AMENDMENT QSDLAA-R5-09-9517-SQ.doc

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MOLDED PULP SERVICE TRAY
Solicitation number
QSDLAA-R5-09-9517-SQ
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Amendment to page one of the RFQ.

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QSDLAA-R5-09-9517-SQ.doc DOC document

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RFQ# QSDLAA-R5-09-9517-SQ

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 | 33

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

UNDER BDSA REG. 2 (

RATING

QSDLAA-R5-09-9517-SQ
8/20/2009
See Below
AND/OR DMS REG. 1
5A. ISSUED BY
6. DELIVER BY (Date)

GSA, FAS, Southwest Supply Operations Center, Supply Acquisition Division (QSDLAA-R5)

819 Taylor Street, Room 6A00

Fort Worth, TX 76102-6105 45 Days ARO

Best Delivery Time_____________

5B. FOR INFORMATION CALL: (NO COLLECT CALLS)
7. DELIVERY
NAME
TELEPHONE NUMBER
FORMCHECKBOX

FOB DESTINATION FORMCHECKBOX

OTHER

(See Schedule)

RUTH ORTH, CONTRACTING OFFICER

AREA CODE

NUMBER

574-2576

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) Thursday, August 27, 2009

(4:00PM 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 1-year period from DATE OF AWARD through 1-year, not to exceed $100,000, with annual reviews. This Standing Quote can be cancelled by either party with a 30 days notice.

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 by aggregate 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 3 through 6.

F. Required Clauses, applicable to all items in this Request for Quotation, are shown on pages 5 through 33.

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 FORMCHECKBOX are FORMCHECKBOX 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 REPRODUCTION

STANDARD FORM 18 (Re. 6-95)

Previous edition not usable

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

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