BEP-16-000660.doc
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- Spare Part Federal contract opportunity
- Solicitation number
- BEP-16-000660
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REQUEST FOR QUOTATION
(THIS IS NOT AN ORDER)
THIS RFQ FORMCHECKBOX
IS FORMCHECKBOX
IS NOT A SMALL BUSINESS SET-ASIDE
PAGE
OF PAGES
1. Request No.
BEP-16-000660
1.
2. R1EQUSET NO.
3. BEP-15-0001(A)
4. NO.
5. BEP-15-0001(A)
6. R REQUSET NO.
7. BEP-15-0001(A)
8. EQUSET NO.
9. BEP-15-0001(A)
2. DATE ISSUED
11/18/2016
3 REQUISITION/PURCHASE REQUEST NO.
MAP1780
4. CERT. FOR NAT. DEF.
UNDER BDSA REG. 2
AND/OR DMS REG.1
RATING
5a. ISSUED BY
Your Name
6. DELIVER BY (Date)
| 5B. FOR INFORMATION CALL (NO COLLECT CALLS) |
| 7. DELIVERY |
OTHER
NAME
Bureau of Engraving and Printing
14th and C St., S.W., Rm 705-A
Washington, DC 20228
| TELEPHONE NUMBER |
| FOB ORIGIN |
| (SEE SCHEDULE) |
| AREA CODE |
| NUMBER |
| 9. DESTINATION |
| 202 |
| 874-2392 |
| a. NAME OF CONSIGNEE |
Bureau of Engraving and Printing
8. TO BE COMPLETED BY QUOTER:
| a. NAME JACKIE BOFF |
| b. COMPANY UCS |
b. Street Address
14th & C Streets, SW
c. STREET ADDRESS
c. city
Washington
e. STATE
f. ZIP CODE
d. State
e. ZIP CODE
20228
10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5A ON OR BEFORE CLOSE OF BUSINESS (Date) November 22 2016 10:00 EST 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)
| ITEM NO. |
| SUPPLIES/SERVICES |
| QTY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| (a) |
| (b) |
| (c) |
| (d) |
| (e) |
| (f) |
MAP1780 STOP, FRONT LAY STOP PIECE, KBA PART #L6971900, REPLACEMENT FOR L5239520, L5288470 AND L5288480 FOR USE ON THE I-10 PRESS
EA
| 12. DISCOUNT FOR PROMPT PAYMENT OFFERED |
| a. 10 CALENDAR |
DAYS (%)
b.
20 CALENDAR
c.
30 CALENDAR
d. CALENDAR DAYS
NUMBER
PERCENTAGE
NOTE: Additional provisions and representations FORMCHECKBOX are are not attached.
| 13. NAME AND ADDRESS OF QUOTER |
| 14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION |
| 15. DATE OF QUOTATION |
a. NAME OF QUOTER:
b. STREET ADDRESS
16. SIGNER
a. NAME (Type or print)
b. TELEPHONE
c. COUNTY
d. CITY
| e. STATE |
| f. ZIP CODE |
| c. TITLE (Type or print) |
| NUMBER |
Bureau of Engraving and Printing
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