SOA_Form.pdf

OMB No. 7100–0180 Approval expires May 31, 2019Board of Governors 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

Solicitation, Offer, and Award

[14-701-900]—04/2019 Page 1 of 2FR 1400B

Solicitation, Offer, and Award—(continued) Privacy Act Statement

PURPOSES. The FR 1400B collects information used in the competitive process of soliciting proposals and evaluating bids and contracts submitted by vendors. It is also utilized to collect information from speakers in order to permit reimbursements.

AUTHORITY. Sections 10 and 11 of the Federal Reserve Act (12 USC 244 and 248) and Executive Order 9397.

EFFECTS OF NONDISCLOSURE. For prospective vendors that decide to submit proposals to the Board, the FR 1400B is required to obtain a benefit, in order to be eligible for the award of a contract. Some of the requested information, including the Social Security number if the registrant is an individual, is mandatory and will be marked as such. Some requested information may not be required in order to complete the form and failure to provide such information will not affect the processing of the form. Failure to provide any information that is marked as mandatory may result in the denial, disapproval, or delay in the consideration, selection or continuation of an official Board contract.

ROUTINE USES. The information you provide will be stored in the system of records entitled BGFRS-9, “FRB—Supplier Files," located at https://www.federalreserve.gov/files/BGFRS-9-supplier-files.pdf and published at 73 FR 24984 at 24994-95 (May 6, 2008). All or part of the information may be disclosed outside of the Board in accordance with routine uses, A, C, D, G, I, and J, and records may also be used to disclose information to the Internal Revenue Service to report payments that may be considered income to the suppliers. See "General Routine Uses of Board Systems of Records" located at https://www.federalreserve.gov/files/SORN-page-general-routine-uses-of-board-systems-of-records.pdf and published in the Federal Register at 83 FR 43872 (August 28, 2018) at 43873-74.

[14-701-900]—04/2019Page 2 of 2FR 1400B https://www.federalreserve.gov/files/BGFRS-9-supplier-files.pdf https://www.federalreserve.gov/files/SORN-page-general-routine-uses-of-board-systems-of-records.pdf