11-233-SOL-00908_BASE.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

DAM

Rockville MD 20857 5600 Fishers Lane Parklawn Bldg., Room 5C-18

DHHS/PSC/SAS/DAM

OS CODE 16. ADMINISTERED BYCODE

X

X

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR

DAM

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

09/22/2011 0900 ET

09/19/2011

301-443-3086WENDY CRUZ

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

11-233-SOL-00908

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEM 1. REQUISITION NUMBER PAGE OF

1 5 OS70839OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Washington DC 20201 200 Independence Ave. S.W.

Office of the Secretary

15. DELIVER TO

Rockville MD 20857 5600 Fishers Lane Parklawn Building, Room 5C-18

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS

HUBZONE SMALL

BUSINESS

EMERGING SMALL

BUSINESS

8(A)

DHHS/PSC/SAS/DAM

SOLE SOURCE

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Forensic Computers FT-III-DX 4-Forensic Tower III Dual Xeon Quad Core TKA5-AD Tableau Adapter kit

1 Black Hawk Warrior Wear Jacket

2 UA Heatgear Tactical L/S T-Shirt Continued ...

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

DAWN T. GRESHAM

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDEND

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS

NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 3/2005) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

3 5.11 ATAC 8 IN Zipper Boot

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

5 2 of

RFQ#: 11‐233‐SOL‐00908 Page 3 of 5

TABLE 1. SUMMARY

Black Hawk Warrior Wear Operations Jacket Jackets Item No. Size Units

82OJ00BK X‐small 1 82OJ00BK Small 7 82OJ00BK Medium 9 82OJ00BK Large 13 82OJ00BK X‐Large 12 82OJ00BK XX‐Large 3 82OJ00BK XXX‐Large 1

Total 46

5.11 TACTICAL Women's ATAC 8 IN Zipper Boot

Women's Boots Item No. Size Units

12007 F‐6 2 12007 F‐6.5 4 12007 F‐7 2 12007 F‐8 4 12007 F‐8.5 4 12007 F‐9 1 12007 F‐10 1

Total 18

5.11 TACTICAL Men's ATAC 8 IN Zipper Boot

Men's Boots Item No. Size Units

12001 M‐7.5 1 12001 M‐8.5 1 12001 M‐9 6 12001 M‐9.5 1 12001 M‐10 1 12001 M‐10.5 2 12001 M‐11 6 12001 M‐11.5 1 12001 M‐12 2 12001 M‐12.5 1 12001 M‐13 3 12001 M‐14 2

Total 27

RFQ#: 11‐233‐SOL‐00908 Page 4 of 5

Under Armour HeatGear Tactical Long Sleeve T‐Shirt

T‐Shirts Item No. Shirts Summary Units

1216029 XS 1

1216029 S 7 1216029 M 9 1216029 L 13

1216029 XL 12

1216029 XXL 3

1216029 XXXL 1

Total 46

TABLE 2. ITEMS BY LOCATION

Location Jacket Boot Shirt

1 Albany L F‐9 L

2 Albany L M‐12.5 L

3 Albany XL M‐11 XL

4 Buffalo M F‐6.5 M

5 Buffalo S M‐9 S

6 Buffalo XL M‐13 XL

7 New Jersey L F‐8 L

8 New York L M‐9 L

9 New York L F‐8.5 L

10 New York L N/A L

11 New York L M‐9.5 L

12 New York L M‐8.5 L

13 New York L M‐9 L

14 New York L M‐11 L

15 New York L M‐11 L

16 New York L M‐9 L

17 New York M F‐8.5 M

18 New York M F‐8 M

19 New York M F‐9 M

20 New York M F‐8.5 M

21 New York M M‐7.5 M

22 New York M F‐8 M

23 New York M F‐10 M

24 New York S F‐6.5 S

25 New York S F‐6.5 S

26 New York S F‐7 S

27 New York S F‐6.5 S

28 New York XL M‐14 XL

29 New York XL M‐9 XL

30 New York XL M‐12 XL

31 New York XL F‐6 XL

32 New York XL M‐14 XL

RFQ#: 11‐233‐SOL‐00908 Page 5 of 5

33 New York XL M‐11 XL

34 New York XL M‐10 XL

35 New York XXL M‐13 XXL

36 New York XXL M‐11 XXL

37 New York XXXL M‐10.5 XXXL

38 Puerto Rico L M‐8.5 L

39 Puerto Rico M M‐10.5 M

40 Puerto Rico S F‐8 S

41 Puerto Rico S F‐7 S

42 Puerto Rico XL M‐11.5 XL

43 Puerto Rico XL M‐11 XL

44 Puerto Rico XL M‐12 XL

45 Puerto Rico XS F‐6 XS

46 Puerto Rico XXL M‐13 XXL

TABLE 3. SHIPPING ADDRESS

NEW YORK SHIPPING ADDRESS: NEW JERSEY SHIPPING ADDRESS:

Regional Office Field Offices

POC: TBD POC: TBD

HHS/OIG/OI HHS/OIG/OI

26 Federal Plaza, Rm. 13‐124 2 Eves Drive Executive Court, Suite 260 New York, NY 10278 Marlton, NJ 08053 212‐264‐9496 856‐797‐2397

ALBANY SHIPPING ADDRESS: BUFFALO SHIPPING ADDRESS:

POC: TBD POC: TBD

HHS/OIG/OI HHS/OIG/OI

Leo O'Brien Federal Building Niagara Center North Pearl And Clinton Streets, Room 817 130 South Elmwood Suite 506 Room # 817 Room # 506 Albany, NY 12207 Buffalo, NY 14201‐2310 518‐431‐4357 716‐551‐3901

PUERTO RICO SHIPPING ADDRESS:

POC: TBD

HHS/OIG/OI

108 Carr # 2, Ste 301 Guaynabo, PR 00966‐1830 787‐774‐4132