53.301-18 Standard Form 18

F




REQUEST FOR QUOTATION
(THIS IS NOT AN ORDER)

THIS RFQ ISIS NOT A SMALL BUSINESS SET-ASIDE

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)

7. DELIVERY

 

 

NAME

TELEPHONE NUMBER

FOB DESTINATION

OTHER NAME
(See Schedule)

 

 

AREA CODE

NUMBER

9. DESTINATION

 

8. TO:

a. NAME OF CONSIGNEE

 

 

a. NAME

b. COMPANY

 

b. STREET ADDRESS

 

 

c. STREET ADDRESS

 

 

c. CITY

 

 

d. CITY

e. STATE

f. ZIP CODE

d. STATE

e. ZIP

 

10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date)

IMPORTANT:  This is a request for information, and quotations furnished are not officers.  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

14.  SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION

15.  DATE OF QUOTATION

 

a.  NAME OF QUOTER

 

 

 

 

 

b.  STREET ADDRESS

 

 

 

16. SIGNER

 

 

c.  COUNTY

 

 

a.  NAME (Type or print)

b.  TELEPHONE

 

 

 

 

 

AREA CODE

 

d.  CITY

e.  STATE

f.  ZIP CODE

c.  TITLE (Type or print)

NUMBER

 

AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition not usable

FormFlow/Delrina Inc.

 

STANDARD FORM 18 (REV. 6-95)
Prescribed by GSA-FAR (48 CFR) 53.215-1(a)