Attachment_II_-_SF_1449.pdf

PDF 111 KB Posted Oct 17, 2017

Attached to: Calibration Services Federal contract opportunity
Solicitation number: 1645DC-18-Q-00002
Issued by: Department of Labor Mine Safety and Health Administration

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SF 1449

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Other files attached to Calibration Services, newest first.
File	Type	Posted
Attachment_I_-_Statement_of_Work.pdf	PDF	Oct 17, 2017
Attachment_III_-_Calibration_Equipment_List.xlsx	XLSX spreadsheet	Oct 17, 2017
Instructions_to_Offerors.pdf	PDF	Oct 17, 2017

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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

MSHA ARLINGTON

Arlington VA 22202 201 12th Street South US Department of Labor

MSHA WV TRIDELPHIA CODE 16. ADMINISTERED BYCODE

541380

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED ORMSHA BECKLEY

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

10/23/2017 1500 ES

10/17/2017

202-693-9851OZGE TEK

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

1645DC-18-Q-00002

5. SOLICITATION NUMBER

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

1 6 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

TRIADELPHIA WV 26059

ATTN: D. PAWLOSKI, P. CARENBAUER

765 TECHNOLOGY DRIVE

APPROVAL AND CERTIFICATION CENTER

US DEPARTMENT OF LABOR

15. DELIVER TO

Beaver WV 25813 1301 Airport Rd

9. ISSUED BY

2. CONTRACT NO.

EFFECTIVE DATE

$15.00

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)

US Department of Labor

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.

This Request for Quote (RFQ) is to acquire calibration services for the Mine Safety and Health Administration's (MSHA) laboratory equipment at the Approval and Certification Center (A&CC).

All contractors are advised to review all attachments prior to providing a quote. Questions should be directed to the Contract Specialist through EMAIL ONLY by 10/18/17 at 7:00PM EST.

All quotes are due by 10/23/17 at 3:00PM EST. No late quotes shall be accepted past this specified

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

Tirene Crowell

. 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

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.

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.

date and time.

This RFQ is for a base plus four option periods contract.

Period of Performance: 10/30/2017 to 10/29/2022

0001 Calibration services for A&CC (to include shipping)

Product/Service Code: J066

Delivery: 10/30/2017

Period of Performance: 10/30/2017 to 10/29/2018

0002 Travel (Labor Hour)

NTE $8,215.00

Product/Service Code: J066

Delivery: 10/30/2017

Period of Performance: 10/30/2017 to 10/30/2018

0003 Labor Hour - NTE maximum of (2) separate calibrations on all equipment

Product/Service Code: J066

Delivery: 10/30/2017

Period of Performance: 10/30/2017 to 10/29/2018

0004 Travel for CLIN 0003 - Maximum (2) separate calibrations on all equipment

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

6 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 6

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

1645DC-18-Q-00002

NTE $7,002.00 for total up to (2) additional calibrations

Product/Service Code: J066

Delivery: 10/30/2017

Period of Performance: 10/30/2017 to 10/29/2018

1001 Option Period One - Calibration services for A&CC

(to include shipping)

(Option Line Item)

(Anticipated Option Exercise Date)10/29/2018

Product/Service Code: J066

Delivery: 10/30/2018

Period of Performance: 10/30/2018 to 10/29/2019

1002 Travel (Labor Hour)

NTE $8,380.00

(Option Line Item)

(Anticipated Option Exercise Date)10/29/2018

Product/Service Code: J066

Delivery: 10/30/2018

Period of Performance: 10/30/2018 to 10/29/2019

1003 Labor Hour - NTE maximum of (2) separate calibrations on all equipment

(Option Line Item)

(Anticipated Option Exercise Date)10/29/2018

Product/Service Code: J066

Delivery: 10/30/2018

Period of Performance: 10/30/2018 to 10/29/2019

1004 Travel for CLIN 1003 - Maximum (2) separate calibrations on all equipment

NTE $7,142.00 for total up to (2) additional calibrations

(Option Line Item)

(Anticipated Option Exercise Date)10/29/2018

Product/Service Code: J066

Delivery: 10/30/2018

Period of Performance: 10/30/2018 to 10/29/2019

2001 Option Period Two - Calibration services for A&CC

(to include shipping)

Continued ...

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