19HA7020R0002 - SF33 Cover Form.pdf

PAGE OF PAGESSOLICITATION, OFFER AND AWARD 1. THIS CONTRACT IS A RATED ORDER RATING

UNDER DPAS (15 CFR 700) 1 74

2. CONTRACT NUMBER

3. SOLICITATION NUMBER

19HA7020R0002

4. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

5. DATE ISSUED

09/30/2020

6. REQUISITION/PURCHASE NUMBER

PR9337758

7. ISSUED BY CODE

AMERICAN EMBASSY PORT-AU-PRINCE

BLVD 15 OCTOBRE-TABARRE 41, ATTN:

GSO/PROCUREMENT

PORT-AU-PRINCE

HAITI

HA700 8. ADDRESS OFFER TO (If other than item 7)

AMERICAN EMBASSY PORT-AU-PRINCE

BLVD 15 OCTOBRE-TABARRE 41, ATTN: GSO/PROCUREMENT

PORT-AU-PRINCE

HAITI

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

SOLICITATION

9. Sealed offers in original and 2 copies for furnishings the supplies or services in the Schedule will be received at the place specified in item 8, or if hand carried, in the depository located in Chancery Main CAC until 10:00 local time 10/30/2020

(Hour) (Date) 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.

11. TABLE OF CONTENTS

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

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

A SOLICITATION/CONTRACT FORM 1 I CONTRACT CLAUSES 32-45

B SUPPLIES OR SERVICES AND PRICES/COSTS 2-11 PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

C DESCRIPTION/SPECS./WORK STATEMENT 12-21 J LIST OF ATTACHMENTS 46-47

D PACKAGING AND MARKING 22 PART IV - REPRESENTATIONS AND INSTRUCTIONS

E INSPECTION AND ACCEPTANCE 23-24

F DELIVERIES OR PERFORMANCE 25-26

K REPRESENTATIONS, CERTIFICATIONS AND OTHER

STATEMENTS OF OFFERORS 48-64

G CONTRACT ADMINISTRATION DATA 27-28 L INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS 65-71

H SPECIAL CONTRACT REQUIREMENTS 29-31 M EVALUATION FACTORS FOR AWARD 72-74

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.

12. 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 set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT

(See Section I, Clause No. 52.232-8)

10 CALENDAR DAYS (%) 20 CALENDAR DAYS (%) 30 CALENDAR DAYS (%) CALENDAR DAYS(%)

AMENDMENT NO. DATE AMENDMENT NO. DATE14. ACKNOWLEDGMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated):

CODE FACILITY

15A. NAME AND

ADDRESS

OF OFFER-

OR

16. NAME AND THE TITLE OF PERSON AUTHORIZED TO SIGN OFFER

(Type or print)

15B. TELEPHONE NUMBER

AREA CODE NUMBER EXTENSION

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

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

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

23. SUBMIT INVOICES TO ADDRESS SHOWN IN ITEM

(4 copies unless otherwise specified)

25. PAYMENT WILL BE MADE BY CODE24. ADMINISTERED BY (If other than Item 7)

AMERICAN EMBASSY PORT-AU-PRINCE

BLVD 15 OCTOBRE-TABARRE 41, ATTN: GSO/PROCUREMENT

PORT-AU-PRINCE

HAITI

AMERICAN EMBASSY PORT-AU-PRINCE

BLVD 15 OCTOBRE-TABARRE 41, ATTN: FMC

PORT-AU-PRINCE

HAITI

26. NAME OF CONTRACTING OFFICER (Type or print

27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

28. AWARD 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. 6/2014)

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

B. TELEPHONE (NO COLLECT CALLS)10. FOR

INFORMATION

CALL:

A. NAME

Rose E Nicolas AREA CODE NUMBER

+509-2229-8000

EXTENSION

C. E-MAIL ADDRESS

NICOLASRE@STATE.GOV