Attachment 3 - SF1449 Quote Submission Forms.pdf
PDF 507 KB Posted
- Attached to
- Lab Gases - RFQ
- Solicitation number
- 1232SA26Q1051
About this file
This is a Request for Proposal (RFP) for compressed and liquefied gases to support laboratory operations at the USDA Agricultural Research Service (ARS) facility in Beltsville, Maryland. The solicitation number is 1232SA26Q1051, with an offer due date of September 14, 2026 at 2359 PT. The contract is unrestricted with a NAICS code of 325120 (Gases: Compressed and Liquefied) and a small business size standard of 1,200 employees.
The contract covers a five-year period of performance from September 25, 2026 through September 24, 2031, organized into five one-year ordering periods. Required items include various compressed gases in 50-liter cylinders (K Air, 50# CO2, K N2, UHP N2, K H2, He, UHP He, and SPAN gas), liquid CO2 in 55-gallon containers, liquid N2 in 55-gallon containers, and cylinder rental services. Quantities and specific delivery dates are specified for each ordering period, with all deliveries scheduled by September 24 of each contract year. The contracting officer is Kristine M. Stout, and the contract will be administered by the USDA ARS Acquisition and Property Division in Beltsville, Maryland. All invoices should be submitted to the same address. The offeror must complete blocks 12, 17, 23, 24, and 30 on the Standard Form 1449 and provide company information, socio-economic status, and country of manufacture information.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
SEE ADDENDUMIS CHECKED
CODE 18a. PAYMENT WILL BE MADE BY
CODE
FACILITYCODE
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER
OFFEROR
ARS-1232SA
BELTSVILLE MD 20705
RM 3-2102
5601 SUNNYSIDE AVENUE
USDA ARS ACQUISITION AND PROPERTY D
ARS-120536 CODE 16. ADMINISTERED BYCODE
X
X
325120
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED ORARS-1232SA
REQUEST FOR
PROPOSAL
(RFP)
INVITATION
FOR BID (IFB)
10. THIS ACQUISITION ISCODE
REQUEST FOR
QUOTE (RFQ)
14. METHOD OF SOLICITATION
13b. RATING
NORTH AMERICAN INDUSTRY
CLASSIFICATION STANDARD
(NAICS):
SMALL BUSINESS
09/14/2026 2359 PT
09/03/2026
(608)-416-0027AARON DIMEO
(No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
1232SA26Q1051
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 16 1175351OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
TELEPHONE NO.
17a. CONTRACTOR/
WENATCHEE WA 98801
1104 N WESTERN AVENUE
PWA PHYSIOLOGY AND PATHOLOGY OF TRE
15. DELIVER TO
BELTSVILLE MD 20705
RM 3-2102
5601 SUNNYSIDE AVENUE
9. ISSUED BY
7.
2. CONTRACT NO.
EFFECTIVE DATE
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW
ISSUE DATE
DELIVERY FOR FREE ON BOARD
(FOB) DESTINATION UNLESS
BLOCK IS MARKED
11.
SEE SCHEDULEX
12. DISCOUNT TERMS THIS CONTRACT IS A RATED
ORDER UNDER THE DEFENSE
PRIORITIES AND ALLOCATIONS
SYSTEM - DPAS (15 CFR 700)
13a.
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
(SDVOSB)
HUBZONE SMALL
BUSINESS
8(A)
USDA ARS ACQUISITION AND PROPERTY D
WOMEN-OWNED SMALL
BUSINESS (WOSB)
ECONOMICALLY DISADVANTAGED
WOMEN-OWNED SMALL
BUSINESS (EDWOSB)
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
Period of Performance: 09/25/2026 to 09/24/2031
0001 Ordering Period 1: K Air (50L) 12 CL Product/Service Code: 6830 Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2027 Period of Performance: 09/25/2026 to 09/24/2027
Continued ...
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
X
XX
DATED
KRISTINE M. STOUT
. YOUR OFFER ON SOLICITATION (BLOCK 5),
INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER
ARE
ARE
31c. DATE SIGNED
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)
ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL
SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.
27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3
AND 52.212-5 ARE ATTACHED. ADDENDA
26. TOTAL AWARD AMOUNT (For Government Use Only)
OFFER
STANDARD FORM 1449 (REV. 11/2021)
Prescribed by GSA - FAR (48 CFR) 53.212
ARE NOT ATTACHED.
ARE NOT ATTACHED.
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
30b. NAME AND TITLE OF SIGNER (Type or print)
30a. SIGNATURE OF OFFEROR/CONTRACTOR
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
25. ACCOUNTING AND APPROPRIATION DATA
29. AWARD OF CONTRACT: REFERENCE
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED
40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER
37. CHECK NUMBER
FINALPARTIAL
36. PAYMENT
FINALPARTIAL
35. AMOUNT VERIFIED
CORRECT FOR
34. VOUCHER NUMBER33. SHIP NUMBER
COMPLETE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)
42b. RECEIVED AT (Location)
42a. RECEIVED BY (Print)
41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT
STANDARD FORM 1449 (REV. 11/2021) BACK
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
0002 Ordering Period 1: 50# CO2 (50L) 10 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2027
Period of Performance: 09/25/2026 to 09/24/2027
0003 Ordering Period 1: Liquid CO2 (55gal) 1 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2027
Period of Performance: 09/25/2026 to 09/24/2027
0004 Ordering Period 1: K N2 (50L) 16 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2027
Period of Performance: 09/25/2026 to 09/24/2027
0005 Ordering Period 1: UHP N2 (50L) 6 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
16 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 16
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1232SA26Q1051
AND LIQUEFIED
Delivery: 09/24/2027
Period of Performance: 09/25/2026 to 09/24/2027
0006 Ordering Period 1: Liquid N2 (55gal) 80 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2027
Period of Performance: 09/25/2026 to 09/24/2027
0007 Ordering Period 1: K H2 (50L) 3 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2027
Period of Performance: 09/25/2026 to 09/24/2027
0008 Ordering Period 1: He (50L) 3 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2027
Period of Performance: 09/25/2026 to 09/24/2027
0009 Ordering Period 1: UHP He (50L) 5 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2027
Period of Performance: 09/25/2026 to 09/24/2027
0010 Ordering Period 1: SPAN (50L) 2 CL
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
4 16
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1232SA26Q1051
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2027
Period of Performance: 09/25/2026 to 09/24/2027
0011 Ordering Period 1: Cylinder Rental 12 MO
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2027
Period of Performance: 09/25/2026 to 09/24/2027
1001 Ordering Period 2: K Air (50L) 12 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2028
Period of Performance: 09/25/2027 to 09/24/2028
1002 Ordering Period 2: 50# CO2 (50L) 10 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2028
Period of Performance: 09/25/2027 to 09/24/2028
1003 Ordering Period 2: Liquid CO2 (55gal) 1 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2028
Period of Performance: 09/25/2027 to 09/24/2028
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
5 16
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1232SA26Q1051
1004 Ordering Period 2: K N2 (50L) 16 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2028
Period of Performance: 09/25/2027 to 09/24/2028
1005 Ordering Period 2: UHP N2 (50L) 6 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2028
Period of Performance: 09/25/2027 to 09/24/2028
1006 Ordering Period 2: Liquid N2 (55gal) 80 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2028
Period of Performance: 09/25/2027 to 09/24/2028
1007 Ordering Period 2: K H2 (50L) 3 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2028
Period of Performance: 09/25/2027 to 09/24/2028
1008 Ordering Period 2: He (50L) 3 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2028
Period of Performance: 09/25/2027 to 09/24/2028
1009 Ordering Period 2: UHP He (50L) 5 CL
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
6 16
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1232SA26Q1051
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2028
Period of Performance: 09/25/2027 to 09/24/2028
1010 Ordering Period 2: SPAN (50L) 2 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2028
Period of Performance: 09/25/2027 to 09/24/2028
1011 Ordering Period 2: Cylinder Rental 12 MO
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2028
Period of Performance: 09/25/2027 to 09/24/2028
2001 Ordering Period 3: K Air (50L) 12 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2029
Period of Performance: 09/25/2028 to 09/24/2029
2002 Ordering Period 3: 50# CO2 (50L) 10 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
7 16
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1232SA26Q1051
Delivery: 09/24/2029
Period of Performance: 09/25/2028 to 09/24/2029
2003 Ordering Period 3: Liquid CO2 (55gal) 1 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2029
Period of Performance: 09/25/2028 to 09/24/2029
2004 Ordering Period 3: K N2 (50L) 16 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2029
Period of Performance: 09/25/2028 to 09/24/2029
2005 Ordering Period 3: UHP N2 (50L) 6 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2029
Period of Performance: 09/25/2028 to 09/24/2029
2006 Ordering Period 3: Liquid N2 (55gal) 80 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2029
Period of Performance: 09/25/2028 to 09/24/2029
2007 Ordering Period 3: K H2 (50L) 3 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2029
Period of Performance: 09/25/2028 to 09/24/2029
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
8 16
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1232SA26Q1051
2008 Ordering Period 3: He (50L) 3 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2029
Period of Performance: 09/25/2028 to 09/24/2029
2009 Ordering Period 3: UHP He (50L) 5 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2029
Period of Performance: 09/25/2028 to 09/24/2029
2010 Ordering Period 3: SPAN (50L) 2 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2029
Period of Performance: 09/25/2028 to 09/24/2029
2011 Ordering Period 3: Cylinder Rental 12 MO
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2029
Period of Performance: 09/25/2028 to 09/24/2029
3001 Ordering Period 4: K Air (50L) 12 CL
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
9 16
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1232SA26Q1051
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2030
Period of Performance: 09/25/2029 to 09/24/2030
3002 Ordering Period 4: 50# CO2 (50L) 10 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2030
Period of Performance: 09/25/2029 to 09/24/2030
3003 Ordering Period 4: Liquid CO2 (55gal) 1 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2030
Period of Performance: 09/25/2029 to 09/24/2030
3004 Ordering Period 4: K N2 (50L) 16 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2030
Period of Performance: 09/25/2029 to 09/24/2030
3005 Ordering Period 4: UHP N2 (50L) 6 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2030
Period of Performance: 09/25/2029 to 09/24/2030
3006 Ordering Period 4: Liquid N2 (55gal) 80 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
10 16
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1232SA26Q1051
Delivery: 09/24/2030
Period of Performance: 09/25/2029 to 09/24/2030
3007 Ordering Period 4: K H2 (50L) 3 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2030
Period of Performance: 09/25/2029 to 09/24/2030
3008 Ordering Period 4: He (50L) 3 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2030
Period of Performance: 09/25/2029 to 09/24/2030
3009 Ordering Period 4: UHP He (50L) 5 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2030
Period of Performance: 09/25/2029 to 09/24/2030
3010 Ordering Period 4: SPAN (50L) 2 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2030
Period of Performance: 09/25/2029 to 09/24/2030
3011 Ordering Period 4: Cylinder Rental 12 MO
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
11 16
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1232SA26Q1051
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2030
Period of Performance: 09/25/2029 to 09/24/2030
4001 Ordering Period 5: K Air (50L) 12 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2031
Period of Performance: 09/25/2030 to 09/24/2031
4002 Ordering Period 5: 50# CO2 (50L) 10 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2031
Period of Performance: 09/25/2030 to 09/24/2031
4003 Ordering Period 5: Liquid CO2 (55gal) 1 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2031
Period of Performance: 09/25/2030 to 09/24/2031
4004 Ordering Period 5: K N2 (50L) 16 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2031
Period of Performance: 09/25/2030 to 09/24/2031
4005 Ordering Period 5: UHP N2 (50L) 6 CL
Product/Service Code: 6830
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
12 16
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1232SA26Q1051
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2031
Period of Performance: 09/25/2030 to 09/24/2031
4006 Ordering Period 5: Liquid N2 (55gal) 80 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2031
Period of Performance: 09/25/2030 to 09/24/2031
4007 Ordering Period 5: K H2 (50L) 3 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2031
Period of Performance: 09/25/2030 to 09/24/2031
4008 Ordering Period 5: He (50L) 3 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2031
Period of Performance: 09/25/2030 to 09/24/2031
4009 Ordering Period 5: UHP He (50L) 5 CL
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2031
Period of Performance: 09/25/2030 to 09/24/2031
4010 Ordering Period 5: SPAN (50L) 2 CL
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
13 16
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1232SA26Q1051
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2031
Period of Performance: 09/25/2030 to 09/24/2031
4011 Ordering Period 5: Cylinder Rental 12 MO
Product/Service Code: 6830
Product/Service Description: GASES: COMPRESSED
AND LIQUEFIED
Delivery: 09/24/2031
Period of Performance: 09/25/2030 to 09/24/2031
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
United States Department of Agriculture
Office of the Director Contracting Operations Branch ● Acquisition and Property Division
5601 Sunnyside Avenue ● Beltsville, MD 20705 USDA is an Equal Opportunity Provider and Employer
Research, Education, and Economics Agricultural Research Service
Solicitation Title: _____________________________________________________________________
Solicitation Number: ______________________
Company Information:
Currently Registered and Active in the System for Award Management (SAM): ( ) Yes ( ) No
SAM Unique Entity Identifier (UEI) Number:
Company Legal Name: _____________________________________________
Doing Business As (if applicable): ____________________________________
Company Address as registered in the System for Award Management (SAM):
CAGE Code(s):
Socio-economic status for the NAICS code: __________ (with a small business threshold of under ______________) – please check ALL that apply:
( ) Small Business Concern [ ] Disadvantaged
[ ] SBA-certified 8(a) Program Participant [ ] SBA-certified HUB Zone Business
[ ] Veteran Owned [ ] Service-Disabled Veteran Owned
[ ] Woman-Owned [ ] Economically Disadvantaged Woman Owned
( ) Other Than Small Business Concern
( ) I confirm that my company is registered in the System for Award Management (SAM) with the socio-economic status identified above and the NAICS code specified or that my firm qualifies for the selected the socio-economic status under the applicable NAICS code.
Contracting Operations Branch ● Acquisition and Property Division
5601 Sunnyside Avenue ● Beltsville, MD 20705 USDA is an Equal Opportunity Provider and Employer
Quote Information:
Quote Number: _________________
Quote Date:
Quote Expiration Date:
Quoted Price:
Offeror’s shall insert the Total Quoted Price in the cell below. The Total Quoted Price is to be the sum of all Line-Item Total Amounts from the SF1449 (including all options).
Total Quoted Price:
Period of Performance:
Time to Deliver: ( ) days ( ) weeks ( ) months
Country of Manufacture Information:
Product Name(s) and Part Number(s):
Manufacturer’s Legal Name:
Product is Manufactured in the United States of America (is a domestic product): ( )Yes ( )No
Manufacturing Address (for domestic products):
Country of Origin (for nondomestic products):
Contracting Operations Branch ● Acquisition and Property Division
5601 Sunnyside Avenue ● Beltsville, MD 20705 USDA is an Equal Opportunity Provider and Employer
( ) I confirm that a written certification of the above information was obtained from the product’s manufacturer and is included in the support documents submitted with this quote.
Certification:
I understand that incomplete sections, failure to provide all required documentation, and/or failure to sign this certification may remove my company’s quote from being put into consideration by the Government for award.
Signature:
Name:
Title:
Contact Information:
Date:
| Quote Submission Forms |
| 1 |
Quote Submission Form Pg 2 - Products
| Solicitation Title: Lab Gases - RFQ |
| Solicitation Number: 1232SA26Q1051 |
| SAM Unique Entity Identifier UEI Number: |
| Company Legal Name: |
| Doing Business As if applicable: |
| Company Address as registered in the System for Award Management SAM 1: |
| Company Address as registered in the System for Award Management SAM 2: |
| Company Address as registered in the System for Award Management SAM 3: |
| Company Address as registered in the System for Award Management SAM 4: |
| CAGE Codes: |
| please check ALL that apply: 1,200 Employees |
| Group1: Off |
| Group2: Off |
| Check Box7: Off |
| Check Box9: Off |
| Check Box12: Off |
| Check Box15: Off |
| Check Box16: Off |
| Check Box17: Off |
| Check Box18: Off |
| Text19: 325120 |
| Group3: Off |
| Quote Number: |
| Quote Date: |
| Quote Expiration Date: |
| Total Quoted Price: |
| Time to Deliver: |
| Product Names and Part Numbers: |
| Manufacturers Legal Name: |
| Manufacturing Address for domestic products 1: |
| Manufacturing Address for domestic products 2: |
| Manufacturing Address for domestic products 3: |
| Manufacturing Address for domestic products 4: |
| Country of Origin for nondomestic products: |
| Group4: Off |
| Group5: Off |
| Name: |
| Title: |
| Contact Information: |
| Date: |
| Group6: Off |
File details come from the government source that posted it. Updated .