65 -- Medical Infusion Pump

35th Contracting SquadronBldg. 1006, USAF Misawa Air Base, Japan Unit 5201, APO AP 96319-5201 Request for Quotation ATTN: Mr. Yoshiya Hatanaka 12 Jun 07 (JST) Notice to Quoter: This is a REQUEST FOR QUOTATION (NOT A PURCHASE ORDER). Note: The offeror must complete the annual representations and certifications electronically via the ORCA website at http://orca.bpn.gov. After reviewing the ORCA database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications?Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this RFQ. Accounting Appropriation Data: 97X4930FCOB 6B 74 FM5205 668800 Our FAX No: 011-81-176-52-4793 or E-mail: contact@example.gov Please respond to this RFQ by providing the following information, not later than COB of 17 Jun 07 (JST). ***************************************************************** Item Description 0001 INFUSION PUMP, MEDSYSTEM III DLE MULTI-CHANNEL, With Drug List Editor and Advanced DOSE rate lculation, Including one AC adapter. Manufacturing by: Cardinal Health 303, Inc. Manufacture Model No.: 2865B or equal. QTY: 2 EA If Item is under GSA Contract, Contract No.: Expiration Date: *The schedule of GSA shall be submitted along with the quotation. ************************************************************************************* a. Ship to FOB, P.O.E. (Government Port of Exportation, Travis AFB, CA.): Yes ____ ??Total weight __________ lbs. & Total cubic size ___________ ft.?. Or shipment by parcel post to FOB, Destination (our APO address) via USPS Priority Mail: Yes ____. *All item to be quoted to FOB, P.O.E. (Tracy, CA.) including shipping charges unless the shipment is to be made by parcel post to FOB, Destination (our APO address) via USPS Priority Mail. b. Warranty period, if any: . c. Business size: small large . *Quotations received from concerns that are not small business shall be considered nonresponsive and will be rejected unless the item is under GSA schedule. (IAW FAR 52.219-6 Notice of Total Small Business Set-Aside, Jun 03) d. Your minimum order amount (MOA): $ . e. Variation in Quantity: . f. Proposed delivery is days after receipt of order. g. Prompt payment discount terms: . h. Quoted by Name: . Title: . *Your Ordering Address, Tel No. and Fax No* *Your Remit to Address if Different from Ordering Address* Your CAGE Code: DUNS #: TIN No.: Central Contractor Registration (CCR) Registered or Updated, whichever is later, on (Date) . *Lack of registration in the CCR database will make an offeror ineligible for award. And the Contractor is required to confirm on an annual basis that its information in the CCR database is accurate and complete at http://www.ccr.gov/. (IAW FAR 52.232-33 Payment by Electronic Funds Transfre-Central Contractor Registration, Oct 03) THANK YOU!