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Attachment 1: Draft Request for Quotations Form (DRAFT RFQ Form)

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DRAFT REQUEST FOR QUOTATION

DATE OF ISSUE: 01/02/2018

RESPONSE DUE DATE: Wed., 01/10/2018 by 04:00 PM Eastern Standard Time (EST)

Business Size: (check one) ___Small ___Large Payment Terms: _____%_____Days

PRICES DERIVED FROM (check one):

___COMMERCIAL PRICE LIST(give date)___________________ ___INTERNAL PRICE LIST ?(Please explain):________________ ___OTHER (Please explain):______________________________

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

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

FOB DESTINATION/SHIPPING POINT:

PORTSMOUTH NAVAL SHIPYARD DETACHMENT

POINT LOMA NAVAL BASE NAVSHIPYD

PORTSMOUTH DET SAN DIEGO NAVSUBBASE B511

BALLAST POINT, SAN DIEGO CA 92106-5000

xxx If checked, to be awarded on an "All or None" basis, NAVSUP Provision L7011.

xxx 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 teh center of the Homepage screen.

DUNS No.: Cage Code: Taxpayer ID.:

Offeror Signature: Date:

REFERENCE NUMBER

PR #N3904018RC80059

DRAFT RFQ #N3904018Q0088

THIS IS NOT AN ORDER.

THIS IS A DRAFT RFP THAT WILL BE

USED FOR MARKET RESEARCH

PURPOSES, ONLY. THIS IS NEITHER A

SOLICITATION NOR AN ORDER.

Business Name: ___________________________________ POC(s): __________________________________________ Address: _________________________________________ City, ST, Zip:______________________________________

PHONE: _________________________________________

FAX: ____________________________________________

EMAIL ADDRESS(es): ______________________________

PLEASE COMPLETE FORM IN ITS ENTIRETY

Portsmouth Naval Shipyard,Code 410 Portsmouth NH 03801-2590 Attn: Alexandra Johnson, Contract Specialist Email: alexandra.johnson@navy.mil; Phone: 207-438-4472 Attn:Deana Manfredi, Contract Specialist Email: deana.manfredi@navy.mil; Phone: 207-438-1630

ITEM DESCRIPTION

Portsmouth Naval Shipyard, Kittery, ME

UNIT of

ISSUE

Extended Price

Job

Job $__N/A___ $__N/A___

Job $__N/A___ $__N/A___

Job $__N/A___ $__N/A___

SUM TOTAL QUOTE: $__N/A___

QTY

Estimated Period of Performance: 03/26/2018 - 05/25/2018 FOB Destintation/Place of Performance: PNS Detachment at Naval Base Point Loma (NBPL), San Diego, CA The purchase order resulting from A FUTURE solicitation shall be a firm fixed price (FFP) type contract.

SPECIFICATIONS:

See attached DRAFT Specifications, “San Tank Cleaning Statement of Work r01” (Pages 1- 9).

0001 Vendor Services, Sanitary Tank #2 Cleaning, 2,350 gallons in accordance with (iaw) Draft Specifications.

0002 Removal of Anodes, if found to be present prior to final cleaning, to be performed at the request of the Government iaw Draft Specifications

0001 OPTION 1: Vendor Services, Sanitary Tank #1 Cleaning: 1,850 gallons iaw Draft Specifications

1002 OPTION 2: Vendor Services, Sanitary Tank #3 Cleaning: 800 gallons iaw Draft Specifications

Price per Unit

$__N/A___ $__N/A___

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