RFQ 70Z04522QKODI0051.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

1) CONTINUATION ON PAGE 2: USCG Base Kodiak Waste Sampling

All Bidders for this award must have an active registration in the Government System for Award Management (SAM) in accordance with FAR subpart 4.1102

Contractor shall shall provide all labor, materials, supplies, administrative, technical, and managerial expertise and efforts necessary to accomplish the proper collection/shipment of requested samples and analytical review. Sampling and analysis must be performed in compliance with EPA requirements on an "recurring and as needed basis" in accordance with the attached Performance Work Statement (PWS) QUANTITY cREQUIREMENTS CONTINUATION ON PAGE 2:

JB

Environmental Services Consulting The size standard is 15.0M

The following clauses apply:

FAC# 2022-06 Effective Date 5/26/2022 HSAR 4/2/2021 HSAM Notice 2022-02 CGAP 6/10/2022

Service Contract Act WD# 2015-5687, Revision 17, Dated 3/15/22 Applies

**************Quote Evaluation Factors***************

All quotes submitted will be evaluated in terms of specifications of services offered, price, and performance timeframe. Upon conclusion of the evaluation, the award may be made to the lowest price technically acceptable.

All quotations furnished in response to this RFQ may be submitted via email with the subject line to read:

RFQ: 70Z04522QKODI000 Quote email: donald.j.gue@uscg.mil

For questions/concerns please contact Donald Gue at the email above or at: 907-487-5180x6701

http://www.dhs.gov/xlibrary/assets/opnbiz/hsar.pdf

The United States Coast Guard is tax exempt, the tax exempt number is B239641. Payments will be made via Government Purchase Order.

***********END OF REQUIREMENT****************