Sol_DOIGFBO210020.pdf

DOIGFBO210020

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

01/29/2021 0040512738

1 2

205 NATIONAL CENTER

12201 SUNRISE VALLEY DRIVE

RESTON VA 20192

USGS NATIONAL ACQUISITION BRANCH

Multiple

USGS EROS Data Center

47914 252nd Street

Sioux Falls

SD 57198

605 594-2531Erick Plamann

02/03/2021 1200 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Attachment A - Statement of Need, and Provisions & Clauses is hereby incorporated into this solicitation.

For questions related to this solicitation, please email Erick Plamann, Contract Specialist, at eplamann@usgs.gov Please see attachment for instructions and specifications.

Include detail specification sheet.

Delivery Address:

USGS EROS

47914 252nd Street Sioux Falls, SD 57198-0001 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 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

DOIGFBO210020

00010 Fiberoptic Transmitter FC/APC Connector 1 EA

IT Approval Num: 70026199

Product/Service Code: 5935

Product/Service Description: CONNECTORS, ELECTRICAL

Delivery: 12/14/2020

00020 Fiberoptic Receiver FC/APC Connector 1 EA

IT Approval Num: 70026199

Product/Service Code: 5935

Product/Service Description: CONNECTORS, ELECTRICAL

Delivery: 12/14/2020

00030 R Rack Unit Frame 2 EA

IT Approval Num: 70026199

Product/Service Code: 5935

Product/Service Description: CONNECTORS, ELECTRICAL

Delivery: 12/14/2020

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