RFQ JKT WATER SVS PTOWN SF 18 21P45B79.pdf

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE

PAGE OF PAGES

1. REQUEST NO.

70Z080-21-Q-P45B7900

2. DATE ISSUED

4/06/2021

3. REQUISITION/PURCHASE REQUEST NO.

2121801P45B79

4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY

USCG SFLC, 300 EAST MAIN SREET, NORFOLK, VA 23510

6. DELIVER BY (Date)

12- 23 APR 2021,Coordinate with CGC 5b. FOR INFORMATION CALL (NO COLLECT CALLS) 7. DELIVERY

OTHER

FOB DESTINATION (See Schedule) NAME TELEPHONE NUMBER

AREA CODE NUMBER 9. DESTINATION

a. NAME OF CONSIGNEE

USCGC HARRIET LANE (WMEC 903) 8. TO:

a. NAME b. COMPANY b. STREET ADDRESS

4000 COAST GUARD BLVD

c. STREET ADDRESS c. CITY

PORTSMOUTH

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

VA

e. ZIP CODE

23703-2199

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date)8

4/8/2021 2:00 PM EST

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)

1 The contractor shall provide NR 1 MDE Lube oil cooler inspect and jacket water flush services IAW the attached SOW for CGC Harriet Lane.

POP shall be 12-23 Apr 21, Coordinate with CGC.

Address of service:

USCGC HARRIET LANE (WMEC 903)

4000 Coast Guard Blvd Portsmouth, VA 23703 Labor category: ____________________________ Labor hours: _______________________________ Sub-Contractor Cost:________________________ Material Cost:______________________________ Indirect Cost:______________________________

THIS IS A REQUEST FOR QUOTES (RFQ). PLEASE BE

ADVISED THAT, THROUGHOUT THIS RFQ, EVERY AND ANY

INSTANCE OF THE WORD “OFFER” SHALL HAVE THE MEANING

OF “QUOTATION”, EVERY INSTANCE OF THE WORD “PROPOSAL”

SHALL HAVE THE MEANING OF THE WORD “QUOTATION”, AND

EVERY INSTANCE OF THE WORD “OFFEROR” SHALL HAVE THE

MEANING OF “VENDOR.”

1 GP 0.00

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)