SF18-95a R1.pdf

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Attached to
Water Service Line Mayetta, KS Federal contract opportunity
Solicitation number
246-25-Q-0039r1
Issued by
Department of Health and Human Services Indian Health Service

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This is a Standard Form 18 (SF-18) Request for Quotation (RFQ) issued by the Oklahoma City Area Office of the Indian Health Service for a water service line installation project in Mayetta, Kansas. The solicitation (No. 246-25-Q-0039r1) seeks a contractor to furnish and install a water service line at 17869 T-Road, with a 90-calendar day performance period from Notice to Proceed. The procurement is a 100% small business set-aside under NAICS code 237110, with an estimated award value under $25,000.

Key details include a quote submission deadline of May 1, 2025, with questions due by April 24, 2025. Quotes will be evaluated on an acceptable/non-acceptable basis, ranked by price, and assessed for technical acceptability. Vendors must provide a firm fixed-price quote, technical specifications, two relevant past performance references, and complete the Buy Indian Act Indian Economic Enterprise Representation Form. The contract will be awarded to the lowest-priced, technically acceptable offeror meeting all specifications.

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Other files attached to Water Service Line Mayetta, KS, newest first.
File Type Posted
Statement of Work.pdf PDF
Bid Sheet.pdf PDF
KS152 Wage Determination.pdf PDF
Construction Clauses-DEVIATION FEB 2025.docx DOCX document
Drawing.pdf PDF

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REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

b. TELEPHONE

AREA CODE

NUMBER

STANDARD FORM 18 (REV. 6/1995)

Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

8. TO:

b. COMPANYa. NAME

c. STREET ADDRESS

d. CITY e. STATE f. ZIP CODE

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE e. ZIP CODE

7. DELIVERY

FOB DESTINATION

OTHER

(See Schedule)

10. PLEASE FURNISH QUOTATIONS TO THE

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

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 NUMBER

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

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

a. NAME OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

PAGE OF PAGES

1. REQUEST NUMBER 2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NUMBER 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY 6. DELIVER BY (Date)

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME TELEPHONE NUMBER

AREA CODE NUMBER

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REQUEST FOR QUOTATION(THIS IS NOT AN ORDER)

THIS RFQ

IS

IS NOT A SMALL BUSINESS SET-ASIDE

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

b. TELEPHONE

AREA CODE

NUMBER

STANDARD FORM 18 (REV. 6/1995)

Prescribed by GSA-FAR (48 CFR) 53.215-1(a) AUTHORIZED FOR LOCAL REPRODUCTION Previous edition not usable

8. TO:

b. COMPANY

a. NAME

c. STREET ADDRESS

d. CITY

e. STATE

f. ZIP CODE

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE

e. ZIP CODE

7. DELIVERY

FOB DESTINATION

OTHER (See Schedule)

10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date) 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 NUMBER

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

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

a. NAME OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY

e. STATE

f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION

PAGE

OF

PAGES

1. REQUEST NUMBER

2. DATE ISSUED

3. REQUISITION/PURCHASE REQUEST NUMBER

4. CERT. FOR NAT. DEF. UNDER BDSA REG. 2 AND/OR DMS REG. 1

RATING

5a. ISSUED BY

6. DELIVER BY (Date) 5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME

TELEPHONE NUMBER

AREA CODE

NUMBER

THIS RFQ IS A SMALL BUSINESS SET-ASIDE.: 1
7. DELIVERY. FOB DESTINATION: 0
NOTE: Additional provisions and representations are attached.: 1
NOTE: Additional provisions and representations are not attached.: 0
7. DELIVERY. OTHER (See Schedule): 0
THIS RFQ IS NOT A SMALL BUSINESS SET-ASIDE.: 0
PAGE OF: 1
4. CERT. FOR NAT. DEF. UNDER BDSA REG. 2 AND/OR DMS REG. 1. RATING:
3. REQUISITION/PURCHASE REQUEST NUMBER: IHS1509352
1. REQUEST NUMBER: RFQ246-25-Q-0039r1
5a. ISSUED BY: Oklahoma City Area Office Indian Health Service 701 Market Dr. Oklahoma City, OK 73114
5b. FOR INFORMATION CALL (NO COLLECT CALLS). NAME: Jeffrey Earnest, jeffrey.earnest@ihs.gov
8. TO. a. NAME:
13. NAME AND ADDRESS OF QUOTER. f. ZIP CODE:
16. SIGNER. a. NAME (Type or print):
16. SIGNER. b. TELEPHONE. AREA CODE:
16. SIGNER. b. TELEPHONE. NUMBER:
16. SIGNER. c. TITLE (Type or print):
13. NAME AND ADDRESS OF QUOTER. e. STATE:
13. NAME AND ADDRESS OF QUOTER. d. CITY:
13. NAME AND ADDRESS OF QUOTER. b. STREET ADDRESS:
13. NAME AND ADDRESS OF QUOTER. c. COUNTRY:
13. NAME AND ADDRESS OF QUOTER. a. NAME OF QUOTER:
8. TO. c. STREET ADDRESS:
8. TO. d. CITY:
11. SCHEDULE (Include applicable Federal, State and local taxes). ITEM NUMBER. COLUMN A. Line 18 of 18: 1
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: The contractor shall furnish and install a Water
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Service Line in accordance with the Statement of
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Work and Drawings.
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Additional Provisions and Conditions
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: (10 pages; 2-11 are attached hereto).
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Scope of Work includes: Statement of Work (2
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: pages), drawing (1page) (attached).
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Davis Bacon General Wage Decision OK20250152
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: dated 02/07/2025 is hereby incorporated,
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: (attached).
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: FAR Clause 52.213-4 attached
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: FAR Clause 52.204-7 applies
11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Site visit Information: Page 10
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.: 1.00000000
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT. COLUMN D.: JB
8. TO. e. STATE:
8. TO. f. ZIP CODE:
5b. FOR INFORMATION CALL (NO COLLECT CALLS). TELEPHONE NUMBER. AREA CODE: 405
8. TO. b. COMPANY:
5b. FOR INFORMATION CALL (NO COLLECT CALLS). TELEPHONE NUMBER. NUMBER: 951-3740
9. DESTINATION. a. NAME OF CONSIGNEE: OEH&E Field Office
9. DESTINATION. b. STREET ADDRESS: 324 New York Ave
9. DESTINATION. c. CITY: Holton
9. DESTINATION. e. ZIP CODE: 66436
9. DESTINATION. d. STATE: KS
PAGES: 11
2. DATE ISSUED. Enter 2 digit month, 2 digit day and 4 digit year.: 2025-04-17
10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date). Enter 2 digit month, 2 digit day and 4 digit year.: 2025-05-01
15. DATE OF QUOTATION. Enter 2 digit month, 2 digit day and 4 digit year.:
6. DELIVER BY (Date). Enter 2 digit month, 2 digit day and 4 digit year.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.: 0.00000000
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:
12. DISCOUNT FOR PROMPT PAYMENT. a. 10 CALENDAR DAYS (%):
12. DISCOUNT FOR PROMPT PAYMENT. b. 20 CALENDAR DAYS (%):
12. DISCOUNT FOR PROMPT PAYMENT. c. 30 CALENDAR DAYS (%):
12. DISCOUNT FOR PROMPT PAYMENT. d. CALENDAR DAYS. NUMBER:
12. DISCOUNT FOR PROMPT PAYMENT. d. CALENDAR DAYS. PERCENTAGE:
14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION. Click to Sign. :

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