English	French	Notes	Complete/Exclude
Use FALCON or KEYPUNCH A CODESHEET option to create these.			
Would you like this report for a single STATION NUMBER?: 			
Enter 'Y' if you would like to limit the report to one station.			
Would you like this report for a single sub-station?: 			
OVERAGE REPORT FOR 			
ALL STATIONS			
**** MISSING SITE ADDRESS--SITE 			
 PROGRAM PRCHP18 **** !!!			
 Chief, A&MM Svc. (90C)			
*** MISSING REQUEST NUMBER 			
 -- PROGRAM PRCHP18 ***			
*** MISSING VENDOR NUMBER 			
*** MISSING P.A. INFORMATION FOR REQUEST 			
FORM APPROVED OMB NO. 2900-0445			
REQUEST FOR QUOTATIONS   |			
The Notice of Small Business-Small Purchase Set-Aside			
PAGE OF PAGES			
(this is not an order)			
on the last page of this form			
_____is     _____is not applicable.			
1.REQUEST NO.			
|2.DATE ISSUED			
|3.REQUISITION/PURCHASE REQUEST			
|4.CERT.FOR NAT.DEF.			
UNDER BDSA REG.2			
AND/OR DMS REG.1->			
5A.ISSUED BY			
|6.DELIVER BY (Date)			
5B.FOR INFORMATION CALL:(Name & phone no.) (No collect calls)			
|(Unless otherwise specified)			
FAX: 			
____(See Schedule)			
8.TO: NAME AND ADDRESS, INCLUDING ZIP CODE			
|9.DESTINATION (Consignee and ad-			
dress, including ZIP code)			
10.PLEASE FURNISH QUOTATIONS TO			
|11.BUSINESS CLASSIFICATION (check appropriate boxes)			
THE ISSUING OFFICE ON OR BE-			
FORE CLOSE OF BUSINESS (date)			
___OTHER THAN SMALL			
___VIETNAM VETERAN-OWNED			
___DISABLED VETERAN-OWNED			
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. 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 representations and/or certifications attached to this Request for Quotations must be			
completed by the quoter.			
12.SCHEDULE (Include applicable Federal, State and local taxes)			
ITEM NO.			
SUPPLIES/SERVICES			
***NO DESCRIPTION***			
STK# 			
NSN# 			
REPRESENTATIONS, CERTIFICATIONS, AND PROVISIONS			
The following representation applies when the contract is to be performed inside the			
United States, its territories or possessions, Puerto Rico, the Trust Territory of			
the Pacific Islands, or the District of Columbia.			
52.219-6 Notice of Total Small Business Set-Aside. (JUL 1996)			
As prescribed in 19.508(c), insert the following clause:			
NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE  (JUL 1996)			
Small business concern, as used in this clause, means a concern,			
including its affiliates, that is independently owned and operated,			
not dominant in the field of operation in which it is bidding on			
Government contracts, and qualified as a small business under the			
size standards in this solicitation.			
(1) Offers are solicited only from small business concerns.			
Offers received from concerns that are not small business			
concerns shall be considered non-responsive and will be rejected.			
(2) Any award resulting from this solicitation will be made			
to a small business concern.			
A small business concern submitting an offer in its own name agrees to			
furnish, in performing the contract, only end items manufactured or			
produced by small business concerns in the United States.  The term			
United States includes its territories and possessions, the Commonwealth			
of Puerto Rico, the trust territory of the Pacific Islands, and the			
District of Columbia.  If this procurement is processed under simplified			
acquisition procedures and the total amount of this contract does not			
exceed $25,000 a small business concern may furnish the product of			
any domestic firm.  This paragraph does not apply in connection with			
construction or service contracts.			
(End of clause)			
852.219-70 VETERAN-OWNED SMALL BUSINESS  (DEC 90)			
The offeror represents that the firm submitting this offer _____ is _____ is			
not, a veteran-owned small business, _____ is _____ is not, a Vietnam era			
veteran-owned small business, and _____ is _____is not, a disabled veteran-owned			
small business.  A veteran-owned small business is defined as a small business, at			
least 51 percent of which is owned by a veteran, who also controls and operates			
the business.  Control in this context means exercising the power to make			
policy decisions.  Operate in this context means actively involved in			
day-to-day management.  For the purpose of this definition, eligible veterans			
(a) A person who served in the U.S. Armed Forces and who was discharged			
or released under conditions other than dishonorable.			
(b) Vietnam era veterans who served for a period of more than 180 days, any			
part of which was between August 5, 1964 and May 7, 1975, and were discharged			
under conditions other than dishonorable.			
(c) Disabled veterans with a minimum compensable disability of 30 percent,			
or a veteran who was discharged for disability.			
Failure to execute this representation will be deemed a minor informality and the			
bidder or offeror shall be permitted to satisfy the requirement prior to award			
(see FAR 14.405).			
Exception to SF-18			
SF-18 ADP (Rev 10-83)			
--LAST PAGE			
METRIC PRODUCTS - Products manufactured to metric dimensions will be considered on an equal 			
basis with those manufactured using inch-pound units, providing they fall within the 			
tolerances specified using conversion tables contained in the latest revision of Federal 			
Standard No. 376 and all other requirements of this document are met.			
If a product is manufactured to metric dimensions and those dimensions exceed the tolerances 			
specified in the inch-pound units, a request should be made to the Contracting Officer to 			
determine if the product is acceptable.  The Contracting Officer, in concert with COTR			
(Contracting Officer's Technical Representative) will accept or reject the product.			
13.DISCOUNT FOR PROMPT			
|10 CALENDAR DAYS			
|20 CALENDAR DAYS			
|30 CALENDAR DAYS			
|    CALENDAR DAYS			
PAYMENT--->			
NOTE: Last page must also be completed by the quoter.			
14.NAME AND ADDRESS OF QUOTER (Street, city,			
|15.SIGNATURE OF PERSON AUTHORIZED			
|16.DATE OF QUOTA-			
county, State and ZIP code)			
|   TO SIGN QUOTATION			
|17.NAME AND TITLE OF SIGNER (Type			
|18.TELEPHONE NO.			
|   or print)			
| (with area code)			
   (SEE ATTACHED DELIVERY SCHEDULE)			
LI#  REP# DESCRIPTION			
52.219-1 SMALL BUSINESS PROGRAM REPRESENTATIONS (OCT 2000)			
(a) (1) The North American Industry Classification System (NAICS) code			
for this acquisition is ____________.			
(2) The small business size standard is $__________.			
(3) The small business size standard for a concern which submits an			
offer in its own name, other than on a construction or service contract,			
but which proposes to furnish a product which it did not itself			
(1)The offeror represents as part of its offer that it __ is, __ is			
not a small business concern.			
(2)[Complete only if the offeror represented itself as a small			
business concern in paragraph (b)(1) of this provision.] The offeror			
represents, for general statistical purposes, that it ___ is, ___ is			
not a small disadvantaged business concern as defined in 13 CFR 124.1002.			
(3)[Complete only if the offeror represented itself as a small			
represents as part of its offer that it ___ is, ___ is not a women-owned			
small business concern.			
(4)[Complete only if the offeror represented itself as a small			
(5)[Complete only if the offeror represented itself as a veteran-			
owned small business concern in paragraph (b)(4) of this provision.] The			
offeror represents as part of its offer that it ___ is, ___ is not a			
service-disabled veteran-owned small business concern.			
(6)[Complete only if offeror represented itself as a small business			
concern in paragraph (b)(1) of this provision.] The offeror represents, as			
part of its offer, that--			
(i)It ___ is, ___ is not a HUBZone small business concern listed, on			
the date of this representation, on the List of Qualified HUBZone Small			
Business Concerns maintained by the Small Business Administration, and			
no material change in ownership and control, principal office of			
ownership, or HUBZone employee percentage has occurred since it was			
certified by the Small Business Administration in accordance with 13			
CFR Part 126; and			
(ii) It ___ is, ___ is not a joint venture that complies with the			
requirements of 13 CFR Part 126, and the representation in paragraph			
(b)(6)(i) of this provision is accurate for the HUBZone small business			
concern or concerns that are participating in the joint venture.[The			
offeror shall enter the name or names of the HUBZone small business			
__________________________.] Each HUBZone small business concern			
participating in the joint venture shall submit a separate signed			
copy of the HUBZone representation.			
(c) Definitions. As used in this provision -			
Service disabled veteran-owned small business concern (1) means a			
small business concern- (i)Not less than 51 percent of which is owned			
by one or more service-disabled veterans or, in the case of any			
publicly owned business, not less than 1 percent of the stock of which			
is owned by one or more service-disabled veterans; and			
(ii)The management and daily business operations of which are			
controlled by one or more service-disabled veterans or, in the case			
of a veteran with permanent and severe disability, the spouse or			
permanent caregiver of such veteran.			
(2)Service disabled veterans means a veteran, as defined in 38 U.S.C.			
101(2), with a disability that is service-connected, as defined in			
Small business concern means a concern, including its affiliates,			
that is independently owned  and operated, not dominant in the field			
of operation in which it is bidding on Government contracts, and			
qualified as a small business under the criteria in 13 CFR Part 121			
and the size standard in paragraph (a) of this provision.			
Women-owned small business concern means a small business concern 			
(1)Which is at least 51 percent owned by one or more women or, in the			
case of any publicly owned business, at least 51 percent of the stock			
of which is owned by one or more women; and			
(2)Whose management and daily business operations are controlled by			
one or more women.			
Veteran-owned small business concern means a small business concern -			
(1)Not less than 51 percent of which is owned by one or more veterans			
(as defined at 38 U.S.C. 101(2) or, in the case of any publicly owned			
business, not less than 51 percent of the stock of which is owned by			
one or more veterans; and			
(2)The management and daily business operations of which are controlled			
by one or more veterans.			
(d)Notice.(1)If this solicitation is for supplies and has been set aside,			
in whole or in part, for small business concerns, then the clause in this			
solicitation providing notice of the set-aside contains restrictions on the			
source of the end items to be furnished.			
(2)Under 15 U.S.C. 645(d), any person who misrepresents a firm's			
status as a small, HubZone small, small disadvantaged, or women-owned			
small business concern in order to obtain a contract to be awarded			
under the preference programs established pursuant to section 8(a),			
8(d), 9, or 15 of the Small Business Act or any other provision of			
Federal law that specifically references section 8(d) for a definition			
of program eligibility, shall--  			
(i)Be punished by imposition of fine, imprisonment, or both;			
(ii)Be subject to administrative remedies, including suspension			
and debarment; and			
(iii)Be ineligible for participation in programs conducted under			
the authority of the Act.			
(End of provision)			
|5.PROJECT NO.			
|  (If applicable)			
CODE|________| 7.ADMINISTERED BY (If other than item 6)   CODE|________			
8.NAME & ADDRESS OF CONTRACTOR (No.,street,county,			
State and ZIP Code)			
|   | 10A.MODIFICATION OF CONTRACT/ORDER NO.			
fied for receipt of Offers  ____is extended  ____is not extended.			
solicitation or as amended by one of the following methods:			
numbers.  FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT			
tue of this amendment you desire to change an offer already submitted, such change may be made			
by telegram or letter, provided each telegram or letter makes reference to the solicitation and			
IMPORTANT: Contractor __			
tion/contract subject matter where feasible.)			
15A.NAME AND TITLE OF SIGNER (Type or print)			
|16A.NAME AND TITLE OF CONTRACTING OFFICER (Type			
|    or print)			
|1.CONTRACT ID CODE			
|PAGE   OF   PAGES			
PAT NUMBER			
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Quote Due Date must be before Required Delivery Date.			
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been closed to further quotes.			
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   Quote Due: 			
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G.PRCHQ RFQ			
BACKGROUND RFQ CLOSE OPTION			
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Enter the Name of the Vendor or			
  enter 'DUN' plus the vendor's Dun & Bradstreet Number.			
TEXT MESSAGES FOR RFQ #: 			
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PRCAR(			
Quote from Dun # 			
 for RFQ #: 			
Tax ID: 			
Voice Phone #: 			
Fax #: 			
Sellers's Ref #: 			
Quote Contact: 			
Government Contract: 			
Receipt Date/Time: 			
FOB: 			
Total of Lines: 			
Number of Items in RFQ: 			
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