PR 21-21-351JAS579 RFQ.pdf

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REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE PAGE OF PAGES

1. REQUEST NO.

RFQ #

2. DATE ISSUED

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

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY

6. DELIVER BY (Date)

5b. FOR INFORMATION CALL (NO COLLECT CALLS) 7. DELIVERY

OTHER

FOB DESTINATION (See Schedule) NAME email:

TELEPHONE NUMBER

AREA CODE

NUMBER

9. DESTINATION

a. NAME OF CONSIGNEE

8. TO:

a. NAME

b. COMPANY b. STREET ADDRESS

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)

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 service. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotation 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)

********************REQUIREMENT(S) ************************

CONTINUATION ON PAGE 2

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 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

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

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

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED

PAGES

2 of

NAME OF OFFEROR OR CONTRACTOR

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

CONTINUATION ON PAGE 3

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

Sponsored by GSA FAR (48 CFR) 53.110

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED

PAGES

of

NAME OF OFFEROR OR CONTRACTOR

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

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

Sponsored by GSA FAR (48 CFR) 53.110

CONTINUATION ON PAGE 2: Removal of old flooring and installation of new vinyl plank flooring in USCG Airstation Sitka conference rooms located in Sitka, AK.

Removal of existing vinyl flooring in accordance with the attached statement of work.

Installation of new vinyl plank flooring in accordance with the attached statement of work.

DOL WAGE DETERMINATION 2015-5685

QUANTITY cREQUIREMENTS CONTINUATION ON PAGE 2:

*****QUOTATION EVALUATION FACTORS*******

All quotations submitted will be evaluated in terms of lowest price technically acceptable.

All quotations furnished in response to this RFQ may be submitted via email with the Subject Line to read:

RFQ # 70Z04521QJAS57900 USCG Airstation Sitka email: donald.j.gue@uscg.mil

For questions/concerns please contact Donald Gue at the email above or at: 907-487-5180 X6701.

All Bidders for this award must have an active registration in the Government System for Award Management (SAM).

The NAICS Code for this requirement is 238330 Maintenance Of Conference Space and Facilities

HSAR Clause 3052.209-70 Prohibition on Contracts with Corporate Expatriates " For more information on this see the Department of Homeland Security Acquisition Regulations: https://www.dhs.gov/xlibrary/assets/opnbiz/hsar.pdf

The United States Coast Guard is tax exempt, and the tax exempt number is B239641. Payments will be made via Purchase Order.

End of Requirement