14-3444TK323.pdf

FAC 01-16

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS SET ASIDE

PAGE OF PAGES

1 2

1 REQUEST NO.

HSCG34-14-Q-4TK323

2. DATE ISSUED

07/17/14

3. REQUISITION/PURCHASE REQUEST NO.

21-14-3444TK323

4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY

Contracting Officer, USCG BSU HONOLULU

6. DELIVERY BY (Date)

5b. FOR INFORMATION CALL (NO COLLECT CALLS) 7. DELIVERY

NAME TELEPHONE NUMBER FOB DESTINATION OTHER (See schedule)

NADYNE CANO AREA CODE NUMBER 9. DESTINATION

(808) 842-2820

a. NAME OF CONSIGNEE

8. TO: CGC KUKUI

a. NAME

b. COMPANY

b. STREET ADDRESS

400 SAND ISLAND PARKWAY

c. CITY

HONOLULU

d. STATE

HI

e. ZIP CODE

96819

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5A ON OR

BEFORE CLOSE OF BUSINESS (date)

12:00 NOON HST

28 July 2014

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)

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

The U. S. Coast Guard, Honolulu, HI has a requirement for the item(s) listed below. The

North American Industry Classification System

(NAICS) code for this is 326220 with a size standard of 500. Please fax quotation and completed 52.212-3 Offeror Representations and

Certifications-Commercial Items form to Base

Honolulu (s), Attn: Nadyne Cano at(808)842-

2834 or email to Nadyne.V.Cano@uscg.mil as soon as possible, but no later than date and time as stated in block 10.

Vendor shall provide all materials, delivery, installation, transportation, and tools required for hose fabrication, testing and installation of hose assemblies for the main crane aboard the CGC KUKUI, as identified in the attached hose list.

Vendor shall test all hoses to 5000 psi in accordance with SFLC Std Spec

0000 and SFLC Std Spec 5000. See

Statement of Work.

Period of Performance for delivery/installation: 15 Sep

2014 thru 15 October 2014

JB

a. 10 CALENDAR

DAYS (%)

b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

12. DISCOUNT FOR PROMPT PAYMENT:

NUMBER

PERCENTAGE

NOTE: Additional provisions and representations are are not attached.

13. NAME AND ADDRESS OF QUOTER 14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION 15. DATE OF QUOTATION

a. NAME OF QUOTER

b. STREET ADDRESS 16. SIGNER

a. NAME (Type or print) b. TELEPHONE

c. COUNTY

AREA CODE

d. CITY

e. STATE

f. ZIP CODE

c. TITLE (Type or print)

NUMBER

Previous edition not usable STANDARD FORM 18 (Rev. 6-95) mailto:Nadyne.V.Cano@uscg.mil

FAC 01-16

Continuation

21-12-3444TK

Period of Performance for delivery/installation: 15 September 2014 thru 15 October 2014.

Service Contract Act applies.

Evaluation of responses and award will be made to the responsible offeror submitting the lowest priced, technically acceptable offer.

Technical acceptance is based on meeting government requirements/specifications.

See all attachments.

Site visit/inspection is highly recommended prior to submission of proposals. Please contact MKC Aaron Mertz at (808)842-2860 for scheduling.

PLEASE NOTE THIS IS A FOB DESTINATION REQUEST. PLEASE SUBMIT YOUR

QUOTE APPROPRIATELY.

This procurement action is reserved for SMALL BUSINESS CONCERNS.

Awardee must be listed in the System for Award Management (SAM). If you are not, or if your record has expired, please submit the

Representations and Certifications along with your proposal (pages 5 through 16) found in the Commercial Supplies and Services Clauses and

Provisions). Vendor must be in active status prior to any award of contract.

Point of contact for this requirement is Nadyne Cano, (808)842-2820.

Inquiries related to this solicitation should be so in writing and submitted via email to Nadyne.V.Cano@uscg.mil mailto:Nadyne.V.Cano@uscg.mil