SF1449_Janitorial_Services_Contract_19EZ8019C0006.doc

DOC document 75 KB Posted Aug 30, 2019

Attached to: Janitorial services Federal contract opportunity
Solicitation number: 19EZ8019P0006
Issued by: Department of State US Embassy Prague

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SF-1449

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File	Type	Posted
19EZ8019C0006_-_award_-_PDF.pdf	PDF	Aug 30, 2019
SF1449_19EZ8019P0006-_04-29-2019_-_FBO.doc	DOC document	Apr 29, 2019
SS-Janitor_CI-19EZ8019P0006_-04-29-19-_FBO.doc	DOC document	Apr 29, 2019

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

2. CONTRACT NO.

19EZ8019C0006

3. AWARD/EFFECTIVE

DATE: 09/01/2019

4. ORDER NUMBER

5. SOLICITATION NUMBER

19EZ8019P0006

6. SOLICITATION ISSUE DATE

04/29/2019

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Aaron Burge

b. TELEPHONE NUMBER(No collect calls)

257 002 000

8. OFFER DUE DATE

July 15, 2019;

2 p.m. local time

9. ISSUED BY CODE

10. THIS ACQUISITION IS

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UNRESTRICTED OR

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SET ASIDE:____ % FOR:

US Embassy Prague, GSO Tržiště 15

118 01 Praha 1 - Malá Strana

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SMALL BUSINESS

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WOMEN-OWNED SMALL BUSINESS

Tržiště 15

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HUBZONE SMALL

BUSINESS

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(WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM NAICS:

118 01 Praha 1 - Malá Strana

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SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

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EDWOSB

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8 (A)

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINAT-

TION UNLESS BLOCK IS

MARKED

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SEE SCHEDULE

12. DISCOUNT TERMS

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13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

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RFQ FORMCHECKBOX

IFB FORMCHECKBOX

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

Contracting Officer

US Embassy Prague, Tržiště 15, 118 01 Praha 1 PragueProcurement@state.gov

US Embassy Prague

GSO

Tržiště 15

118 01 Praha 1

17a. CONTRACTOR/

OFFERER

Jaroslav Vacha Salounova 1935/14 149 00 Praha 4

TELEPHONE NO. +420 608 879 326

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY US Embassy Prague

Budget and Fiscal

Tržiště 15

118 01 Praha 1

CODE

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17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

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SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Janitorial services - Base Year

21% VAT

Grand total with 21% VAT in CZK

Year

2,646,000 555,660

N/A 2,646,000 555,660 3,201,660

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

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

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27a.SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

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ARE FORMCHECKBOX

ARE NOT ATTACHED

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27b.CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

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ARE FORMCHECKBOX

ARE NOT ATTACHED

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28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN __1__ 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.

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29. AWARD OF CONTRACT: REF. _ 19EZ8019C0006________________ OFFER DATED _ July 15, 2019_______. YOUR OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print)

30c. DATE SIGNED

31b. NAME OF CONTRACTING OFFICER (Type or print) Aaron P. Burge 31c. DATE SIGNED

08-28-2019

AUTHORIZED FOR LOCAL REPRODUCTION

STANDARD FORM 1449 (REV. 02/2012)

PREVIOUS EDITION IS NOT USABLE

Computer Generated

Prescribed by GSA - FAR (48 CFR) 53.212

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

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RECEIVED

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INSPECTED

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ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: _______________________________

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER

34. VOUCHER NUMBER

35. AMOUNT VERIFIED

CORRECT FOR

36. PAYMENT

37. CHECK NUMBER

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PARTIAL

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FINAL

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COMPLETE

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PARTIAL

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FINAL

38. S/R ACCOUNT NO.

39. S/R VOUCHER NO.

40. PAID BY

41.a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41C. DATE

42b. RECEIVED AT (Location)

42c. DATE REC’D (YY/MM/DD)

42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

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