SF_18_Request_for_Quotation.pdf

PDF 998 KB Posted Jun 30, 2016

Attached to: Pharmacological Assay testing
Solicitation number: HHS-NIH-NIDA-SSSA-NOI-2016-476
Issued by: Department of Health and Human Services National Institutes of Health

About this file

From the source

SF-18

View the file

Other files

File	Type	Posted
52.212-5.pdf	PDF	Jun 30, 2016
invoice_instructions_sat_508-NIH_OFM.pdf	PDF	Jun 30, 2016
52.212-4.pdf	PDF	Jun 30, 2016
160308_SOW_Eurofins_Brimacomb__NOI_Posting.pdf	PDF	Jun 30, 2016

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

b. TELEPHONE

AREA CODE

NUMBER

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

8. TO:

b. COMPANYa. NAME

c. STREET ADDRESS

d. CITY e. STATE f. ZIP CODE

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE e. ZIP CODE

7. DELIVERY

FOB DESTINATION

OTHER

(See Schedule)

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date)

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 service. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotation must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO.

(a)

SUPPLIES/ SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

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 are are not attached.

13. NAME AND ADDRESS OF QUOTER

a. NAME OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

PAGE OF PAGES

1. REQUEST NO. 2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY 6. DELIVER BY (Date)

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME TELEPHONE NUMBER

AREA CODE NUMBER

1.2 Acrobat Distiller 2.1 for Windows D:19960415163144 D:20000330134507 \\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg \\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ

IS NOT A SMALL BUSINESS SET-ASIDE

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

b. TELEPHONE

AREA CODE

NUMBER

STANDARD FORM 18 (REV. 6-95) Prescribed by GSA-FAR (48 CFR) 53.215-1(a) AUTHORIZED FOR LOCAL REPRODUCTION Previous edition not usable

8. TO:

b. COMPANY

a. NAME

c. STREET ADDRESS

d. CITY

e. STATE

f. ZIP CODE

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE

e. ZIP CODE

7. DELIVERY

FOB DESTINATION

OTHER

(See Schedule)

10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date) 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 service. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotation must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO.

(a)

SUPPLIES/ SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

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 are are not attached.

13. NAME AND ADDRESS OF QUOTER

a. NAME OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY

e. STATE

f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION

PAGE

PAGES

1. REQUEST NO.

2. DATE ISSUED

3. REQUISITION/PURCHASE REQUEST NO.

4. CERT. FOR NAT. DEF. UNDER BDSA REG. 2 AND/OR DMS REG. 1

RATING

5a. ISSUED BY

6. DELIVER BY (Date) 5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME

TELEPHONE NUMBER

AREA CODE

NUMBER

THIS RFQ IS A SMALL BUSINESS SET-ASIDE.: 0

7. DELIVERY. FOB DESTINATION: 0

NOTE: Additional provisions and representations are attached.: 0

NOTE: Additional provisions and representations are not attached.: 0

7. DELIVERY. OTHER (See Schedule): 0

THIS RFQ IS NOT A SMALL BUSINESS SET-ASIDE.: 1

PAGE OF:

4. CERT. FOR NAT. DEF. UNDER BDSA REG. 2 AND/OR DMS REG. 1. RATING:

3. REQUISITION/PURCHASE REQUEST NUMBER: HHS-NIH-NIDA-SSSA-NOI-476

1. REQUEST NUMBER:

5a. ISSUED BY: The National Institute on Drug Abuse

5b. FOR INFORMATION CALL (NO COLLECT CALLS). NAME: Brian Lind

8. TO. a. NAME: Anthony Gallacher

13. NAME AND ADDRESS OF QUOTER. f. ZIP CODE:

16. SIGNER. a. NAME (Type or print):

16. SIGNER. b. TELEPHONE. AREA CODE:

16. SIGNER. b. TELEPHONE. NUMBER:

16. SIGNER. c. TITLE (Type or print):

13. NAME AND ADDRESS OF QUOTER. e. STATE:

13. NAME AND ADDRESS OF QUOTER. d. CITY:

13. NAME AND ADDRESS OF QUOTER. b. STREET ADDRESS:

13. NAME AND ADDRESS OF QUOTER. c. COUNTRY:

13. NAME AND ADDRESS OF QUOTER. a. NAME OF QUOTER:

8. TO. c. STREET ADDRESS: 158 Li Teh Road

8. TO. d. CITY: Peitou, Taipei, Taiwan

11. SCHEDULE (Include applicable Federal, State and local taxes). ITEM NUMBER. COLUMN A. Line 18 of 18: 1

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Pharmacological Assay Testing

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: In accordance with the Statement of Work

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Period of Performance 08/01/2016 to 07/31/2017

11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:

11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT. COLUMN D.:

8. TO. e. STATE:

8. TO. f. ZIP CODE: 11259

5b. FOR INFORMATION CALL (NO COLLECT CALLS). TELEPHONE NUMBER. AREA CODE: 301

8. TO. b. COMPANY: Eurofins Panilabs, Taiwan, LTD

5b. FOR INFORMATION CALL (NO COLLECT CALLS). TELEPHONE NUMBER. NUMBER: 827-5298

9. DESTINATION. a. NAME OF CONSIGNEE:

9. DESTINATION. b. STREET ADDRESS:

9. DESTINATION. c. CITY:

9. DESTINATION. e. ZIP CODE:

9. DESTINATION. d. STATE:

PAGES:

2. DATE ISSUED. Enter 2 digit month, 2 digit day and 4 digit year.: 2016-06-30

10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date). Enter 2 digit month, 2 digit day and 4 digit year.:

15. DATE OF QUOTATION. Enter 2 digit month, 2 digit day and 4 digit year.:

6. DELIVER BY (Date). Enter 2 digit month, 2 digit day and 4 digit year.:

11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:

11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:

11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:

12. DISCOUNT FOR PROMPT PAYMENT. a. 10 CALENDAR DAYS (%):

12. DISCOUNT FOR PROMPT PAYMENT. b. 20 CALENDAR DAYS (%):

12. DISCOUNT FOR PROMPT PAYMENT. c. 30 CALENDAR DAYS (%):

12. DISCOUNT FOR PROMPT PAYMENT. d. CALENDAR DAYS. NUMBER:

12. DISCOUNT FOR PROMPT PAYMENT. d. CALENDAR DAYS. PERCENTAGE:

14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION. Digital Signature:

14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION. This is a protected field:

File details come from the government source that posted it. Updated Nov 14, 2017.