Request for Quote.pdf

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REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE PAGE OF PAGES

1. REQUEST NO.

RFQ #

2. DATE ISSUED

3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY

6. DELIVER BY (Date)

5b. FOR INFORMATION CALL (NO COLLECT CALLS) 7. DELIVERY

OTHER

FOB DESTINATION (See Schedule) NAME email:

TELEPHONE NUMBER

AREA CODE

NUMBER

9. DESTINATION

a. NAME OF CONSIGNEE

8. TO:

a. NAME

b. COMPANY b. STREET ADDRESS

c. STREET ADDRESS c. CITY

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

e. ZIP CODE

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date)

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 Quotation 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)

********************REQUIREMENT(S) ************************

CONTINUATION ON PAGE 2

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 are are not attached.

13. NAME AND ADDRESS OF QUOTER 14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF QUOTATION

a. NAME OF QUOTER

b. STREET ADDRESS 16. SIGNER

a. NAME (Type or print) b. TELEPHONE

c. COUNTY AREA CODE

d. CITY e. STATE f. ZIP CODE c. TITLE (Type or print) NUMBER

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

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

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED

PAGES

2 of

NAME OF OFFEROR OR CONTRACTOR

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

CONTINUATION ON PAGE 3

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

Sponsored by GSA FAR (48 CFR) 53.110

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED

PAGES

of

NAME OF OFFEROR OR CONTRACTOR

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

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

Sponsored by GSA FAR (48 CFR) 53.110

******Requirement*****

All Materials ordered within 14 days of award.

Contract will be completed 90 days, or less after award All other requirements stated in the attached statement of work

ALL QUOTATIONS MUST INCLUDE THE FOLLOWING ADDITIONAL INFORMATION:

a. Active SAM.GOV Registration with no active exclusions in accordance with FAR Subpart 4.1102

b. Contractor Unique Entity Identifier Number

e. Product Information showing all specifications and capabilities for the product being offered for review meeting the U.S. Government's needs.

f: NAICS Code: 238330: Flooring Contractors.

Applicable Small Business Standard in Accordance with NAICS Code 238330.

The United States Coast Guard is Tax Exempt, and the Tax-Exempt Number is B239641.

CONTINUATION ON PAGE 3: Evaluations will be made based on specifications of services offered, price and delivery time. After evaluation award will be FIRM FIXED PRICE to the lowest offer technically acceptable.

Submit all quotations electronically to:

Alera.D.Nash@uscg.mil and Martha.L.Bailey@uscg.mil

ATTACHED FAR CLAUSES APPLY

FAC 2024-06

FAR 52.222-41, SERVICE CONTRACT LABOR STANDARDS (Aug 2018) FAR 52.222-42, STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (May 2014)

Service Contract Act WD: 2015-5685 REV22

DATE: 05/02/2024

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