Sol_DOIGFBO220011.pdf

DOIGFBO220011

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

11/19/2021 0040558557

1 2

PO BOX 25046

204 DENVER FEDERAL CENTER

DENVER CO 80225-0046

USGS OAG DENVER ACQUISITION BRANCH

09/01/2022

USGS National Water Quality Lab

DFC Bldg 95 E3

Denver

CO 80225

303 236-9318Irma Suryaty

11/24/2021 1500 ES

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Period of Performance: 09/01/2022 to 08/31/2023

00010 BASE AWARD (09/01/22 THROUGH 08/31/2023) 254785 EA

POLYETHYLENE BOTTLES AND CAPS

Product/Service Code: 6640 Product/Service Description: LABORATORY EQUIPMENT

AND SUPPLIES

Delivery: 09/01/2022

00020 OPTION YEAR ONE (09/01/2023 THROUGH 08/31/2024) 244320 EA

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)

DOIGFBO220011

POLYETHYLENE BOTTLES AND CAPS

(Option Line Item)

09/01/2023

Product/Service Code: 6640

Product/Service Description: LABORATORY EQUIPMENT

AND SUPPLIES

Period of Performance: 09/01/2023 to 08/31/2024

00030 OPTION YEAR TWO (09/01/2024 THROUGH 08/31/2025) 254785 EA

POLYETHYLENE BOTTLES AND CAPS

(Option Line Item)

09/01/2024

Product/Service Code: 6640

Product/Service Description: LABORATORY EQUIPMENT

AND SUPPLIES

Period of Performance: 09/01/2024 to 08/31/2025

00040 OPTION YEAR THREE (09/01/2025 THROUGH 08/31/2026) 121700 EA

POLYETHYLENE BOTTLES AND CAPS

(Option Line Item)

09/01/2025

Product/Service Code: 6640

Product/Service Description: LABORATORY EQUIPMENT

AND SUPPLIES

Period of Performance: 09/01/2025 to 08/31/2026

00050 OPTION YEAR FOUR (09/01/2026 THROUGH 08/31/2027) 121740 EA

POLYETHYLENE BOTTLES AND CAPS

(Option Line Item)

09/01/2026

Product/Service Code: 6640

Product/Service Description: LABORATORY EQUIPMENT

AND SUPPLIES

Period of Performance: 09/01/2026 to 08/31/2027

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