RFQ NO. 693C7320Q000024.pdf

693C7320Q000024

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

06/01/2020 HFLETS200040PR

1 3

FHWA EASTERN FED LANDS DIVISION

21400 RIDGETOP CIRCLE

ATTN: JAN BEAVER

Federal Highway Administration

703-404-6216

STERLING VA 20166-6511

06/16/2020

Federal Highway Administration

Eastern Federal Lands Highway Div.

21400 Ridgetop Circle

Sterling

VA 20166-6511

703 404-6216Jan Beaver

06/16/2020 1600 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

THIS SOLICITATION IS PREPARED IN ACCORDANCE WITH

FEDERAL ACQUISITION REGULATION PART 13,

SIMPLIFIED ACQUISITION PROCEDURES.

PROVIDE PRICING FOR THE FOLLOWING FOR THE

REFURBISHMEN AND REPAIR OF THE FEDERAL HIGHWAY

ADMINISTRATION 1996 CME DRILL RIG:

00001 Receive unit, wash, inspection - 8 hours at

00002 Steering brake and parking brake parts and labor

00003 Re hose machine - Parts and labor 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 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

693C7320Q000024

00004 Re wire machine

00005 Tracks - parts and Labor

00006 Remove fluted Kelly and Hydraulic chuck - 20 hours at

00007 Rotary box rebuild - parts only

00008 Spindle brake replacement - parts and labor

00009 Hydraulic control valves - parts and labor

00010 Install and remove drain hoses - 2 hours at

00011 Sand blast and paint - labor and material

00012 Repair right angle drive - Parts and labor

00013 Water hose replacement - materials and labor

00014 Replace hoist cables - materials and labor

00015 3 hoists - rebuild and replace motors as need

00016 Rebuild tool and wire line hoist - Labor - 22 hours at

00017 Rebuild feed cylinders - parts and labor

00018 Replace 5 electronic selenoids - parts and labor

00019 Rebuild T16 cross drive - parts and Labor

Continued ...

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

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

693C7320Q000024

00020 Misc Charges

RESPONSES TO QUOTATION WILL BE ACCEPTED VIA FAX

NUMBER 571-434-1551, EMAIL: JAN.BEAVER@DOT.GOV,

OR MAIL TO THE ADDRESS IN BLOCK NO. 9, AND MUST

BE RECEIVED BY 2:00 PM, EST, TUESDAY,

JUNE 16, 2020.

PROVIDE THE FOLLOWING INFORMATION WITH YOUR

QUOTATION:

DUN & BRADSTREET (DUNS) NUMBER:

FEDERAL TAX ID NUMBER:

IMPORTANT PAYMENT REQUIREMENT: IN ACCORDANCE

WITH FEDERAL ACQUISITION REGULATION (FAR) SUBPART

4.1102, PROSPECTIVE CONTRACTORS SHALL BE

REGISTERED IN THE SYSTEM FOR AWARD MANAGEMENT

(SAM) DATABASE PRIOR TO AWARD OF A CONTRACT. FAR

CLAUSE 52.232-33 REQUIRES SAM REGISTRATION FOR

PAYMENT. IN ADDITION, WHEN SETTING UP VENDOR

INFORMATION IN THE SAM DATABASE, THE D&B LEGAL

NAME SHOULD BE THE SAME AS THE IRS CONSENT NAME.

SAM REGISTRATION IS AVAILABLE ONLINE AT

WWW.SAM.GOV.

THIS SOLICITATION INCORPORATES BY REFERENCE THE

FOLLOWING FAR PROVISIONS:

52.204-7 SYSTEM FOR AWARD MANAGEMENT (OCT 2018)

52.204-8 ANNUAL REPRESENTATIONS AND

CERTIFICATIONS (DEC 2019)

52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE

REPORTING (JUL 2016)

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