Sol_140L6421Q0029.pdf
PDF 88 KB Posted
- Attached to
- YFO DOMESTIC WATER SAMPLE/TEST SERVICE Federal contract opportunity
- Solicitation number
- 140L6421Q0029
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Text version
140L6421Q0029
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
07/20/2021 0040543192
1 165
ONE N. CENTRAL AVE, SUITE 800
PHOENIX AZ 85004
BLM AZ-STATE OFC ADMN SVCS(AZ951)
Multiple
BLM-AZ ARIZONA STATE OFFICE
ONE NORTH CENTERAL AVE
PHOENIX
AZ 85004-4424
303 236-1159Cindy Gonzalez
07/30/2021 1400 PS
FOB DESTINATION
OTHER
(See Schedule)X
ITEM NO.
(a)
SUPPLIES/SERVICES
(b)
QUANTITY
(c)
UNIT
(d)
UNIT PRICE
(e)
AMOUNT
(f)
Please include your DUNS number with your quote
The Bureau of Land Management, Arizona State Office, is seeking quotes to sample and test drinking systems at the two recreation sites specified in the attached Statement of Work (SOW), maps are being provided in the attachments.
In order to do business with the federal government all vendors must be currently registered in sam.gov. If you are not registered or your registration is expired in sam.gov, you will need to register or update your registration.
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
2 165
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
140L6421Q0029
Questions shall be submitted no later than 26
July 2021 by 2:00pm (PS) to Cindy Gonzalez, Contract Specialist, and Lisa Hariper Contracting
Officer.
Quotes shall be submitted no later than 30 July
2021 by 2:00pm (PS) to Cindy Gonzalez, Contract
Specialist, and Lisa Hariper Contracting Officer.
Period of Performance: 08/09/2021 to 08/08/2024
00010 Base Year: Domestic Water Sample/Test Service for various locations in accordance with the attached
Statement of Work (SOW) dated July 2021.
Product/Service Code: B533
Product/Service Description: SPECIAL
STUDIES/ANALYSIS- WATER QUALITY
Period of Performance: 08/09/2021 to 08/08/2022
00020 Option Year 1: Domestic Water Sample/Test Service for various locations in accordance with the attached Statement of Work (SOW) dated July 2021.
Product/Service Code: B533
Product/Service Description: SPECIAL
STUDIES/ANALYSIS- WATER QUALITY
Period of Performance: 08/09/2022 to 08/08/2023
00030 Option Year 2: Domestic Water Sample/Test Service for various locations in accordance with the attached Statement of Work (SOW) dated July 2021.
Product/Service Code: B533
Product/Service Description: SPECIAL
STUDIES/ANALYSIS- WATER QUALITY
Period of Performance: 08/09/2023 to 08/08/2024
BLM Point of Contact:
Contracting Officer, Lisa Hariper
Email: lhariper@blm.gov
Phone: 602-417-9434
Contracting Specialist, Cindy Gonzalez
Email: chgonzalez@blm.gov
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 165
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
140L6421Q0029
Phone: 303-236-1159
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
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