17Q0011_RFQ_Form_-_5_VRUs.pdf

N3904017Q0011

REQUEST FOR QUOTATION

THIS IS NOT AN ORDER

PLEASE PROVIDE DELIVERED PRICES, AVAILABILITY, AND PRICE SOURCE WITH QUOTE

REFERENCE NUMBER

PR #N3904017RQ70337

RFQ #N3904017Q0011

DATE OF ISSUE:

DUE DATE: Quotes are due for submission by 4:00 p.m., EST Tuesday, 07/25/2017

From: PORTSMOUTH NAVAL SHIPYARD OFFEROR INFORMATION Anthony Barker Contract Specialist Code 410 Contracting and Logistics Div.

Portsmouth NH 03801-2590

PHONE: 207-438-1946

FAX: 207-438-4193

EMAIL ADDRESS: anthony.barker@navy.mil

Business Name:____________________________ POC(s): __________________________________ Address:__________________________________ City, ST, Zip:______________________________

PHONE:__________________________________

FAX:_____________________________________

EMAIL ADDRESS(es):______________________

PLEASE COMPLETE THIS FORM IN ITS ENTIRETY

Business Size: (check one) ___Small ___Large

DUNS NUMBER:____________________________

CAGE CODE: ______________________________

TAXPAYER ID:_____________________________

Delivery date/time: ____________ARO (Best Date Possible, Please!)

F.O.B. DESTINATION, Y__X__N____

PAYMENT TERMS ______%______DAYS

PRICES DERIVED FROM (CHECK ONE):

___COMMERCIAL PRICE LIST DATED__________

___INTERNAL PRICE LIST DATED______________

___OTHER (PLEASE EXPLAIN)__________________

WAWF Registered (check one)? Yes ____ No____ Government credit card accepted? Yes ____ No____ Place of Manufacture:____________________________

Please indicate your preferred payment method by checking one of the options below. Payment options available are WAWF and GCPC: Government Commercial Purchase Card (up to $100,000). Please ensure that you register for WAWF (www.wawftraining.com)

GCPC_____ WAWF (Wide Area Workflow) _____

*Please note that purchase card orders are not paid up front. Once material is received, a Government cardholder may be contacted for purchase card information.

_X_ If checked, to be awarded on an “All or None” basis, NAVSUP Provision L70011, _X_ PPIRS evaluation procedures apply.

Prospective vendor must be registered in the System for Award Management (SAM) database prior to award. Information, instructions, forms, etc. are available on www.SAM.gov. Click on "Register/Update Entity" located in the center of the Homepage screen.

OFFEROR SIGNATURE_______________________________________________DATE_________________

ITEM DESCRIPTION QTY Per Week** TOTAL**

0001 VRU #1 - Rental for One (1) Vacuum Recovery Unit 52 WK POP: 09/21/2017 to 09/20/2018 = (52) weeks*

0002 VRU #2 - Rental for One (1) Vacuum Recovery Unit 52 WK

POP: 09/21/2017 to 09/20/2018 = (52) weeks

N3904017Q0011

REQUEST FOR QUOTATION

0003 VRU #3 - Rental for One (1) Vacuum Recovery Unit 52 WK

0004 VRU #4 - Rental for One (1) Vacuum Recovery Unit 52 WK

0005 VRU #4 - Rental for One (1) Vacuum Recovery Unit 52 WK

1001 VRU #1 - Rental for One (1) Vacuum Recovery Unit 6 WK

Option POP: 09/21/2018 to 10/30/2018 = (6) weeks

1002 VRU #2 - Rental for One (1) Vacuum Recovery Unit 6 WK

1003 VRU #3 - Rental for One (1) Vacuum Recovery Unit 6 WK

1004 VRU #4 - Rental for One (1) Vacuum Recovery Unit 6 WK

1005 VRU #4 - Rental for One (1) Vacuum Recovery Unit 6 WK

SUM TOTAL QUOTE:

*Specifications in accordance with Attachment 1

**PLEASE PROVIDE DELIVERED PRICING FOR FOB DELIVERY TO PORTSMOUTH

NAVAL SHIPYARD, KITTERY, MAINE.