Sol_P15PS00434.pdf

P15PS00434

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

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)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

02/06/2015 0040193055

1 2

600 E. Park Avenue Port Angeles WA 98362-6757

NPS, PWR - OLYM MABO

National Park Service

San Juan Island National Historical Park (SAJH) 650 Mulls Street, Suite 100

Friday Harbor

WA 98250

360 854-7221Myron Forsberg

02/24/2015 1500 PS

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Septic Pumping of vault toilets and septic tanks located within San Juan Island National Historical Park.

RFQ is reserved for small business NAICS 562991, Septic Tank & Related Services, with small business size standard of $7.5M, average annual gross receipts for past 3 years. Resulting contract is subject to Service Contract Act and consists of Septic Pumping on as needed basis as described in the attached Statement of Work.

Interested quoters must be registered in the System for Award Management (SAM) database before award can be made to them. If not registered they may do so at SAM website https://www.sam.gov/ Continued ...

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

P15PS00434

RFQ # P15PS00434 - Septic Pumping & Disposal

Pump sewage from vault toilets and holding tanks, to be emptied on an as needed basis. Interested quoters please review the attached Scope of Work

(SOW) and provide information in quote regarding

Truck Size to be utilized and then quote Price per Gallon for each line item.

00010 Septic Pumping Services

Septic Pumping of Vault Toilets and Septic Tanks per SOW provided.

Septic Pumping Truck Size:

Gallons = #_____________________________

Price per Gallon = $_____________________

Period of Performance: 03/01/2015 to 02/29/2016

You may e-mail your quote to Ron_Forsberg@nps.gov fax to 360-856-1934 Attn: Ron Forsberg, or mail to address: North Cascades National Park, 810

State Route 20, Sedro Woolley, WA 98284.

For quote to be considered complete, it shall contain: 1) Completed Contractor information located on this form SF-18 including DUNS number and signature of authorized official in Block 14;

2) A statement that you are registered as a small business in the System for Award Management

(SAM) https://www.sam.gov/; and 3) Submittal items indicated in the RFQ Solicitation Info &

Clauses document. You may also include additional quote documents if desired.

Insert your DUNS #:_______________________

Point of contact phone #:__________________ email:______________________

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)