QUOTE FORM - BEARING SLEEVE.docx
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- Attached to
- BEARING SLEEVE
- Solicitation number
- SPMYM4-27-Q-3004A
About this file
This is a Quote Form for a bearing sleeve procurement issued by the Defense Logistics Agency (DLA) Maritime at Pearl Harbor Naval Shipyard. The solicitation (SPMYM4-27-Q-3004) is set aside for total small business and falls under NAICS 332991. Quotes are due by October 22, 2026, at 11:00 AM HST and should be submitted to Contract Specialist Jaime Tam at jaime.tam@dla.mil. The requirement is for one bearing sleeve (NAVSEA PN: H6250306A-48) manufactured in accordance with specification EB-4222, QQ-N-286 Class A, using K-Monel material and detailed per ORKOT drawing GBZUE1403-TXMM, which must be mercury-free. All pricing must be delivered FOB Destination to Pearl Harbor Naval Shipyard, Building 167-1, with a Government Required Delivery Date of November 16, 2026.
Vendors must be registered and active in SAM at the time of quote submission. Pricing should include shipping costs in the unit price, and payment will be made via Wide Area Workflow (WAWF) under Net 30 terms following inspection acceptance. Evaluation criteria prioritize technical acceptability, price, and delivery, with the Government intending to make a single award without discussions. Final inspection will occur at destination with a 30-day inspection period for QA-2 and QA-3 materials. The Buy American Act applies if the contract value exceeds $15,000, and Free Trade Agreement provisions may apply if exceeding $25,000. Vendors must complete all representations and indicate business size, manufacturer status, and whether pricing is independent from the manufacturer.
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Text version
** THIS IS NOT AN ORDER **
PLEASE PROVIDE DELIVERED PRICES (FOB DESTINATION)
REFERENCE: SPMYM4-27-Q-3004
SET ASIDE: TOTAL SMALL BUSINESS
NAICS: 332991
QUOTE DUE: 10/22/2026; 11:00 AM HST
CONTACT
DLA MARITIME – PEARL HARBOR
CONTRACT SPECIALIST: Jaime Tam Desk Phone: 808-473-8000 x4162 Email Quotes to: jaime.tam@dla.mil
VENDOR INFORMATION
Vendor Name:
CAGE Code:
Phone:
Email:
Quoted Valid for ___ Days
*** PLEASE FILL OUT THIS FORM COMPLETELY***
** In accordance with FAR 52.204-7(b)(1), an Offeror is required to be registered in SAM when submitting an offer or quotation, and must be listed as active, to prevent unduly delaying award. Information, instructions, forms, etc. for the System for Award Management (SAM) are available at https://www.sam.gov/portal/public/SAM/ **
Attention: Provisions below MUST be filled in to be considered for award.
SHIPPING INFORMATION
PLACE OF MFG/COUNTRY OF ORIGIN: _____________
ESTIMATED DELIVERY TO PEARL HARBOR__________ Calendar Days ARO
FOB TERMS: DESTINATION
SHIP TO:
DoDAAC: N32253 Country Code: 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
IMPORTANT NOTE: The below Required Delivery Date (RDD) shall be met or exceeded in order to ensure your offer is considered responsive. If no offers are received which meet or exceed the Government’s RDD, award may proceed to the LPTA offeror, and may be made based on soonest delivery.
GOVERNMENT RDD: 16 NOVEMBER 2026
PAYMENT INFORMATION
PAYMENT TERMS______%______DAYS DISCOUNT TERMS __________________
Preferred Method payment: Wide Area Workflow (WAWF) Payment terms are always Net 30 AFTER the material has passed inspection and has been accepted.
REQUEST AND RECEIVING REPORTS is applicable to this solicitation. Please note that the WAWF (Wide Area Work Flow) will be used as the method of payment for supplies and/or services procured under this solicitation.
Information regarding WAWF is available on the internet at https://wawf.eb.mil.
YOUR COMPANY INFORMATION
YOUR BUSINESS SIZE: ___ Large (LG), ___ Small (SB), ___ Small-Disadvantaged Business (SDB), ___ Veteran-Owned Small Business (VOSB), ___ Women-Owned Small Business (WOSB), ___ Economically Disadvantaged Women-Owned Small Business (EDWOSB), ___ Service Disabled Veteran Owned Small Business (SDOVSB), ___ (HUBZONE), ___ (8a).
QUOTING AS MANUFACTURER? Yes ___ No ___
Name of Quoted Manufacturer ___________________
QUOTING AS: ___ AUTHORIZED DISTRIBUTOR or ___ THIRD PARTY DEALER
IS YOUR COMPANY’S PRICING INDEPENDENT FROM THE MANUFACTURER? Yes ___ No ___
SAM CAGE CODE: ________________
Representations must be filled in below, and provided with the submission of the quote.
Offers received without completed representations may not be considered for award.
PRINTED NAME_______________________________SIGNATURE_____________________________
DATE______________
MATERIAL INFORMATION
Shipping to be included in the Unit Price
ITEM DESCRIPTION QTY U/I UNIT PRICE TOTAL PRICE
0001 BEARING SLEEVE 1 EA __________ ___________
BEARING, SLEEVE, NAVSEA PN: H6250306A-48 IAW EB-4222, QQ-N-286, CLASS A.
DETAILED ON EB-4222, ORKOT DWG GBZUE1403-TXMM
K-MONEL
MERCURY FREE
ADDT’L MATERIAL INFORMATION
Is there a minimum order quantity? SPECIFY: __________ Are there any quantity breaks? RANGE AND PRICING: _______________
Does the item offered contain hazardous materials? No ___ Yes ___ (MSDS Required)
EVALUATION CRITERIA
☒ If checked, the Government anticipates making a single award (all or none), If this box is not checked, requirement will be evaluated for split award.
Source selection criteria:
1. TECHNICALLY ACCEPTABLE
1. PRICE
1. DELIVERY
Quotations submitted by each vendor will be evaluated in accordance with the specifications provided in the solicitation, and determined to be either acceptable or unacceptable. Technical submissions that do not meet the minimum requirements will be rated as "Unacceptable" and will no longer be considered for further competition or award. The Government intends to make an award without discussions.
☒ If checked, SPRS evaluation procedures apply to determine vendor responsibility.
Other than Certified Cost and Pricing Data may be requested to support fair and reasonable price determination.
INSPECTION
Inspection Location: ☒ Final Inspection at Destination Inspection Terms: QA1 ☐ , QA2 ☐ , QA3 ☐ , QA4 ☒ Inspection Time: QA-4 material has a 7-day inspection time and QA-2 and QA-3 have a 30-day inspection time.
BUY AMERICAN
DFARS Buy American Act - Balance of Payments applies if >$15,000.00.
DFARS Buy American Act - Free Trade Agreements may apply if > $25,000.00.
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