RFQ_NO._DTFH7116Q00030.pdf

DTFH7116Q00030

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

06/01/2016

1 2

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.

21400 Ridgetop Circle

Sterling

VA 20166-6511

703 404-6216Jan Beaver

06/16/2016 1400 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

SUBMIT A PRICE QUOTATION IN ACCORDANCE WITH THE

ATTACHED SCOPE OF WORK TO PROVIDE SERVICES FOR

TRAVEL DEMAND FORECASTING SUPPORT IN CONNECTION

WITH THE ENVIRONMENTAL ASSESSESSMENT (EA) BEING

PREPARED FOR THE GEORGE WASHINGTON MEMORIAL

PARKWAY (GWMP) NORTH DESIGN PROJECT. YOUR

QUOTATION MUST INCLUDE A BREAKDOWN OF COSTS AND

ADDRESS ALL REQUIREMENTS IN THE SCOPE OF WORK.

THIS WILL BE A FIRM, FIXED PRICE CONTRACT.

PERIOD OF PERFORMANCE: 12 WEEKS FROM NOTICE TO

PROCEED.

00001 SERVICES FOR TRAVEL DEMAND FORECASTING SUPPORT IN

CONNECTION WITH THE ENVIRONMENTAL ASSESSESSMENT

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)

DTFH7116Q00030

(EA) BEING PREPARED FOR THE GEORGE WASHINGTON

MEMORIAL PARKWAY (GWMP) NORTH DESIGN PROJECT.

00002 TRAVEL REQUIRED TO PERFORM SERVICES AS OUTLINED

IN THE ATTACHED SCOPE OF WORK, AIRFARE, LODGING,

MEALS, AND MISCELLANEOUS EXPENSES SHALL BE ON A

REIMBURSABLE BASIS WITH THE MEALS AND LODGING NOT

TO EXCEED THE MAXIMUM ALLOWABLE PER DIEM RATE

ESTABLISHED BY THE GSA FEDERAL REGULATIONS (14

CFR 301-304) AT TIME OF TRAVEL. MISCELLANEOUS

EXPENSES MUST BE SUPPORTED WITH RECEIPTS.

THIS SOLICITATION INCORPORATES BY REFERENCE, WITH

THE SAME FORCE AND EFFECT AS IF GIVEN IN FULL

TEXT, THE FOLLOWING FEDERAL ACQUISITION

REGULATION (FAR) CLAUSES:

52.204-10 REPORTING EXECUTIVE COMPENSATION AND

FIRST-TIER SUBCONTRACT AWARDS. (OCT 2015)

52.204-8 ANNUAL REPRESENTATIONS AND

CERTIFICATIONS (JUL 2013)

IMPORTANT PAYMENT REQUIREMENT:

IN ACCORDANCE WITH FAR SUBPART PART 4.1102,

PROSPECTIVE CONTRACTORS SHALL BE REGISTERED IN

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.

RESPONSES TO RFQ WILL BE ACCEPTED VIA FAX NUMBER

571-434-1551, OR E-MAIL: JAN.BEAVER@DOT.GOV AND

MUST BE RECEIVED AT 2:00 PM, EST, THURSDAY,

JUNE 16, 2016.

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