FormSF18__for_WE133F17RQ0298.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

SCHEDULE Continued

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

PAGE 2 OF 5 WE133F17RQ0298

As per attached Statement of Need 0001 Mini Propane Refrigerators

(Please include the shipping in the price of the quoted line item) FOB Destination

PR NUMBER: NFFR7400-17-01557

DELIVERY DATE: 04/15/2017

SHIP TO:

NMFS PIFSC PRTCTD SPECIES DIV

F/PIC6 NAT'L MARINE FISHER SVC

1845 WASP BLVD, BLDG 176

HONOLULU HI 96818-5007

FOB : Destination

6.00 EA

0002 Solar Chest Freezer (Please include the shipping in the price of the quoted line item) FOB Destination

PR NUMBER: NFFR7400-17-01557

DELIVERY DATE: 04/15/2017

SHIP TO:

NMFS PIFSC PRTCTD SPECIES DIV

F/PIC6 NAT'L MARINE FISHER SVC

1845 WASP BLVD, BLDG 176

HONOLULU HI 96818-5007

1.00 EA

0003 Propane Chest Freezers (Please include the shipping in the price of the quoted line item) FOB Destination

PR NUMBER: NFFR7400-17-01557

DELIVERY DATE: 04/15/2017

SHIP TO:

NMFS PIFSC PRTCTD SPECIES DIV

F/PIC6 NAT'L MARINE FISHER SVC

1845 WASP BLVD, BLDG 176

HONOLULU HI 96818-5007

3.00 EA

Table of Contents

PAGE 3 OF 5 WE133F17RQ0298

SECTION

PAGE 4 OF 5 WE133F17RQ0298

SECTION

. 1

VENDORS MUST RETURN A COPY OF THE FOLLOWING CERTIFICATION WITH

THEIR QUOTE. THE GOVERNMENT CANNOT PROCCED WITH AN AWARD

UNTIL THE CERTIFICATION IS RECEIVED.

52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (Feb 2016)

(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that—

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that—

(1) It is □ is not □ a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is □ is not □ a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

(End of provision)

. 2

PAGE 5 OF 5 WE133F17RQ0298

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

The Pacific Islands Fisheries Science Center 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.

1.2 Acrobat Distiller 2.1 for Windows D:19960415163144 D:20000330134507 \\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg \\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg

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. COMPANY

a. 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

NFFR7400-17-01557

F/PIC1 NAT'L MARINE FISH SVC

1845 WASP BLVD, BLDG 176

HONOLULU HI 96818-5007

5b. FOR INFORMATION CALL (NO COLLECT CALLS). NAME: KAREN BECK Karen.Beck@noaa.gov