Sol_140G0121Q0195.pdf

140G0121Q0195

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

07/30/2021 0040537688

1 30

205 NATIONAL CENTER

12201 SUNRISE VALLEY DRIVE

RESTON VA 20192

USGS NATIONAL ACQUISITION BRANCH

Multiple

703 648-7312Michael Lepe

08/10/2021 1200 ES

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

The attached clauses and Requirement/Specifications labeled "Attachment A" are hereby incorporated into this Purchase order.

For any questions about this solicitation order, please contact: Michael Lepe at mlepe@usgs.gov

Legacy Doc #: UGS Continued ...

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)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 30

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140G0121Q0195

00010 Base Year - PHA Aplication Development Platform

IT Approval Num: 0070027030

Period of Performance: 09/26/2021 to 09/25/2022

00020 Option Year (1) - PHA Aplication Development

Platform

IT Approval Num: 0070027030

(Option Line Item)

09/26/2022

Period of Performance: 09/26/2022 to 09/25/2023

00030 Option Year Two (2) - PHA Aplication Development

Platform

IT Approval Num: 0070027030

(Option Line Item)

09/26/2023

Period of Performance: 09/26/2023 to 09/25/2024

00040 Option Year Three (3) - PHA Aplication

Development Platform

IT Approval Num: 0070027030

(Option Line Item)

09/26/2024

Period of Performance: 09/26/2024 to 09/25/2025

00050 Option Year Four (4) - PHA Aplication Development

Platform

IT Approval Num: 0070027030

(Option Line Item)

09/26/2025

Period of Performance: 09/26/2025 to 09/25/2026

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)