RFQ_PG_1_BK020.pdf

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Attached to
Digital Controls System Maintenance Federal contract opportunity
Solicitation number
HSCG45-17-Q-PBK020
Issued by
Department of Homeland Security US Coast Guard

About this file

SF18 PG1

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RFQ_PG2_BK020.docx DOCX document
SOW_-_DDC_Services_Contract_FY17.pdf PDF
FAR_CLAUSES.docx DOCX document
RFQ_PG2_BK020.docx DOCX document
Wage_Determinations.pdf PDF

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Text version

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

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

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

THIS RFQ IS A SMALL BUSINESS SET-ASIDE.: 0
7. DELIVERY. FOB DESTINATION: 1
NOTE: Additional provisions and representations are attached.: 0
NOTE: Additional provisions and representations are not attached.: 1
7. DELIVERY. OTHER (See Schedule): 0
THIS RFQ IS NOT A SMALL BUSINESS SET-ASIDE.: 1
PAGE OF: 1
4. CERT. FOR NAT. DEF. UNDER BDSA REG. 2 AND/OR DMS REG. 1. RATING:
3. REQUISITION/PURCHASE REQUEST NUMBER: 21-17-457PBK020
1. REQUEST NUMBER: HSCG45-17-Q-PBK020
5a. ISSUED BY: Jacqueline L. Robinson, USCG Base Kodiak Contracting / Procurement
5b. FOR INFORMATION CALL (NO COLLECT CALLS). NAME: Jacqueline L. Robinson
8. TO. a. NAME: PROSPECTIVE QUOTERS
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:
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: CONTRACTORS DOING BUSINESS WITH THE
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: FEDERAL GOVERNMENT ARE REQUIRED TO
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: BE REGISTERED IN THE SYSTEM FOR AWARD
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: MANAGEMENT (SAM) DATABASE AT
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: WWW.SAM.GOV
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Request your quotations to include your Dun and
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Bradstreet Number (DUNS), your Tax Identification
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Number (TIN), your applicable GSA Contract
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Number, and Vendor address and phone number.
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: The NAICS code for this requirement is 541511 -
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Custom Computer Programming Services. The
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: applicable small business standard in accordance
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: with NAICS Code 541511 is $27.5 mil.
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
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:
5b. FOR INFORMATION CALL (NO COLLECT CALLS). TELEPHONE NUMBER. AREA CODE: 907
8. TO. b. COMPANY:
5b. FOR INFORMATION CALL (NO COLLECT CALLS). TELEPHONE NUMBER. NUMBER: 487-5180 x6628
9. DESTINATION. a. NAME OF CONSIGNEE: USCG Base Kodiak
9. DESTINATION. b. STREET ADDRESS: Shipping and Receiving Bldg. 26
9. DESTINATION. c. CITY: Kodiak
9. DESTINATION. e. ZIP CODE: 99619
9. DESTINATION. d. STATE: AK
PAGES: 1
2. DATE ISSUED. Enter 2 digit month, 2 digit day and 4 digit year.: 2017-02-27
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.: 2017-03-10
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.: 2017-04-01
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). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
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.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
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:

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