Sol_140L6423Q0029.pdf

140L6423Q0029

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

06/15/2023 0040614442

1 2

ONE N. CENTRAL AVE, SUITE 800

PHOENIX AZ 85004

BLM AZ-STATE OFC ADMN SVCS(AZ951)

04/15/2024

BLM-AZ ARIZONA STATE OFFICE*

ONE NORTH CENTRAL AVENUE

PHOENIX

AZ 85004-4424

602 417-9593Chelsea Cusack

06/21/2023 1500 MD

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Please include your UEI number with your quote:

The Bureau of Land Management (BLM) is seeking quotes from qualified vendors to acquire services to upgrade and repair four conference rooms within the BLM Arizona State Office in accordance with the attached Statement of Work (SOW).

Questions must be submitted to the Contract Specialist and Contracting Officer via email. The deadline to submit questions is June 21, 2023, by 8:00 am (MST).

Quotes must be submitted to the Contract Specialist and Contracting Officer via email. The deadline to submit quotes is June 21, 2023 by 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 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

140L6423Q0029

03:00 pm (MST).

POC for Contracting Officer/ Contracting

Specialist located in footer text.

Period of Performance: 06/23/2023 to 04/15/2024

Improvement Service: Repairs and upgrades to the

AZSO conference rooms

00010 Conference room upgrades

Product/Service Code: J059

Product/Service Description: MAINT/REPAIR/REBUILD

OF EQUIPMENT- ELECTRICAL AND ELECTRONIC EQUIPMENT

COMPONENTS

Delivery: 04/15/2024

BLM Points of Contact:

Contracting Officer: Shawna Rogers-Bailey Phone:

480-490-3152 / Email: srogersbailey@blm.gov

Contract Specialist: Chelsea Cusack Phone:

970-502-7569 / Email ccusack@blm.gov.

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