SF 18 Request for Quote Sciclone G3 NGSx Service Agreement (1) 05-01-2020.pdf

12561520Q0029

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

05/01/2020 997260

1 2

1925 LINDEN DRIVE

MADISON WI 53706

MWA MADISON WI LOCATION SUPPORT STA

Multiple

MWA MADISON WI LOCATION SUPPORT STA

1925 LINDEN DRIVE

MADISON

WI 53706

608 890-0047LAURA JONES

05/16/2020 1430 CT

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

SCICLONE G3 NGSx-Service Agreement Period of Performance: 05/20/2020 to 05/19/2021

0001 SCICLONE G3 NGSx Service Agreement 1 EA Product/Service Code: J066 Product/Service Description: MAINT/REPAIR/REBUILD

OF EQUIPMENT- INSTRUMENTS AND LABORATORY EQUIPMENT

Delivery: 05/20/2020

0002 Option Year 1: Sciclone G3 NGS Service Agreement 1 EA (Option Line Item) 04/20/2021 Product/Service Code: J066 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 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

12561520Q0029

Product/Service Description: MAINT/REPAIR/REBUILD

OF EQUIPMENT- INSTRUMENTS AND LABORATORY EQUIPMENT

Delivery: 05/20/2021

Period of Performance: 05/20/2021 to 05/19/2022

0003 Option Year 2: Sciclone G3 NGSx Service Agreement 1 EA

(Option Line Item)

04/20/2022

Product/Service Code: J066

Product/Service Description: MAINT/REPAIR/REBUILD

OF EQUIPMENT- INSTRUMENTS AND LABORATORY EQUIPMENT

Period of Performance: 05/20/2022 to 05/19/2023

0004 Option Year 3: Sciclone G3 NGSx Service Agreement 1 EA

(Option Line Item)

04/20/2023

Product/Service Code: J066

Product/Service Description: MAINT/REPAIR/REBUILD

OF EQUIPMENT- INSTRUMENTS AND LABORATORY EQUIPMENT

Period of Performance: 05/20/2023 to 05/19/2024

0005 Option Year 4: Sciclone G3 NGSx Service Agreement 1 EA

(Option Line Item)

04/20/2024

Product/Service Code: J066

Product/Service Description: MAINT/REPAIR/REBUILD

OF EQUIPMENT- INSTRUMENTS AND LABORATORY EQUIPMENT

Period of Performance: 05/20/2024 to 05/19/2025

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