19LG7524P0519.pdf
PDF 175 KB Posted
- Attached to
- Refurbishment of State Leased Apartment
- Solicitation number
- 19LG7524P0519
- Issued by
-
Department of State US Embassy Riga
About this file
This document is a Purchase Order (Optional Form 347) issued by the American Embassy in Riga, Latvia for a repainting service at Antonijas 7-5. The order (19LG7524P0519) was placed on 23 July 2024, with a delivery date of 18 August 2024, and a total contract value of 12,485.78 EUR (including tax). The single line item involves repainting services priced at 10,318.83 EUR, with an additional 2,166.95 EUR in tax, awarded to a local contractor named Gita Padega located at Brivibas Bulvaris 19-25 in Riga.
The contract includes specific terms related to telecommunications and video surveillance services, with clauses prohibiting certain equipment and services from ByteDance and other specified providers. The purchase is being made through the Embassy's General Services Office (GSO), with funding allocated from a 2024 budget line. The F.O.B. point is set to destination, and the contract does not specify any specific small business set-aside classifications for the vendor.
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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
23 Jul 2024
2. CONTRACT NO.(If any) 6. SHIP TO:
19LG7524P0519, RIGA_
3. ORDER NO.
19LG7524P0519
4. REQUISITION/REFERENCE NO.
PR12744746
a. NAME OF CONSIGNEE
ATTN: WAREHOUSE
5. ISSUING OFFICE (Address correspondence to)
AMERICAN EMBASSY RIGA
Samnera Velsa iela 1 ATTN: GSO/Proc
RIGA,
Contact Name: Lilita X. Sinka Phone:
Email: SinkaLX@state.gov
b. STREET ADDRESS
ASARISI 3, MARUPES NOVADS
c. CITY
RIGA
d. STATE
e. ZIP CODE
f. SHIP VIA
7. TO: 8. TYPE OF ORDER
a. NAME OF CONTRACTOR
NO CONTACT
DUNS NUMBER
123456787
CONTACT PHONE NUMBER
E-MAIL:
dace@buves.lv, janis@janispuce.lv
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 Gita Padega
c. STREET ADDRESS
BRIVIBAS BULVARIS 19-25
d. CITY
RIGA
e. STATE
f. ZIP CODE
10. REQUISITIONING OFFICE
AMERICAN EMBASSY RIGA
ATTN: GSO
9.ACCOUNTING AND APPROPRIATION DATA
See line item detail. $13,601.07USD
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) 18 Aug 2024
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
AMERICAN EMBASSY RIGA
b. STREET ADDRESS (or P.O. Box) Samnera Velsa iela 1
ATTN: RIGA.BILLING.OFFICE@STATE.GOV
12,485.78EUR (LAT)
17(i)
(GRAND TOTAL)
c. CITY
RIGA
d. STATE e. ZIP CODE
22. UNITED STATES OF AMERICA BY (Signature)
23 Jul 2024
23. NAME Typed Christine D Lyons
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
23 Jul 2024
TITLE
GSO/Repainting/Antonijas 7-5/ID167
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 Repainting/Antonijas 7-5/EUR10318.83(VAT not included)
Tax: 2,166.95EUR (LAT)
Fiscal Data:
10318.83EUR (LAT) 1900-2024--19___X5713000E-M254-CA-
-4110-19LG7524P0519-2510---2540100167-------
2166.95EUR (LAT) 1900-2024--19___X5713000E-M254-CA-
-4110-19LG7524P0519-4161---------- (Tax)
1.00 each 10,318.83EUR (LAT) 10,318.83EUR (LAT)
TOTAL
TAX TOTAL
GRAND TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17h)
10,318.83EUR (LAT)
2,166.95EUR (LAT)
12,485.78EUR (LAT)
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE
TERMS AND CONDITIONS LISTED ON FOLLOWING PAGE. OPTIONAL
FORM 348
(REV.
9/2012)
Prescribed by
GSA - FAR (48
CFR) 53.213(f)
Page: 2 of 3
Terms and Conditions
52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021)
52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021)
52.204-26 Covered Telecommunications Equipment or Services-Representation (Oct 2020)
52.204-27 Prohibition on a ByteDance Covered Application
Page: 3 of 3
File details come from the government source that posted it. Updated .