0124 Cover Page.pdf

AG-82B1-S-09-0124

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

10/08/2009 328892

1 2

EROC INTERMOUNTAIN

740 SIMMS STREET

GOLDEN CO 80401-4720

US FOREST SERVICE

07/30/2010

SANDPOINT SERVICE CENTER

1500 HIGHWAY 2

SANDPOINT

ID 83864-1794

303 275-5771MICHAEL COLLEGE

11/10/2009 1100 MT

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

RECOVERY - TAS::12 1102:: TAS FOR CAPITAL

IKJPROVEMENT AND MAINTENANCE CIM-0104-04R

"RECOVERY FUNDS" - CIM-0104-25

Forest Wide BMP Upgrades - Tumble Down Road Reconstruction

THIS IS A 100% SMALL BUSINESS SET-ASIDE NAICS

Code is 237310; PROODUCT/SERVICE CODE IS Z222 ROADS REPAIR Technical Point of Contact is Mr.

Dan Jackson 208-443-6823 Bid Bonds are not required.

Period of Performance: 11/06/2009 to 07/30/2010

001 CIM-0104-04R "RECOVERY FUNDS" - CIM-0104-25 1 DO

Forest Wide BMP Upgrades - Tumble Down Road Reconstruction 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-82B1-S-09-0124

Product/Service Code: Z222

Product/Service Description:

MAINT-REP-ALT/HWYS-RDS-STS-BRDGS-RA

Delivery: 07/30/2010

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