QSDLAA-A5-11-1356-SQ_amended 1st page.docx

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Baking and Roasting Pan
Solicitation number
QSDLAA-A5-11-1356-SQ
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REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS-SMALL PURCHASE SET-ASIDE (52.219-6)
PAGE OF PAGES

1 | 35

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

UNDER BDSA REG. 2

RATING

QSDLAA-A5-11-1356-SQ
5/11/2011
See Below
AND/OR DMS REG. 1
5A. ISSUED BY
6. DELIVER BY (Date)

GSA, FAS, Southwest Operations Supply Center, Acquisition Division (QSDLAA-A5) 819 Taylor Street, Room 6A00 Fort Worth, TX 76102-6105

30 Days ARO Best Delivery Time_____________

5B. FOR INFORMATION CALL: (NO COLLECT CALLS)
7. DELIVERY
NAME
TELEPHONE NUMBER
|X| FOB DESTINATION |_| OTHER

(See Schedule)

Lori Herrera, CONTRACTING SPECIALIST

AREA CODE

NUMBER

850-8388

574-2615 (FAX)

9. DESTINATION

To be shown on each order issued.

8. TO:
a. NAME OF CONSIGNEE

(See Schedule)

a. NAME
b. COMPANY
b. STREET ADDRESS

c. STREET ADDRESS

c. CITY

d. CITY
e. STATE
f. ZIP
d. STATE
e. ZIP

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5A ON OR

BEFORE CLOSE OF BUSINESS (Date) Friday, May 20, 2011 (10:00AM Central Time) 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 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)

A. This is a Standing Quote for purchases for a one-year period or less from DATE OF AWARD through 1-year, not to exceed $150,000.

B. The requirements listed are estimates only and no guarantee is given as to the dollar amount to be purchased.

C. Award will be made item-by-item based on the lowest priced, technically acceptable offer.

D. Inspection will be at Destination.

E. The Item Purchase Description and Schedule of Items are shown on pages 5 through 7.

F. Required Clauses, applicable to all items in this Request for Quotation, are shown on pages 7 through 35.

G. This is only a request for pricing. Delivery orders will be issued pursuant to the evaluation of the quotations received. DO NOT SHIP.

H. When responding to this Request for Quotation, complete and return the entire package. If you “No Quote,” please indicate and return page 1 only.

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 |X| are |_| are not attached.

13. NAME AND ADDRESS OF QUOTER
14. SIGNATURE OF PERSON AUTHORIZED TO
15. DATE OF QUOTATION
a. NAME OF QUOTER
SIGN QUOTATION
b. STREET ADDRESS
16. SIGNER
a. NAME (Type or Print)
b. TELEPHONE

c. COUNTY

PHONE

d. CITY
e. STATE
f. ZIP
c. TITLE (Type or Print)
FAX
AUTHORIZED FOR LOCAL REPRODUCTIONSTANDARD FORM 18 (Re. 6-95)
Previous edition not usablePrescribed by GSA- FAR (48CFR) 53.215-1(a)

QSDLAA-A5-11-1356-SQ

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