RFQ-Chemistry_Analyzer.doc

5th Contracting Sq

5 CONS / LGCB

Minot AFB, ND

5 CONS / LGCB

12 Feb 2016 165 Missile Avenue

Attn: Courtney Brown

Minot AFB ND 58705-5027

Phone: (701) 723-4187 Fax: (701) 723-2895 E-Mail Address: courtney.brown.18@us.af.mil

Request For Quotation

#F3C4HP6025AW01

RETURN QUOTE SHEET BY 14 March 2016 at 2:00pm CST

· Quotes must be valid for 30 calendar days or more.

· Contract Award will be made on an “all or none basis”.

· Award will be based on best value to the governent, price and other factors considered.

· Applicable NAICS Code is : 325413

Company Name:

Fax Number:

Point of Contact:

Address:

Tel Number:

Email Address:

Item Description Quantity Unit Total

Price Price

Base Year – Period of Performance - on or about 1 Apr 16 – 31 Mar 17 Cost per test agreement for one (1) Chemistry Analyzer IAW the

Attached Statement of Work (SOW)

AA Class 1 Slides (See SOW for Slide Breakdown)

48,170 EA

AB Class 2 Slides (See SOW for Slide Breakdown)

18,080 EA

AC Class 3 Slides (See SOW for Slide Breakdown)

8,580 EA

AD Class 8 Slides (See SOW for Slide Breakdown)

1,440 EA

AE Other Consumables (See SOW for Breakdown)

1 EA

Base Year Total Price

Option Year One – Period of Performance - on or about 1 Apr 17 – 31 Mar 18 Cost per test agreement for one (1) Chemistry Analyzer IAW the

Attached SOW

AA Class 1 Slides (See SOW for Slide Breakdown)

48,170 EA

AB Class 2 Slides (See SOW for Slide Breakdown)

18,080 EA

AC Class 3 Slides (See SOW for Slide Breakdown)

8,580 EA

AD Class 8 Slides (See SOW for Slide Breakdown)

1,440 EA

AE Other Consumables (See SOW for Breakdown)

1 Each

Option Year 1 Total Price

Option Year Two – Period of Performance - on or about 1 Apr 18 – 31 Mar 19 Cost per test agreement for one (1) Chemistry Analyzer IAW the

Attached SOW AA Class 1 Slides (See SOW for Slide Breakdown)

48,170 EA

AB Class 2 Slides (See SOW for Slide Breakdown)

18,080 EA

AC Class 3 Slides (See SOW for Slide Breakdown)

8,580 EA

AD Class 8 Slides (See SOW for Slide Breakdown)

1,440 EA

AE Other Consumables (See SOW for Breakdown)

1 EA

Option Year 2 Total Price

Option Year Three – Period of Performance - on or about 1 Apr 19 – 31 Mar 20 Cost per test agreement for one (1) Chemistry Analyzer IAW the

Attached SOW

AA Class 1 Slides (See SOW for Slide Breakdown)

48,170 EA

AB Class 2 Slides (See SOW for Slide Breakdown)

18,080 EA

AC Class 3 Slides (See SOW for Slide Breakdown)

8,580 EA

AD Class 8 Slides (See SOW for Slide Breakdown)

1,440 EA

AE Other Consumables (See SOW for Breakdown)

1 EA

Option Year 3 Total Price

Option Year Four – Period of Performance - on or about 1 Apr 20 – 31 Mar 21 Cost per test agreement for one (1) Chemistry Analyzer IAW the

Attached SOW AA Class 1 Slides (See SOW for Slide Breakdown)

48,170 EA

AB Class 2 Slides (See SOW for Slide Breakdown)

18,080 EA

AC Class 3 Slides (See SOW for Slide Breakdown)

8,580 EA

AD Class 8 Slides (See SOW for Slide Breakdown)

1,440 EA

AE Other Consumables (See SOW for Breakdown)

1 EA

Option Year 4 Total Price

Total Price of all Line Items $_______________

ALL DELIVERY TERMS WILL BE FOB DESTINATION

SAM registered yes/no

Discount Terms:______________________

Small Business yes/no

DUNS number ____________ CAGE number________

Veteran Owned yes/no

TIN number ____________________

Estimated Delivery/Performance Time:__________

Woman Owned yes/no

Minority Owned yes/no Signature:

Dated:

*Note: Offerors may use another format for submission of quotes. However, all quotes must contain the minimum information required

1. To be eligible for contract award, vendor must be registered in the System for Award Management (SAM) and must also complete Representations and Certifications at http://www.sam.gov, per FAR 52.204-7.

2. All payments by the Government under any associated contract shall be made by electronic funds transfer (EFT), per FAR 52.232-33.

3. See attached Combined Synopsis/Solicitation for the additional applicable clauses and provisions that apply.

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