SF-1449.pdf

PDF 90 KB Posted Oct 23, 2020

Attached to: MAINTENANCE AND REPAIR SERVICES TO PURE WATER SYSTEMS
Solicitation number: 12305B21RFP1346
Issued by: Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Northeast Area

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Provisions Clauses sc.docx	DOCX document	Oct 23, 2020
Provisions Clauses sc.docx	DOCX document	Sep 30, 2020
PWS PURE WATER BARC RO Water Systems 9-28-2020.docx	DOCX document	Sep 30, 2020
2015-4281.pdf	PDF	Sep 30, 2020
Equipment List 9-16-2020.docx	DOCX document	Sep 30, 2020
SF-1449.pdf	PDF	Sep 30, 2020

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ARE NOT ATTACHED

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

3. AWARD/EFFECTIVE

DATE

FOR SOLICITATION

INFORMATION CALL:

a. NAME 8. OFFER DUE DATE/

LOCAL TIME

b. TELEPHONE NUMBER (No collect calls)

CODE9. ISSUED BY 10. THIS ACQUISITION IS UNRESTRICTED OR

8(A)

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

CODE15. DELIVER TO CODE16. ADMINISTERED BY

17a. CONTRACTOR/

OFFEROR

CODE FACILITY

CODE

TELEPHONE NO.

CODE18a. PAYMENT WILL BE MADE BY

STANDARD FORM 1449 (REV. 2/2012

Prescribed by GSA - FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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

OFFER

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

BELOW IS CHECKED SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

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

ARE

ARE NOT ATTACHED

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

OFFER29. AWARD OF CONTRACT: REF.

DATED . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

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

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

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

11. DELIVERY FOR FOB DESTI-

NATION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN- OWNED

SMALL BUSINESS

This form was electronically produced by USDA/ARS/OCIO/EASB.

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINIESS PROGRAM

EDWOSB

32a. QUANTITY IN COLUMN 21 HAS BEEN

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

STANDARD FORM 1449 (REV. 2/2012) BACK

33. SHIP NUMBER

PARTIAL FINAL

34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

36. PAYMENT

COMPLETE PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

c:\\docume~1\\admini~1.for\\mydocu~1\\accounts\\usda2\\origin~1\\set8~1\\sf1449.wpf Administrator D:20050908130254- 04'00' D:20050908130254- 04'00'

ARE NOT ATTACHED

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER

PAGE 1 OF

2. CONTRACT NO.

4. ORDER NUMBER

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE

DATE

3. AWARD/EFFECTIVE DATE

FOR SOLICITATION INFORMATION CALL:

a. NAME

8. OFFER DUE DATE/

LOCAL TIME

b. TELEPHONE NUMBER (No collect calls)

CODE

9. ISSUED BY

10. THIS ACQUISITION IS

UNRESTRICTED OR

8(A)

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

CODE

15. DELIVER TO

CODE

16. ADMINISTERED BY

17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

TELEPHONE NO.

CODE

18a. PAYMENT WILL BE MADE BY

STANDARD FORM 1449 (REV. 2/2012

Prescribed by GSA - FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

17b.

CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b.

SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

OFFER

29. AWARD OF CONTRACT: REF.

DATED

. YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

25. ACCOUNTING AND APPROPRIATION DATA

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

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

11. DELIVERY FOR FOB DESTI-

NATION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL BUSINESS

SERVICE-DISABLED

VETERAN- OWNED

SMALL BUSINESS

u This form was electronically produced by USDA/ARS/OCIO/EASB.

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINIESS PROGRAM

EDWOSB

32a. QUANTITY IN COLUMN 21 HAS BEEN 32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

STANDARD FORM 1449 (REV. 2/2012) BACK

33. SHIP NUMBER

PARTIAL

FINAL

34. VOUCHER NUMBER

35. AMOUNT VERIFIED

CORRECT FOR

36. PAYMENT

COMPLETE

PARTIAL

FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER

39. S/R VOUCHER NUMBER

40. PAID BY

42a. RECEIVED BY (Print) 42b. RECEIVED AT (Location) 42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS 19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

RECEIVED

INSPECTED

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

Check if aquisition is unrestricted. : 0

Check if aquisition is a set aside.: 1

Check if acquisition is for a small business.: 1

Check if acquisition is EDWOSB.: 0

Check if acquisition is for a hubzone small business.: 0

Check if acquisition is for a service-disabled veteran-owned small business.: 0

Check if acquisition is 8(A).: 0

Check for see delivery schedule.: 0

Check if this contract is a rated order under DPAS (15 CFR 700).: 0

Check if method of solicitation is RFQ.: 0

Check if method of solicitation is IFB.: 0

Check if method of solicitation is RFP.: 1

Check if this remittance is different and put such address in offer.: 0

Check if invoices should not be sent to address above, and put correct address in addendum.: 0

Check if aquisition is for a small business.: 1

Check if solicitation addenda are attached.: 1

Check if solicitation addenda are notattached.: 0

Check if aquisition is for a hubzone small business.: 0

Check if contract / purchase order addenda are attached.: 0

Check if contract / purchase order addenda are not attached.: 0

Check if contractor is required to sign this document and return copies.: 0

Check if contract awarded.: 0

Award effective date, using format mm/dd/yyyy.:

Solicitation issue date, using format mm/dd/yyyy.: 2020-09-29

Contract date, using format mm/dd/yyyy.:

Number of pages submitted.:

Percentage for small business.: 100.00000000

Quantity. Line 1.: 12.00000000

Quantity. Line 1.:

Quantity. Line 1.: 6.00000000

Quantity. Line 1.:

Unit Price. Line 1.:

Total amount for item. Line 1.:

26. Total award amount.:

Number of copies to return to issuing office.:

Offer due date, using format mm/dd/yyyy.: 10/26/2020 2PM

Requisition Number.:

Contract Number:

Order Number:

Solicitation Number: 12305B21RFP1346

Name of person to call for information.: Falcon Albino

Telephone number of person to call for information. (No collect calls.):

Issuer Code.: 12305B

Issued by.: USDA ARS NEA AAO ACQ/PER PROP

BLDG 003, BARC-WEST

10300 BALTIMORE AVENUE

BELTSVILLE MD 20705

Discount terms.:

Rating.:

Deliver to code.:

Deliver to.: ENGINEERING AND CONSTRUCTION BRANCH

BUILDING 426A, BARC-EAST

10300 BALTIMORE AVENUE 20705

Administered by code.:

Administered by.:

Deliver to code.:

Deliver to.:

Telephone number of contractor / offeror.:

Payment by code.:

Payment will be made by.:

Item Number. Line 1.: 1

Schedule of Supplies/Services. Line 1.: MAINTENANCE AND REPAIR SERVICES TO

Unit of Measure. Line 1.: MO

Item Number. Line 1.:

Schedule of Supplies/Services. Line 1.: PURE WATER SYSTEMS POP 10/27/2020 - 10/26/2021

Unit of Measure. Line 1.:

Item Number. Line 1.:

Schedule of Supplies/Services. Line 1.:

Unit of Measure. Line 1.:

Item Number. Line 1.: 2

Schedule of Supplies/Services. Line 1.: OPTION PERIOD 10/27/2021 - 04/26/2022

Unit of Measure. Line 1.: MO

Item Number. Line 1.:

Schedule of Supplies/Services. Line 1.:

Unit of Measure. Line 1.:

Item Number. Line 1.:

Schedule of Supplies/Services. Line 1.:

Unit of Measure. Line 1.:

25. Accounting and Appropriation Data.:

Reference Offer Number.:

30b. Name and Title of Signer for contractor. Title.:

31b. Name of Contracting Officer.:

This acquisition is NAICS.: 811310

This acquisition is size standard.: $8 MILLION

Check if acquisition is for a women-owned small business (WOSB) eligible under the women-owned small business program.: 0

SignatureField1:

Enter date in this format MM/DD/YYYY:

Date received, using format yyyy/mm/dd.:

Check if Quantity in Quantity column has been received.: 0

Check if Quantity in Quantity column has been inspected.: 0

Check if Quantity in Quantity column has been accepted. Note execptions in next field.: 0

Check if aquisition is unrestricted. : 0

Check if aquisition is a set aside.: 0

Check if complete payment.: 0

Check if partial payment.: 0

Check if final payment.: 0

Quantity. Line 1.:

Unit Price. Line 1.:

Total amount for item. Line 1.:

Amount verified correct for.:

Check number.:

42d. Total containers.:

Item Number. Line 1.:

Schedule of Supplies/Services. Line 1.:

Unit of Measure. Line 1.:

Item Number. Line 1.:

Schedule of Supplies/Services. Line 1.:

Unit of Measure. Line 1.:

Item Number. Line 1.:

Schedule of Supplies/Services. Line 1.:

Unit of Measure. Line 1.:

Item Number. Line 1.:

Schedule of Supplies/Services. Line 1.:

Unit of Measure. Line 1.:

Item Number. Line 1.:

Schedule of Supplies/Services. Line 1.:

Unit of Measure. Line 1.:

Item Number. Line 1.:

Schedule of Supplies/Services. Line 1.:

Unit of Measure. Line 1.:

Item Number. Line 1.:

Schedule of Supplies/Services. Line 1.:

Unit of Measure. Line 1.:

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Schedule of Supplies/Services. Line 1.:

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Schedule of Supplies/Services. Line 1.:

Unit of Measure. Line 1.:

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Schedule of Supplies/Services. Line 1.:

Unit of Measure. Line 1.:

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Unit of Measure. Line 1.:

Item Number. Line 1.:

Schedule of Supplies/Services. Line 1.:

Unit of Measure. Line 1.:

Exceptions to Quantities received or accepted.:

Name and title of government representative.:

Mailing address of government representative.:

Telephone number ofgovernment representative.:

E-mail of government representative.:

Shipping number.:

Voucher number.:

S / R account number.:

S / R voucher number.:

Paid by.:

Received by.:

Received at.:

SignatureField2:

SignatureField3:

Enter date in this format MM/DD/YYYY:

File details come from the government source that posted it. Updated Oct 23, 2020.