SPMYM426Q3122.pdf

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

b. TELEPHONE

AREA CODE

NUMBER

STANDARD FORM 18 (REV. 6-95)

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

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

8. TO:

b. COMPANYa. NAME

c. STREET ADDRESS

d. CITY e. STATE f. ZIP CODE

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE e. ZIP CODE

7. DELIVERY

FOB DESTINATION

OTHER

(See Schedule)

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5a 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 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 service. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotation must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO.

(a)

SUPPLIES/ SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

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 are are not attached.

13. NAME AND ADDRESS OF QUOTER

a. NAME OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

PAGE OF PAGES

1. REQUEST NO. 2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY 6. DELIVER BY (Date)

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME TELEPHONE NUMBER

AREA CODE NUMBER

Section A - Solicitation/Contract Form

CABLE ASSEMBLY

SPMYM426Q3122

Section B - Supplies or Services & Prices or Costs

Additional Information/Notes

Item Supplies/Service Quantity Unit Unit Price Amount

CABLE ASSEMBLY, TELEDYNE PN 1155634-102.

(P/N 1155634-102 CONSISTS OF PLUG ASSEMBLY 1381071-101

WITH 75 FT OF 2SWF-4 CABLE).

QPL-915 QPD APPLIES AND IS AVAILABLE THROUGH

"ASSIST" ONLINE.

Internal Number: 1155634-102 Pricing Arrangement: Firm Fixed Price

6 Each

Section C - Description/Specifications/Statement of Work

Requirements

CABLE ASSEMBLY

Section D - Packaging and Marking

Section E - Inspection and Acceptance

Overall Contract Inspection/Acceptance Locations

Inspection and Acceptance Location

Both Destination Instructions: Material is a QA-4 and has a 7-days acceptance timeframe.

DoDAAC: N32253 CountryCode: USA

PEARL HARBOR NAVAL SHIPYARD IMF

667 SAFEGUARD ST SUITE 100, PEARL HARBOR HI 96860-5033

PEARL HARBOR, HI 96860-5033

UNITED STATES

Government Representative, DLA Distribution Email: distrcustomerservice@dla.mil Telephone: 808-473-8000 x4961

Section F - Deliveries or Performance

Overall Contract Delivery Period

Ship To DoDAAC: N32253 CountryCode: USA

PEARL HARBOR NAVAL SHIPYARD IMF

667 SAFEGUARD STREET, BLDG 167-1 RECV 808-473-8000X4961

PEARL HARBOR, HI 96860-5033

UNITED STATES

Contractor Destination

Line Item Delivery Schedule Quantity Address and POC Special Handling/Notes

Delivery On Or Before Delivery Date 06 Apr

6 Each Ship To DoDAAC: N32253 CountryCode: USA

PEARL HARBOR NAVAL SHIPYARD IMF

667 SAFEGUARD STREET, BLDG 167-1 RECV 808-

473-8000X4961

PEARL HARBOR, HI 96860-5033

UNITED STATES

Government Representative, DLA Distribution Email: distrcustomerservice@dla.mil Telephone: 808-473-8000 x4961

FoB Details Contractor Destination

Section G - Contract Administration Data

Section H - Special Contract Requirements

Section I - Contract Clauses

Section J - List of Attachments

Section K - Representations, Certification, & Other Statements

Section L - Instructions, Conditions, & Notices to Offerors or Quoters

Section M - Evaluation Factors for Award

COMPETITIVE SOURCING DIV (DLA-HMD), 667 SAFEGUARD ST SUITE 100 PEARL HARBOR, HI 96860-5033 UNITED STATES