CGC_CAPSTAN_RFQ.pdf

PDF 1008 KB Posted Mar 22, 2017

Attached to: CGC CAPSTAN diesel fuel removal and tank cleaning
Solicitation number: HSCG27-17-Q-3JLQ91
Issued by: Department of Homeland Security US Coast Guard

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Commercial_Supplies__Services_Clauses__Provisions_2005-95.doc	DOC document	Mar 22, 2017
CGC_CAPSTAN_SOW.pdf	PDF	Mar 22, 2017

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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

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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.: 1

7. DELIVERY. FOB DESTINATION: 1

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.: 0

PAGE OF: 1

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

3. REQUISITION/PURCHASE REQUEST NUMBER: HSCG27-17-Q-3JLQ91

1. REQUEST NUMBER: 0001

5a. ISSUED BY: U. S. Coast Guard Base Portsmouth, VA

5b. FOR INFORMATION CALL (NO COLLECT CALLS). NAME: Henry Langford

8. TO. a. NAME:

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:

8. TO. d. CITY:

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.: PROVIDE ALL LABOR, MATERIALS & EQUIP.

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: TO REMOVE APPROX 1,000 GALLONS OF

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: DIESEL FUEL FROM TWO 900 GL FUEL TANKS

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: ONBOARD CGC CAPSTAN. ONCE THE FUEL

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: HAS BEEN REMOVED CLEAN TWO 900 GL

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: FUEL TANKS. CGC CAPSTAN IS LOCATED AT

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: USCG IPD CAPE MAY, 1 MUNRO AVE, CAPE

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: MAY, NJ 08204. ALL WORK WILL CONFORM

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: TO THE STATEMENT OF WORK AND

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: ATTACHED FAR CLAUSES.

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: E-MAIL QUOTES TO:

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: HENRY.L.LANGFORD@USCG.MIL

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: SUBMIT THIS FORM ALONG WITH YOUR

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: QUOTE & FAR PROVISIONS (IF NOT

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: AVAILABLE IN SAM.GOV) & ONE COPY OF

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: YOUR BUSINESS/CONTRACTOR'S LICENSE

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: & LIABILITY INSURANCE CERTIFICATE.

11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.: 1.00000000

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

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

8. TO. e. STATE:

8. TO. f. ZIP CODE:

5b. FOR INFORMATION CALL (NO COLLECT CALLS). TELEPHONE NUMBER. AREA CODE: 757

8. TO. b. COMPANY:

5b. FOR INFORMATION CALL (NO COLLECT CALLS). TELEPHONE NUMBER. NUMBER: 483-8624

9. DESTINATION. a. NAME OF CONSIGNEE: USCGC IBIS

9. DESTINATION. b. STREET ADDRESS: 1 Munro Avenue

9. DESTINATION. c. CITY: Cape May

9. DESTINATION. e. ZIP CODE: 08204-50

9. DESTINATION. d. STATE: NJ

PAGES: 1

2. DATE ISSUED. Enter 2 digit month, 2 digit day and 4 digit year.: 2017-03-22

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.: 2017-04-03

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.: 2017-04-11

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.: 0.00000000

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.