SF_1449_1333MH19QNWWT0025.pdf

RFQ IFB RFP

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODEFACILITY

CODE

CODE

TELEPHONE NO.

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

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

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

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

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

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

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

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

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

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

OFFER

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

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

17a CONTRACTOR/

OFFEROR.

CODE

8 (A)

SIZE STANDARD:

NAICS:

% FOR:SET ASIDE:UNRESTRICTED OR

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

10. THIS ACQUISITION IS

EDWOSB

SMALL BUSINESS PROGRAM

NWWT9932-19-00149

1333MH19QNWWT0025

JEN BROWN

JEN.BROWN@NOAA.GOV 801-524-5125 X239

9:00 AM MT

WT000012

NWS-WESTERN REGION /W/WR

125 SOUTH STATE ST., ROOM 1311

SALT LAKE CITY UT 84138-1102

325120

See Schedule see continuation page for line item details.

See Schedule

SEP 16, 2019

Please

X X jen.brown Rectangle

STANDARD FORM 1449 (REV. 2/2012) BACK

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:

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

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

40. PAID BY

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

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

1333MH19QNWWT0025

SCHEDULE Continued

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

SUBMIT QUOTES TO JEN.BROWN@NOAA.GOV

Attach a Capabilities Statement to address:

# Past performance # Management capability discussing strategy to provide supply on schedule, timely invoicing, communication practices, and mitigation strategy for supply shortages

Include 3 relevant references with contact information.

It is the offeror's responsibility to request confirmation of quote receipt. The Government does not accept responsibility for non-receipt of quotes.

The offeror must be registered and in active status in the System for Award Management (sam.gov) prior to submitting a quote to be eligible for award.

DUNS: ____________________________

NTE NTE

0001 BASE LINE ITEM

BI-WEEKLY DELIVERIES OF INDUSTRIAL HELIUM

SUPPLIED TO THE NATIONAL WEATHER SERVICE

WEATHER FORECAST OFFICE LOCATED IN SALT

LAKE CITY, UT, IN ACCORDANCE WITH THE

ATTACHED STATEMENT OF NEED.

_______ CF per cylinder

$ _____________ per cylinder

$ _____________ delivery fee per delivery

$ _____________ hazmat fee per delivery

$ _____________ rent per cylinder (indicate per day or per month)

Invoicing: by delivery or by month (circle one)

Any additional fees/rates (specify description and price):

SHIP TO:

SALT LAKE CITY WFO UTAH

2242 WEST NORTH TEMPLE

SALT LAKE CITY UT 84116-2919

FOB : Destination Period of Performance: 09/17/2019 to 03/14/2020

1.00 LO

NTE NTE/OPT

1001 OPTION LINE ITEM 1

BI-WEEKLY DELIVERIES OF INDUSTRIAL HELIUM

SUPPLIED TO THE NATIONAL WEATHER SERVICE

WEATHER FORECAST OFFICE LOCATED IN SALT

LAKE CITY, UT, IN ACCORDANCE WITH THE

ATTACHED STATEMENT OF NEED.

_______ CF per cylinder

$ _____________ per cylinder

1.00 LO

PAGE 3 OF 4 1333MH19QNWWT0025

jen.brown Highlight

SCHEDULE Continued

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

$ _____________ delivery fee per delivery

$ _____________ hazmat fee per delivery

$ _____________ rent per cylinder (indicate per day or per month)

Invoicing: by delivery or by month (circle one)

Any additional fees/rates (specify description and price):

SHIP TO:

SALT LAKE CITY WFO UTAH

2242 WEST NORTH TEMPLE

SALT LAKE CITY UT 84116-2919

FOB : Destination Period of Performance: 03/15/2020 to 03/14/2021

PAGE 4 OF 4 1333MH19QNWWT0025