Cell_phone_sf1449.doc

DOC document 67 KB Posted Feb 26, 2018

Attached to: Maputo-Cell Phone Contract Federal contract opportunity
Solicitation number: 19MZ5018R0003
Issued by: Department of State US Embassy Maputo

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SF1449 FORM

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File	Type	Posted
Pre-Submission_Meeting_Notes_.docx	DOCX document	Mar 16, 2018
U.S._Embassy_Maputo_-_Cellphone_Solicitation_-_02.26.2018.A.doc	DOC document	Feb 26, 2018

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

PR6818043

PAGE 1 OF54

2. CONTRACT NO.

3. AWARD/EFFECTIVE

DATE

March 1, 2018

4. ORDER NUMBER

PR6818043

5. SOLICITATION NUMBER

19MZ5018R0003

6. SOLICITATION ISSUE DATE

February 26, 2018

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Adam Wallingford

b. TELEPHONE NUMBER(No collect calls)

+258 21 49 2797

8. OFFER DUE DATE/ LOCAL

March 28, 2018

9. ISSUED BY CODE

10. THIS ACQUISITION IS

X UNRESTRICTED OR

FORMCHECKBOX

SET ASIDE:____ % FOR:

AMERICAN EMBASSY MAPUTO

AV. KENNETH KAUNDA, 193 ATTN: GSO/PROCUREMENT

MAPUTO,

MOZAMBIQUE

FORMCHECKBOX

SMALL BUSINESS

FORMCHECKBOX

WOMEN-OWNED SMALL BUSINESS

MAPUTO,

MOZAMBIQUE

FORMCHECKBOX

HUBZONE SMALL

BUSINESS

FORMCHECKBOX

(WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM NAICS:

FORMCHECKBOX

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

FORMCHECKBOX

EDWOSB

FORMCHECKBOX

8 (A)

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINAT-

TION UNLESS BLOCK IS

MARKED

FORMCHECKBOX

SEE SCHEDULE

12. DISCOUNT TERMS

FORMCHECKBOX

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

FORMCHECKBOX

RFQ FORMCHECKBOX

IFB X RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

AMERICAN EMBASSY MAPUTO

AV. KENNETH KAUNDA, 193 ATTN: GSO/PROCUREMENT

MAPUTO,

MOZAMBIQUE

17a. CONTRACTOR/

OFFERER

TELEPHONE NO.

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

AMERICAN EMBASSY MAPUTO

AV. KENNETH KAUNDA, 193

ATTN: FINANCIAL MANAGEMENT OFFICE

MAPUTO,

MOZAMBIQUE

CODE

FORMCHECKBOX

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

FORMCHECKBOX

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

See the Pricing Tables

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

25. ACCOUNTING AND APPROPRIATION DATA

See individual Task Orders

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

See pricing tables

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

X ARE FORMCHECKBOX

ARE NOT ATTACHED

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

X ARE FORMCHECKBOX

ARE NOT ATTACHED

X 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN – 2- 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.

FORMCHECKBOX

29. AWARD OF CONTRACT: REF. _________________ OFFER DATED ____________. 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)

31c. DATE SIGNED

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

See following pages and individual Task Orders

32a. QUANTITY IN COLUMN 21 HAS BEEN

FORMCHECKBOX

RECEIVED

FORMCHECKBOX

INSPECTED

FORMCHECKBOX

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

FORMCHECKBOX

PARTIAL

FORMCHECKBOX

FINAL

FORMCHECKBOX

COMPLETE

FORMCHECKBOX

PARTIAL

FORMCHECKBOX

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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