SF18.pdf

REQUEST FOR QUOTATIONS

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS SET ASIDE

PAGE

OF

PAGES

1. REQUEST NO.

NIHDK-09-0099-1

2. DATE ISSUED

09/14/2009

3. REQUISITION/PURCHASE REQUEST NO.

1154724

4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1 >

RATING

5A. ISSUED BY

NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE

AND KIDNEY DISEASES

ACQUISITION MANAGEMENT BRANCH, STATION SUPPORT SECTION

6707 DEMOCRACY BOULEVARD, ROOM 774B

BETHESDA, MD 20817-7973

6. DELIVER BY (Date)

7. DELIVERY

_____ FOB DESTINATION _______ OTHER (See Schedule)

9. DESTINATION

a. NAME OF CONSIGNEE

5b. FOR INFORMATION CALL: (Name and telephone no.) (No collect calls)

NAME

LYNN GRIFFIN

TELEPHONE NUMBER b. STREET ADDRESS

AREA CODE

NUMBER

594-7730

8. TO:

a. NAME

INTERESTED SOURCES

b. COMPANY

c. STREET ADDRESS

c. CITY

d. CITY

e. STATE

f. ZIP CODE

d. STATE

e. ZIP CODE

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date)

09/22/2009 BY: 12:00PM

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

RECOVERY ACT:

Ti:Sapphire Amplifier (See Attached for Items being requested).

NOTE: This action was posted at FedBizOpps as a presolicitation Notice on August 25, 2009 reference RFQ NO.

NIHDK-09-0099-1 on submitted quotes.

r

12. DISCOUNT FOR PROMPT

PAYMENT

10 CALENDAR

DAYS %

20 CALENDAR DAYS

30 CALENDAR

DAYS %

d. CALENDAR DAYS

NUMBER PERCENTA

GE

NOTE: Additional provisions and representations _____ are _____ are not attached.

13. NAME AND ADDRESS OF QUOTER 14. SIGNATURE OF PERSON AUTHORIZED TO SIGN

QUOTATION

15. DATE OF QUOTATION

a. NAME OF QUOTER

b. STREET ADDRESS

16. SIGNER

a. NAME (Type or print)

b. TELEPHONE

c. COUNTY

AREA CODE

d. CITY

e. STATE

f. ZIP CODE

c. TITLE (Type or print)

NUMBER

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (REV 6-95)

Previous edition not usable Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

CONTINUATION SHEET REF. NO. OF DOC. BEING CONT’D

OF

NAME OF OFFEROR OR CONTRACTOR

ITEM NO.

(A)

SUPPLIES/SERVICES

(B)

QUANTITY

(C)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

ALL VENDORS MUST ADDRESS THE ITEMS BELOW

WHEN SUBMITTING THEIR REQUEST FOR QUOTE

Facsimile proposals that fail to furnish required representations or information, or that reject any of the terms, conditions, and provisions of the solicitation, may be excluded from consideration.

Facsimile proposals must contain the required signatures.

All terms and conditions and the attached Representations and Certifications must be completed and included in the RFQ proposal for evaluation of your Quote. The exemption from application of service contract act attached should also be included.

NOTE:

The following American Recovery and Reinvestment Act Clauses are applicable:

FAR 52.203-15

FAR 52.204-11

FAR 52.212-4

FAR 52.212-5, Alternate II FAR 52.215-1, Alternate I

FAR 52.215-21

FAR 52.215.22

NSN 754-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

CONTINUATION SHEET REF. NO. OF DOC. BEING CONT’D

OF

NAME OF OFFEROR OR CONTRACTOR

ITEM NO.

(A)

SUPPLIES/SERVICES

(B)

QUANTITY

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)