Sol_RFQ-DC-15-00263.pdf

RFQ-DC-15-00263

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

09/17/2015 PR-ORD-15-02347

1 3

US Environmental Protection Agency William Jefferson Clinton Building 1200 Pennsylvania Avenue, N. W.

SRRPOD

Mail Code: 3805R Washington DC 20460

11/01/2015

NERL CINCINNATI

US Environmental Protection Agency National Exposure Research Lab 26 Martin Luther King Drive

Cincinnati

OH 45268

202 564-3281Tia Gatling

10/01/2015 1700 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

This is a sole source procurement to Illumina, Inc for the Illumina MiSeq DNA Sequencing Platform and accessories. Please see the attached Notice of Intent to Sole Source for the list of items.

Purchase MiSeq2 System and accessories. See attached quote #4002088. This will be funded by Region 5 GLRI funds. GLNPO Erik Pilgrim Project.

This project supports EPA-ORD Cincinnati's work to establish the Great Lakes Invasive Species Early Detection Network.

0001 Purchase MiSeq2 System and accessories. This project supports EPA-ORD Cincinnati's work to establish the Great Lakes Invasive Species Early 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)

RFQ-DC-15-00263

Detection Network.

Purchase MiSeq2 System and accessories. See attached quote #4002088. This will be funded by Region 5 GLRI funds. GLNPO Erik Pilgrim Project.

This project supports EPA-ORD Cincinnati's work to establish the Great Lakes Invasive Species Early Detection Network.

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