CORRECTED_OFFER_SUBMISSION_SF_1449_4-18-19.docx
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- Solicitation number
- 12569R19Q0009
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CORRECTED 1449 (4-18-19)
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12569R19Q0009
| SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS |
| 1. REQUISITION NUMBER |
| PAGE 1 OF |
| OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 |
| 952801 |
| 20 |
| 2. CONTRACT NO. |
| 3. AWARD/EFFECTIVE |
| 4. ORDER NUMBER |
| 5. SOLICITATION NUMBER |
| 6. SOLICITATION ISSUE |
DATE
| 12569R19Q0009 |
| DATE |
April 10, 2019
| a. NAME |
| b. TELEPHONE NUMBER(No collect |
| 8. OFFER DUE DATE/ |
| 7. FOR SOLICITATION |
| Debra Brinn (Administrative) |
| calls) 989-739-0728 x 3010 |
| LOCAL TIME |
| INFORMATION CALL: |
| Susan Trull (Technical) |
| 906-932-1330Ext. 312 |
| 4/24/2019 2:00 pm Central |
9. ISSUED BY CODE
10. THIS ACQUISITON IS
USDA FOREST SERVICE
LSAT CONTRACTING
820 RAINS DRIVE
GLADSTONE, MI 49837
|_| UNRESTRICTED OR |X| SET ASIDE: 100 % FOR
|X| SMALL BUSINESS |_| Women Owned Small
BUSINESS (WOSB)
|_| HUBZONE SMALL |_| Economically Disadvantaged Women-Owned Small Business (EDWOSB)
|_| SERVICE-DISABLED VETERAN- |_| 8(A) NAICS:115310
OWNED SMALL BUSINESS
Size Standard:$7.5M
11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED
|_| SEE SCHEDULE
| 12. DISCOUNT TERMS |
| |_| 13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700) |
| 13b. RATING |
14. METHOD OF SOLICITATION
|X| RFQ |_| IFB |_| RFP
15. DELIVER TO CODE
16. ADMINISTERED BY CODE
same as 9
17a. CONTRACTOR/ CODE FACILITY
OFFEROR CODE
18a. PAYMENT WILL BE MADE BY CODE
IPP – INVOICE PROCESSING PROGRAM
DUNS NUMBER:_______________________
E-MAIL ADDRESS:______________________
TELEPHONE N0.________________________
| |_| 17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN |
| 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW |
| OFFER |
| IS CHECKED |
|_| SEE ADDENDUM
| 19. |
| 20. |
| 21. |
| 22. |
| 23. |
| 24. |
| ITEM N0. |
| SCHEDULE OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
OTTAWA NATIONAL FOREST – BERGLAND PRESQUE ISLE & DRUMLOID RIDGE PROJECT BOTANY FIELD SURVEYS
Enter pricing on “Offer Submission Package” enclosure.
One or multiple Contracts will be awarded from this solicitation as a Best Value to the Government.
Please submit entire Offer Submission Package to acaliguri@fs.fed.us or to the address in block 9 above. Sign and date this SF1449 Form and return with Submission Pages.
(Use Reverse and/or Attach Additional Sheets as Necessary)
| 25. ACCOUNTING AND APPROPRIATION DATA |
| 26. TOTAL AWARD AMOUNT (For Govt. Use Only) |
| |X| |
| 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA |
| |X| |
| ARE |
| |_| |
| ARE NOT ATTACHED |
| |_| |
| 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA |
| |_| |
| ARE |
| |_| |
| ARE NOT ATTACHED |
| 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN ______1_________ |
| |_| 29. AWARD OF CONTRACT: REF. OFFER |
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
| DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY |
| DATED .. YOUR OFFER ON SOLICITATION |
| ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED |
| (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) |
ANNETTE CALIGURI
31c. DATE SIGNED
| AUTHORIZED FOR LOCAL REPRODUCTION | STANDARD FORM 1449 (REV.2/2012) |
| PREVIOUS EDITION IS NOT USABLE | Prescribed by GSA FAR (48 CFR) 53.212 |
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
32a. QUANTITY IN COLUMN 21 HAS BEEN
|_| RECEIVED |_| INSPECTED |_| ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ________________________________________
32b. SIGNATURE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32c. DATE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
| 33. SHIP NUMBER |
| 34. VOUCHER NUMBER |
| 35. AMOUNT VERIFIED |
CORRECT FOR
| 36. PAYMENT |
| 37. CHECK NUMBER |
|PARTIAL | |FINAL
|_| COMPLETE |_| PARTIAL |_| FINAL
| 38. S/R ACCOUNT NUMBER |
| 39. S/R VOUCHER NUMBER |
| 40. PAID BY |
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER
FOR PAYMENT
42a. RECEIVED BY (Print)
| 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER |
| 41c. DATE |
42b. RECEIVED AT (Location)
| 42c. DATE RECD (YY/MM/DD) |
| 42d. TOTAL CONTAINERS |
STANDARD FORM 1449 (REV.2/2012) BACK
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