Standard Form 18 Request for Quote_Scintillation Counter.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. 6/1995)

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 NUMBER

(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 NUMBER 2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NUMBER 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

NFFKF700-20-02796

NOAA/National Marine Fisheries Service, Office of Management & Budget, Silver Spring, MD

Karen Beck, Contracting Officer

AS PER ATTACHED STATEMENT OF NEED

Scintillation counter with (2) detectors or the capability for analysis of (9) plates w/in 24 hr period One Year Extended Warranty Base Year, plus (4) option years of Preventive Maintenance Cassette for 24 wall corning plates, 24 pk Installation Kit Normalization Standard Laser Printer Kit, 110V On site installation and familiarization training on routine instrument operations Shipping & Handling to:

NOAA Fisheries, National Seafood Inspection Lab 3209 Frederick Street Pascagoula, MS 39568-4163 (For charges exceeding $100, please prepay and add to invoice supported by a freight bill)

EA

EA

EA

EA

EA

EA

EA

EA

858 334-2846

07/23/2020

08/05/2020

PLEASE COMPLETE THIS FORM AND RETURN WITH QUOTE

QUOTED BY: DATE

COMPANY NAME: email ADDRESS:

PHONE: SMALL BUSINESS?

FAX: TAX ID NUMBER:

ADDRESS:

DUNS no.

CAGE CODE (CCR):

SAM.gov REGISTRATION Yes?

NAICS CODE

SIZE STANDARD

NOAA National Marine Fisheries Office of Management & Budget Acquisitions Division, Acquisition Office requires that all contractors doing business with the Office must have a valid Dun & Bradstreet Number (DUNS) and be registered in the System for Award Management (SAM) database https://www.sam.gov/portal/public/SAM/, with an active status, to be eligible for award. A DUNs number may be acquired free of charge by contacting Dun & Bradstreet on-line at www.dnb.com/eupdate or by phone at (800) 333-0505. All contractors are required to complete online Representations and Certifications at https://www.sam.gov/portal/public/SAM/ to be eligible to receive an award.