Ultrasound_RFQ_.pdf

DEPARTMENT OF THE AIR FORCE

2D CONTRACTING SQUADRON (AFGSC)

BARKSDALE AIR FORCE BASE LOUISIANA

REQUEST FOR QUOTE (RFQ)

Contract Administrator: Ms. Damita L Edwards

PHONE: 318 456-4011

Project Title: EPIQ Ultra Sound

DATE OF QUOTE: ________________

QUOTE PREPARED BY:

(Signature)

(Printed Name and Title)

This is a Request for Quote. This is NOT an order. ALL quotes are due by: Friday, 04:00pm CST, 02 February 2018 delivered in person or via e-mail (if applicable). LATE QUOTES

WILL NOT BE ACCEPTED UNLESS IN THE BEST INTEREST OF THE

GOVERNMENT AS DETERMINED BY THE CONTRACTING OFFICER.

If you are unable to submit a proposal, please indicate the types of goods and services you provide on this form along with contact information and your company will be kept in mind for future business opportunities. This document is not legally binding and does not commit the US Government in anyway. Funds are available for this contract.

The Contracting Officer is the only authorized representative that may obligate funds on behalf of the US Government. Work accomplished under the direction of any other individual is not authorized and is accomplished at the sole liability of the contractor.

CLIN P/N Desc. Unit of Measure Qty Unit

Cost Total

CLIN0001 101912 EPIQ Ultrasound Machine (Brand name or Equal) EA 1

CLIN0002 NNAP697 ADV Rad Transducer Bundle (Brand name or Equal) EA 1

CLIN0003 NUSV541 Radiology Clinical Package (Brand name or Equal) EA 1

CLIN0004 NUSV651 Battery STD Life Package (Brand name or Equal) EA 1

CLIN0005 NUSV734 Internal B&W Printer (Brand name or Equal) EA 1

CLIN0006 NUSV671 Government Security EA 1

(Brand name or Equal) CLIN0007 Shipping EA 1 CLIN0008 Installation EA 1

Grand Total

SHIPPING INCLUDED IN PRICE: YES / NO*

(*Shipping Cost if “NO” is marked: $______________________________________)

CONTRACTOR’S PROPOSED DELIVERY SCHEDULE: DAYS

(Contractor fills in number of days above)

QUOTE EXPIRES ON THIS DATE: _______________________________________

DISCOUNT TERMS: ____________________________________________________

1. Contractor Name: _________________________________

2. GSA Contract Number: ____________________________

3. TAX ID #:_____________________________________

4. Cage Code:___________________________________

5. Registered in SAM (Y/N):_________________________

6. Phone/Email: _____________________________________

Contractors bidding “Or Equal” items must provide pictures/specifications of items that will meet minimum salient characteristics of the items proposing.

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