RFQ Sample.doc

All responsible sources may submit a bid, proposal, or quotation which shall be considered by the agency.

REQUEST FOR QUOTATION

30th Contracting Squadron Attn: SSgt Jason Burdett Bldg. 8500, 1515 Iceland Ave, Rm. 150 Vandenberg AFB CA 93437

Phone: 805-606-2480 Fax: 805-606-5193 E-Mail: jason.burdett@vandenberg.af.mil

COMPANY NAME

Company Address

$ TOTAL AMOUNT

CLOSING DATE: 10 November, 2008 12:00 PST

I. REQUEST FOR QUOTE:

Supplies are of domestic origin unless otherwise indicated by the vendor. Please tell us if quoting exact item or “equal”. If quoting on “or equal items”, contractors shall provide specifications with quote. Please review and submit a quote for the following item/items:

Issue

II. VENDOR’S QUOTE INFORMATION:

Payment

Terms Estimated

Delivery

Date Quote

Expiration

Date Phone

FAX Number Quoted BY

Government requests

If you are unable to quote destination please indicate here: ____

FOB Destination Quotes only

Cost for other than FOB Destination: $____________________

*REQUIRED

Tax I.D#

(TIN)

*REQUIRED

DUNS #

*REQUIRED

III. GSA INFORMATION

(Complete Only If Quoting GSA Prices)

IV. CENTRAL CONTRACTOR REGISTRATION (CCR):

Rule requires a firm to be registered in the DoD Central Contractor Registration Database (CCR) and ORCA (www.bpn.gov) prior to award of any contract and agreements. Firms must register on a one-time basis, and annually confirm accuracy and completeness of registration information.

To Register For The CCR Over The Internet Type Up:

http://www.ccr.gov

B. For Sole Source Requirements: In the case of noncompetitive contract actions (including those that do not exceed the simplified acquisition threshold), identify the intended source (see paragraph (e) of this section) and insert a statement of the reason justifying the lack of competition.

C. Small Business Set-aside Designated Region is Los Angeles, CA, serving the following counties in California: Los Angeles, Santa Barbara, and Ventura.