RFQ_NO._DTFH7117Q00054.pdf

DTFH7117Q00054

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

07/17/2017 EFL17TS038

1 3

Eastern Federal Lands Highway Div.

Acquisitions Office 21400 Ridgetop Circle

Federal Highway Administration

Sterling VA 20166-6511

Federal Highway Administration

1827 JACK DELOZIER DRIVE

Sevierville

TN 37876

703 404-6216Jan Beaver

07/28/2017 1400 ET

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 PART 13,

SIMPLIFIED ACQUISITION PROCEDURES.***

THIS WILL BE A FIRM, FIXED PRICE CONTRACT.

PROVIDE GOVERNMENT PRICING FOR THE FOLLOWING DATA

RECORDING MONITOR AND ACCESSORIES:

00001 DATA RECORDING MONITOR, REF # DIALOG. 1 EA

00002 JUNCTION BOX, REF # B321A2. 1 EA

00003 DEPTH SENSOR, REF # D907. 1 EA

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)

DTFH7117Q00054

00004 EXTENSION CORD FOR D907, REF # FR4NOT7F-A. 1 EA

00005 RPM (ROTATION SPEED) SENSOR, REF # VR28N. 1 EA

00006 TORQUE PRESSURE SENSOR, REF # C16400. 1 EA

00007 SENSOR FOR DETECTION OF THE ADD ROD OPERATION, 1 EA

REF # GU300.

00008 REPORTING SOFTWARE, REF # EXEPF. 1 EA

00009 INSTALLATION/COMMISSIONING/TRAINING TO BE 1 EA

PROVIDED BY VENDOR TECHNICIAN.

00010 TRAVEL COST FOR LINE ITEM NO. 9. 1 EA

***NOTE: TRAVEL (AIRFARE, LODGING, MEALS, AND

MISCELLANEOUS EXPENSES) AS REQUIRED TO PERFORM

SERVICES AS DESCRIBED ON LINE ITEM NO. 9.

AIRFARE SHALL BE ON A REIMBURSABLE BASIS WITH

MEALS AND LODGING NOT TO EXCEED THE MAXIMUM

ALLOWABLE PER DIEM RATE ESTABLISHED BY THE GSA

FEDERAL TRAVEL REGULATIONS (41 CFR 301-304) AT

TIME OF TRAVEL, FOR SEVIER COUNTY, TENNESSEE.

OTHER MISCELLANEOUS EXPENSES SUCH AS CAB FARE OR

RENTAL CAR, AND AIRLINE TRAVEL MUST BE SUPPORTED

WITH RECEIPTS.

00011 MISCELLANEOUS EXPENSES. 1 EA

00012 SHIPPING AND HANDLING FEE. 1 EA

***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.***

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)

DTFH7117Q00054

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 REGULATION (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.

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, FRIDAY, JULY 28,

2017.

PLEASE PROVIDE THE FOLLOWING INFORMATION WITH

YOUR QUOTATION:

DUN & BRADSTREET (DUNS) NUMBER:

FEDERAL TAX ID NUMBER:

ESTIMATED DELIVERY TIME:

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