Sample_Order_Form_REQUIREMENTS-24-4121.docx
DOCX document 16 KB Posted
- Attached to
- CSL Compressed Gases BPA
- Solicitation number
- 1305M324Q0416
About this file
This document is a combined synopsis/solicitation for a Blanket Purchase Agreement (BPA) for the purchase and delivery of AirGas brand compressed gases, liquid nitrogen, and dry ice for the Chemical Sciences Laboratory (CSL) at the National Oceanic and Atmospheric Administration (NOAA). The BPA will have a not-to-exceed value of $250,000 over its 5-year term.
The solicitation is being issued as unrestricted and open to all sources, with an NAICS code of 325120 and a small business size standard of 1,200 employees. Quotes are due by 12:00 PM MST/MDT on August 27, 2024 and must be submitted electronically. Evaluation factors include technical acceptability/capability, specification sheet, verification of meeting the brand requirement, and price. The Government intends to award a single firm fixed-price purchase order on an all-or-none basis with Net 30 payment terms.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_1305M324Q0416_Amd_0001.pdf | ||
| Sol_1305M324Q0416.pdf |
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Text version
Date Order Placed: _____________________
SAMPLE ORDER FORM
Account Information:
BPA Number: __________________________ Order Number: _________________________ AirGas Account Number: _________________
Authorized Ordering Individual:
Name: _________________________________ Phone: _________________________________ Email: _________________________________
Group: _______________________________
Notes: _______________________________________________________________________________
Delivery Address David Skaggs Research Center (DSRC) Building 33 North Loading Dock 325 Broadway Boulder, CO 80305
All rules, regulations, and laws concerning safety and security must be followed at all times on Federal property. No smoking during the delivery nor within 50 feet of the loading dock.
| Item |
| AirGas Part No. |
| Unit |
| Quantity |
Zero Air
| Steel 300 |
| AI UZ300 |
| Per Cyl |
Nitrogen
| Steel 300 |
| NI UHP300 |
| Per Cyl |
Oxygen
| Steel 300 |
| OX UHP300 |
| Per Cyl |
Helium
| Steel 300 |
| HE UHP300 |
| Per Cyl |
Liquid Nitrogen
| High Pressure Dewar |
| 230L230 |
| Per Cyl |
| Low Pressure Dewar |
| 230LT22 |
| Per Cyl |
Dry Ice
| Pellets |
| CD ICEP |
| Per Lb |
Additional Items
| Excimer Laser Pre-Mixes |
| Custom |
| Per Mo |
Optional Items
| Argon Steel 300 |
| AR UHP300 |
| Per Cyl |
| Krypton Steel ~25L |
| KR RLB25LT |
| Per Cyl |
Ordering Instructions:
Submit form via email to (email). Once order number is received, add to this form and submit to (NOAA invoicing POC) for tracking purposes. The order number is required to be included on this form and the BPA log.
Contractor Point of Contact:
Name: _________________________________ Phone: _________________________________ Email: _________________________________
File details come from the government source that posted it. Updated .