RFQ-1449_SMA_WASTE_CLEARWATER.pdf

PDF 179 KB Posted Sep 23, 2019

Attached to: SERVICE MAINTENANCE TRASH REMOVAL CG AIRSTATION CLEARWATER
Solicitation number: 70Z028207AB013
Issued by: Department of Homeland Security US Coast Guard

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File	Type	Posted
Service__Clauses_Sep_15.doc	DOC document	Sep 25, 2019
RFQ-1449_AB013.pdf	PDF	Sep 25, 2019
Wages_AB013.pdf	PDF	Sep 25, 2019
FY20_Waste_MGNT_SOW.docx	DOCX document	Sep 23, 2019
Service__Clauses_Sep_15.doc	DOC document	Sep 23, 2019
Wages_AB013.pdf	PDF	Sep 23, 2019

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE 17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

TELEPHONE NO.

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

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

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

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF.

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

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

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

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

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITON IS

UNRESTRICTED OR

NAICS:

SIZE STANDARD:

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

OFFER

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS

EMERGING SMALL

BUSINESS

8(A)

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

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

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

STANDARD FORM 1449 (REV. 3/2005) BACK

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

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

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

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

reqnumber:

pagenumber: 1 OF 2

contractno:

ordernumber:

solicitationnumber: 70Z02819Q7W1CM4

solicitationdate: 6/28/2019

contactname: Jessica M. Valdes

contactphone: 305-415-7081

offerduedate: 7/12/2019

issuedbycode:

issuedby: US COAST GUARD

BASE MIAMI BEACH (P&C)

909 SE 1ST AVE RM 512

MIAMI, FL 33131

unrestricted: Off

setaside: Yes

setasidepercent: 100

smallbusiness: Yes

emerging: Off

hubzone: Off

servicedisabled: Off

8A: Off

seeschedule: Off

discountterms:

ratedorderDPAS: Off

rating:

RFQ: Yes

IFB: Off

RFP: Off

DeliverToCode:

DeliverTo: USCGC JOSEPH NAPIER

5 CALLE LA PUNTILLA SAN JUAN, PR 00901

AdministeredByCode:

AdministeredBy: US COAST GUARD - BASE MIAMI BEACH (P&C)

909 SE 1ST AVE RM 512

MIAMI, FL 33131

contractorcode:

facilitycode:

contractoraddress:

contractorphone:

paymentbycode:

paymentbyaddress:

remitdifferent: Off

submitdifferent: Off

unit1:

unitprice1:

itemnumber1: 1

schedule1: PLEASE PROVIDE QUOTE FOR THE

quantity1:

unitprice2:

amount1:

itemnumber2:

schedule2: REPLACEMENT OF AWNINGS IN 6 FRC CUTTERS

quantity2:

unit2:

amount2:

itemnumber3:

schedule3: AS PER THE STATEMENT OF WORK.

quantity3:

unit3:

unitprice3:

amount3:

itemnumber4:

schedule4: A SITE VISIT IS RECOMMENDED.

quantity4:

unit4:

unitprice4:

amount4:

itemnumber5:

schedule5:

quantity5:

unit5:

unitprice5:

amount5:

itemnumber6:

schedule6: SEE ATTACHED CLAUSES

quantity6:

unit6:

unitprice6:

amount6:

itemnumber7:

schedule7: SEE ATTACHED SOW

quantity7:

unit7:

unitprice7:

amount7:

accountingdata:

awardamount:

27a: Yes

27a_areattached: Yes

27a_notattached: Off

27b: Off

27b_areattached: Off

27b_notattached: Off

requiredtosign: Off

numberofcopies:

awardofcontract: Off

offerreference:

awarddate:

exceptions:

signername:

signertitle:

datesignersignature:

contractingofficer:

datesigned_controffcr:

itemnumber8:

schedule8:

quantity8:

unit8:

unitprice8:

amount8:

itemnumber9:

schedule9: RECOMMENDED NAICS 336611

quantity9:

unit9:

unitprice9:

amount9:

itemnumber10:

schedule10: JULY 12TH 2019 3PM. ALL BIDS/QUOTES MUST

quantity10:

unit10:

unitprice10:

amount10:

itemnumber11:

schedule11: BE SUBMITTED ELECTRONICALLY VIA EMAIL

quantity11:

unit11:

unitprice11:

amount11:

itemnumber12:

schedule12: TO THE POC:

quantity12:

unit12:

unitprice12:

amount12:

itemnumber13:

schedule13:

quantity13:

unit13:

unitprice13:

amount13:

itemnumber14:

schedule14: JESSICA M. VALDES/ Jessica.M.Valdes@uscg.mil

quantity14:

unit14:

unitprice14:

amount14:

itemnumber15:

schedule15: 305-415-7081

quantity15:

unit15:

unitprice15:

amount15:

itemnumber16:

schedule16:

quantity16:

unit16:

unitprice16:

amount16:

itemnumber17:

schedule17:

quantity17:

unit17:

unitprice17:

amount17:

itemnumber18:

schedule18:

quantity18:

unit18:

unitprice18:

amount18:

itemnumber19:

schedule19: MUST BE ACTIVE IN SAM(SYS AWARD MGMT)

quantity19:

unit19:

unitprice19:

amount19:

itemnumber20:

schedule20: DELIVERY TO:SECTOR SAN JUAN FRCs

quantity20:

unit20:

unitprice20:

amount20:

itemnumber21:

schedule21: 5 calle Puntilla

quantity21:

unit21:

unitprice21:

amount21:

itemnumber22:

schedule22: San Juan, PR 00901

quantity22:

unit22:

unitprice22:

amount22:

itemnumber23:

schedule23:

quantity23:

unit23:

unitprice23:

amount23:

itemnumber24:

schedule24: DETAILED SPECS MUST BE INCLUDED W/QUOTE

quantity24:

unit24:

unitprice24:

amount24:

itemnumber25:

schedule25: (FREIGHT,VESSEL,PREP,TRAILER)

quantity25:

unit25:

unitprice25:

amount25:

itemnumber26:

schedule26: DUNS# & TIN REQUIRED

quantity26:

unit26:

unitprice26:

amount26:

itemnumber27:

schedule27: DUNS#___________ TIN#______________

quantity27:

unit27:

unitprice27:

amount27:

itemnumber28:

schedule28:

quantity28:

unit28:

unitprice28:

amount28:

itemnumber29:

schedule29:

quantity29:

unit29:

unitprice29:

amount29:

itemnumber30:

schedule30:

quantity30:

unit30:

unitprice30:

amount30:

itemnumber31:

schedule31:

quantity31:

unit31:

unitprice31:

amount31:

itemnumber32:

schedule32:

quantity32:

unit32:

unitprice32:

amount32:

itemnumber33:

schedule33:

quantity33:

unit33:

unitprice33:

amount33:

itemnumber34:

schedule34:

quantity34:

unit34:

unitprice34:

amount34:

itemnumber35:

itemnumber36:

schedule35:

schedule36:

quantity35:

quantity36:

unit35:

unit36:

unitprice35:

unitprice36:

amount35:

amount36:

received: Off

inspected: Off

accepted: Off

asnoted:

authorizedsigdate:

authorizedname:

authorizedtitle:

authorizedaddress:

authorizedphone:

authorizedemail:

shipnumber:

partialship: Off

finalship: Off

vouchernumber:

amountverified:

completepayment: Off

partialpayment: Off

finalpayment: Off

checknumber:

SRAccountNo:

SRVoucherNo:

PaidBy:

TitleCertifyOfficer:

certifydate:

receivedby:

receivedatlocation:

datereceived:

totalcontainers:

awarddate2:

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