Sol 12505B24Q0219 SF1449 Updated.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

ARS-12505B

PEORIA IL 61604

1815 N UNIVERSITY STREET

USDA ARS MWA AAO ACQ/PER PROP

ARS-126127 CODE 16. ADMINISTERED BYCODE

X

X

X

334513

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED ORARS-12505B

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

07/29/2024 2359 CT

07/24/2024

(608)-416-0027AARON DIMEO

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

12505B24Q0219

5. SOLICITATION NUMBER

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

1 28 1128121OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

AMES IA 50011

1015 N UNIVERSITY BLVD

MWA NATL LAB FOR AGRICULTURE & THE

15. DELIVER TO

PEORIA IL 61604

1815 N UNIVERSITY STREET

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 FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

USDA ARS MWA AAO ACQ/PER PROP

WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Tilt Pan Scanner with Mirrors System (NAICS:

334513, PSC: 6640)

Delivery: 90 Days After Award Period of Performance: 09/30/2024 to 12/29/2024

0001 Tilt-Pan Scanner 1 EA

Product/Service Code: 6640 Product/Service Description: LABORATORY EQUIPMENT

AND SUPPLIES

Continued ...

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

JOEL D. MAAS

. 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 (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

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: REFERENCE

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. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

0002 Retro-Reflector 2 EA

Product/Service Code: 6640

Product/Service Description: LABORATORY EQUIPMENT

AND SUPPLIES

0003 Power Controller 1 EA

Product/Service Code: 6640

Product/Service Description: LABORATORY EQUIPMENT

AND SUPPLIES

0004 Scanner Tripod 1 EA

Product/Service Code: 6640

Product/Service Description: LABORATORY EQUIPMENT

AND SUPPLIES

0005 Shipping/Freight/Delivery 1 EA

Product/Service Code: 9999

Product/Service Description: MISCELLANEOUS ITEMS

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

28 2 of

United States Department of Agriculture

Research, Education, and Economics Agricultural Research Service

Office of the Director ● Midwest Area Administrative Office Acquisitions & Personal Property/Fleet Team

1815 North University Street ● Peoria, IL 61604 USDA is an Equal Opportunity Provider and Employer

SUPPORTING INFORMATION FORM

Solicitation Title: _________________

Solicitation Number: _________________

Company Information:

Currently Registered and Active in the System for Award Management (SAM): ( ) Yes ( ) No

SAM Unique Entity Identifier (UEI) Number:

Company Legal Name: _____________________________________________

Doing Business As (if applicable): ____________________________________

Company Address as registered in the System for Award Management (SAM):

CAGE Code(s):

Socio-economic status for the NAICS code: ___________ (with a small business threshold of under ______________) – please check ALL that apply:

( ) Small Business Concern ( ) Disadvantaged

( ) SBA-certified 8(a) Program Participant ( ) SBA-certified HUB Zone Business

( ) Veteran Owned ( ) Service-Disabled Veteran Owned

( ) Woman-Owned ( ) Economically Disadvantaged Woman Owned

( ) Large Business

[ ] I confirm that my company is registered in the System for Award Management (SAM) with the socio-economic status identified above and the NAICS code specified or that my firm qualifies for the selected the socio-economic status under the applicable NAICS code.

United States Department of Agriculture

Research, Education, and Economics

Agricultural Research Service

Office of the Director ● Midwest Area Administrative Office Acquisitions & Personal Property/Fleet Team

1815 North University Street ● Peoria, IL 61604 USDA is an Equal Opportunity Provider and Employer

Quote Information:

Quote Number: _________________

Total Quoted Price:

Manufacturer’s Legal Name:

Product is Manufactured in the United States of America (is a domestic product*): ( )Yes ( )No

Manufacturing Address (for domestic products*):

Country of Origin (for nondomestic products**):

Time to Delivery: ( ) days ( ) weeks ( ) months

Quote Date:

Quote Expiration Date:

Certification:

I understand that incomplete sections, failure to provide all required documentation, and/or failure to sign this certification may remove my company’s quote from being put into consideration by the Government for award.

Signature:

Name:

Title:

Date: