Att3_RFQ_FORM_18T0058.pdf

REQUEST FOR QUOTATION

DATE OF ISSUE: 12/21/2017

QUOTE DUE DATE: Friday, 01/05/2017 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 #N3904018RQ80107

RFQ #N3904018T0058

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

Portsmouth Naval Shipyard, Kittery, ME

Item Description Unit of Issue Price per Unit Qty Calculated Price 0001 Rental of one (1) 400 ± 50SCFM LPAC [B-DRY]–M AS

A SYSTEM: DRYER & TANK in accordance with (iaw) the attached specifications. Weeks $_______ 21 $_______*

0002 Rental of one (1) 800 ± 50 SCFM LPAC [M-DAD]–N AS A SYSTEM: DRYER & TANK iaw the attached specifications. Weeks $_______ 41 $_______*

0003 Rental of one (1) 1500 – 1650 SCFM LPAC [V-DAD]–L AS A SYSTEM: DRYER & TANK iaw the attached specifications. Weeks $_______ 24 $_______*

0004 Rental of one (1) 1500 – 1650 SCFM LPAC [V-DAD]–L AS A SYSTEM: DRYER & TANK iaw the attached specifications. Weeks $_______ 24 $_______*

0005 Rental of HOSE [3"SPUD]-N BMR–1 + TOOLS iaw the attached specifications. Weeks $_______ 41 $_______*

0006 Rental of HOSE [3"SPUD]-N BMR–3 + DDC iaw the attached specifications. Weeks $_______ 24 $_______*

0007 Rental of HOSE [3"SPUD]-N BMR–3 + DDC iaw the attached specifications. Weeks $_______ 24 $_______*

0008 Technical Assistance/Maintenance Services TECH [≤4HR]–10 FOR SERVICING of ALL MACHINERY iaw the attached specifications. Job $_______ 01 $_______

SUM TOTAL QUOTED PRICE: $_______

*Pricing of Items 0001 – 0007 is to be submitted inclusive of Delivery and Return Freight.

Note 1) All rental equipment and services shall be provided in accordance with Attachment 1: Specifications 18RQ80107 18T0058 TLPAC Package (7 pgs).

Note 2) No deviation from the Specifications is authorized.

Note 3) Period(s) of Performance specific to Items 0001 - 0008 are iaw the projected schedule outlined Attachment 2 Lease Schedule.

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