Att2_RFQ_FORM_18T0044_18RQ80041.pdf

REQUEST FOR QUOTATION

DATE OF ISSUE: 11/03/2017

QUOTE DUE DATE: Monday, 11/20/2017 by 11:00 AM 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!)

Ship To:

Portsmouth Naval Shipyard Receiving Officer, Bldg. 170 Kittery, ME 03904 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 #N3904018RQ80041

RFQ #N3904018T0044

THIS IS NOT AN ORDER.

A Purchase Order contract award will be made at a later date to the lowest price technically acceptable (LPTA) responsible Offeror.

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

PHONE: _________________________________________

FAX: ____________________________________________

EMAIL ADDRESS(es): ______________________________

PLEASE COMPLETE FORM IN ITS ENTIRETY

Portsmouth Naval Shipyard,Code 410 Deana Manfredi Contract Specialist Portsmouth NH 03801-2590

PHONE: 207-438-1630

FAX: 207-438-4193

EMAIL ADDRESS: deana.manfredi@navy.mil

ITEM DESCRIPTION

Portsmouth Naval Shipyard, Kittery, ME

UNIT of

ISSUE

Extended Price

Price per Unit

BASE

OPTION

BASE:

Rental #1 of one (1) 3-ton forklift* Rental #2 of one (1) 3-ton forklift* Rental #3 of one (1) 7-ton forklift* Rental #4 of one (1) 10-ton forklift* Rental #5 of one (1) 1.5-ton electric forklift* Delivery Return Freight

OPTION:

Option to extend CLIN 0001 rental #1 of one (1) 3-ton forklift.

Option to extend CLIN 0002 rental #2 of one (1) 3-ton forklift.

Option to extend CLIN 0003 rental #3 of one (1) 7-ton forklift.

Option to extend CLIN 0004 rental #4 of one (1) 10-ton forklift.

Option to extend CLIN 0005 rental #5 of one (1) 1.5-ton electric forklift.

All rental equipment and services shall be in accordance with Attachment #1: Specifications 18T0044 Forklifts (1 page)

Week Week Week Week Week

Ea Ea

Week Week Week Week Week

SUM TOTAL QUOTE: $__________

QTY