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REQUEST FOR QUOTATION

PAGE OF PAGES

(THIS IS NOT AN ORDER)
THIS RFQ
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IS
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IS NOT A SMALL BUSINESS SET- ASIDE

1. REQUEST NO.
2. DATE ISSUED
3. REQUISITION/PURCHASE REQUEST NO.
4. CERT. FOR NAT.DEF.
RATING
AG-4419-S-10-0018
Oct 15, 2009

UNDER BDSA REG. 2

AND/OR DMS REG. 1

5a. ISSUED BY
6. DELIVER BY (Date)

USDA Forest Service

EROC East

1720 Peachtree Rd. NE

Atlanta, GA 360 days after award

5b. FOR INFORMATION CALL (NO COLLECT CALLS)
7. DELIVERY
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FOB DESTINATION

NAME
TELEPHONE NUMBER

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OTHER (See Schedule)

AREA CODE
NUMBER
9. DESTINATION

Technical – Dick Crocket –715-762-5166 Administrative – John Clemons – 404-347-7782

USDA Forest Service Nicolet National Forest 1170 4th Avenue South Park Falls, WI 54552

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
Nov 13, 2009
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)

TAS::12 1102::TAS RECOVERY

Major Culvert Replacement – Barker Trib

All offerors must be registered in CCR database and have completed representations and certifications online at http://orca.bpn.gov prior to award.

Award may not necessarily be made to lowest priced offer.

EA

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
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are
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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)

PAGE

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