SF18 and Clauses.pdf

REQUEST FOR QUOTATION THIS RFQ [8) IS □ IS NOT A BUY-INDIAN SET-ASIDE PAGE OF PAGES

(THIS IS NOT AN ORDER) 1 I 11

1. REQUEST NUMBER

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

RATING

RFQ246-25-Q-0016 12/18/2024 IHS1497357 UNDER BOSA REG. 2

AND/OR OMS REG. 1

Sa. ISSUED BY 6. DELIVER BY (Date)

Oklahoma City Area Office Indian Health Service 701 Market Dr. Oklahoma City, OK73114

□ Jeffrey Earnest, Contract Specialist TELEPHONE NUMBER □ jeffrey.earnest@ihs.gov AREA CODE

NUMBER 9. DESTINATION

405 951-3740 a. NAME OF CONSIGNEE OEH&E Field Office

b. COMPANY b. STREET ADDRESS

1201 Heritage Circle c.CITY Pawnee

d. CITY e.STATE I

f. ZIP CODE d. STATE j:e. ZIP CODE

OK 74058

10. PLEASE FURNISH QUOTATIONS TO THE IMPORTANT: This is a request for information and quotations furnished are not offers. If you are unable to quote, please

ISSUING OFFICE IN BLOCK Sa ON OR so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any BEFORE CLOSE OF BUSINESS (Dale) 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 01/10/2025 Quotation must be completed by the quoter.

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

ITEM NUMBER SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(a) (b) (c) (d) (e) (f)

1 The Contractor shall furnish and install 1 JB isanitary utility sewerage piping, shower kit, up-flush toilet, grab bar and appurtenances in accordance with the statement of work, bid sheet and drawings.

Additional Provisions and Conditions (10 pages; 2-11 are attached hereto)

Scope of Work includes: Statement of Work (3 pages), bid sheet (1 page) drawing (1 page) (attached).

Davis Bacon General Wage Decision KS20240037 Dated 11/08/2024 is hereby incorporated, (attached)

FAR Clause 52.213-4 attached FAR Clause 52.204-7 applies

Official Site visit Page 10

a. 10 CALENDAR DAYS(%) b. 20 CALENDAR DAYS(%) c. 30 CALENDAR DAYS(%) d. GALEN DAR DAYS

12. DISCOUNT FOR PROMPT PAYMENT NUMBER

I

PERCENTAGE

NOTE: Additional provisions and representations IXlare I I are not attached.

13. NAME AND ADDRESS OF QUOTER 14. SIGNATURE OF PERSON AUTHORIZED TO 15. DATE OF QUOTATION

a. NAME OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

SIGN QUOTATION

a. NAME (Type or print)

le. STATE

I '· ZIP CODE c. TITLE (Type or print)

16. SIGNER

b. TELEPHONE

AREA CODE

NUMBER

STANDARD FORM 18 (REV. 6/1995)

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