Sol_G15PS00559.pdf

G15PS00559

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

06/26/2015 See Schedule

1 7

MODOC HALL, CSUS

3020 STATE UNIVERSITY DRIVE EAST

SACRAMENTO CA 95819-6027

USGS OAG SACRAMENTO ACQUISITION BR.

Multiple

USGS Earthquake Science Center

345 Middlefield Rd, MS. 977

Menlo Park

CA 94025

916 278-9330Judy Davis

07/06/2015 0700 PT

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

FOR ASSISTANCE CONTACT: JMDAVIS@USGS.GOV OR 916

278 9330 (ADDRESS BLOCK 5a, SUITE 2002).

CONTRACTOR IS RESPONSIBLE FOR READING THE

CONTENTS OF THIS DOCUMENT AND ATTACHMENTS.

00010 NETQUAKE INSTRUMENTS, GSR-IA18 VERSION GMS PLUS 10 EA

-73NQ, INTERNAL AC-73 TRIAXIAL FBA +/- 2 g, 0 TO 200 Hz, 8 GB REMOVABLE CERTIFIED MEMORY CARD, INTERNAL WI FI MODULE, INTERNAL 12 VDC 7.0 Ah

BATTERY, 15 VDC EXTERNAL POWER SUPPLY, UL,

100-240 VAC, SINGLE BOLT MOUNTING BASE PLATE WITH

LEVELING SCREWS

Requisition No: 0040219752

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 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

G15PS00559

00020 Ethernet Cable, 5 meter 7 pin metallic 15 EA connector, RJ45 connector

Requisition No: 0040223088

00030 Packing for Export / Shipping

Requisition No: 0040223088

Period of Performance: 07/06/2015 to 07/14/2015

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