W58RGZ19Q0069.pdf

REQUEST FOR QUOTATION This RFQ is is not a small business set-aside Page Of

(This is NOT an Order)

1. Request No. 2. Date Issued 3. Requisition/Purchase Request No. 4. Cert For Nat Def. Under BDSA Rating

See Schedule Reg. 2 and/or DMS Reg. 1 5A. Issued By 6. Deliver by (Date)

See Schedule

7. Delivery

FOB Other Destination

5B. For Information Call: (Name and telephone no.) (No collect calls)

8. To: Name and Address, Including Zip Code 9. Destination (Consignee and address, including Zip Code)

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 indicate on this form and return it to the address in Block 5B. 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 interpretations 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)

(See Schedule)

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 (Street, City, County, State and 14. Signature of Person Authorized to Sign 15. Date of Quotation Zip Code) Quotation

16. Signer

a. Name (Type or Print) b. Telephone

Area Code

c. Title (Type or Print) Number

AUTHORIZED FOR LOCAL REPRODUCTION Standard Form 18 (Rev. 8-95) PREVIOUS EDITIONS NOT USABLE 18-118 Prescribed by GSA-FAR (43 CFR) 53.215-1(a)

X

W58RGZ-19-Q-0069 2019AUG22 DOA1

W58RGZARMY CONTRACTING COMMAND-REDSTONE

REDSTONE ARSENAL AL 35898-5280

CHRISTOPHER CAPUTO (256)842-4509

CCAM-ALA/ALA

EMAIL: CHRISTOPHER.M.CAPUTO.CIV@MAIL.MIL

X

2019AUG23

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CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: CHRISTOPHER CAPUTO

Buyer Office Symbol/Telephone Number: CCAM-ALA/ALA/(256)842-4509

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

A-1. THIS IS A REQUEST FOR QUOTE (RFQ) FOR AN URGENT ONE-TIME BUY TO BE PLACED AGAINST BASIC ORDERING AGREEMENT (BOA) W58RGZ-14-G-0005

FOR THE FOLLOWING ITEMS:

NOUN: SHELF ASSY, FWD AVIONICS, AB3

SYSTEM: AH-64 APACHE

NSN: N/A

PN: 7-611115120-127

QTY: 1 EACH

A-2. FIRST ARTICLE TEST IS NOT REQUIRED.

A-3. THESE ARE NOT FLIGHT SAFETY/CRITICAL SAFETY PARTS.

A-4. SNRR AND TAMMS-A ARE NOT REQUIRED.

A-5. PARTS DO NOT CONTAIN PRECIOUS METALS.

A-6. ACCELERATED DELIVERY IS AUTHORIZED AT NO ADDITIONAL COST TO THE GOVERNMENT.

A-7. THIS ITEM IS RESTRICTED TO THE BOEING COMPANY (CAGE 8V613).

A-8. ANY AWARD RESULTING FROM THIS RFQ WILL BE IAW THE TERMS AND CONDITIONS OF BOA W58RGZ-14-G-0005.

*** END OF NARRATIVE A0001 ***

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W58RGZ-19-Q-0069

CONTINUATION SHEET

PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SUPPLIES OR SERVICES AND PRICES/COSTS

0001 SHELF ASSY, FWD AVIO

NSN: 9999-00-001-0019

Mfr CAGE: 8V613

Mfr Part Number: 7-611115120-127

0001AA PRODUCTION QTY 1 EA $ $ _____________________ ______________ __________________

COMMODITY NAME: SHELF ASSY, FWD AVIO

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: AX9F5724AX PRON AMD: 01

AMS CD: SM2B1100000

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

IAW ASTM-D-3951

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

MIL-STD-129 MARKINGS APPLY

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

001 W509HU9030TJ00 W509HU J W509HU 1

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 1 14-NOV-2019

FOB POINT: Destination

SHIP TO:

(W509HU) XR W6HK AMC PBT ELEV

OPERATION RESOLUTE SUPPORT

FOB TAJI

FOB TAJI,,

MARK FOR: XR W6HK AMC PBT ELEV

OPERATION RESOLUTE SUPPORT

FOB TAJI

FOB TAJI,,

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W58RGZ-19-Q-0069