QUOTE FORM.docx
DOCX document 19 KB Posted
- Attached to
- BALLAST LEAD
- Solicitation number
- SPMYM426Q3461
About this file
This is a Quote Form for a Defense Logistics Agency (DLA) Maritime procurement solicitation (SPMYM4-26-Q-3461) for lead ballast materials. The requirement is for 1,250 units of lead ballast weight conforming to MIL-W-20096, Type-A specification, with dimensions of 3" X 3" X 7" and approximately 25.52 lbs each. The procurement is a 100% small business set-aside under NAICS code 336611, with quotes due by June 10, 2026 at 6:00 AM HST. Delivery is required to Pearl Harbor Naval Shipyard, Building 167-1, with a government-required delivery date of July 30, 2026. The evaluation criteria prioritizes lowest price technically acceptable (LPTA), with technical acceptability based on meeting specifications, followed by price and delivery considerations.
Vendors must provide quotes on the form including delivered prices (FOB Destination), estimated delivery timeframe in calendar days, payment terms, and business size classification. All offers require SAM registration and must include descriptive literature, technical specification sheets, and proof of traceability. Lead ballast must be palletized, shrink-wrapped with plastic to prevent oxidation, and accompanied by Material Safety Data Sheets (MSDS) due to hazardous material classification. Final inspection occurs at destination with a 7-day inspection period for QA-4 materials and 30-day periods for QA-2 and QA-3. Payment will be made through Wide Area Workflow (WAWF) on Net 30 terms following material acceptance. The Buy American Act applies to this procurement, with provisions for Free Trade Agreements potentially applicable if the award exceeds $25,000.
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Text version
** THIS IS NOT AN ORDER **
PLEASE PROVIDE DELIVERED PRICES (FOB DESTINATION)
REFERENCE: SPMYM4-26-Q-3461
SET ASIDE: 100% SMALL BUSINESS
NAICS: 336611
QUOTE DUE: 06/10/2026; 06:00 AM HST
CONTACT
DLA MARITIME – PEARL HARBOR
CONTRACT SPECIALIST: Tehani Diaz Zelaya-Rios Desk Phone: 808-473-8000 x5198 Email Quotes to: Tehani.E.DiazZelayaRios.civ@us.navy.mil
VENDOR INFORMATION
Vendor Name:
CAGE Code:
Phone:
Email:
Quoted Valid for ___ Days
*** PLEASE FILL OUT THIS FORM COMPLETELY***
** In accordance with FAR 52.204-7(b)(1), an Offeror is required to be registered in SAM when submitting an offer or quotation, and must be listed as active, to prevent unduly delaying award. Information, instructions, forms, etc. for the System for Award Management (SAM) are available at https://www.sam.gov/portal/public/SAM/ **
Attention: Provisions below MUST be filled in to be considered for award.
SHIPPING INFORMATION
PLACE OF MFG/COUNTRY OF ORIGIN: _____________
ESTIMATED DELIVERY TO PEARL HARBOR__________ Calendar Days ARO
FOB TERMS: DESTINATION
SHIP TO:
DoDAAC: N32253 Country Code: USA
PEARL HARBOR NAVAL SHIPYARD IMF
667 SAFEGUARD STREET, BLDG 167-1 RECV 808-
473-8000X4961
PEARL HARBOR, HI 96860-5033
UNITED STATES
Government Representative, DLA Distribution Email: distrcustomerservice@dla.mil
IMPORTANT NOTE: The below Required Delivery Date (RDD) shall be met or exceeded in order to ensure your offer is considered responsive. If no offers are received which meet or exceed the Government’s RDD, award may proceed to the LPTA offeror, and may be made based on soonest delivery.
GOVERNMENT RDD: 7/30/2026
PAYMENT INFORMATION
PAYMENT TERMS______%______DAYS DISCOUNT TERMS __________________
Preferred Method payment: Wide Area Workflow (WAWF) Payment terms are always Net 30 AFTER the material has passed inspection and has been accepted.
REQUEST AND RECEIVING REPORTS is applicable to this solicitation. Please note that the WAWF (Wide Area Work Flow) will be used as the method of payment for supplies and/or services procured under this solicitation.
Information regarding WAWF is available on the internet at https://wawf.eb.mil.
YOUR COMPANY INFORMATION
YOUR BUSINESS SIZE: ___ Large (LG), ___ Small (SB), ___ Small-Disadvantaged Business (SDB), ___ Veteran-Owned Small Business (VOSB), ___ Women-Owned Small Business (WOSB), ___ Economically Disadvantaged Women-Owned Small Business (EDWOSB), ___ Service Disabled Veteran Owned Small Business (SDOVSB), ___ (HUBZONE), ___ (8a).
QUOTING AS MANUFACTURER? Yes ___ No ___
Name of Quoted Manufacturer ___________________
QUOTING AS: ___ AUTHORIZED DISTRIBUTOR or ___ THIRD PARTY DEALER
IS YOUR COMPANY’S PRICING INDEPENDENT FROM THE MANUFACTURER? Yes ___ No ___
SAM CAGE CODE: ________________
Representations must be filled in below, and provided with the submission of the quote.
Offers received without completed representaions may not be considered for award.
PRINTED NAME_______________________________SIGNATURE_____________________________
DATE______________
MATERIAL INFORMATION
Shipping to be included in the Unit Price
| ITEM | DESCRIPTION | QTY | U/I | UNIT PRICE | TOTAL PRICE |
| 0001 | BALLAST, LEAD | 1250 | EA | __________ | ___________ |
LEAD BALLAST WEIGHT, MIL-W-20096, TYPE-A, SIZE: 3" X 3" X 7" X APPROX 25.52 LBS EA HMAUL/SDS REQUIRED.
ORDERING DATA: A) WEIGHT, BALLAST, MIL-W-20096D DATED 6 JULY 1987, WITH NOTICE-1 DATED 22 APRIL 1998. B) TYPE A - LEAD REQUIRED. C) DIMENSIONS AND WEIGHT: 3" X 3" X 7" X APPROX 25.52 LBS EACH. ADDITIONAL PACKAGING REQUIREMENTS: LEAD BALLAST TO BE PALLETIZED AND MADE MOISTURE PROOF BY SHRINK WRAPPING WITH PLASTIC TO PREVENT OXIDATION
ADDT’L MATERIAL INFORMATION
Is there a minimum order quantity? SPECIFY: __________ Are there any quantity breaks? RANGE AND PRICING: _______________
Does the item offered contain hazardous materials? No ___ Yes ___ (MSDS Required)
EVALUATION CRITERIA
☒ If checked, the Government anticipates making a single award (all or none), If this box is not checked, requirement will be evaluated for split award.
Source selection criteria:
1. TECHNICALLY ACCEPTABLE
1. PRICE
1. DELIVERY
Quotations submitted by each vendor will be evaluated in accordance with the specifications provided in the solicitation, and determined to be either acceptable or unacceptable. Technical submissions that do not meet the minimum requirements will be rated as "Unacceptable" and will no longer be considered for further competition or award. The Government intends to make an award without discussions.
☒ If checked, SPRS evaluation procedures apply to determine vendor responsibility.
Other than Certified Cost and Pricing Data may be requested to support fair and reasonable price determination.
INSPECTION
Inspection Location: ☒ Final Inspection at Destination Inspection Terms: QA1 ☐ , QA2 ☐ , QA3 ☐ , QA4 ☒ Inspection Time: QA-4 material has a 7-day inspection time and QA-2 and QA-3 have a 30-day inspection time.
BUY AMERICAN
DFARS Buy American Act - Balance of Payments applies if >$15,000.00.
DFARS Buy American Act - Free Trade Agreements may apply if > $25,000.00.
File details come from the government source that posted it. Updated .