Request_for_Quote_Form.pdf

REQUEST FOR QUOTATION

DATE OF ISSUE: 01/11/2019

QUOTE DUE DATE: 01/25/2019 11:00 A.M.

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:

1 Crystal Lake Rd Groton, CT 06349 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(s)

RFQ # N3904019Q0103

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

PHONE: _________________________________________

FAX: ____________________________________________

EMAIL ADDRESS(es): ______________________________

PLEASE COMPLETE FORM IN ITS ENTIRETY

Portsmouth Naval Shipyard,Code 410.2 Michael McCluskey Contract Specialist Portsmouth NH 03801-2590

PHONE: 207-438-6819

FAX: 207-438-4193

EMAIL ADDRESS: michael.l.mccluskey1@navy.mil

ITEM

DESCRIPTION

Vendor services to perform diesel engine DFW Flush on a 688- Class Submarine, in accordance with the attached Statement of Work.

Period of Performance (POP): 03/04/19-04/08/19 FOB Destination Location/Place of Performance: 1 Crystal Lake Rd Groton, CT 06349

QTY

UNIT

of

ISSUE

Job

Price

This is NOT an Order.

$_________Sum Total Quote:

*Each response must clearly indicate the capability of the vendor to meet all specifications and requirements in accordance with the Statment of Work (SOW). *

*THIS RFQ PERIOD CLOSES FRIDAY 01/25/19 at 11:00 A.M.*