Vehichle_Recorder1449.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1 REQUISITION NUMBER PAGE I OF 72

2L CONTRACT NO 3. AWARD/EFFECTIVE

DATE (03-28-2019')

4. ORDER NUMBER 5. SOLICITATION NUMBER

19AQMM19R0181

SOLICITATION ISSUE

DATE 03-28-2019

7 FOR SOLICITATION

INFORMATION CALL:

a. NAME

Blondell Taylor

b. TELEPHONE NUMBER (No collect calls)

703-875-6961

8.OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY CODE

OFFICE OF ACQUISITIONS MANAGEMENT

PO Box 9115, Rosslyn Station

US Department

10. THIS ACQUISITION IS

[2 UNRESTRICTED OR [S] SET ASIDE. % FOR

CX] SMALL BUSINESS C] EMERGING SMALL

BUSINESS

C] HUBZONE SMALL

NAICS: BUSINESS

SIZE STANDARD SERVICE-DISABLED VETERAN- [S] 8(A)

OWNED SMALL BUSINESS

LWAqm)

11. DELIVERY FOR FOB

DESTINATION UNLESS

BLOCK IS MARKED

C] SEE SCHEDULE

12. DISCOUNT TERMS C] 13a. THIS CONTRACT ISA

RATED ORDER

UNDER DPAS (15

CFR

700)

13b. RATING

METHOD OF SOLICITATION

C]IFB

15 DELIVERY TO CODE ADMINISTERED BY CODE

17a_ CONTRACTOR/ CODE

TELEPHONE NO

FACILITY

CODE

lea. PAYMENT WILL BE MADE BY CODE

FISCAL OPERATIONS BRANCH CHIEF

(OBO/RM/FM/FO

SSEE SPECIL INVOICE SUBMISSION INSTRUCTIONS

ARLINGTON, VA 22209

017b CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

SUBMlT INVOICES TO ADDRESS SHOWN IN ûLOCR lea UNLESS BLOCK BELOW IS

CHECKED

SEE ADDENDUM

ITEM NO.

20.

SCHEDULE OF SUPPLIES,'SERVICES

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 use

SOLICITAT ON INCORPORATES ay REFERENCE FAR 52212-1.522124 FAR 52212-3 AND 52212-5 ARE ATTACHED, ADDENDA XARE ARE NOT ATTACHED

[227b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52212-5 IS ATTACHED. ADDENDA Cl ARE ARE NOT ATTACHED

[S]28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND

AND RETURN COPIES TO ISSUING OFFICE.

CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET

FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

HEREIN

C] 29. AWARD OF CONTRACTI REF.

DATEDYOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

HEREIN, AS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31•a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING

OFFICER) Blondell Taulor

30b. NAME AND TITLE OF SIGNER (Type or print) acc. DATESIGNED 31b. NAME OF CONTRACTING OFFICER

Blondell Taylor 31c. DATE SIGNED

03-28-2019

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 IREV. 3/2005)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA • FAR ge CFR) 53212

32a, QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED C] ACCEPTED. AND CONFORMS TO THE EXCEPT AS NOTED.

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

320 DATE

(mm-dd-yyyy)

32d. PRINT NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

19. ITEM

NO

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23. UNIT

PRICE

24.

AMOUNT

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

329. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT

VERIFIED

coRREc•r FOR

36, PAYMENT

C) COMPLETE a PARTIAL FINAL

37. CHECK NUMBER

[2 PARTIAL FINAL

38. SIR ACCOUNT NUMBER 39. SIR VOUCHER NUMBER 40. PAID BY

41a, I CERTIFY THIS ACCOUNT IS CORRECT ANE PROPER FOR PAYMENT 42a_ RECEIVED BY (pmt) 41b, SIGNATURE AND TITLE OF CERTIFYING OFFICER

41C_ DATE

(mm-dd-yyyy)

42b. RECEIVED AT (Location)

42c. DATE REC'D (mm-dd-yyyy) 42d TOTAL CONTAINERS

STANDARD FORM 1449 (REV 3/2005) BACK