SF18-95a Request for Quote.pdf

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NUMBER

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

1 The Contractor shall provide sewer main CCTV and septic tank inspection in accordance with the statement of work and attached specifications and drawings.

Additional Provisions and Conditions

(10 pages; 2-11 are attached hereto)

Scope of Work includes: Statement of Work (2 pages), Specifications 025545 (2 pages) &

02535 (8 Pages) drawing (5 pages)(attached).

Davis Bacon General Wage Decision KS20230152

Dated 04/21/2023 is hereby incorporated, 6 pages

(attached)

FAR Clause 52.213-4 attached

FAR Clause 52.204-7 applies

Official Site Visit: see page 10 of

Additional Provisions and Conditions

1 JB

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 14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF QUOTATION

a. NAME OF QUOTER

b. STREET ADDRESS 16. SIGNER

a. NAME (Type or print) b. TELEPHONE

c. COUNTY AREA CODE

d. CITY e. STATE f. ZIP CODE c. TITLE (Type or print) NUMBER

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6/1995)

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

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

1. REQUEST NUMBER

246-23-Q-0093 5a. ISSUED BY

THIS RFQ IS IS NOT A BUY-INDIAN SET-ASIDE

PAGE OF PAGES

RATING

6. DELIVER BY (Date)

Shawnee

d. CITY

9. DESTINATION

a. NAME OF CONSIGNEE

OEH&E Field Office

b. STREET ADDRESS

324 New York Ave

c. CITY

Holton

e. ZIP CODE

66436

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5a ON OR

BEFORE CLOSE OF BUSINESS (Date)

06/052023

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.

d. STATE

KS

f. ZIP CODE e. STATE

b. COMPANY

NUMBER

951-3740

AREA CODE

TELEPHONE NUMBER

4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

3. REQUISITION/PURCHASE REQUEST NUMBER

IHS1472755

2. DATE ISSUED

05/02/2023