S100012.pdf

AG-95CV-S-10-0012

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

05/13/2010

1 30

USDA, Agricultural Research Service

800 BUCHANAN ST

ALBANY CA 94710-1105

PWA PROCUREMENT OFFICE

Multiple

510 559-6022LOUISE LEVENSON-SNITZ

05/27/2010 1200 PD

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

RECOVERY - Repair/replace deteriorated roofing systems, Buildings 102 and 103, at the USDA, ARS, PWA, Aberdeen, Idaho location. This project is procured pursuant to the Small Business Competitiveness Demonstration Program and is 100% set-aside for HUBZone concerns. The NAICs code is 238160. The estimated price range is between $25,000 and $100,000.

The site visit is 19 May 2010 at 9:00 a.m.

Contact John Rutger, 208-397-4162, ext. 200, or john.rutger@ars.usda.gov for directions.

001 Replace roofing system on Building No. 102, 1 EA Headhouse, in accordance with the attached specifications.

Product/Service Code: Z111 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 30

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

AG-95CV-S-10-0012

Product/Service Description: MAINTENANCE, REPAIR

OR ALTERATION OF REAL PROPERTY

002 Alternate roofing system, for Building 102, 1 EA

Headhouse, in accordance with the attached specifications.

Product/Service Code: Z111

Product/Service Description: MAINTENANCE, REPAIR

OR ALTERATION OF REAL PROPERTY

003 Repair roofing system for Building No. 103, 28 x 1 EA

64 ft modular building, in accordance with the attached specifications.

Product/Service Code: Z111

Product/Service Description: MAINTENANCE, REPAIR

OR ALTERATION OF REAL PROPERTY

004 Alternate coating, for Building No. 103, in 1 EA accordance with the attached specifications.

Product/Service Code: Z111

Product/Service Description: MAINTENANCE, REPAIR

OR ALTERATION OF REAL PROPERTY

Be sure to address the evaluation factors, described in the attached EVALUATION CRITERIA, and provide that with your quote.

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