RFQ_NO._DTFH7115Q00034_-_FBO.pdf

DTFH7115Q00034

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

08/17/2015 EFL15AD028

1 3

Eastern Federal Lands Highway Div.

Acquisitions Office/JAN BEAVER 21400 Ridgetop Circle

Federal Highway Administration

703-404-6216 Sterling VA 20166-6511

Federal Highway Administration

Eastern Federal Lands Highway Div.

Administrative Services Office 21400 Ridgetop Circle

Sterling

VA 20166-6205

703 404-6216Jan Beaver

08/27/2015 1400 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

THIS WILL BE A FIRM, FIXED PRICE CONTRACT.

IN ACCORDANCE WITH THE ATTACHED STATEMENT OF

WORK, PROVIDE SUPPLIES AND SERVICES FOR SOUND

SYSTEM IN MAIN CONFERENCE ROOMS, LOCATED AT THE

FEDERAL HIGHWAY ADMINISTRATION, 21400 RIDGETOP

CIRCLE, SUITE 100, STERLING, VIRGINIA 20166.

AT A MINIMUM, THE SYSTEM SHOULD INCLUDE:

00001 LECTERN/PODIUM WITH MICROPHONE.

00002 SPEAKERS. (QUANTITY OF 4)

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 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

DTFH7115Q00034

00003 CONTROLLER.

00004 WIRING/ELECTRICAL WORK.

00005 COMPONENTS TO INTERGRATE PROJECTORS AND OTHER

DEVICES.

00006 ADDITIONAL MICROPHONES, CABLES, CORDS, ETC.

00007 LABOR FOR INSTALLATION.

00008 MISCELLANEOUS ITEMS.

PLEASE PROVIDE THE FOLLOWING WITH YOUR QUOTATION:

DUN & BRADSTREET (DUNS) NUMBER:

FEDERAL TAX ID NUMBER:

RESPONSES TO QUOTATION WILL BE ACCEPTED VIA FAX

NUMBER 571-434-1551, EMAIL: JAN.BEAVER@DOT.GOV,

OR MAIL TO THE ADDRESS IN BLOCK NO. 9, AND MUST

BE RECEIVED BY 2:00 PM, EST, THURSDAY, AUGUST 27,

2015.

***APPOINTMENTS FOR A SITE VISIT CAN BE SCHEDULED

BY EMAILING JAN.BEAVER@DOT.GOV OR

RAYMOND.H.DELPESCHE@DOT.GOV.***

IMPORTANT PAYMENT REQUIREMENT: IN ACCORDANCE

WITH FEDERAL ACQUISITION REGULATION (FAR) SUBPART

4.1102, PROSPECTIVE CONTRACTORS SHALL BE

REGISTERED IN THE SYSTEM FOR AWARD MANAGEMENT

(SAM) DATABASE PRIOR TO AWARD OF A CONTRACT.

ALSO, FAR CLAUSE 52.232-33 REQUIRES SAM

REGISTRATION FOR PAYMENT. SAM REGISTRATION IS

AVAILABLE ONLINE AT WWW.SAM.GOV.

THIS SOLICITATION INCORPORATES BY REFERENCE, WITH

Continued ...

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

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

DTFH7115Q00034

THE SAME FORCE AND EFFECT AS IF THEY WERE GIVEN

IN FULL TEXT, THE FOLLOWING FAR CLAUSES:

52.213-4 TERMS AND CONDITIONS—SIMPLIFIED

ACQUISITIONS (OTHER THAN COMMERCIAL ITEMS) (JULY

2013).

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN

TEXT MESSAGING WHILE DRIVING (AUG 2011).

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