201800546_Section_A_SOA_Form.pdf

OMB No. 7100–0180 Approval expires November 30, 2018Board of Governors Solicitation, Offer, and Award of the Federal Reserve System This report is required to obtain a benefit and is authorized by law [12 U.S.C. 243, 244, and 248(l)].

Washington, DC 20551 The Federal Reserve may not conduct or sponsor, and an organization (or person) is not required to respond to, a collection of information unless it displays a currently valid OMB number.

1. THIS CONTRACT IS PAGE OF PAGES

2. SOLICITATION NUMBER 3. TYPE OF SOLICITATION

Negotiated

4. DATE ISSUED 5. CONTRACT NUMBER 6. ISSUED BY

Board of Governors of the Federal Reserve System 20th and C Street, NW Washington, DC 20551

SOLICITATION

7. Sealed offers in original and copies for furnishing the supplies or services will be received at mail room of the Board of Governors of the Federal Reserve System located at 20th and C Street, NW, Washington, DC 20551 until local time .

(Hour) (Date)

NOTE: All offers are subject to all terms and conditions contained in this solicitation. CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L.

8. CALL FOR

INFORMATION

A. NAME B. TELEPHONE C. E-MAIL

9. TABLE OF CONTENTS

(X) SECTION DESCRIPTION PAGE

TRANSMITTAL LETTER

A SOLICITATION, OFFER, AND AWARD

B COST/PRICE PROPOSAL FORM

C STATEMENT OF WORK

D WARRANTY

E INSPECTION AND ACCEPTANCE

F CONTRACT DELIVERABLES

G INQUIRIES

(X) SECTION DESCRIPTION PAGE

H PERSONNEL

I EVALUATION AND AWARD PROCESS

J CONTRACT ADMINISTRATION

K REPRESENTATIONS AND OTHER STATEMENTS OF OFFER

L GENERAL INSTRUCTIONS AND INFORMATION

M GENERAL CONTRACT PROVISIONS

N VENDOR INFORMATION FORM

OFFER (Must be fully completed by the Offeror)

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

11. DISCOUNT FOR

PROMPT PAYMENT

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

F.O.B. Prepaid Origin Destination

12. ACKNOWLEDGEMENT OF AMENDMENTS

(The offeror acknowledges receipt of amend-ments to the SOLICITATION for offerors and

AMENDMENT NO. DATE AMENDMENT NO. DATE

related documents numbered and dated.)

13. NAME, ADDRESS,

TELEPHONE/FAX

OF OFFEROR

NAME TELEPHONE EXT.

ADDRESS FAX

CITY STATE ZIP E-MAIL

14. CONTRACTOR’S NEGOTIATED AGREEMENT Contractor agrees to furnish and deliver all items or perform all the services set forth in this Solicitation, Offer, and Award. The rights and obligations of the parties to this contract shall be subject to and governed by the documents in this Solicitation, Offer, and Award. In the event of any inconsistency among their provisions, the inconsistency shall be resolved by giving precedence in the following order (a) this Solicitation, Offer, and Award form; (b) the Statement of Work; (c) the General Instructions and Information; (d) the General Contract Provisions; (e) such provisions, representations, drawings and specifications, as are attached or incorporated by reference or otherwise in this Solicitation; and (f) the offeror’s proposal, including all amendments and related correspondence.

ITEMS OFFERED

1. $

2. $

3. $

TOTAL AMOUNT

15. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER (Type or print)

NAME

TITLE

16. SIGNATURE 17. OFFER DATE

AWARD (To be completed by the Board)

18. ACCEPTED AS TO ITEMS NUMBERED

1.

2.

3.

19. TOTAL AMOUNT

20. SUBMIT INVOICES TO ADDRESS SHOWN IN SECTION L 21. PAYMENT WILL BE MADE BY: EFT

22. NAME OF CONTRACTING OFFICER (Type or print) 23. SIGNATURE OF CONTRACTING OFFICER 24. AWARD DATE

(03/16)