Amend_1_RFQ_FORM.pdf

REQUEST FOR QUOTATION

DATE OF ISSUE: 07/18/2019

QUOTE DUE DATE: 07/22/2019

by 1:00 PM 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

RFQ #N3904019Q0316

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 capable of earliest delivery.

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

PHONE: _________________________________________

FAX: ____________________________________________

EMAIL ADDRESS(es): ______________________________

PLEASE COMPLETE FORM IN ITS ENTIRETY

Portsmouth Naval Shipyard,Code 410 Michael McCluskey Contract Specialist Portsmouth NH 03801-2590

PHONE: 207-438-0476

FAX: 207-438-4193

EMAIL

ADDRESS:michael.l.mccluskey1@navy.mil

Portsmouth Naval Shipyard, Kittery, ME

SUM TOTAL QUOTED PRICE: $__________

Note 1) All rental equipment and services shall be provided in accordance with:

Attachment 1: Statement of Work, (19 Pages) Period(s) of Performance (POPs):

Base POP: 09/16/19-09/15/20 FOB Delivery Location & Place of Performance: Porstmouth Naval Shipyard, Kittery, ME

Note 1) No deviation from the Specifications is authorized.

Note 2) Offerors shall complete this RFQ form in its entirety, and shall submit detailed equipment specifications for all proposed units with offer submission.

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