REVISED_18Q0096_Request_For_Quote_Form.pdf

N3904018Q0096

REQUEST FOR QUOTATION

THIS IS NOT AN ORDER

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

REFERENCE NUMBER

PR #N3904018RC80104

RFQ #N3904018Q0096

DATE OF ISSUE:

DUE DATE: Quotes are due for submission by 4:00 p.m., EST Tuesday, 1/23/2018

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 *DDC #1 - Rental for One (1) Dry Dust Collector Unit 19 WK POP: 03/27/18 – 08/07/18 = (19) weeks

0002 *DDC #2 - Rental for One (1) Dry Dust Collector Unit 20 WK POP: 03/20/18 – 08/07/18 = (20) weeks

0003 *VRU #1 - Rental for One (1) Vacuum Recovery Unit 19 WK POP: 03/27/2018 to 08/07/2018 = (19) weeks

0004 *VRU #2 - Rental for One (1) Vacuum Recovery Unit 20 WK

POP: 03/20/2018 to 08/07/2018 = (20) weeks

0005 *BMR #1 - Rental for One (1) Blast Media Recovery Unit 19 WK

0006 *BMR #2 - Rental for One (1) Blast Media Recovery Unit 20 WK

0007 *BMR #3 - Rental for One (1) Blast Media Recovery Unit 41 WK POP: 01/30/2018 to 11/13/2018 = (41) weeks

0008 *MANF #1 - Rental for One (1) Manifold Unit 20 WK

0009 *MANF #2 - Rental for One (1) Manifold Unit 19 WK

0010 *MANF #3 - Rental for One (1) Manifold Unit 20 WK

0011 *MANF #4 - Rental for One (1) Manifold Unit 41 WK POP: 01/30/2018 to 11/13/2018 = (41) weeks

0012 *HOSE #1 - Rental for One (1) Hose Unit 41 WK POP: 01/30/2018 to 11/13/2018 = (41) weeks

1001 *DDC #3 - Rental for One (1) Dry Dust Collector Unit 17 WK POP: 04/10/18 – 08/7/18 = (17) weeks

1002 *VRU #3 - Rental for One (1) Vacuum Recovery Unit 17 WK POP: 04/10/2018 to 08/7/2018 = (17) weeks

1003 *BMR #4 - Rental for One (1) Blast Media Recovery Unit 17 WK POP: 04/10/2018 to 08/07/2018 = (17) weeks

1004 *BMR #5 - Rental for One (1) Blast Media Recovery Unit 17 WK POP: 04/10/2018 to 08/07/2018 = (17) weeks

1005 *BMR #6 - Rental for One (1) Blast Media Recovery Unit 17 WK POP: 04/10/2018 to 08/07/2018 = (17) weeks

1006 *HOSE #2 - Rental for One (1) Hose Unit 17 WK POP: 04/10/2018 to 08/07/2018 = (17) weeks

1007 *HOSE #3 - Rental for One (1) Hose Unit 17 WK POP: 04/10/2018 to 08/07/2018 = (17) weeks

SUM TOTAL QUOTE:

*Specifications in accordance with Specifications Document

**PLEASE PROVIDE DELIVERED PRICING FOR FOB DELIVERY TO PORTSMOUTH

NAVAL SHIPYARD DETACHMENT POINT LOMA, SAN DIEGO, CA.

***AWARD WILL BE MADE TO THE LOWEST PRICED TECHNICALLY ACCEPTABLE

OFFER***

****THE GOVERNMENT MAY DETERMINE AWARD BASED ON ABILITY TO MEET

DELIVERY SCHEDULE****