2._R16PS01391_SF-18.pdf

R16PS01391

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

08/19/2016 0040280545

1 5

Lower Colorado Region Regional Office 500 Fir Street

Bureau of Reclamation

Boulder City NV 89005

11/05/2016

Bureau of Reclamation-LC-Hoover Dam

Hoover Dam Central Warehouse State Route 172

Boulder City

NV 89005-0400

702 293-8362William Johnson

08/29/2016 1700 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Project Title: Cement Bucket Medallions

Combined Synopsis/Solicitation

Request for Quote No. R16PS01391 ¿ Cement Bucket Medallion

The Bureau of Reclamation, Lower Colorado Region has a requirement to purchase 52,100 (Fifty Two Thousand One Hundred) Cement Bucket Medallion. It is anticipated that one firm fixed-price purchase order will be awarded. All costs to supply and deliver the products shall be included with your quote. Determination of award will be based on the lowest overall price, responsive quote from a responsible offeror.

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 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

R16PS01391

(i) This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice.

This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued.

(ii) This requirement is being issued as

Solicitation No. R16PS01391. This solicitation is issued as a Request for Quotation (RFQ).

(iii) This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular number

2005-89.

(iv) This requirement is set-aside to small businesses. The North American Industry

Classification System (NAICS) Code for this acquisition is: 331523 ¿ Nonferrous Metal

Die-Casting Foundries. The small business size standard for NAICS Code 331523 is 500 employees.

(v) Contract Line Item Numbers:

Line Item 00010: Plated Medallion: 25,000 Each

Line Item 00020: 100% Copper Medallion: 5,000 Each

Line Item 00030: 100% Copper Proof Medallion: 50

Each

Line Item 00040: Medallion Dies: 2 Each

Line Item 00050: Plastic Air-Tight Capsules:

25,050 Each

(vi) The Bureau of Reclamation has a requirement for a contractor to supply and deliver 55,100

Cement Bucket Medallions, in accordance with the attached Statement of Work.

Vendor MUST submit product literature along with your quotation to demonstrate how the proposed product meets the above salient characteristics.

The following items are required to be submitted along with your quote:

1. A detailed list of the proposed items with pricing.

2. A technical description of the items being offer in sufficient detail to evaluate compliance with the requirements in this solicitation. This

Continued ...

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

3 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

R16PS01391

includes product literature and description, such as data specification sheets to show that you meet the above salient characteristics.

*It is mandatory that you submit product literature of the items being proposed. If you do not submit this information, your quote may not be considered.

(vii) Place of delivery is Bureau of

Reclamation, Lower Colorado Regional Office, Hoover Dam Warehouse, US HWY 93, Boulder City, NV

89006. Shipping must be free on board (FOB)

Destination.

The following clauses and provisions are applicable to this commercial item acquisition:

(viii) FAR provision 52.212-1, Instructions to

Offerors - Commercial Items

(ix) FAR Provision 52.212¿2 is not applicable to this RFQ.

(x) FAR provision 52.212-3, Offeror

Representations and Certifications - Commercial

Items

Offerors are advised include with their offer, a completed copy of the provision 52.212-03, or indicate completion of the provision online.

Offerors may complete the annual representations and certifications online at https://www.sam.gov/. To complete obtain and complete a hard copy of Provision 52.212-03, it can be found in the Federal Acquisition

Regulation.

(xi) FAR clause 52.212-4, Contract Terms and

Conditions - Commercial Items.

(xii) FAR clause 52.212-5 Contract Terms and

Conditions Required to Implement Statutes or

Executive Orders - Commercial Items.

52.204-10, Reporting Executive Compensation and

First-Tier Subcontract Awards

52.219-6, Notice of Total Small Business

52.219-13, Notice of Set-Aside of Orders

52.219-28, Post-Award Small Business Program

Representative

52.222-3, Convict Labor

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

R16PS01391

52.222¿21, Prohibition of Segregated Facilities

52.222¿26, Equal Opportunity

52.222-50, Combating Trafficking in Persons

52.223¿18, Encouraging Contractor Policies to Ban

Text Messaging while Driving

52.225-3, Buy American¿Free Trade

Agreements¿Israeli Trade Act ¿ Alternate I

52.225¿13, Restrictions on Certain Foreign

Purchases

52.232¿33, Payment by Electronic Funds Transfer¿

System for Award Management

(xiii) Additional contract requirements include the following clauses and provisions:

Provision -

52.203-98, Prohibition on Contracting with

Entities that Require Certain Internal

Confidentiality Agreements-Representation

(DEVIATION 2015-02)

52.225-25, Prohibition on Contracting with

Entities Engaging in Iran

WBR 1452.211.80, Notice of Intent to Acquire

Metric Products and Services

WBR 1452.215-71, Use and Disclosure of Proposal

Info (DIAR 1415.413-70(d))

WBR 1452.225-82, Notice of World Trade

Organization Government Procurement

Clauses -

52.203-99, Prohibition on Contracting with

Entities that Require Certain Internal

Confidentiality Agreements (DEVIATION 2015-02)

52.204-13, System for Award Management Maintenance

52.242¿15, Stop¿Work Order

52.252¿06, Authorized Deviations in Clauses

DOI-AAAP-0028, Electronic Invoicing and Payment

Requirements-Internet Payment Platform (IPP)

(xiv) Not applicable.

(xv) All questions shall be submitted via email to William Johnson at wjohnson@usbr.gov no later than Wednesday, August 24, 2016, by 02:00 P.M., PST.

Offers are due Monday August 29, 2016 by 02:00

P.M., PST. Responsible offerors are requested to submit a quote for this requirement. Offers shall be submitted electronically via email to wjohnson@usbr.gov.

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

R16PS01391

(xvi) The Point of Contact for this solicitation is William Johnson. She may be reached via e-mail at wjohnson@usbr.gov, or by phone at

702-293-8362.

Legacy Doc #: BOR

Period of Performance: 09/05/2016 to 11/05/2016

00010 Plated Medallion 25000 EA

Delivery: 11/05/2016

00020 100% Copper Medallion 5000 EA

Delivery: 11/05/2016

00030 100% Copper Proof Medallion 50 EA

Delivery: 11/05/2016

00040 Medallion Dies 2 EA

Delivery: 11/05/2016

00050 Plastic Air-Tight Capsules 25050 EA

Delivery: 11/05/2016

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

Total $__________________