RFQ_-_Cathodic_Protection_KB103.docx
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- Solicitation number
- HSCG45-17-Q-PKB103
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RFQ SF18 FORM PAGE 1
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| REQUEST FOR QUOTATION (THIS IS NOT AN ORDER) | ||
| THIS RFQ | IS | IS A SMALL BUSINESS SET-ASIDE |
| PAGE OF | PAGES |
| 1 |
| 2 |
1. REQUEST NO.
HSCG45-17-Q-PKB103
2. DATE ISSUED
08/01/2017
| 3. REQUISITION/PURCHASE REQUEST NO. |
| 4. CERT. FOR NAT. DEF. UNDER BDSA REG. 2 AND/OR DMS REG. 1 |
| RATING |
5a. ISSUED BY Tim Cowley, USCG Base Kodiak Procurement / Contracting
6. DELIVER BY (Date)
| 5b. FOR INFORMATION CALL (NO COLLECT CALLS) |
| 7. DELIVERY |
OTHER
FOB DESTINATION (See Schedule)
NAME
Tim Cowley email: Timothy.D.Cowley@uscg.mil
TELEPHONE NUMBER
AREA CODE
NUMBER
487-5180 Ext. 6619
9. DESTINATION
a. NAME OF CONSIGNEE USCG Base Kodiak
8. TO:
a. NAME Prospective Quoters
| b. COMPANY |
| b. STREET ADDRESS |
| 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)
08/30/2017 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/
SMALL BUSINESS SET ASIDE
SERVICE CONTRACT ACT APPLIES
ATTACHED FAR CLAUSES APPLY
NAICS CODE: 238990
EST GOVT PRICE RANGE: LESS THAN $50,000.
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) image1.png
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