(Atch_1)_Request_For_Quotation_(RFQ).pdf

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Separation History and Physical Examinations Program/Licensed Vocational Nurse for 374th Medical Group, Yokota Air Base, Japan
Solicitation number
FA5209-16-T-0043
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(Attachment 1) Request for Quotation (RFQ) (Total 4 Pages)

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(Atch_3)_FAR_52.213.pdf PDF
Government_Policy_Ltr.pdf PDF
(Atch_2)_(Final)_PWS_ _11_Mar_16.pdf PDF
(Final)_Combined_Synopsis_Solicitation.pdf PDF

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Attachment 1 To Solicitation No. FA5209-16-T-0043

WARNING!! - DO NOT TRANSMIT CLASSIFIED INFORMATION OVER UNSECURED TELECOMMUNICATIONS SYSTEMS OFFICIAL DOD TELECOMMUNICATIONS SYSTEMS ARE SUBJECT TO MONITORING AND USE OF DOD TELECOMMUNICATIONS SYSTEMS CONSTITUTES

CONSENT TO MONITORING. (11 APR 00)

374TH CONTRACTING SQUADRON

BLDG 620 YOKOTA AIR BASE

APO AP 96328

REQUEST FOR QUOTATION (RFQ) DATE: 6 MAY 2016

THIS REQUEST DOES NOT COMMIT THE GOVERNMENT TO PAY ANY COSTS INCURRED IN

PREPARATION OF YOUR SUBMISSION OR TO ISSUE AN ORDER FOR SUPPLIES AND SERVICES.

<COMPANY INFORMATION>

WE ARE U.S. AIR FORCE CONTRACTING SQ. AT YOKOTA AIR BASE LOCATED IN JAPAN

BID CLOSING DATE: 20 MAY 2016, 1000 hours Japan Standard Time (JST)

TO (FROM):

PHONE:

FAX:

(TO): 374 CONS/LGCBB

Contract Specialist: Masahiro Kaneko Contracting Officer: Elizabeth Johnson PHONE: 011-81-42-552-2511 ext. 5-8077

FAX: 011-81-42-530-3319

E-mail: masahiro.kaneko.jp@us.af.mil elizabeth.johnson.25@us.af.mil

CAGE CODE:

DUNS NO:

TIN:

Business Size:

EMAIL:

Web Address:

ORDERING NAME & ADDRESS:

TEL:

FAX:

REMITTANCE / EFT ADDRESS:

Contractors’ failure to insert the proper Electronic Funds Transfer (EFT) information will cause a delay in payment being issued.

WARNING!! - DO NOT TRANSMIT CLASSIFIED INFORMATION OVER UNSECURED TELECOMMUNICATIONS SYSTEMS OFFICIAL DOD TELECOMMUNICATIONS SYSTEMS ARE SUBJECT TO MONITORING AND USE OF DOD TELECOMMUNICATIONS SYSTEMS CONSTITUTES

CONSENT TO MONITORING. (11 APR 00)

SCHEDULE SERVICES AND PRICES-SEPARATION HISTORY AND PHYSICAL EXAMINATION

(SHPE) PROGRAM/LICENSED VOCATIONAL NURSE (LVN):

CONTRACTOR SHALL PROVIDE NON–PERSONAL SERVICES INCLUDING ALL NECESSARY

PERSONNEL, SUPERVISION, MANAGEMENT AND SERVICES TO PROVIDE SEPARATION

HISTORY AND PHYSICAL EXAMINATION (SHPE) PROGRAM/LICENSED VOCATIONAL NURSE

(LVN)FOR 374TH MEDICAL GROUP, YOKOTA AIR BASE JAPAN AS DESCRIBED IN THE

PERFORMANCE WORK STATEMENT (PWS) AND THE CONTRACT.

<ITEM PRICE>

ITEM

NO.

DESCRIPTION QTY UNIT

UNIT

PRICE

AMOUNT

Separation History and Physical Examinations (SHPE) Program/Licensed Vocational Nurse Services

The Contractor shall perform the subject service in accordance with the terms and conditions specified in the PWS attached and the contract.

Basic Period: 1 Jul 16 through 30 Jun 17

12 Months $__________ $______________

AMOUNT OF CLIN 0001: $______________

ITEM

NO.

DESCRIPTION QTY UNIT

UNIT

PRICE

AMOUNT

Separation History and Physical Examinations (SHPE) Program/Licensed Vocational Nurse Services

The Contractor shall perform the subject service in accordance with the terms and conditions specified in the PWS attached and the contract.

Option One Period: 1 Jul 17 thru 30 Jun 18

AMOUNT OF CLIN 1001: $______________

WARNING!! - DO NOT TRANSMIT CLASSIFIED INFORMATION OVER UNSECURED TELECOMMUNICATIONS SYSTEMS OFFICIAL DOD TELECOMMUNICATIONS SYSTEMS ARE SUBJECT TO MONITORING AND USE OF DOD TELECOMMUNICATIONS SYSTEMS CONSTITUTES

CONSENT TO MONITORING. (11 APR 00)

ITEM

NO.

DESCRIPTION QTY UNIT

UNIT

PRICE

AMOUNT

Separation History and Physical Examinations (SHPE) Program/Licensed Vocational Nurse Services

The Contractor shall perform the subject service in accordance with the terms and conditions specified in the PWS attached and the contract.

Option Two Period: 1 Jul 18 thru 30 Jun 19

AMOUNT OF CLIN 2001: $______________

DESCRIPTION QTY UNIT

UNIT

PRICE

AMOUNT

Separation History and Physical Examinations (SHPE) Program/Licensed Vocational Nurse Services

The Contractor shall perform the subject service in accordance with the terms and conditions specified in the PWS attached and the contract.

Option Three Period: 1 Jul 19 thru 30 Jun 20

AMOUNT OF CLIN 3001: $______________

DESCRIPTION QTY UNIT

UNIT

PRICE

AMOUNT

Separation History and Physical Examinations (SHPE) Program/Licensed Vocational Nurse Services

The Contractor shall perform the subject service in accordance with the terms and conditions specified in the PWS attached and the contract.

Option Four Period: 1 Jul 20 through 30 Jun 21

AMOUNT OF CLIN 4001: $______________

WARNING!! - DO NOT TRANSMIT CLASSIFIED INFORMATION OVER UNSECURED TELECOMMUNICATIONS SYSTEMS OFFICIAL DOD TELECOMMUNICATIONS SYSTEMS ARE SUBJECT TO MONITORING AND USE OF DOD TELECOMMUNICATIONS SYSTEMS CONSTITUTES

CONSENT TO MONITORING. (11 APR 00)

Note 1: The government contemplates award of a Firm-Fixed type of contract resulting from this solicitation.

Note 2: Solicitation provisions will be physically removed from any resultant award, but will be deemed to be incorporated by reference in that award.

Note 3: Offers submitted in US dollar/Yen will be converted into Yen/US dollar for price evaluation. This FY16 conversion shall be ¥121.83 to $1.00.

If the remittance address is different from the mailing address, enter the remittance address below. Failure to provide this information may impact payment.

QUOTED BY:

NAME ________________________________

TITLE ________________________________

DATE ________________________________

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