SF18_WE-133W-15-RQ-1119.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

NWWT4201-15-04021 WE-133W-15-RQ-1119

NWS-WESTERN REGION /W/WR

125 SOUTH STATE ST., ROOM 1311

SALT LAKE CITY UT 84138-1102

JEN BROWN

JEN.BROWN@NOAA.GOV

Please See Continuation Page for Line Item Details

801 524-5125x239

See Schedule

SEP 19, 2015

See Schedule

DUNS:

SCHEDULE Continued

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

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TOTAL SMALL BUSINESS SET-ASIDE

NAICS: 334515, SIZE STANDARD: 500 EMPLOYEES

VENDOR DUNS: ______________________

ANTICIPATED AWARD DATE: SEPTEMBER 22, 2015

0001 DIGITAL RADIO TEST SETS, IN ACCORDANCE WITH

THE ATTACHED STATEMENT OF NEED.

THE FOLLOWING CREDITS APPLY UPON RECEIPT

OF TRADE-INS:

S/N 500007992, CD0000535828: $ _____________

S/N 8128, CD0000535863: $ _____________

S/N 8122, CD0000535861: $ _____________

S/N 500007994, CD0000535827: $ _____________

S/N 7991, CD0000535860: $ _____________

S/N 7993, CD0000535859: $ _____________

S/N 500007990, CD0000535829: $ _____________

TOTAL PRICE, AFTER TRADE-IN CREDITS:

DELIVERY DATE: 11/25/2015

SHIP TO:

ELECTRONICS PROGRAM /W/WR421

125 S. STATE ST., ROOM 1311

SALT LAKE CITY UT 84138-1102

FOB : Destination

7.00 EA

Table of Contents

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SECTION

. 1 STATEMENT OF NEED

. 2 PROVISIONS

. 3 CLAUSES

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SECTION

. 1 STATEMENT OF NEED

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. 2 PROVISIONS

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. 3 CLAUSES

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