDER)
THIS RFQ
FORMCHECKBOX
IS
FORMCHECKBOX
IS NOT A SMALL BUSINESS SET- ASIDE
1
19
1. REQUEST NO.
2. DATE ISSUED
3. REQUISITION/PURCHASE REQUEST NO.
4. CERT. FOR NAT.DEF.
RATING
AG-0356-S-14-0014
March 10, 2014
680025
UNDER BDSA REG. 2

AND/OR DMS REG. 1

5a. ISSUED BY
6. DELIVER BY (Date)
EAST Side Acquisition Team, 420 Barrett Street, Dillon, MT 59725
5b. FOR INFORMATION CALL (NO COLLECT CALLS)
7. DELIVERY
FORMCHECKBOX

FOB DESTINATION

NAME
TELEPHONE NUMBER
FORMCHECKBOX

OTHER (See Schedule)

AREA CODE
NUMBER
9. DESTINATION

Lisa Rakich, Contracting

Jim Yarbrough, Technical

683-3968 683-3859

a. NAME OF CONSIGNEE

8. TO:Lisa Rakich
B-D National Forest
a. NAME
b. COMPANY
b. STREET ADDRESS
East Side Acquisition Team
USFS
c. STREET ADDRESS
c. CITY
420 Barrett Street
d. CITY
e. STATE
f. ZIP CODE
d. STATE
e. ZIP CODE
Dillon
MT
59725
10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5A ON OR BEFORE CLOSE OF BUSINESS
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
April 2, 2014 @ 1600 MT
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)

ITEM NO.
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
(a)
(b)
(c)
(d)
(e)
(f)
1
Perkins Gulch Acquatic Organism Passage (AOP) on the Pintler Ranger District
1
Job
Please place prices on Schedule of Items
a. 10 CALENDAR DAYS (%)
b. 20 CALENDAR DAYS
c. 30 CALENDAR DAYS
d. CALENDAR DAYS

12. DISCOUNT FOR PROMPT PAYMENT

NUMBER
PERCENTAGE
NOTE: Additional provisions and representations
FORMCHECKBOX
are
FORMCHECKBOX

are not attached.

13. NAME AND ADDRESS OF QUOTER
14. SIGNATURE OF PERSON AUTHORIZED TO
15. DATE OF
a. NAME OF QUOTER
SIGN QUOTATION
QUOTATION
b. STREET ADDRESS
16. SIGNER
a. NAME (Type or print)
b. TELEPHONE

c. COUNTY

AREA CODE

d. CITY
e. STATE
f. ZIP CODE
c. TITLE (Type or Print)
NUMBER

NSN 7540-01-152-8084

Previous edition not usable

18-121
STANDARD FORM 18 (Rev. 6-95)

Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

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