AK582_RFQ.pdf

absol

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ X IS IS NOT A SMALL BUSINESS SET-ASIDE PAGE OF PAGES

1 2

1. REQUEST NO.

RFQ # HSCG45-17-Q-JAK582

2. DATE ISSUED

07/14/2017

3. REQUISITION/PURCHASE REQUEST NO.

2117457JAK582

4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY

Brianna Gagnon / Brianna.n.gagnon@uscg.mil

6. DELIVER BY (Date)

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

OTHER

FOB DESTINATION (See Schedule) NAME

Brianna Gagnon Brianna.n.gagnon@uscg.mil

TELEPHONE NUMBER

AREA CODE

NUMBER

487-5180 Ext. 6635

9. DESTINATION

a. NAME OF CONSIGNEE

USCG Air Station Kodiak 8. TO:

a. NAME

Prospective Quoters

b. COMPANY b. STREET ADDRESS

Hangar 2 Bldg 20

c. STREET ADDRESS c. CITY

Kodiak

d. CITY e. STATE f. ZIP CODE d. STATE

AK

e. ZIP CODE

99619

10. PLEASE FURNISH QUOTATIONS TO THE

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

07/21/2017

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)

CONTRACTORS DOING BUSINESS WITH THE

FEDERAL GOVERNMENT ARE REQUIRED TO

BE REGISTERED IN THE SYSTEM FOR AWARD

MANAGEMENT (SAM) DATABASE AT:

https://www.sam.gov/portal/SAM/

The NAICS Code for this requirement is 333414 – Heating Equipment (Except Warm Air Furnaces) Manufacturing .

This requirement is set aside for small business only. The small business size standard for this requirement is 500 employees or less.

CONTINUATION ON PAGE 2

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 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

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA-FAR (48 CFR) 53.215-1(a) mailto:Brianna.n.gagnon@uscg.mil mailto:Brianna.n.gagnon@uscg.mil http://www.sam.gov/portal/SAM/

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED

RFQ # HSCG45-17-Q-JAK582

PAGES

NAME OF OFFEROR OR CONTRACTOR

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Request Quotations to be furnished for the following requirement:

**************************REQUIREMENT(S) ************************

Requesting Brand Name or Equal Products Only:

Williams Direct Dryers Model PC2 (or equal) Portable 2 set suit dryer

Specifications:

• Wheels for portability. Cannot be mounted on wall

• Cannot exceed 80 lbs

• Air and heat capability

Williams Direct Dryers Model W8/8E (or equal) Boot and glove dryer

Specifications:

• Floor supported, wall mounted 8 pair high top boot and 8 pair soft shell glove dryer

• 3-way energy management switch and 24 hr timer

• “Palm Expanders” to help straighten fingers and aiding drying.

• Not to exceed 80 lbs

**********QUOTATION EVALUATION FACTORS************

All quotations submitted will be evaluated in terms of the product requirement in this RFQ, price and period of performance. Upon conclusion of the evaluation, the quotation that is most advantageous to the Government may result in an award to other than the lowest offer.

EA

EA

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

Sponsored by GSA FAR (48 CFR) 53.110