SPE7L419Q0071.PDF

REQUEST FOR QUOTATIONS THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE

4. CERT.FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

5. ISSUED BY

7. DELIVERY

9. DESTINATION

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5 ON OR

BEFORE CLOSE OF BUSINESS (Date)

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 5. 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 (See Continuation Sheets)

12. DISCOUNT FOR PROMPT PAYMENT

d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations are are not attached.

13. NAME AND ADDRESS OF QUOTER

a. NAME OF QUOTER

14. SIGNATURE OF PERSON AUTHORIZED TO SIGN

QUOTATION

16. SIGNER

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not useable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

1. REQUEST NO.

SPE7L4-19-Q-0071

2. DATE ISSUED

2018 NOV 09

3. REQUISITION/PURCHASE REQUEST NO.

0075126247

RATING

DO-C9

DLA LAND AND MARITIME

LSO COMBAT VEHICLES AND ARMAMENT

PO BOX 3990

COLUMBUS OH 43218-3990

USA

Buyer: Kyle Blazek PLCLDA4 Tel: 614-692-7904 Fax: 614-692-1522 Email: kyle.blazek@dla.mil

6. DELIVER BY (Date)

SEE SCHEDULE

8. TO:

c. CITY

d. STATE

b. STREET ADDRESS

a. NAME OF CONSIGNEE

e. ZIP CODE

a. 10 CALENDAR DAYS

b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS

15. DATE OF QUOTATION

a. NAME (Type or Print)

AREA CODE

c. TITLE (Type or Print)d. CITY

c. COUNTY

b. STREET ADDRESS

e. STATE f. ZIP CODE

See Schedule

2018 NOV 23

NUMBER

FOB DESTINATION

OTHER

(See Schedule)

CAGE

b. TELEPHONE

See attached schedule to complete quote information.

Quoter must also complete the following:

a. Quotation is valid for 90 days from date specified in Block 10 above unless otherwise indicated: _____________ .

b. Prices quoted are:

___ Contained in Commercial Catalog or Published Price List No. ___________________ dated _______________ page __________ .

___ Contained in Internal Price List No. _______________dated ____________________, which may be examined at our facility.

___ Commercial sales of comparable quantities: Quantity ____________ ; Price _____________;

___ Customer ________________________.

___ Other (provide basis) ______________________________________ _______________________________________ .

c. FOB Point: ____ Destination ____ Origin Shipping Point (City, State) _________________________________________ .

d. If delivery period shown in Block 6 is unacceptable, provide best possible delivery: _________________________________.

e. Remittance Address (Name, Street, City, State, ZIP): Same as Block 13 unless otherwise indicated below:

f. Vendor FAX Number: ____________________ Vendor Toll-Free Number: ____________________ Vendor E-mail: ______________________________

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SPE7L4-19-Q-0071

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The quantity “1 EA” depicted on the FAT line item signifies the test requirement. The actual number of units required for the FAT is 5 units. The FAT units can be delivered as a part of the production lot unless damaged or destroyed.

THIS SOLICITATION INCORPORATES THE TERMS AND CONDITIONS SET FORTH IN THE REVISION OF THE DLA MASTER SOLICITATION FORAUTOMATED SIMPLIFIED ACQUISITIONS IN EFFECT ON THE SOLICITATION ISSUE DATE. ALL REVISIONS OF THE DLA MASTER SOLICITATION FOR AUTOMATED SIMPLIFIED ACQUISITIONS CAN BE FOUND ON THE WEB AT: http://www.dla.mil/HQ/Acquisition/ Offers/eProcurement.aspx

This solicitation incorporates technical/quality requirements (‘R’ or ‘I’ number in section B). The full text is in the DLA Technical and Quality Master List of Requirements at: http://www.dla.mil/HQ/Acquisition/Offers/eprocurement.

aspx

The revision of the TQ Master in effect on the award date controls.

DLAD Procurement Notes are incorporated by reference, with the same force and effect as if they were in full text. The full text of a DLAD Procurement Note may be accessed electronically at http://www.dla.mil/HQ/Acquisition/Offers/ eProcurement.aspx and via ‘References’ on the DIBBS homepage.

This solicitation will be available on the Internet at http://www.dibbs.bsm.dla.mil/. Due to system constraints, it may take as long as three business days from the stated issue date for the solicitation to post to DIBBS

The following applies:

FAR 52.204–23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities.

DFARS 252.219-7011 Notification to Delay Performance NORTH AMERICAN INDUSTRY CLASSIFICATION SYSTEM 332994 SEE http:// www.sba.gov/content/table-small-business-size-standards FOR THE CORRESPONDING SMALL BUSINESS SIZE STANDARD.

DFARS 252.225-7001, BUY AMERICAN AND BALANCE OF PAYMENTS PROGRAM, APPLIES TO ALL QUOTES ABOVE THE MICRO-PURCHASE

THRESHOLD.

ORIGIN INSPECTION REQUIRED - FAR 52.246-2 APPLIES

THIS BUY IS NOT FAST PAY

Offerors are encouraged to submit price break information with their quotes. Solicitations which are manually evaluated and awarded at increased quantities may be awarded based on the price break information submitted with the offeror's original quotation without further solicitation or discussion.

If you anticipate quoting on a solicitation after the closing date, please submit a DIBBS quote with a bid type of “No Bid” and place an anticipated quote date or the reason you are not willing to quote. This does not prevent you from submitting an actual quote on DIBBS at a later date. It will overlay your previous no quote. This informs buyers of your intention to quote and prevents multiple calls for updates and cancelling of requirements assumed to be non-procurable due to no quotes/sources. The submission of an anticipated quote date does not preclude DLA from making an award to another acceptable timely offer.

This solicitation is issued under the First Destination Transportation (FDT) program to reduce the cost of transportation through the use of Government-arranged transportation utilizing Government contracts and rates. If this award is for FMS or has an APO/FPO ship-to address, these instructions do not apply.

For FDT Program Transportation Requirements, see Procurement Note C16 First Destination Transportation (FDT) Program, Government-Arranged Transportation for Manual Awards, C17 First Destination Transportation (FDT) Program – Shipments Originating from Outside the Contiguous United States, and Procurement Note C20 – Vendor Shipment Module (VSM).

Offers should be submitted based on FOB origin. For offerors whose shipments will originate from outside the contiguous United States, the offeror’s f.o.b. origin price shall include transportation to a contiguous United States location that the offeror selects based on cost-effectiveness or other variables at the offeror’s discretion.

Additional information about FDT can be found at:

http://www.dla.mil/LandandMaritime/Business/Selling/DLA-Land-and-Maritime-Procurement-Initiatives/FDTPI/

Quotations must be submitted electronically on DIBBS at https://www.dibbs.bsm.dla.mil/

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SECTION B

SUPPLIES/SERVICES: 1095-01-259-9080

ITEM DESCRIPTION:

BASE, MINE DISPENSER.

RA001: THIS DOCUMENT INCORPORATES TECHNICAL AND/OR QUALITY REQUIREMENTS

(IDENTIFIED BY AN 'R' OR AN 'I' NUMBER) SET FORTH IN FULL TEXT IN THE

DLA MASTER LIST OF TECHNICAL AND QUALITY REQUIREMENTS FOUND ON THE WEB

AT: http://www.dla.mil/HQ/Acquisition/Offers/eProcurement.aspx. FOR

SIMPLIFIED ACQUISITIONS, THE REVISION OF THE MASTER IN EFFECT ON THE

SOLICITATION ISSUE DATE OR THE AWARD DATE CONTROLS. FOR LARGE

ACQUISITIONS, THE REVISION OF THE MASTER IN EFFECT ON THE RFP ISSUE DATE

APPLIES UNLESS A SOLICITATION AMENDMENT INCORPORATES A FOLLOW-ON

REVISION, IN WHICH CASE THE AMENDMENT DATE CONTROLS.

RD001: DEMILITARIZATION: SMALL ARMS WEAPONS AND PARTS AND ACCESSORIES

(CATEGORY I - MUNITIONS LIST ITEMS, CATEGORY I-DODM 4160.28-VOL.3)

RP001: DLA PACKAGING REQUIREMENTS FOR PROCUREMENT

RQ001: HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS (MANUFACTURERS AND

NON-MANUFACTURERS)

RQ002: CONFIGURATION CHANGE MANAGEMENT - ENGINEERING CHANGE PROPOSAL

REQUEST FOR VARIANCE (DEVIATION OR WAIVER)

RQ009: INSPECTION AND ACCEPTANCE AT ORIGIN

RQ011: REMOVAL OF GOVERNMENT IDENTIFICATION FROM NON-ACCEPTED SUPPLIES

RQ016: COMPONENT QUALIFIED PRODUCTS LISTS (QPL)/QUALIFIED MANUFACTURERS

LISTS (QML). THIS ITEM CONTAINS ONE OR MORE COMPONENTS DEFINED BY A

SPECIFICATION(S) WITH AN ASSOCIATED QUALIFIED PRODUCTS LIST (QPL) OR

QUALIFIED MANUFACTURERS LIST (QML). QUALIFICATION REQUIREMENTS IN

PROCUREMENT NOTE H02 "COMPONENT QUALIFIED PRODUCTS LIST (QPL)/QUALIFIED

MANUFACTURERS LIST (QML)" APPLY.

RQ017: PHYSICAL INDENTIFICATION/BARE ITEM MARKING

RT001: MEASURING AND TEST EQUIPMENT

THIS ITEM IS A "DEFENSE ARTICLE" AS DEFINED IN

AND SUBJECT TO THE INTERNATIONAL TRAFFIC IN ARMS

REGULATIONS (22 C.F.R. 120-30) AND THE ARMS

EXPORT CONTROL ACT (22 U.S.C.A. 2778-2799).

ANY MANUFACTURER OR EXPORTER OF DEFENSE ARTICLES

IS REQUIRED TO REGISTER WITH THE DIRECTORATE OF

DEFENSE TRADE CONTROLS (DDTC), DEPARTMENT OF

STATE. DOCUMENTARY EVIDENCE OF REGISTRATION MAY

BE REQUIRED PRIOR TO AWARD. ADDITIONAL EXPORT

RESTRICTIONS APPLY AS INDICATED HEREIN. FAILURE

TO SUBMIT DDTC REGISTRATION WHEN REQUESTED WILL

MAKE A QUOTE/OFFER INELIGIBLE FOR AWARD.

_______________EXCEPTION DATA____________________

DR 12564849 use Spec ASTM-B373 can be used for this procurement only.

DOCUMENT: DELETE: SUBSTITUTE:

DR 9366520 MIL-R-39008 MIL-PRF-39017

DR 9366520 MIL-R-39008/1 MIL-PRF-29017/1

DR 9378653 MIL-P-13949 IPC-4101

DR 9378653 TT-L-50 - - -

DELETE "MIL-STD-2000" AND SUBSTITUTE: "Solder in Accordance with best Commercial Practice to

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SECTION B

SUPPLY/SERVICE: 1095-01-259-9080 CONT'D

Ensure Compliance with Drawing or Specification Requirements as Applicable"

DR 9378639, Vendor Name Change From: Acheson Colloids Co.

To: Henkel Inc.

DR 9396085, Vendor Name and Address Change From: Rhone Poulenc Silicones VSI To: Bluestar Silcone.

2 Tower Center Blvd.

Suite 1601 East Brunswick, NJ 08816.

Part Number now to be Rhodorsil-V-1067.

DR 1256852 Sheet 1, In Note 3E Change:

From: MIL-C-24519 To: MIL-M-24519

Add Distribution A to all drawings without a Distribution Statement

Remove ECP L08S3032 from the TDP

Remove MIL-C-70768 from Paragraph 2.1.1 of

MIL-B-70792

______________END OF EXCEPTIONS__________________

THE ITEM BEING PROCURED IS A CRITICAL GUN PART

ITEM WITH UNIQUE REQUIREMENTS.

CONTRACTOR FAT APPLIES.

THE CONTRACTOR WILL NEED TO CREATE AN ACCOUNT WITH

ASSIST TO ACCESS Mil-B-70792 and Mil-C-70768.

https://assistca.dla.mil/online/faqs/contact_us.cfm

AFTER RECEIPT OF QUOTES, OFFERORS MAY BE

CONTACTED TO PRICE THE FAT REQUIREMENT.

PRODUCT INSPECTION WILL BE CONDUCTED BY THE DCMA

QAR AT THE ACTUAL MANUFACTURER'S FACILITY

IDENTIFIED ON THIS CONTRACT. THE IDENTIFICATION

OF THE ACTUAL MANUFACTURER MUST BE SUBMITTED TO

THE CONTRACTING OFFICER FOR INCLUSION IN THE

AWARD. UPON AWARD, ANY CHANGES TO THE ABOVE MUST

BE APPROVED BY THE PCO VIA FORMAL CONTRACT

MODIFICATION.

PRODUCT VERIFICATION TESTING (PVT) IN ACCORDANCE

WITH PROCUREMENT NOTE E05, MAY BE INVOKED FOR THE

REFERENCED CONTRACT. IF INVOKED, PVT SAMPLES MUST BE

INSPECTED, PACKAGED AND MARKED AS REQUIRED IN THE

CONTRACT. ONE (1) SAMPLE MAY BE DESTROYED DURING

TESTING.

PRODUCT VERIFICATION TESTING, IF INVOKED<(>,<)>

WILL BE PERFORMED PRIOR TO ACCEPTANCE OF

EACH SHIPMENT. THE CONTRACTOR MUST PROVIDE

PVT SAMPLES FROM EACH (SUB)CONTRACTOR USED

IN THE PRODUCTION OF PARTS ON THIS CONTRACT.

FIVE (5) PVT SAMPLES, UNLESS OTHERWISE

SPECIFIED, WILL BE REQUIRED TO BE IDENTIFIED

TO THOSE (SUB)CONTRACTORS WHEN THEY ARE SENT

IN FOR TESTING.

CERTIFICATE OF CONFORMANCE IS NOT AUTHORIZED.

CLASS I OZONE DEPLETING CHEMICALS ARE NOT TO BE

USED NOR INCORPORATED IN ANY ITEMS TO BE

DELIVERED UNDER THIS CONTRACT.THIS PROHIBITION

SUPERSEDES ALL SPECIFICATION REQUIREMENTS BUT

DOES NOT ALLEVIATE ANY PRODUCT REQUIREMENTS.

SUBSTITUTE CHEMICALS MUST BE SUBMITTED FOR

APPROVAL UNLESS THEY ARE AUTHORIZED BY THE

SPECIFICATION REQUIREMENTS.

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SECTION B

SUPPLY/SERVICE: 1095-01-259-9080 CONT'D

THIS ITEM HAS TECHNICAL DATA SOME OR ALL OF WHICH IS SUBJECT TO

EXPORT-CONTROL REGULATIONS. DISTRIBUTION OF THE TECHNICAL DATA AND

ELIGIBILITY FOR AWARD ARE LIMITED TO THOSE SUPPLIERS QUALIFIED THROUGH

JCP CERTIFICATION, OR TO THOSE LICENSED BY EITHER THE DEPARTMENTS OF

STATE OR COMMERCE; OR TO FOREIGN SUPPLIERS PURSUANT TO INTERNATIONAL

AGREEMENTS.

TO APPLY FOR JCP CERTIFICATION, COMPLETE DD FORM 2345, MILITARY CRITICAL

TECHNICAL DATA AGREEMENT, FORM IS AVAILABLE AT THE WORLD WIDE WEB

ADDRESS:

https://public.logisticsinformationservice.dla.mil/PublicHome/jcp/defaul t.aspx

OR BY WRITING TO:

DLA LOGISTICS INFORMATION SERVICE

FEDERAL CENTER

74 WASHINGTON AVE., NORTH

BATTLE CREEK, MI 49037-3084

TO MANUFACTURE THIS ITEM, NON-JCP CERTIFIED SUPPLIERS MUST SUBMIT A

CURRENT MANUFACTURING LICENSE AGREEMENT, TECHNICAL ASSISTANCE AGREEMENT,

DISTRIBUTION AGREEMENT OR OFF-SHORE PROCUREMENT AGREEMENT APPROVED BY

THE DIRECTORATE OF DEFENSE TRADE CONTROLS WITH THE OFFER, UNLESS AN

EXEMPTION UNDER THE PROVISIONS OF ITAR SECTION, 125.4 EXEMPTIONS OF

GENERAL APPLICABILITY, AND/OR EAR PART 740 ARE APPLICABLE.

NON-JCP CERTIFIED SUPPLIERS SEEKING EXPORT CONTROLLED TECHNICAL DATA ARE

REQUIRED TO PROVIDE THE CONTRACTING OFFICER WITH AN APPLICABLE AGREEMENT

OR IDENTIFY WHICH ITAR/EAR EXEMPTION APPLIES TO RECEIVE A COPY OF THE

EXPORT CONTROLLED TECHNICAL DATA.

NOTE: JCP CERTIFIED CONTRACTORS WHO RECEIVE TECHNICAL DATA PURSUANT TO

THEIR DD FORM 2345 CERTIFICATION MAY NOT FURTHER DISSEMINATE SUCH DATA

UNLESS FURTHER DISSEMINATION OF THE TECHNICAL DATA IS EXPRESSLY

PERMITTED BY DODD 5230.25.

The Government Procuring Activity has determined that Surplus is not Acceptable for this NSN.

(End of TQ Requirement)

"THIS NSN CONTAINS ONE OR MORE COMPONENTS WHICH

MUST CONFORM TO SOURCE CONTROL DRAWING. BY

SUBMITTING AN OFFER, THE OFFEROR AGREES TO

PROVIDE SOURCE CONTROLLED COMPONENTS FROM

SOURCES APPROVED ON THE APPLICABLE SOURCE

CONTROL DRAWING."

CLASS 3 THREADS APPLY TO THIS NSN.

A CLASSIFIED DRAWING FORMS A PART OF THIS

DATA PACKAGE AND WILL BE SUPPLIED UPON

AWARD FOLLOWING RECEIPT OF

COMPLETED DD FORM 254 FROM

THE CONTRACTING OFFICER.

CRITICAL APPLICATION ITEM

IAW BASIC DRAWING NR 19200 9378653

REVISION NR K DTD 11/14/2002

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REVISION NR A DTD 01/21/1993

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REVISION NR D DTD 10/13/2005

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REVISION NR A DTD 11/01/1990

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REVISION NR B DTD 04/09/1992

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REVISION NR A DTD 09/30/1994

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REVISION NR DTD 12/16/1988

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REVISION NR B DTD 01/19/1995

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REVISION NR DTD 12/16/1988

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REVISION NR B DTD 06/18/1992

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REVISION NR A DTD 06/19/1990

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REVISION NR A DTD 05/18/1989

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REVISION NR A DTD 05/15/1989

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REVISION NR DTD 07/31/1990

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REVISION NR DTD 12/16/1988

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REVISION NR A DTD 04/30/1990

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REVISION NR DTD 12/16/1988

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REVISION NR DTD 12/16/1988

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REVISION NR B DTD 11/01/1990

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REVISION NR A DTD 01/11/1991

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REVISION NR F DTD 03/03/1992

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REVISION NR DTD 12/16/1988

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REVISION NR C DTD 08/20/1991

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REVISION NR A DTD 02/11/1991

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REVISION NR C DTD 05/11/1994

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REVISION NR B DTD 07/28/1994

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REVISION NR A DTD 07/25/1991

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REVISION NR E DTD 04/05/1993

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REVISION NR E DTD 11/15/1991

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REVISION NR C DTD 08/07/1992

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REVISION NR H DTD 02/14/1995

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REVISION NR B DTD 03/14/1991

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REVISION NR DTD 12/16/1988

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REVISION NR B DTD 04/09/1990

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REVISION NR DTD 12/16/1988

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REVISION NR C DTD 10/08/1991

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REVISION NR C DTD 02/21/1991

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REVISION NR DTD 12/16/1988

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REVISION NR A DTD 11/01/1990

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REVISION NR B DTD 05/28/1991

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REVISION NR B DTD 05/20/2003

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REVISION NR C DTD 01/29/1997

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REVISION NR A DTD 06/18/1992

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REVISION NR A DTD 10/13/2000

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REVISION NR DTD 12/16/1988

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REVISION NR DTD 12/16/1988

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REVISION NR DTD 12/16/1988

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REVISION NR B DTD 09/15/1995

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REVISION NR A DTD 01/01/1990

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REVISION NR D DTD 02/09/1999

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REVISION NR C DTD 08/04/2009

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REVISION NR B DTD 01/22/1993

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REVISION NR F DTD 08/04/2003

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REVISION NR B DTD 03/20/1991

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REVISION NR DTD 12/16/1988

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REVISION NR B DTD 04/09/1990

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REVISION NR C DTD 05/17/2017

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REVISION NR A DTD 02/06/1990

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REVISION NR C DTD 01/06/1992

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REVISION NR D DTD 05/18/1994

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PART PIECE NUMBER:

IAW REFERENCE UNK DI-NDTI-80809B NOT 1

REVISION NR B DTD 08/27/2014

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-13949-104 NOT 1

REVISION NR 10 DTD 12/07/1998

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-22520/1-3

REVISION NR 3 DTD 06/28/1973

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-23377-19 NOT 1

REVISION NR 19 DTD 05/12/2009

IAW REFERENCE UNK QPL-24391-19 NOT 1

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 10 OF 14 PAGES

CONTINUED ON NEXT PAGE

SECTION B

SUPPLY/SERVICE: 1095-01-259-9080 CONT'D

REVISION NR 19 DTD 06/04/2009

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-24519-31 NOT 1

REVISION NR 31 DTD 12/12/2008

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-38999-99 NOT 1

REVISION NR 99 DTD 09/07/2007

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-46058-87 NOT 1

REVISION NR 87 DTD 04/03/2008

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-46168-28 NOT 1

REVISION NR 28 DTD 08/17/2005

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-52891-15 NOT 1

REVISION NR 15 DTD 04/25/2008

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-53022-14 NOT 1

REVISION NR 14 DTD 01/25/2008

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-53030-7 NOT 1

REVISION NR 7 DTD 02/07/2008

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-53039-22 NOT 1

REVISION NR 22 DTD 03/04/2009

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-64159-13 NOT 1

REVISION NR 1 DTD 03/16/2009

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-81705-16 NOT 1

REVISION NR 16 DTD 04/17/2008

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-83420-15 NOT 1

REVISION NR 15 DTD 10/29/2009

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-85582-5(1) NOT 1

REVISION NR 1 DTD 05/14/2009

PART PIECE NUMBER:

IAW REFERENCE UNK QPL-QQ-S-571-110 NOT 1

REVISION NR 11 DTD 06/16/1995

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19200 9366477

REVISION NR C DTD 09/14/1998

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19200 9366520

REVISION NR D DTD 11/15/1993

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19200 9395942

REVISION NR A DTD 04/24/1990

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19200 9378656

REVISION NR E DTD 05/10/1996

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19200 9366585

REVISION NR DTD 12/16/1988

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19200 12564981

REVISION NR C DTD 05/20/2003

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 11 OF 14 PAGES

CONTINUED ON NEXT PAGE

SECTION B

SUPPLY/SERVICE: 1095-01-259-9080 CONT'D

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19200 9378647

REVISION NR DTD 12/16/1988

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19200 12553074

REVISION NR G DTD 08/04/2003

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19200 12564787

REVISION NR H DTD 01/10/2003

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19200 12564796

REVISION NR F DTD 03/31/2003

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19200 12564905

REVISION NR DTD 05/10/1990

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19200 9378653

REVISION NR C DTD 08/11/2003

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19200 9378653

REVISION NR DTD 03/10/2015

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0001 1095-01-259-9080 6.000 EA $ ________________ $ ________________

BASE, MINE

DISPENSER.

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: ORIGIN

ACCEPTANCE POINT: ORIGIN

FOB: ORIGIN DELIVERY DATE: 220 DAYS ADO

PREP FOR DELIVERY:

PKGING DATA - MIL-STD-2073-1D, 15 DEC 1999

QUP:001 PRES MTHD:ZZ CLNG/DRY:Z PRESV MAT:ZZ

WRAP MAT:ZZ CUSH/DUNN MAT:ZZ CUSH/DUNN THKNESS:Z

UNIT CONT:ZZ OPI:A

INTRMDTE CONT:ZZ INTRMDTE CONT QTY:ZZZ

PACK CODE:U

MARKING SHALL BE IN ACCORDANCE WITH MIL-STD-129.

SPECIAL MARKING CODE:ZZ -ZZ Special Requirements

PACKAGING SHALL BE IN ACCORDANCE WITH SPECIAL PACKAGING INSTRUCTION

9378653.

PARCEL POST ADDRESS:

SW3227

DLA DISTRIBUTION RED RIVER

RECEIVING BLDG 499

10TH STREET AND K AVENUE

TEXARKANA TX 75507-5000

US

FOR TRANSPORTATION SEE DLAD DLAD PROC NOTE C19. FOR FIRST DESTINATION TRANSPORTATION SEE DLAD PROC NOTE C20 AND

CONTRACT

FREIGHT SHIPPING ADDRESS:

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CONTINUED ON NEXT PAGE

SUPPLY/SERVICE: 1095-01-259-9080 CONT'D

SW3227

DLA DISTRIBUTION RED RIVER

RECEIVING BLDG 499

10TH STREET AND K AVENUE

TEXARKANA TX 75507-5000

US

Contractor First Article Test Contractor First Article Test – The number of units shown signifies the test requirement. See FAR clause 52.209-3 for the actual quantity required to be tested.

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0002 0001 - S00000053 1.000 EA $ ________________ $ ________________

FOB: DELIVERY DATE: 90 DAYS ADO

PREP FOR DELIVERY:

Not Applicable

GOVT USE

External External External Customer RDD/ ITEM PR PRLI PR PRLI Material Need Ship Date .

0001 0075126247 0001 N/A N/A N/A 04/11/2019

0002 N/A N/A N/A N/A N/A N/A

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SECTION A - SOLICITATION/CONTRACT FORM

52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING (JUL 2016) FAR

SECTION I - CONTRACT CLAUSES

52.204-14 SERVICE CONTRACT REPORTING REQUIREMENTS (OCT 2016) FAR

52.204-15 SERVICE CONTRACT REPORTING REQUIREMENTS FOR INDEFINITE-DELIVERY CONTRACTS (OCT 2016) FAR

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (JUL 2016) FAR

52.204-20 PREDECESSOR OF OFFEROR (JUL 2016) FAR

As prescribed in 4.1804(d), insert the following provision:

(a) Definitions. As used in this provision -

“Commercial and Government Entity (CAGE) code” means -

(1) An identifier assigned to entities located in the United States or its outlying areas by the Defense Logistics Agency (DLA) Commercial and Government Entity (CAGE) Branch to identify a commercial or government entity; or

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support and Procurement Agency (NSPA) to entities located outside the United States and its outlying areas that the DLA Commercial and Government Entity (CAGE) Branch records and maintains in the CAGE master file. This type of code is known as a NATO CAGE (NCAGE) code.

“Predecessor” means an entity that is replaced by a successor and includes any predecessors of the predecessor.

“Successor” means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

(b) The Offeror represents that it [ ] is or [ ] is not a successor to a predecessor that held a Federal contract or grant within the last three years.

(c) If the Offeror has indicated “is” in paragraph (b) of this provision, enter the following information for all predecessors that held a Federal contract or grant within the last three years (if more than one predecessor, list in reverse chronological order):

Predecessor CAGE code:

Predecessor legal name:

(Do not use a “doing business as” name)

(End of provision)

SECTION K - REPRESENTATIONS, CERTIFICATIONS AND STATEMENTS

52.204-17 OWNERSHIP OR CONTROL OF OFFEROR (JUL 2016) FAR

As prescribed in 4.1804(b), use the following provision:

(a) Definitions. As used in this provision -

“Commercial and Government Entity (CAGE) code” means -

(1) An identifier assigned to entities located in the United States or its outlying areas by the Defense Logistics Agency (DLA) Commercial and Government Entity (CAGE) Branch to identify a commercial or government entity; or

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support and Procurement Agency

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 14 OF 14 PAGES

SECTION K - REPRESENTATIONS, CERTIFICATIONS AND STATEMENTS (CONTINUED)

(NSPA) to entities located outside the United States and its outlying areas that the DLA Commercial and Government Entity (CAGE) Branch records and maintains in the CAGE master file. This type of code is known as a NATO CAGE (NCAGE) code.

“Highest-level owner” means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

“Immediate owner” means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

(b) The Offeror represents that it [ ] has or [ ] does not have an immediate owner. If the Offeror has more than one immediate owner (such as a joint venture), then the Offeror shall respond to paragraph (c) and if applicable, paragraph (d) of this provision for each participant in the joint venture.

(c) If the Offeror indicates “has” in paragraph (b) of this provision, enter the following information:

Immediate owner CAGE code:

Immediate owner legal name:

(Do not use a “doing business as” name)

Is the immediate owner owned or controlled by another entity?: [ ] Yes or [ ] No.

(d) If the Offeror indicates “yes” in paragraph (c) of this provision, indicating that the immediate owner is owned or controlled by another entity, then enter the following information:

Highest-level owner CAGE code:

Highest-level owner legal name:

(Do not use a “doing business as” name)

(End of provision)

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REQUEST FOR QUOTATIONS

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE

4. CERT.FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

5. ISSUED BY

7. DELIVERY

9. DESTINATION

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5 ON OR

BEFORE CLOSE OF BUSINESS (Date) 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 5. 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 (See Continuation Sheets)

12. DISCOUNT FOR PROMPT PAYMENT

d. CALENDAR DAYS

NUMBER

PERCENTAGE

NOTE: Additional provisions and representations are are not attached.

13. NAME AND ADDRESS OF QUOTER

a. NAME OF QUOTER

16. SIGNER

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not useable STANDARD FORM 18 (REV. 6-95) Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

8. TO:

See Schedule See attached schedule to complete quote information.

f. Vendor FAX Number: Vendor Toll-Free Number: Vendor E-mail:

e. Remittance Address (Name, Street, City, State, ZIP): Same as Block 13 unless otherwise indicated below:

d. If delivery period shown in Block 6 is unacceptable, provide best possible delivery:

c. FOB Point:

Origin Shipping Point (City, State) Destination Other (provide basis) Commercial sales of comparable quantities: Quantity ; Price ;

Customer Contained in Internal Price List No. dated , which may be examined at our facility.

Contained in Commercial Catalog or Published Price List No. dated page

b. Prices quoted are:

a. Quotation is valid for 90 days from date specified in Block 10 above unless otherwise indicated: __________________ .

Quoter must also complete the following:

NUMBER

FOB DESTINATION

OTHER

(See Schedule)

CAGE

PAGE OF

1.6 Requet for Quotation skim Standard form - RFQ Acrobat Distiller 4.0 for Windows D:20001024141244Z D:20090429133228-04'00'

Quoter must also complete the following:

a. Quotation is valid for 90 days from date specified in Block 10 above unless otherwise indicated: _____________ .

b. Prices quoted are:

___ Contained in Commercial Catalog or Published Price List No. ___________________ dated _______________ page __________ .

___ Contained in Internal Price List No. _______________dated ____________________, which may be examined at our facility.

___ Commercial sales of comparable quantities: Quantity ____________ ; Price _____________;

___ Customer ________________________.

___ Other (provide basis) ______________________________________ _______________________________________ .

c. FOB Point: ____ Destination ____ Origin Shipping Point (City, State) _________________________________________ .

d. If delivery period shown in Block 6 is unacceptable, provide best possible delivery: _________________________________.

e. Remittance Address (Name, Street, City, State, ZIP): Same as Block 13 unless otherwise indicated below:

f. Vendor FAX Number: ____________________ Vendor Toll-Free Number: ____________________ Vendor E-mail: ______________________________