RFQ_NO._DTFH7117Q00009.pdf

DTFH7117Q00009

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

11/28/2016

1 3

EASTERN FEDERAL LANDS HIGHWAY DIV

ACQUISITIONS OFFICE

21400 RIDGETOP CIRCLE

FEDERAL HIGHWAY ADMINISTRATION

ATTN JAN BEAVER703-404-6216

STERLING VA 20166-6511

FEDERAL HIGHWAY ADMINISTRATION

1827 JACK DELOZIER DRIVE

SEVIERVILLE

TN 37876

703 404-6216Jan Beaver

12/13/2016 1500 ES

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

THIS SOLICITATION IS PREPARED IN ACCORDANCE WITH

FEDERAL ACQUISITION REGULATION 13, SIMPLIFIED

ACQUISITION PROCEDURES.

00001 SUBMIT A PRICE QUOTATION IN ACCORDANCE WITH THE

ATTACHED STATEMENT OF WORK TO PROVIDE CALIBRATION

SERVICES FOR THE MATERIALS LABORATORY LOCATED IN

THE FEDERAL HIGHWAY ADMINISTRATION'S SEVIERVILLE,

TENNESSEE, OFFICE. YOUR QUOTATION MUST INCLUDE A

WRITTEN BREAKDOWN OF COSTS AND ADDRESS ALL

REQUIREMENTS IN THE SOW.

00002 TRAVEL REQUIRED TO PERFORM SERVICES AS OUTLINED

IN THE ATTACHED STATEMENT OF WORK. AIRFARE,

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)

DTFH7117Q00009

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) FOR SEVIER COUNTY,

TENNESSEE, AT TIME OF TRAVEL. MISCELLANEOUS

EXPENSES MUST BE SUPPORTED WITH RECEIPTS. ANY

LOCAL TRAVEL SHALL BE REIMBURSED AT THE GSA RATE

(PER MILE) AT TIME OF TRAVEL. PLEASE ANNOTATE

ESTIMATED TRAVEL COSTS TO INCLUDE INITIAL ON-SITE

SERVICE CALL TO BE SCHEDULED IN JANUARY 2017, AND

ON-SITE SERVICE CALL TO BE SCHEDULED 6 MONTHS

AFTER INITIAL SERVICE CALL.

SECTION 508 COMPLIANCE INSTRUCTIONS:

SECTION 508 OF THE REHABILITATION ACT OF 1973

REQUIRES THAT FEDERAL AGENCIES' ELECTRONIC AND

INFORMATION TECHNOLOGY (EIT) IS ACCESSIBLE TO

PEOPLE WITH DISABILITIES. THE FEDERAL

ACQUISITION REGULATIONS (FAR) CAN BE FOUND AT

WWW.SECTION508.GOV AND AT THE ACCESS BOARD'S

WEBSITE AT

WWW.ACCESSBOARD.GOV/SEC508/508STANDARDS.HTM.

PLEASE STATE AND ATTACH INFORMATION SHOWING THAT

YOUR PRODUCT IS SECTION 508 COMPLIANT, IF

APPLICABLE.

REPRESENTATIONS AND CERTIFICATIONS FAR 52.204-8:

THE REPRESENTATIONS AND CERTIFICATIONS MUST BE

FILLED IN ONLINE AT WWW.SAM.GOV.

IMPORTANT PAYMENT REQUIREMENT:

IN ACCORDANCE WITH FEDERAL ACQUISITION REQULATION

(FAR) SUBPART PART 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.

RESPONSES TO QUOTATION WILL BE ACCEPTED VIA FAX

NUMBER 571-434-1551, OR E-MAIL:

JAN.BEAVER@DOT.GOV AND MUST BE RECEIVED BY

3:00 P.M., EST, TUESDAY, DECAMBER 13, 2016.

THIS PURCHASE ORDER INCORPORATES BY REFERENCE,

WITH THE SAME FORCE AND EFFECT AS IF THEY WERE

GIVEN IN FULL TEXT, THE FOLLOWING FEDERAL

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)

DTFH7117Q00009

ACQUISITION REGULATION (FAR) PROVISIONS AND

CLAUSES:

52.204-10 REPORTING EXECUTIVE COMPENSATION AND

FIRST-TIER SUBCONTRACT AWARDS.

52.212-1 INSTRUCTIONS TO OFFERORS-COMMERCIAL

ITEMS.

52-212-3 OFFEROR REPRESENTATIONS AND

CERTIFICATIONS-COMMERCIAL ITEMS.

52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL

ITEMS.

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN

TEXT MESSAGING WHILE DRIVING.

PLEASE PROVIDE THE FOLLOWING WITH YOUR QUOTATION:

FEDERAL TAX ID NUMBER:

DUN AND BRADSTREET (DUNS) NUMBER:

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