Cover_Page_and_SF33.pdf

REQUEST FOR PROPOSAL FOR

PHARMACEUTICAL COUNTERMEASURES

SUPPORTING:

BUREAU OF MEDICAL SERVICES (MED)

DIRECTORATE OF OPERATIONAL MEDICINE

RFP # 19AQMM-18-R-0175

U.S. DEPARTMENT OF STATE

OFFICE OF ACQUISITIONS MANAGEMENT

1701 N. FT. MYER DRIVE

ARLINGTON, VA 22209

SOLICITATION, OFFER, AND AWARD

1. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR

700)

RATING

2. CONTRACT NUMBER 3. SOLICITATION NUMBER

19AQMM18R0175 SEALED BID (IFB)

X NEGOTIATED (RFP)

4. TYPE OF SOLICITATION 5. DATE ISSUED

08/13/2018

6. REQUISITION/PURCHASE NUMBER

CODE: LMAQM

OFFICE OF ACQUISITION MANAGEMENT (A/LM/AQM)

PO BOX 9115, ROSSLYN STATION

US DEPARTMENT OF STATE

ARLINGTON, VA 22219

7. ISSUED BY

OFFICE OF ACQUISITION MANAGEMENT (A/LM/AQM)

PO BOX 9115, ROSSLYN STATION

US DEPARTMENT OF STATE

ARLINGTON, VA 22219

8. ADDRESS OFFER TO (If other than Item 7)

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

SOLICITATION

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

9. Sealed offers in original and ____ copies for furnishing the supplies or services in the Schedule will be received at the place specified in item 8, or if handcarried, in the depository located in ____ until

____ local time ____

10. FOR

INFORMATION

E-MAIL:

A. NAME

Stephen Ching 703-875-4566

B. TELEPHONE (NO COLLECT

CALLS)

C. E-MAIL ADDRESS

chings@state.gov

11. TABLE OF CONTENTS (See Table of Contents on page 2)

(X) SEC. DESCRIPTION PAGE(S) (X) SEC. DESCRIPTION PAGE(S)

PART I - SCHEDULE PART II - CONTRACT CLAUSES

X A SOLICITATION/CONTRACT FORM 1 X I CONTRACT CLAUSES 39

X B SUPPLIES OR SERVICES AND PRICES/COSTS 3 PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

X C DESCRIPTION/SPECS./WORK STATEMENT 11 X J LIST OF ATTACHMENTS 46

X D PACKAGING AND MARKING 23 PART IV - REPRESENTATIONS AND INSTRUCTIONS

X E INSPECTION AND ACCEPTANCE 25 X K REPRESENTATIONS CERTIFICATIONS AND OTHER

STATEMENTS OF OFFERORS

X F DELIVERIES OR PERFORMANCE 27

X L INSTRS., CONDS., AND NOTICES TO OFFERORS 62X G CONTRACT ADMINISTRATION DATA 30

X M EVALUATION FACTORS FOR AWARD 74X H SPECIAL CONTRACT REQUIREMENTS 36

OFFER (Must be fully completed by offeror)

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

In compliance with the above, the undersigned agrees, if this offer is accepted within __________ calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

12.

13. DISCOUNT FOR PROMPT PAYMENT (See Section I, Clause No.

52.232-8)

10 CALENDAR DAYS(%)

0.00 %

20 CALENDAR DAYS(%)

0.00 %

30 CALENDAR DAYS(%)

0.00 %

0 CALENDER DAYS(%)

0.00 %

14. ACKNOWLEDGEMENT OF AMENDMENTS (The offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated):

AMENDMENT NO. DATE AMENDMENT NO. DATE

15A. NAME AND

ADDRESS OF

OFFEROR

CONTACT: DUNS: 16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER (Type or Print)

15B. TELEPHONE NUMBER

15C. CHECK IF REMITTANCE ADDRESS IS DIFFERENT FROM

ABOVE - ENTER SUCH ADDRESS IN SCHEDULE.

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

10 U.S.C. 2304(c) ( ) 41 U.S.C. 253(c) ( )

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION: 23. SUBMIT INVOICES TO ADDRESS SHOWN IN (4 copies unless otherwise specified)

ITEM

CODE:24. ADMINISTERED BY (if other than Item 7) CODE: RMGFO

GLOBAL FINANCIAL SERVICES CENTER, CHARLESTON, SOUTH CAROLINA

PO BOX 150008; Fax To: 1-866-483-3436

ATTN: OFFICE OF CLAIMS

CHARLESTON, SC 29415-5008

25. PAYMENT WILL BE MADE BY

26. NAME OF CONTRACTING OFFICER (Type or print)

Stephen Ching

(Signature of Contracting Officer)

27. UNITED STATES OF AMERICA 28. DATE

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

STANDARD FORM 33 (REV. 9-97)

Prescribed by GSA - FAR (48 CFR) 53.214(c)

19AQMM18R0175

001 BASE PERIOD

Pharmaceutical Countermeasures See Section B.4 (Pricing Tables)

0.00 LT

Doc Ref No:

Delivery Date FOB:

1001 OPTION YEAR 1

Pharmaceutical Countermeasures See Section B.4 (Pricing Tables)

0.00 LT

Doc Ref No:

Delivery Date FOB:

2001 OPTION YEAR 2

Pharmaceutical Countermeasures See Section B.4 (Pricing Tables)

0.00 LT

Doc Ref No:

Delivery Date FOB:

3001 OPTION YEAR 3

Pharmaceutical Countermeasures See Section B.4 (Pricing Tables)

0.00 LT

Doc Ref No:

Delivery Date FOB:

4001 OPTION YEAR 4

Pharmaceutical Countermeasures See Section B.4 (Pricing Tables)

0.00 LT

Doc Ref No:

Delivery Date FOB:

5001 OPTION YEAR 5

Pharmaceutical Countermeasures See Section B.4 (Pricing Tables)

0.00 LT

Doc Ref No:

Delivery Date FOB:

19AQMM18R0175

Line Item Summary

Solicitation Number:

19AQMM18R0175

Contract Number: Title: MED/OM - Project Mandrake

2.0 - Drug Autoinjectors

Date of Solicitation:

08/13/2018

Line Item No. Description Quantity Unit Unit Price Total Cost