Sol_140A0720Q0003.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

A07

BIA BUILDING 1

1001 INDIAN SCHOOL RD NW

Contracting Office

DOI, BIA SWRO

CODE 16. ADMINISTERED BYCODE

X

X

333316

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORA07

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

12/10/2019 1500 MS

12/03/2019

(505) 563-3121Barbara Hatch (No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

140A0720Q0003

5. SOLICITATION NUMBER

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

1 49 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

Albuquerque NM 87104

TELEPHONE NO.

17a. CONTRACTOR/

Multiple Destinations

15. DELIVER TO

Albuquerque NM 87104

BIA BUILDING 1

Contracting Office

1001 INDIAN SCHOOL RD NW

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 FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

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)

BIA SWRO 00007

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.

INDIAN SMALL BUSINESS ECONOMIC ENTERPRISE SET

ASIDE RFQ FOR BIA SOUTHWEST REGION

MULTIFUNCTIONAL DEVICES

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Part 12, FAR FAC 2020-01D and DIAR 1413, with additional information included in this notice. The United States, Department of Interior (DOI), BUREAU OF INDIAN AFFAIRS (BIA) intends to award a single Firm-Fixed Price

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

Barbara Hatch

. 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.

contract. This solicitation is issued as a

Request for Quotes RFQ number 140A0720Q0002, in accordance with DIAR 1413 and FAR Part 12. The associated North American Industrial

Classification System (NAICS) code for this procurement is 333316. This requirement is for an

Indian Small Business Economic Enterprise set-aside. Only qualified Indian Small Business

Economic Enterprises offerors may submit.

Delivery: 60 Days After Award

00010 IT COPIER PRINTER SCANNER FAX (4 IN ONE) 8 EA

Multifunctional devices color & black and white all in one(copier, scanner and printer)

Deliver to Albuquerque, NM - zip code 87104

MUST MEET ALL SPECIFICATIONS

Product/Service Code: 7025

Product/Service Description: INFORMATION

TECHNOLOGY INPUT/OUTPUT AND STORAGE DEVICES

Delivery Location Code: 0009827108

BIA Southwest Region

1001 Indian School Road, NW

Albuquerque NM 87104 US

00020 IT COPIER PRINTER SCANNER FAX (4 IN ONE) 1 EA

Multifunctional devices color & black and white all in one(copier, scanner and printer)

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

49 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 49

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

140A0720Q0003

Deliver to OHKAY OWINGEH, NM - zip code 87566

MUST MEET ALL SPECIFICATIONS

Product/Service Code: 7025

Product/Service Description: INFORMATION

TECHNOLOGY INPUT/OUTPUT AND STORAGE DEVICES

Delivery Location Code: 0009820680

BIA NORTHERN PUEBLOS AGENCY

196 EAGLE DRIVE

OHKAY OWINGEH NM 87566 US

00030 IT COPIER PRINTER SCANNER FAX (4 IN ONE) 2 EA

Multifunctional devices Black and white only all in one (copier, scanner and printer)

Deliver to Albuquerque, NM zip code 87104

MUST MEET ALL SPECIFICATIONS

Product/Service Code: 7025

Product/Service Description: INFORMATION

TECHNOLOGY INPUT/OUTPUT AND STORAGE DEVICES

Delivery Location Code: 0009827108

BIA Southwest Region

1001 Indian School Road, NW

Albuquerque NM 87104 US

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

Sponsored by GSA

FAR (48 CFR) 53.110