REQUEST FOR QUOTATION
PAGE
OF
PAGES
THIS RFQ
IS
IS NOT A SMALL BUSINESS SET-ASIDE
(THIS IS NOT AN ORDER)
1. REQUEST NO.
2. DATE ISSUED
3. REQUISITION/PURCHASE REQUEST NO.
4. CERT. FOR NAT. DEF.
RATING
UNDER BDSA REG. 2
AND/OR DMS REG. 1
5a. ISSUED BY
6. DELIVER BY (Date)
7. DELIVERY
5b. FOR INFORMATION CALL (NO COLLECT CALLS)
OTHER
NAME
TELEPHONE NUMBER
FOB DESTINATION
(See Schedule)
AREA CODE
NUMBER
9. DESTINATION
a. NAME OF CONSIGNEE
8. TO:
a. NAME
b. COMPANY
b. STREET ADDRESS
c. STREET ADDRESS
c. CITY
d. CITY
e. STATE
f. ZIP CODE
d. STATE
e. ZIP CODE
IMPORTANT: This is a request for information and quotations furnished are not offers. If you are unable to quote, please
10. PLEASE FURNISH QUOTATIONS TO THE
so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any
ISSUING OFFICE IN BLOCK 5a ON OR
costs incurred in the preparation of the submission of this quotation or to contract for supplies or service. Supplies are of
BEFORE CLOSE OF BUSINESS (Date)
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.
SUPPLIES/ SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
(a)
(b)
(c)
(d)
(e)
(f)
a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%)
d. CALENDAR DAYS
NUMBER
PERCENTAGE
12. DISCOUNT FOR PROMPT PAYMENT
NOTE: Additional provisions and representations
are
are not attached.
14. SIGNATURE OF PERSON AUTHORIZED TO
15. DATE OF QUOTATION
13. NAME AND ADDRESS OF QUOTER
SIGN QUOTATION
a. NAME OF QUOTER
b. STREET ADDRESS
16. SIGNER
a. NAME (Type or print)
b. TELEPHONE
AREA CODE
c. COUNTY
d. CITY
e. STATE f. ZIP CODE
c. TITLE (Type or print)
NUMBER
STANDARD FORM 18
AUTHORIZED FOR LOCAL REPRODUCTION
(REV. 6-95)
Previous edition not usable
Prescribed by GSA-FAR (48 CFR) 53.215-1(a)