0398S150004_SF_18_RFQ.pdf

AG-0398-S-15-0004

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

03/06/2015 731672

1 2

CUSTER GALLATIN NATIONAL FOREST

PO BOX 130

BOZEMAN MT 59771

EAST SIDE ACQUISITION TEAM

05/31/2016

USDA FOREST SERVICE

DISTRICT RANGER

PO BOX 520 US HWY 91 N

WEST YELLOWSTONE

MT 59758

406 587-6763DANA BANGART

03/31/2015 1630 MT

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Period of Performance: 06/01/2015 to 05/31/2016

001 Hebgen RD Office Janitorial Service Product/Service Code: S201 Product/Service Description: HOUSEKEEPING-

CUSTODIAL JANITORIAL

Delivery: 05/31/2016 FOB: Destination

Contractor shall perform work in accordance with the attached specifications, terms and conditions.

There is no formal site visit planned for this 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 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

AG-0398-S-15-0004

solicitation. For more information in regards to the site, please contact Susan Lamont, Hebgen

Lake Ranger District, Custer Gallatin National

Forest at 406-823-6976.

For information in regards to the solicitation please contact Dana Bangart, Purchasing Agent, Custer Gallatin National Forest at 406-587-6763 or dbangart@fs.fed.us.

Return package may be mailed to the following addresses: (mailing) P.O. Box 130, Bozeman, MT

59771 OR (physical) 10 E. Babcock, Floor 3, Bozeman, MT 59715. Package may also be sent in electronically to dbangart@fs.fed.us.

The Forest Service has transitioned to an electronic invoice system called Invoice

Processing Platform (IPP). Awardee will be required to set-up an account at www.ipp.gov in order to electronically submit invoices for payment.

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