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REQUEST FOR QUOTATION
FA441820Q0027
The 628th Contracting Squadron is soliciting quotations on the item(s) listed below. The associated NAICS code is 541380, which has a $16,500,000.00 size standard. This acquisition is unrestricted. Please complete this form and submit your offer to the following e-mail address by 4 p.m. EST on 15 September, 2020.
628th Contracting Squadron 101 E. Hill Blvd, Bldg. 503 JB Charleston SC 29404-5021
| Primary: | Michelle Goss | | | Alt: | Terry Harrelson |
| Tel. No.: (843) 963-3304 | | Tel. | (843) 963-5158 | | |
| E-mail: | michelle.goss.1@us.af.mil | Email: terry.harrelson.1@us.af.mil | | | |
Vendor Name: ___________________________________________________________________________
Address: _________________________________________________________________________________
Phone: ___________________________________
Quoted by: ________________________________ Title: __________________________________
Cage Code: ________________________________ Duns: __________________________________
Tax ID: ___________________________________ Email: _________________________________
Business Size: ______________________________ FOB: ___________________________________
Discount Terms: ___________________________
Base Period of Performance: 1 Oct 2020 – 30 Sep 2021
| ITEM # |
| SUPPLIES |
| EstQty |
| U/I |
| Unit Price |
| Extended Amount |
| 0001 |
| PCB-Routine Swipes |
| 155 |
| Ea |
| $______ |
| $_______ |
| 0002 |
| PCB-Special Swipes |
| 40 |
| Ea |
| $______ |
| $_______ |
| 0003 |
| PCB-Routine Bilge Oil |
| 50 |
| Ea |
| $______ |
| $_______ |
| 0004 |
| PCB-Special Oil |
| 15 |
| Ea |
| $______ |
| $_______ |
| 0005 |
| PCB-Routine Water |
| 20 |
| Ea |
| $______ |
| $_______ |
| 0006 |
| PCB-Special Water |
| 5 |
| Ea |
| $______ |
| $_______ |
| 0007 |
| PCB-Solid Matrix |
| 10 |
| Ea |
| $______ |
| $_______ |
| 0008 |
| TCLP-Liquid Matrix |
| 15 |
| Ea |
| $______ |
| $_______ |
| 0009 |
| TCLP-Solid Matrix |
| 15 |
| Ea |
| $______ |
| $_______ |
| 0010 |
| Total Metals Liquid Matrix |
| 5 |
| Ea |
| $______ |
| $_______ |
| 0011 |
| Total Metals Solid Matrix |
| 10 |
| Ea |
| $______ |
| $_______ |
| 0012 |
| Special Analyses-Total Suspended Solids |
| 5 |
| Ea |
| $______ |
| $_______ |
| 0013 |
| Special Analyses-Flashpoint |
| 10 |
| Ea |
| $______ |
| $_______ |
| 0014 |
| Special Analyses-Oil and grease |
| 17 |
| Ea |
| $______ |
| $_______ |
| TOTAL COST Base Year |
| Total |
| $________________ |
*The quantities are estimates only. Payment will be made based on actual units ordered and results provided.
1st Option Year: 1 Oct 2021 – 30 Sep 2022
| ITEM # |
| SUPPLIES |
| EstQty |
| U/I |
| Unit Price |
| Extended Amount |
| 1001 |
| PCB-Routine Swipes |
| 155 |
| Ea |
| $______ |
| $_______ |
| 1002 |
| PCB-Special Swipes |
| 40 |
| Ea |
| $______ |
| $_______ |
| 1003 |
| PCB-Routine Bilge Oil |
| 50 |
| Ea |
| $______ |
| $_______ |
| 1004 |
| PCB-Special Oil |
| 15 |
| Ea |
| $______ |
| $_______ |
| 1005 |
| PCB-Routine Water |
| 20 |
| Ea |
| $______ |
| $_______ |
| 1006 |
| PCB-Special Water |
| 5 |
| Ea |
| $______ |
| $_______ |
| 1007 |
| PCB-Solid Matrix |
| 10 |
| Ea |
| $______ |
| $_______ |
| 1008 |
| TCLP-Liquid Matrix |
| 15 |
| Ea |
| $______ |
| $_______ |
| 1009 |
| TCLP-Solid Matrix |
| 15 |
| Ea |
| $______ |
| $_______ |
| 1010 |
| Total Metals Liquid Matrix |
| 5 |
| Ea |
| $______ |
| $_______ |
| 1011 |
| Total Metals Solid Matrix |
| 10 |
| Ea |
| $______ |
| $_______ |
| 1012 |
| Special Analyses-Total Suspended Solids |
| 5 |
| Ea |
| $______ |
| $_______ |
| 1013 |
| Special Analyses-Flashpoint |
| 10 |
| Ea |
| $______ |
| $_______ |
| 1014 |
| Special Analyses-Oil and grease |
| 17 |
| Ea |
| $______ |
| $_______ |
| TOTAL COST 1st Option Year |
| Total |
| $________________ |
*The quantities are estimates only. Payment will be made based on actual units ordered and results provided.
2nd Option Year: 1 Oct 2022 – 30 Sep 2023
| ITEM # |
| SUPPLIES |
| EstQty |
| U/I |
| Unit Price |
| Extended Amount |
| 2001 |
| PCB-Routine Swipes |
| 155 |
| Ea |
| $______ |
| $_______ |
| 2002 |
| PCB-Special Swipes |
| 40 |
| Ea |
| $______ |
| $_______ |
| 2003 |
| PCB-Routine Bilge Oil |
| 50 |
| Ea |
| $______ |
| $_______ |
| 2004 |
| PCB-Special Oil |
| 15 |
| Ea |
| $______ |
| $_______ |
| 2005 |
| PCB-Routine Water |
| 20 |
| Ea |
| $______ |
| $_______ |
| 2006 |
| PCB-Special Water |
| 5 |
| Ea |
| $______ |
| $_______ |
| 2007 |
| PCB-Solid Matrix |
| 10 |
| Ea |
| $______ |
| $_______ |
| 2008 |
| TCLP-Liquid Matrix |
| 15 |
| Ea |
| $______ |
| $_______ |
| 2009 |
| TCLP-Solid Matrix |
| 15 |
| Ea |
| $______ |
| $_______ |
| 2010 |
| Total Metals Liquid Matrix |
| 5 |
| Ea |
| $______ |
| $_______ |
| 2011 |
| Total Metals Solid Matrix |
| 10 |
| Ea |
| $______ |
| $_______ |
| 2012 |
| Special Analyses-Total Suspended Solids |
| 5 |
| Ea |
| $______ |
| $_______ |
| 2013 |
| Special Analyses-Flashpoint |
| 10 |
| Ea |
| $______ |
| $_______ |
| 2014 |
| Special Analyses-Oil and grease |
| 17 |
| Ea |
| $______ |
| $_______ |
| TOTAL COST 2nd Option Year |
| Total |
| $________________ |
*The quantities are estimates only. Payment will be made based on actual units ordered and results provided.
3rd Option Year: 1 Oct 2023 – 30 Sep 2024
| ITEM # |
| SUPPLIES |
| EstQty |
| U/I |
| Unit Price |
| Extended Amount |
| 3001 |
| PCB-Routine Swipes |
| 155 |
| Ea |
| $______ |
| $_______ |
| 3002 |
| PCB-Special Swipes |
| 40 |
| Ea |
| $______ |
| $_______ |
| 3003 |
| PCB-Routine Bilge Oil |
| 50 |
| Ea |
| $______ |
| $_______ |
| 3004 |
| PCB-Special Oil |
| 15 |
| Ea |
| $______ |
| $_______ |
| 3005 |
| PCB-Routine Water |
| 20 |
| Ea |
| $______ |
| $_______ |
| 3006 |
| PCB-Special Water |
| 5 |
| Ea |
| $______ |
| $_______ |
| 3007 |
| PCB-Solid Matrix |
| 10 |
| Ea |
| $______ |
| $_______ |
| 3008 |
| TCLP-Liquid Matrix |
| 15 |
| Ea |
| $______ |
| $_______ |
| 3009 |
| TCLP-Solid Matrix |
| 15 |
| Ea |
| $______ |
| $_______ |
| 3010 |
| Total Metals Liquid Matrix |
| 5 |
| Ea |
| $______ |
| $_______ |
| 3011 |
| Total Metals Solid Matrix |
| 10 |
| Ea |
| $______ |
| $_______ |
| 3012 |
| Special Analyses-Total Suspended Solids |
| 5 |
| Ea |
| $______ |
| $_______ |
| 3013 |
| Special Analyses-Flashpoint |
| 10 |
| Ea |
| $______ |
| $_______ |
| 3014 |
| Special Analyses-Oil and grease |
| 17 |
| Ea |
| $______ |
| $_______ |
| TOTAL COST 3rd Option Year |
| Total |
| $________________ |
*The quantities are estimates only. Payment will be made based on actual units ordered and results provided.
4th Option Year: 1 Oct 2024 – 30 Sep 2025
| ITEM # |
| SUPPLIES |
| EstQty |
| U/I |
| Unit Price |
| Extended Amount |
| 4001 |
| PCB-Routine Swipes |
| 155 |
| Ea |
| $______ |
| $_______ |
| 4002 |
| PCB-Special Swipes |
| 40 |
| Ea |
| $______ |
| $_______ |
| 4003 |
| PCB-Routine Bilge Oil |
| 50 |
| Ea |
| $______ |
| $_______ |
| 4004 |
| PCB-Special Oil |
| 15 |
| Ea |
| $______ |
| $_______ |
| 4005 |
| PCB-Routine Water |
| 20 |
| Ea |
| $______ |
| $_______ |
| 4006 |
| PCB-Special Water |
| 5 |
| Ea |
| $______ |
| $_______ |
| 4007 |
| PCB-Solid Matrix |
| 10 |
| Ea |
| $______ |
| $_______ |
| 4008 |
| TCLP-Liquid Matrix |
| 15 |
| Ea |
| $______ |
| $_______ |
| 4009 |
| TCLP-Solid Matrix |
| 15 |
| Ea |
| $______ |
| $_______ |
| 4010 |
| Total Metals Liquid Matrix |
| 5 |
| Ea |
| $______ |
| $_______ |
| 4011 |
| Total Metals Solid Matrix |
| 10 |
| Ea |
| $______ |
| $_______ |
| 4012 |
| Special Analyses-Total Suspended Solids |
| 5 |
| Ea |
| $______ |
| $_______ |
| 4013 |
| Special Analyses-Flashpoint |
| 10 |
| Ea |
| $______ |
| $_______ |
| 4014 |
| Special Analyses-Oil and grease |
| 17 |
| Ea |
| $______ |
| $_______ |
| TOTAL COST 4th Option Year |
| Total |
| $________________ |
*The quantities are estimates only. Payment will be made based on actual units ordered and results provided.
Base Year Total Cost _____________________________
1st Option Year Total Cost _____________________________
2nd Option Year Total Cost _____________________________
3rd Option Year Total Cost _____________________________
4th Option Year Total Cost _____________________________
Total Contract Cost _____________________________ (Base and all Option Years)