1449_123A9418R0014.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

FSIS-OAS-PCMB

BELTSVILLE MD 20705

5601 Sunnyside Avenue Maildrop 5230 USDA, FSIS, OAS, PcMB

FSIS-OPHS-FERN CODE 16. ADMINISTERED BYCODE

X

X

811219

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORFSIS-OAS-PCMB

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

09/10/2018 1400 ET

08/31/2018

301-289-9723KIM TOPPIN

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

123A9418R0014

5. SOLICITATION NUMBER

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

1 3 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Athens GA 30605 Suite PB23 950 College Station Road

USDA, FSIS, OPHS, FERN

15. DELIVER TO

BELTSVILLE MD 20705

5601 Sunnyside Avenue Maildrop 5230

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$20.50

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

8(A)

USDA, FSIS, OAS, PcMB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Maintenance Services for Nitrogen Generators for one (1) Base + four Option Years. Eastern Laboratory Period of Performance: 09/14/2018 to 09/13/2023

001 Base Option Year - Maintenance Services for Nitrogen Generators for the Eastern Laboratory in accordance with the Performance Based Work Statement.

Product/Service Code: J099 Continued ...

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

DATED

KIM TOPPIN

. 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.

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

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

OFFER

STANDARD FORM 1449 (REV. 2/2012)

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. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Product/Service Description: MAINT/REPAIR/REBUILD

OF EQUIPMENT- MISCELLANEOUS

Delivery: 09/13/2019

Period of Performance: 09/14/2018 to 09/13/2019

002 First Option Year - Maintenance Services for

Nitrogen Generators for the Eastern Laboratory in accordance with the Performance Based Work

Statement.

(Option Line Item)

09/14/2019

Product/Service Code: J099

Product/Service Description: MAINT/REPAIR/REBUILD

OF EQUIPMENT- MISCELLANEOUS

Delivery: 09/13/2020

Period of Performance: 09/14/2019 to 09/13/2020

003 Second Option Year - Maintenance Services for

Nitrogen Generators for the Eastern Laboratory in accordance with the Performance Based Work

Statement.

(Option Line Item)

09/14/2020

Product/Service Code: J099

Product/Service Description: MAINT/REPAIR/REBUILD

OF EQUIPMENT- MISCELLANEOUS

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

3 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

123A9418R0014

Delivery: 09/13/2021

Period of Performance: 09/14/2020 to 09/13/2021

004 Third Option Year - Maintenance Services for

Nitrogen Generators for the Eastern Laboratory in accordance with the Performance Based Work

Statement.

(Option Line Item)

09/14/2021

Product/Service Code: J099

Product/Service Description: MAINT/REPAIR/REBUILD

OF EQUIPMENT- MISCELLANEOUS

Delivery: 09/13/2022

Period of Performance: 09/14/2021 to 09/13/2022

005 Fourth Option Year - Maintenance Services for

Nitrogen Generators for the Eastern Laboratory in accordance with the Performance Based Work

Statement.

(Option Line Item)

09/14/2021

Product/Service Code: J099

Product/Service Description: MAINT/REPAIR/REBUILD

OF EQUIPMENT- MISCELLANEOUS

Delivery: 09/13/2023

Period of Performance: 09/14/2022 to 09/13/2023

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110