19AL6023P0487.pdf
PDF 172 KB Posted
- Attached to
- Residential Security - Roll-Down Shutters for CMR/MSGR Federal contract opportunity
- Solicitation number
- PR11712927
- Issued by
- Department of State
About this file
This order for supplies and services from the American Embassy in Tirana, Albania requires the contractor to provide roll-down shutters and installation services for three residences and the Chancery/MSGQ compound. The contractor will supply and install 31 external security shutters for 137 total square meters under an RC3 anti-burglary system, with associated electrical and carpentry work, for a total price of 67,999.20 Euro including taxes. The order references Solicitation PR11712927 for residential security improvements and names Anoria Shpk as the contractor to fulfill the requirements. The required products and services must be delivered by September 30, 2023 to the specified shipping addresses.
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Text version
ORDER FOR SUPPLIES OR SERVICES
IMPORTANT: Mark all packages and papers with contract and/or order numbers. PAGE OF PAGES
1. DATE OF ORDER
07 Aug 2023
2. CONTRACT NO.(If any) 6. SHIP TO:
19AL6023P0487, TIRAN
3. ORDER NO.
19AL6023P0487
4. REQUISITION/REFERENCE NO.
PR11712927
a. NAME OF CONSIGNEE
ATTN: GSO/WAREHOUSE
5. ISSUING OFFICE (Address correspondence to)
AMERICAN EMBASSY TIRANA
RRUGA STAVRO VINJAU, NO. 14 ATTN: GSO/PROCUREMENT
TIRANA,
Contact Name: Saimira Haxhi Phone:
Email: HAXHIS@STATE.GOV
b. STREET ADDRESS
RRUGA STAVRO VINJAU, NO. 14
c. CITY
TIRANA
d. STATE
e. ZIP CODE
f. SHIP VIA
7. TO: 8. TYPE OF ORDER
a. NAME OF CONTRACTOR
Dhimosten Papa
DUNS NUMBER
123456787
CONTACT PHONE NUMBER
00355 68 9038100
E-MAIL:
info@anoria.al
FAX:
a. PURCHASE ORDER
REFERENCE YOUR: _______
Please furnish the following on the terms and conditions specified on both sides of this order and on the attached sheet, if any, including delivery as indicated.
b. DELIVERY ORDER -- Except for billing instructions on the reverse, this delivery order is subject to instructions contained on this side only of this form and is issued subject to the terms and conditions of the above-numbered contract.
b. COMPANY NAME Anoria Shpk
c. STREET ADDRESS
RRUGA JERONIM DE RADA KASHAR
d. CITY
TIRANE
e. STATE
f. ZIP CODE
10. REQUISITIONING OFFICE
AMERICAN EMBASSY TIRANA
ATTN: RSO
9.ACCOUNTING AND APPROPRIATION DATA
See line item detail. $74,397.37USD
Funds Certification Officer Signature:
11. BUSINESS CLASSIFICATION (Check appropriate box(es)) 12. F.O.B. POINT Destination
a. SMALL b. OTHER THAN SMALL c. DISADVANTAGED
d. WOMEN-OWNED e. HUBZone f. SERVICE-DISABLED VETERAN-OWNED
g. WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE UNDER
THE WOMEN-OWNED SMALL BUSINESS PROGRAM
h. EDWOSB
13. PLACE OF 14. GOVERNMENT B/L NO.
15. DELIVER TO F.O.B. POINT ON OR BEFORE (Date) 30 Sep 2023
16. DISCOUNT TERMS
a. INSPECTION
b. ACCEPTANCE
17. SCHEDULE (See reverse for Rejections)
ITEM NO.
(a)
SUPPLIES OR SERVICES
(b)
QUANTITY
ORDERED
(c)
UNIT
(d)
UNIT PRICE
(e)
AMOUNT
(f)
QUANTITY ACCEPTED
(g)
SEE LINE ITEM DETAIL
SEE BILLING
INSTRUCTIONS ON
REVERSE
18. SHIPPING POINT 19. GROSS SHIPPING
WEIGHT
20. INVOICE NO. 17(h) TOT.
(Cont. pages)
21. MAIL INVOICE TO:
a. NAME
b. STREET ADDRESS (or P.O. Box) See address detail page
67,999.20EUR (023)
17(i)
(GRAND TOTAL)
c. CITY d. STATE e. ZIP CODE
22. UNITED STATES OF AMERICA BY (Signature)
07 Aug 2023
23. NAME Typed Eric S Lee
TITLE: CONTRACTING/ORDERING OFFICER
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE
OPTIONAL FORM 347 (REV. 9/2012)
Prescribed by GSA/FAR 48 CFR 53.213(f)
Page: 1 of 3
ORDER FOR SUPPLIES OR SERVICES
SCHEDULE - CONTINUATION
PAGE NO.
IMPORTANT: Mark all packages and papers with contract and/or order numbers.
DATE OF ORDER
07 Aug 2023
TITLE
5841 Residential Security - Roll-Down Shutters for
CMR/MSGR
CONTRACT NO.
ORDER NO.
ITEM NO.
(a)
SUPPLIES OR SERVICES
(b)
QUANTITY
ORDERED
(c)
UNIT
(d)
UNIT PRICE
(e)
AMOUNT
(f)
QUANTITY
ACCEPTED
(g)
0001 (5841 Funding Code) Roll-Down Shutters as per scope of work
CMR (19 shutters) Villa 16 (6 shutters) Villa 17 (6 shutters)
Total sqm: 137 (31 shutters)
External Security Shutters - RC3 Anti-burglary system (shutter box SK)
Tax: 9,600.00EUR (023)
Fiscal Data:
48000.00EUR (023) 1900-2023--19___X0113000H-1202-DS-
-5841-19AL6023P0487-3136----------
9600.00EUR (023) 1900-2023--19___X0113000H-1202-DS-
-5841-19AL6023P0487-4161---------- (Tax)
1.00 each 48,000.00EUR (023) 48,000.00EUR (023)
0002 Electrical works, carpentry works; disassembly and assembly of tents
Tax: 827.60EUR (023)
Fiscal Data:
4138.00EUR (023) 1900-2023--19___X0113000H-1202-DS-
-5841-19AL6023P0487-3136----------
827.60EUR (023) 1900-2023--19___X0113000H-1202-DS-
1.00 each 4,138.00EUR (023) 4,138.00EUR (023)
0003 Defense Base Act (DBA) Insurance
Tax: 905.60EUR (023)
Fiscal Data:
4528.00EUR (023) 1900-2023--19___X0113000H-1202-DS-
-5841-19AL6023P0487-3136----------
905.60EUR (023) 1900-2023--19___X0113000H-1202-DS-
1.00 each 4,528.00EUR (023) 4,528.00EUR (023)
TOTAL
TAX TOTAL
GRAND TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17h)
56,666.00EUR (023)
11,333.20EUR (023)
67,999.20EUR (023)
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE
OPTIONAL
FORM 348
(REV.
9/2012)
Prescribed by
GSA - FAR (48
CFR) 53.213(f)
Page: 2 of 3
Address Detail Shipping Addresses
Address Referenced Lines
AMERICAN EMBASSY TIRANA
RRUGA STAVRO VINJAU, NO. 14
ATTN: GSO/WAREHOUSE
TIRANA,
ALBANIA
Phone:
Fax: 0001, 0002, 0003
Please see the main form.
Invoice Addresses
Address Referenced Lines
AMERICAN EMBASSY TIRANA
RRUGA STAVRO VINJAU, NO. 14
ATTN: FMC
TIRANA,
ALBANIA
Phone:
Fax: 0001
AMERICAN EMBASSY TIRANA
9510 Tirana Place
ATTN: GSO TIRANA POUCH
WASHINGTON, DC 20521-9510
UNITED STATES
Phone:
Fax: 0002, 0003
Page: 3 of 3
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