Sol_140E0125Q0026.pdf

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Attached to
HEARING CONSERVATION PROGRAM
Solicitation number
140E0125Q0026
Issued by

About this file

This is a Request for Quotation (SF-18 form) issued by the Department of Interior's Bureau of Safety and Environmental Enforcement (BSEE) for a Hearing Conservation Program. The solicitation (#140E0125Q0026) seeks audiologist services and molded/custom fit earplugs for BSEE employees.

The RFQ was issued on January 28, 2025, with quotes due by February 3, 2025, at 11:00 AM EST. The period of performance runs from February 11, 2025, to August 11, 2025, with delivery required by August 11, 2025. The work will be performed at BSEE's Virginia Office located at 45600 Woodland Road, Sterling, VA. This is not a small business set-aside. The Product Service Code is B537 (Special Studies/Analysis- Medical/Health). Stacey Ellingsen is the point of contact at 703-787-1023. Delivery terms are FOB Destination.

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Sol_140E0125Q0026_Amd_0001.pdf PDF
B08-_140E0125Q0026.pdf PDF

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Text version

140E0125Q0026

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

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

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

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)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

01/28/2025 0044005890

1 1

45600 Woodland Road, VAE-AMD Sterling VA 20166-9216

BSEE-Sterling ACQ Ops Branch 08/11/2025

BSEE VIRGINIA OFFICE

45600 Woodland Rd

Sterling

VA 20166

703 787-1023Stacey Ellingsen

02/03/2025 1100 ES

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Header Text: Hearing Conservation program for BSEE - Audiologist and molded/custom fit earplugs for employees in the program Period of Performance: 02/10/2025 to 02/28/2025

00010 Hearing Conservation Product/Service Code: B537 Product/Service Description: SPECIAL

STUDIES/ANALYSIS- MEDICAL/HEALTH

Delivery: 08/11/2025 Period of Performance: 02/11/2025 to 08/11/2025

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

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

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

File details come from the government source that posted it. Updated .