SF18.pdf

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS SET ASIDE

PAGE OF PAGES

1 19

1 REQUEST NO.

HSCG82-17-Q-PMV101

2. DATE ISSUED

02/7/2017

3. REQUISITION/PURCHASE REQUEST NO.

21-17-827PMV101

4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY

USCG, CEU MIAMI, 15608 SW 117TH AVE, MIAMI, FL 33177-1630

6. DELIVERY BY (Date)

90 CALENDAR DAYS FROM NTP

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

NAME TELEPHONE NUMBER FOB DESTINATION OTHER (See schedule)

HALIM TOULAS AREA CODE NUMBER 9. DESTINATION

CONTRACTING SPECIALIST (305) 278-6720

a. NAME OF CONSIGNEE

8. TO: USCG STATION NEW ORLEANS

a. NAME

b. COMPANY

b. STREET ADDRESS

201 OLD HAMMOND HIGHWAY

c. STREET ADDRESS

c. CITY

METAIRIE

d. CITY

e. STATE

f. ZIP CODE

d. STATE

LA

e. ZIP CODE

70005

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5A ON OR

BEFORE CLOSE OF BUSINESS (date)

2/22/2017

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 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)

CONTRACTOR SHALL PROVIDE ALL LABOR,

EQUIPMENT, TOOLS, AND SUPERVISION TO

REPAIR WHARF RAMP AT USCG STATION NEW

ORLEANS, LA. ALL WORK SHALL BE

PERFORMED IN ACCORDANCE WITH THE

ATTACHED TERMS, SPECIFICATIONS

(6071974), DRAWINGS (M2160-D) AND

REFERENCE DRAWINGS.

PLEASE PROVIDE A PRICE BREAKDOWN WITH

YOUR QUOTE.

ONE COMPLETE

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) Prescribed by GSA - FAR (48 CFR) 53.21