3._R16PS01387_SF-18.pdf

R16PS01387

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

08/18/2016 0040279012

1 2

Lower Colorado Region Regional Office 500 Fir Street

Bureau of Reclamation

Boulder City NV 89005

09/06/2021

Bureau of Reclamation-LC-Hoover Dam

Hoover Dam Central Warehouse State Route 172

Boulder City

NV 89005-0400

702 293-8362William Johnson

08/26/2016 1400 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Project Title: Diagnosis and repair for various sizes of AC and DC electric motors

NAICS - 811310 - Commercial and Industrial Machinery and Equipment

This will result in a Firm Fixed Contract.

Offers will be considered for award of a five (5) year Blanket Purchase Agreement (BPA).

Legacy Doc #: BOR

00010 Electric Motors Diagnosis & Repair

Delivery: 09/06/2021 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)

R16PS01387

Period of Performance: 09/07/2016 to 09/06/2021

Repairs may include but is not limited to, complete disassembly, rewind, shaft machine work, commutator work, brush replacement, baking of windings, bearing replacement balancing, painting and applicable tests.

Brands may include but is not limited to, Westinghouse and Kranco.

Note any parts discount, surcharges, hazardous materials disposal fees and any other charges that may be associated with the performance described in the attached Statement of Work (SOW).

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

0001 Diagnose and repair for various sizes of AC and DC electric motors.

1.00 HR $____________ $_________________

(Period of Performance 09/07/2016 to 09/06/2021)