70RSAT23P00000018 (RSLF-23-00131) - SF 1449 - CO Signed.pdf

OPO/S&T/INVOICING

Washington DC 20528

Attn: S&T Invoicing

SAT.Invoice.Consolidation@dhs.gov Email to:

245 Murray Lane, S.W.

S&T Invoicing

8472749969

CMBPHDRMCS51

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

DHS/OPO/S&T/S&T

245 Murray Lane, SW, #0115 S&T Acquisition Branch Office of Procurement Operations U.S. Dept. of Homeland Security

S&T MURRAY LANE CODE 16. ADMINISTERED BYCODE

X

334516

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR70RSAT

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

ES631-921-2769Jason Rios

70RSAT23P0000001809/07/2023

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION 5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 3 RSLF-23-00131OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

Washington DC 20528-0115

TELEPHONE NO.

WEST PALM BEACH FL 334071976

1400 NORTHPOINT PKWY STE 10

ATTN DAWN PULIDO

THERMO ELECTRON NORTH AMERICA LLC

17a. CONTRACTOR/

Washington DC 20528 Building 410 245 Murray Lane

DHS S&T

15. DELIVER TO

Washington DC 20528 245 Murray Lane SW, Mailstop 0115 Science and Technology Acquisition Division Office of Procurement Operations U.S. Dept. of Homeland Security

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

Net 30 THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

SCI&TECH ACQ DIV(70RSAT)

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

UEI: CMBPHDRMCS51

Office: Office of Innovation and Collaboration Program: Office of National Laboratories

(TSL)

Project: Thermo Service Agreement Vendor: Thermo Electron North America, LLC.

COR: Brenda Klock (609) 813-2763 Program Manager: Sharon Moore Funding: FY23, 2 Year funds (L3) are no longer available for obligation past 09/30/2024

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

$59,721.40

HEREIN, IS ACCEPTED AS TO ITEMS:

X X

DATED

John Whipple

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

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

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

See schedule

29. AWARD OF CONTRACT:

REF.

Jenifer Siegel - Territory Manager 9/7/2023 09/07/2023

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

ALC: 70-08-1513

TAS: 70 23/24 0800

Description:

The purpose of this requisition is to commit

$59,721.40 for DHS S&T to award a new task order for Thermo Service Agreement.

This requirement is to procure a preventative and corrective maintenance agreement for two liquid chromatography mass spectrometers (LC-MS) and a deionized water purification system per Quote #

21930242 and SOW Version 1.0, dated April 18, 2023.

The period of performance is 9 months from date of award.

The total estimated and obligated funds are

$59,721.40

Accounting Info:

NONE00B-000-L3-37-02-05-604-37-04-0000-00-00-00-00

-GE-OE-25-10-000000

0001 Thermo Service Agreement 59,721.40

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

3 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

THERMO ELECTRON NORTH AMERICA LLC

(A) (B) (C) (D) (E) (F)

70RSAT23P00000018

The total amount of award: $59,721.40. The obligation for this award is shown in box 26.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110