47PJ0019Q0044_Generated_PDF_with_TOC.pdf

Table Of Contents

Section Description Page Number Section A Solicitation Form 1 Section B Schedule 2

FOR

GOVERNMENT

USE

ONLY

5. ACCOUNTING AND APPROPRIATION DATA

FUND FUNCTION CODE B/A CODE CC-A

CC-B PROJ./PROS NO. O/C CODE ORG. CODE

7. TYPE OF ORDER

C/E CODE FY REGION

W/ITEM PRT./CRFT

Please furnish the following on the terms and conditions specified on the order and the attached sheets, if any, including delivery as indicated.

B.

This delivery order is issued subject to the terms and conditions of the above numbered contract.

C.

This task order is issued subject to the terms and conditions of the above numbered contract.

26A. UNITED STATES OF AMERICA (NAME OF CONTRACTING/ORDERING OFFICER)

25B. SIGNATURE

25A. NAME AND TITLE OF OFFEROR/CONTRACTOR

26B. SIGNATURE

21. MAIL INVOICE TO: (Electronic Invoice Preferred)

GENERAL SERVICES ADMINISTRATION

GENERAL SERVICES ADMINISTRATION GSA 300 (REV. 5/2010)

ORDER FOR SUPPLIES AND SERVICES

REQUISITION/REFERENCE NUMBER PAGE OF

A.

PAGES

1. DATE OF ORDER 2. ORDER NUMBER 3. CONTRACT NUMBER 4. PDN NUMBER

ITEM NUMBER

(A)

SUPPLIES OR SERVICES

(B)

QUANTITY

ORDERED

(C)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

6. TO: CONTRACTOR (Name, address and zip code)

D. MODIFICATION NUMBER AUTHORITY FOR ISSUING

8A. Data Universal Numbering System (DUNS) Number 8B. Taxpayer Identification Number (TIN)

Except as provided herein, all terms and conditions of the original order, as heretofore mentioned, remain unchanged.

9A. BUSINESS CLASSIFICATION

9B. START DATE:

9C. COMPLETION DATE:

13. PLACE OF INSPECTION AND ACCEPTANCE 14. REQUISITION OFFICE (Name, Symbol and Telephone Number)

15. F.O.B. POINT 16. GOVERNMENT B/L NUMBER 17. DELIVERY F.O.B. POINT 18. PAYMENT/DISCOUNT TERMS

19. SCHEDULE

20. RECEIVING OFFICE (Name, Symbol and Telephone Number)

23. SHIPPING POINT

22. GROSS SHIP WEIGHT

TOTAL

FROM

300-A(s)

GRAND

TOTAL

24A. FOR INQUIRIES REGARDING PAYMENT CONTACT: 24B. TELEPHONE NUMBER

25C. DATE SIGNED 26C. DATE SIGNED

11. REMITTANCE ADDRESS (MANDATORY) 12. SHIP TO (Consignee Address, Zip Code and Telephone Number)10. ISSUING OFFICE (Address, Zip Code, and Telephone Number)

PURCHASE

DELIVERY (For Supplies)

TASK ORDER (For Services)

b. OTHER THAN SMALLa. SMALL c. SMALL DISADVANTAGED

d. WOMAN-OWNED e. HUBZone f. EMERGING SMALL

h. SERVICE DISABLED VETERANg. VETERAN felipe.jolles@gsa.gov

Felipe Jolles

(312) 886-6932

GSA PBS OFM AND SERVICES PROGRAMS BRANCH 8PSMF 1 DENVER FEDERAL CENTER PO Box 25546, Building 41 DENVER, CO 80225-0546 USA

See below for additional information

1EQ8P2PM-19-0003

BLDG 41 DFC PO BOX 25546 W 6TH AVE & KIPLING STREET DENVER, CO 80225-0546

Section A Page 1

ITEM NO.

(a)

SUPPLIES OR SERVICES

(b)

QUANTITY

ORDERED

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

GSA 300-A (REV. 5/2010)

ORDER FOR SUPPLIES AND

SERVICES (Continuation)

THIS NUMBER MUST APPEAR ON ALL PACKAGES AND PAPERS

RELATING TO THIS ORDER

PAGE

OF

PAGESDATE ORDER NUMBERPDN NUMBER

GENERAL SERVICES ADMINISTRATION

programming of new integration

ND0008 Ronald N Davies FB Grand existing CSI I/Net devices and

ND0046 FB/PO Fargo control objects.

Installation, configuration, and

PoP: 04/19/2019 - 07/19/2019

LS

Installation, configuration, and control objects.

Forks control objects.

PoP: 04/19/2019 - 07/19/2019 programming of new integration platform with integrated web

Installation, configuration, and

PoP: 04/19/2019 - 07/19/2019 programming of new integration programming of new integration platform with integrated web

ND0037 William L Guy FB/PO/CH

Bismarck platform with integrated web server to integrate all

LS

LS

existing CSI I/Net devices and

ND0006-ND0047 Quentin C Burdick server to integrate all server to integrate all

FB/CH Fargo existing CSI I/Net devices and

__________LS

Installation, configuration, and

Section B Page 2

ITEM NO.

(a)

SUPPLIES OR SERVICES

(b)

QUANTITY

ORDERED

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

GSA 300-A (REV. 5/2010)

ORDER FOR SUPPLIES AND

SERVICES (Continuation)

THIS NUMBER MUST APPEAR ON ALL PACKAGES AND PAPERS

RELATING TO THIS ORDER

PAGE

OF

PAGESDATE ORDER NUMBERPDN NUMBER

GENERAL SERVICES ADMINISTRATION

PoP: 04/19/2019 - 07/19/2019 platform with integrated web

ND0000AO Pembina Border Station platform with integrated web

Installation, configuration, and server to integrate all programming of new integration

CSI I/Net devices and control

ND0002 FB Bismarck server to integrate all

Pembina

Installation, configuration, and objects.

LS

PoP: 04/19/2019 - 07/19/2019 existing CSI I/Net devices and

Installation, configuration, and existing CSI I/Net devices and platform with integrated web control objects.

LS

control objects.

programming of new integration server to integrate all programming of new integration existing CSI I/Net devices and

PoP: 04/19/2019 - 07/19/2019

ND0018 Pembina PO/CU Pembina platform with integrated web

PoP: 04/19/2019 - 07/19/2019 server to integrate all existing

LS

control objects.

Section B Page 3