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(2a) RFQ Form N3904019Q0205-003 (blank)

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REQUEST FOR QUOTATION

DATE OF ISSUE: 05/29/2019

QUOTE DUE DATE: 06/03/2019

by 11:00 AM Eastern Standard Time (EST)

NAICS Code: 532490 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 DELIVERY & PERFORMANCE LOCATION:

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 #N3904019RC90339

RFQ #N3904019Q0205

Amd 003

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 UHP Water Jet System Pkg (1 of 4)(Spec Item 3)

0002 Rental UHP Water Jet System Pkg (2 of 4)(Spec Item 3)

0003 Rental UHP Water Jet System Pkg (3 of 4)(Spec Item 3)

0004 Rental UHP Water Jet System Pkg (4 of 4)(Spec Item 3)

0005 Delivery (Items 0001 - 0004) (Spec Item 5.1 - 5.6)

0006 Preventative Maintenance (Item 0001 - 0004)(Spec Item 4.2.1)

0007 Repairs (Items 0001 - 0004)(Spec Item 4.2.2)

0008 Training (Spec Items 4.2.3)

0009 Operator/Maintenance Manuals (Spec Item 4.2.4)

0010 Consumable Parts (Items 0001 - 0004)

0011 Return Freight (Items 0001 - 0004)(Spec Item 5.6)

Mo.

Mo.

Mo.

Mo.

Job

Job

Job

Job

Ea.

Lot

Job

SUM TOTAL QUOTED PRICE: $_____________

Note 1) All rental equipment and services shall be provided in accordance with Specifications, "Statement of Work, Ultra-High Pressure Water Jet System" (Spec #: Water Pump – 04 Rev: A) (5 pages)

Note 2) Period(s) of Performance: 07/08/2019 - 01/09/2020 (6 Months)

Note 3) No deviation from the Specifications, nor its terms and conditions, is authorized. Only the Contracting Officer may authorize changes.

Note 4) Offerors shall complete this amended RFQ form in its entirety, and shall submit detailed equipment specifications for all proposed units with timely offer submission.

Note 5) The Small Business Size Standard for NAICS Code 532490 is $32.5 millions of dollars.

Note 6) The resulting purchase order shall be a firm-fixed price (FFP) type contract.

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