SF18_REQUEST FOR QUOTATION.pdf

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Fuel System Dispenser Replacement
Solicitation number
70Z02921QPMW03700
Issued by

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File Type Posted
SF18_REQUEST FOR QUOTATION.pdf PDF
2121291PMW037_SOW.doc DOC document
Construction Clauses Provisions.doc DOC document
Construction Clauses Provisions FAC 2020-08.doc DOC document
OF336_Continuation Sheet.pdf PDF

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REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER) THIS RFQ IS IS NOT A SMALL BUSINESS SET ASIDE

PAGE OF PAGES

1. REQUEST NO. 2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME TELEPHONE NUMBER

AREA CODE NUMBER

6. DELIVERY BY (Date)

7. DELIVERY

FOB DESTINATION

OTHER

(See Schedule)

8. TO:

a. NAME b. COMPANY

c. STREET ADDRESS

d. CITY e. STATE f. ZIPCODE

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE e. ZIP CODE

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 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)

ITEM NO.

(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 15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print) b. TELEPHONE

AREA CODE

NUMBERc. TITLE (Type or print)

Previous edition not usable STANDARD FORM 18 (Rev. 6-95) Prescribed by GSA - FAR 48 (CPR) 53.215-1(a)

this_rfq_is_set_aside:
this_rfq_is_not_set_aside: X
page: 1
of_pages: 2
1_request_no: 70Z02921QPMW03700
2_date_issued: 03/15/2021
3_requistion_no: 21-21-291PMW037
4_rating:
5_a_issued_by: USCG BASE NEW ORLEANS, 1790 SATURN ST, NEW ORLEANS, LA 70129
5_b_name: SK1 BRANDON THOMPSON
5_b_area_code: 985
5_b_phone: 850-6497
6_delivery_by: 04/15/2021
7_delivery_fob_destination: X
7_delivery_other:
8_a_name:
8_c_street_address:
8_b_company:
8_d_city:
8_e_state:
8_f_zip_code:
9_a_name_of_consignee: USCG SECTOR MOBILE
9_b_street_address: 1500 15TH ST
9_c_city: MOBILE
9_d_state: AL
9_e_zip_code: 36615-1300
10_date: 03/25/2021
11_a_item_no:
0: 1
1: 2
2: 3
3:
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11_b_supplies_svs:
0: MATERIALS
1: LABOR
2: TOTAL
3:
4: REPLACE / INSTALL FUEL SYATEM
5: DISPENSER AS PER ATTACHED SOW.
6:
7: FEDERAL ACQUISITION REGULATION (FAR)
8: CLAUSES AND DEPARTMENT OF LABOR WAGE
9: RATES FOR SERVICES ARE INCLUDED
10: IN THIS ORDER AND ARE APPLICABLE.
11:
12: VENDORS DOING BUSINESS WITH THE COAST
13: GUARD MUST BE REGISTERED OR BE WILLING
14: TO REGISTER WITH SAM,www.sam.gov
15:
16: NAISC: 333914
18: (See Attached Continuation Sheet)
17:
11_c_quantity:
0: 001
1: 1
2: 1
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11_f_amount:
0: 0
1: 0
2: 0
3: 0
4: 0
5: 0
6: 0
7: 0
8: 0
9: 0
10: 0
11: 0
12: 0
13: 0
14: 0
15: 0
16: 0
18: 0
17: 0
12_b_20_calendar_days:
12_a_10_calendar_days:
12_c_30_calendar_days:
12_d_calendar_days:
12_d_percentage:
note_are_attached:
note_are_not_attached:
13_a_name_of_qupter:
13_b_street_address:
13_c_county:
13_d_city:
13_e_state:
13_f_zip_code:
15_date_of_quote:
16_signer_a_name:
16_signer_b_area_code:
16_signer_b_phone:
16_signer_c_title:
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