SF18.docx
DOCX document 19 KB Posted
- Attached to
- MCC Partnership consultancy and vision strategy
- Solicitation number
- SMD70013Q0004
- Issued by
-
Department of State US Embassy Chisinau
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SF-18
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| Partnership consultancy and vision strategy-final.docx | DOCX document |
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Exhibit 28 – Sample Request for Quotations (RFQ) (under $150,000)
REQUEST FOR QUOTATIONS
(THIS IS NOT AN ORDER)
THIS RFQ [ ] IS [x] IS NOT A SMALL BUSINESS-
SMALL PURCHASE SET-ASIDE (52.219-4)
PAGE
OF
PAGES
1. REQUEST NO.
SMD700-13-Q-0004
2. DATE ISSUED
05/14/2013
3. REQUISITION/PURCHASE REQUEST NO.
| 4. CERT. FOR NAT. DEF. UNDER BDSA REG. 2 AND/OR DMS REG. 1 |
| RATING |
5A. ISSUED BY Department of State US Embassy Chisinau 103 A.Mateevici str., MD2009 Chisinau Moldova. Tel: +373 22 40 83 00, fax: +373 22 40 47
6. DELIVER BY (Date) May 28, 2013
| 5B. FOR INFORMATION CALL: (Name and telephone no.) (No collect calls | |
| 7. DELIVERY | |
| X FOB DESTINATION | OTHER (See Schedule) |
NAME
Gunther Fehr or Natalia Dehterenco
TELEPHONE NUMBER
AREA CODE
NUMBER
+373-22-40-83-00
| 8. TO: |
| 9. DESTINATION |
| a. NAME |
| b. COMPANY |
| a. NAME OF CONSIGNEE |
American Embassy in Chisinau Moldova
| c. STREET ADDRESS |
| b. STREET ADDRESS |
Meteevici str, 103
| d. CITY |
| e. STATE |
| f. ZIP CODE |
| c. CITY |
Chisinau
| d. STATE |
| e. ZIP CODE |
10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5A ON OR BEFORE CLOSE OF BUSINESS (Date) May 28, 2013 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)
| 1 |
| As per attached Scope of Work |
| 3 |
| pag |
| 12 DISCOUNT FOR PROMPT PAYMENT |
| a. 10 CALENDAR DAYS |
b. 20 CALENDAR DAYS
c. 30 CALENDAR DAYS
d. CALENDAR DAYS
| NUMBER |
| % |
NOTE: Additional provisions and representations 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
| c. COUNTY |
| a. NAME (Type or print) |
b. TELEPHONE
| d. CITY |
| e. STATE |
| f. ZIP CODE |
| c. TITLE (Type or print) |
| AREA CODE |
NUMBER
STANDARD FORM 18
Overseas Contracting and Simplified Acquisition Guidebook 1
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