RFQ AG-91Y9-S-10-0001 LPF-SBRD Janitorial Service.pdf
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| RFQ AG-91Y-S-10-0001 Additional Doc.doc | DOC document | |
| Wage Determination.txt | TXT text file |
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AG-91Y9-S-10-0001
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
12/02/2009
1 4
SOUTHERN CALIFORNIA PROVINCE
ACQUISITIONS
701 NORTH SANTA ANITA AVE
US FOREST SERVICE
ARCADIA CA 91006
USDA FOREST SVC
SANTA BARBARA RANGER DIST
3505 PARADISE ROAD
SANTA BARBARA
CA 93105
626 574-5337KATHLEEN CARVAJAL
12/21/2009 1200 PS
FOB DESTINATION
OTHER
(See Schedule)X
ITEM NO.
(a)
SUPPLIES/SERVICES
(b)
QUANTITY
(c)
UNIT
(d)
UNIT PRICE
(e)
AMOUNT
(f)
Janitorial Service for Santa Barbara Ranger District
Perfomance Work Statement is attached.
Period of Performance: 01/01/2010 to 09/30/2014
001 Base Period - FY2010 - Janitorial Service 9 MO Product/Service Code: S201 Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 01/01/2010 to 09/30/2010 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 4
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
AG-91Y9-S-10-0001
002 Option Year I: FY2011 - Janitorial Service 12 MO
(Option Line Item)
Product/Service Code: S201
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 10/01/2010 to 09/30/2011
003 Option Year II: FY2012 - Janitorial Service 12 MO
(Option Line Item)
Product/Service Code: S201
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 10/01/2011 to 09/30/2012
004 Option Year III: FY2013 - Janitorial Service 12 MO
(Option Line Item)
Product/Service Code: S201
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 10/01/2012 to 09/30/2013
005 Option Year IV: FY2014 - Janitorial Service 12 MO
(Option Line Item)
Product/Service Code: S201
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 10/01/2013 to 09/30/2014
006 Base Period: FY2010 Carpet Cleaning 1 YR
Product/Service Code: S201
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
007 Option Year I: FY2011 - Carpet Cleaning 1 YR
(Option Line Item)
Product/Service Code: S201
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 10/01/2010 to 09/30/2011
008 Option Year II: FY2012 - Carpet Cleaning 1 YR
(Option Line Item)
Product/Service Code: S201
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 10/01/2011 to 09/30/2012
009 Option Year III: FY2013 - Carpet Cleaning 1 YR
(Option Line Item)
Product/Service Code: S201
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
3 4
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
AG-91Y9-S-10-0001
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 10/01/2012 to 09/30/2013
010 Option Year IV: FY2014 - Carpet Cleaning 1 YR
(Option Line Item)
Product/Service Code: S201
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 10/01/2013 to 09/30/2014
011 Base Period: FY2010 Window Cleaning
Frequency of service/s upon request
Unit Price per Service: $_____________
Product/Service Code: S201
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 01/01/2010 to 09/30/2010
012 Option Year I: FY2011 Window Cleaning
Frequency of service/s upon request
Unit Price per Service: $_____________
(Option Line Item)
Product/Service Code: S201
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 10/01/2010 to 09/30/2011
013 Option Year II: FY2012 Window Cleaning
Frequency of service/s upon request
Unit Price per Service: $_____________
(Option Line Item)
Product/Service Code: S201
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 10/01/2011 to 09/30/2012
014 Option Year III: FY2013 Window Cleaning
Frequency of service/s upon request
Unit Price per Service: $_____________
(Option Line Item)
Product/Service Code: S201
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 10/01/2012 to 09/30/2013
015 Option Year IV: FY2014 Window Cleaning
Continued ...
4 4
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
AG-91Y9-S-10-0001
Frequency of service/s upon request
Unit Price per Service: $_____________
(Option Line Item)
Product/Service Code: S201
Product/Service Description: CUSTODIAL-
JANITORIAL SERVICES
Period of Performance: 10/01/2013 to 09/30/2014
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