Attachment 4 - SF 18.pdf
PDF 89 KB Posted
- Solicitation number
- HFP202633932-75F40126Q00278
About this file
This is a Request for Quotation (RFQ) issued by the U.S. Food and Drug Administration (FDA), Office of Applied Microbiology and Technology (OAMT), for a five-year Blanket Purchase Agreement (BPA). The solicitation number is HFP-2026-133932, with RFQ number 75F40126Q00278, issued on 07/06/2026. Quotations are due by 07/17/2026 at 1000 ET and should be submitted to the issuing office at 11601 Landsdown Street, 13th Floor, North Bethesda, MD 20852, Attention: Michele Jackson. The requirement is for one (1) Agilent 4150 TapeStation System Bundle (Model G2992A), with the ability to purchase additional units, proprietary ScreenTape consumables, accessories, replacement parts, and associated maintenance and support services throughout the full five-year period of performance.
This is a total small business set-aside with a small business size standard of 1,000 employees under NAICS Code 334516. The delivery requirement is listed as "Multiple" with FOB Destination specified. The RFQ includes attachments for the BPA Pricing Schedule, Statement of Work (SOW), Past Performance Reference Form, Buy American Certificate (BAC), and the Solicitation Document. Quoters must complete any attached representations and certifications, and the government notes that this request does not commit it to pay any costs incurred in preparing the quotation or to contract for supplies or services.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment 2 - Statement of Work.docx | DOCX document | |
| Attachment 1 - BPA Pricing Schedule.xlsx | XLSX spreadsheet | |
| Attachments 3 - Past performance Reference Form .xlsx | XLSX spreadsheet | |
| Attachment 6 - Solicitation BPA Agilent TapeStation.docx | DOCX document | |
| Attachment 5 - Buy American Certificate.docx | DOCX document |
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Text version
75F40126Q00278
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
07/06/2026
1 2
11601 Landsdown St.
13th Floor North Bethesda MD 20852
DHHS/FDA/OAGS/DAP
Multiple
MICHELE JACKSON
07/17/2026 1000 ET
FOB DESTINATION
OTHER
(See Schedule)X
ITEM NO.
(a)
SUPPLIES/SERVICES
(b)
QUANTITY
(c)
UNIT
(d)
UNIT PRICE
(e)
AMOUNT
(f)
This is a Request for Quotation (RFQ) for commercial products prepared in accordance with the commercial acquisition procedures of FAR Part
12. The Solicitation number is HFP-2026-133932.
The NAICS Code for this requirement is 334516.
This acquisition is a total small business set aside.
The small business size standard for this NAICS code is 1,000 employees. The full table of size standards is available at:
https://www.sba.gov/document/support-table-size-st andards Description of Requirement:
The U.S. Food and Drug Administration (FDA), Office of Applied Microbiology and Technology (OAMT), has a requirement to establish a five (5) 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)
75F40126Q00278 year Blanket Purchase Agreement (BPA) to support the procurement of one (1) Agilent 4150
TapeStation System Bundle (Model G2992A), with the ability to purchase additional units, proprietary ScreenTape consumables, accessories, replacement parts, and associated maintenance and support services throughout the full five-year period of performance, as outlined in Attachment
1 - Statement of Work (SOW).
ATTACHMENTS
Attachment 1 – BPA Pricing Schedule
Attachment 2 – Statement of Work (SOW)
Attachment 3 – Past Performance Reference Form
Attachment 5 – Buy American Certificate (BAC)
Attachment 6 - Solicitation Document
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
File details come from the government source that posted it. Updated .