AG-8B05-S-12-0001.pdf

AG-8B05-S-12-0001

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

01/17/2012

1 2

101 SOUTH MAIN ST.

TEMPLE TX 76501

USDA-NCRS-TEXAS

Multiple

254 742-9921CHIP BURNETTE

03/05/2012 1300 CT

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Delivery of products/services shall be in accordance with each delivery order.

payment shall be made in accordance with each delivery order.

Period of Performance: 04/02/2012 to 04/01/2017

001 Plant Material Center Services, Base Period Product/Service Code: F099 Product/Service Description: NATURAL

RESOURCES/CONSERVATION- OTHER

Period of Performance: 04/02/2012 to 04/01/2013

002 Plant Material Center Services, Option One (Option Line Item) 03/15/2013 Product/Service Code: F099 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-8B05-S-12-0001

Product/Service Description: NATURAL

RESOURCES/CONSERVATION- OTHER

Period of Performance: 04/02/2013 to 04/01/2014

003 Plant Material Center Services, Option Two (Option Line Item) 03/15/2014 Product/Service Code: F099 Product/Service Description: NATURAL

RESOURCES/CONSERVATION- OTHER

Period of Performance: 04/02/2014 to 04/01/2015

004 Plant Material Center Services, Option Three (Option Line Item) 03/15/2015 Product/Service Code: F099 Product/Service Description: NATURAL

RESOURCES/CONSERVATION- OTHER

Period of Performance: 04/02/2015 to 04/01/2016

005 Plant Material Center Services, Option Four (Option Line Item) 03/15/2016 Product/Service Code: F099 Product/Service Description: NATURAL

RESOURCES/CONSERVATION- OTHER

Period of Performance: 04/02/2016 to 04/01/2017

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