RFQ_solicitation.doc

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SF1449 – ADDENDUM / CONTINUATION PAGES

IMPORTANT INFORMATION

CONTRACT SPECIALIST: Shirley Green

E-MAIL: Shirley.L.Green@uscg.mil

SINGLE AWARD – The Government intends to award a single, firm fixed price (FFP) order resulting from this solicitation.

ALL INFORMATION BELOW AND ON FOLLOWING PAGE

MUST BE COMPLETED AND PROVIDED OR THIS QUOTE

WILL NOT BE ACCEPTED

Business Size (in accordance with Federal Government Standards)

Small ______ Large _______ Women-Owned __________Disadvantaged _________

Veteran-Owned__________, Service Disable Veteran-Owned ___________

Company Name and Mailing Address

Office and Cell Phone Nos. _____________________________________

Fax No. _____________________________________________________

Company Representative Names: _______________________________

E-Mail address: _______________________________________________

Tax ID No. ________________________________________________

Cage Code (Commercial & Government Entity No.) ________________

DUNS (Dun & Bradstreet No.) ________________________________

Registration in System for Award Management (SAM) is mandatory.

Provide date of active registration or annual renewal _________________

SUPPLIES OR SERVICES AND PRICES

1. Award will be one (1) 12-month base year to commence on or about 1 June 2018 with four (4) option years, if exercised. The contractor shall perform services as stated herein and in the Statement of Work (SOW). The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government in price and other factors, e.g., past history, SAM registration (DUNS), performance capabilities, etc. Factors used will be equal to but not less than price with determination, when awarding contract.

Service Requirements:

The Contractor shall furnish all supervision, labor, materials, and equipment necessary to accomplish POOL WATER MANAGEMENT SYSTEM SERVICE AND MAINTENANCE AGREEMENT in accordance with the attached Scope of Work.

Please Provide Prices 2018 Base Year:

2019 Option Year One:

2020 Option Year Two:

2021 Option Year Three:

2022 Option Year Four:

Contractor shall submit a detailed proposal to include an itemized cost breakdown with offer;

NOTE: Products, Services, Shipping, Delivery, and/or incidental charges shall be included on the quote as separate line items.

MO

MO

MO

MO

MO

Total Aggregate Amount:

(Base year plus the four option years)

CONTRACT CLAUSES

2. 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS. See attached

3. 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS. See attached

4. FAR 52.217-5 Evaluation of Options.

Except when it is determined in accordance with FAR 17.206(b) not to be in the Government’s best interests, the Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. Evaluation of options will not obligate the Government to exercise the option(s). (End of provision)

5. FAR 52.217-8 Option to Extend Services.

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 60 months. The Contracting Officer may exercise the option by written notice to the Contractor within 60 days. (End of clause)

6. FAR 52.217-9 Option to Extend the Term of the Contract.

(a) The Government may extend the term of this contract by written notice to the Contractor, provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 45 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 60 months. (End of clause)

7. 52.232-18 Availability of Funds. (Apr 1984) Funds are not presently available for this contract. The Government’s obligation under this contract is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise until funds are made available to the Contracting Officer for this contract and until the Contractor receives notice of such availability, to be confirmed in writing by the Contracting Officer.

(End of clause)

8. 52.249-4 Termination for Convenience of the Government (Services) (Short Form)(Apr 1984) The Contracting Officer, by written notice, may terminate this contract, in whole or in part, when it is in the Government’s interest. If this contract is terminated, the Government shall be liable only for payment under the payment provisions of this contract for services rendered before the effective date of termination.

(End of clause)

9. Subpart 4.11- System for Award Management.

4.1100- Scope:

This subpart prescribes policies and procedures for requiring contractor registration in the System for Award Management (SAM) database to—

(a) Increase visibility of vendor sources (including their geographical locations) for specific supplies and services; and

(b) Establish a common source of vendor data for the Government.

4.1102 Policy.

(a) Prospective contractors shall be registered and maintain active registration in the SAM database prior to award of a contract or agreement.

(End of clause)

10.

Period of Performance: One 12-month base year plus four, 12-month option periods if exercised by the government.

11. FIELD OFFICE: Office space and telephone service required for the Contractor’s operations shall be the responsibility of the Contractor.

12. CONTRACT ADMINISTRATION DATA

DESIGNATED BILLING OFFICE AND SUBMISSION OF INVOICES:

NOTE: All required invoices and signed monthly service tickets must be submitted to the Contracting Officer PRIOR to submission of payment request to USCG Finance Center. In order for payment to be released ALL of the below requirements MUST be adhered to. Billing and payment shall be monthly in arrears.

(a) Submit ORIGINAL invoice to the following designated billing office via one of the following modes, listed in descending order of preference:

(1) See USCG FINCEN Website at https://www.fincen.uscg.mil/electron.htm Click on: Coast Guard vendors

Click on: All Other Coast Guard Invoices submit invoices by any of the following options:

U.S. Coast Guard Finance Center 1430A Kristina Way Chesapeake, VA 23326

(b) Contractor shall submit a COURTESY COPY ONLY of invoice with any required supporting documentation (see NOTE above) to the Contracting Officer listed below.

1 MUNRO AVENUE

Contracting

CAPE MAY, NJ 08204

OR by email to: Shirley.L.Green@uscg.mil

(c) To facilitate processing, all proper invoices and any supporting information submitted electronically must be submitted as a single Adobe (.pdf) formatted file, or as otherwise specified in the contract.

(d) Payment inquiries and status may be obtained by:

Vendors may contact Customer Service at (757) 523-6940.

(e) To facilitate the approval and processing of an invoice, contractor shall furnish an advance copy of the invoice to the Contracting Officer and PCM signed service tickets for each area serviced for review of the invoice amount and estimates of work accomplished prior to submission to the designated billing office.

CONTRACT CORRESPONDENCE: Unless otherwise stated, all correspondence, informational invoice copies, etc. shall be sent directly to:

CONTRACTING OFFICER

U. S. COAST GUARD

TRAINING CENTER CAPE MAY

1 MUNRO AVENUE

Contracting

CAPE MAY, NJ 08204 OR by email to: Shirley.L.Green@uscg.mil

Correspondence shall reference the Solicitation number prior to award and the Contract number post award.

E-mail is the preferred mode of correspondence.

NOTE: This contract incorporated FAR Clause 52.212-4 which incorporates, FAR Clause 52.232-33, Payment by Electronic Funds Transfer-. All contractors doing business with the U. S. Government are required to register in the System for Award Management (SAM) database. No payment can be made until you are registered. You can register on line at: www.SAM.gov

INVOICING REQUIREMENTS

(a) Original invoice shall be submitted in arrears as listed above.

(b) Detailed invoice shall be submitted in arrears. Invoices shall be submitted to the Contracting Officer with the signed service tickets for each unit serviced that are applicable to the monthly charges.

(c) Invoice shall identify the contractor’s taxpayer identification number, requisition number, order number, and DUNS number. The Data Universal Numbering System (DUNS) number is the primary identifier in SAM. Contractors are located and identified in SAM by their DUNS number. Therefore, to facilitate payment, it is in the contractor’s best interest to ensure that the DUNS number is recorded on every invoice submitted to the U. S. Coast Guard.

13. INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS:

All responsible sources may submit an offer which shall be considered by the agency. Offerors are encouraged to use their standard form for quoting purposes. Offers may be submitted on company letterhead stationery and must include the following information:

Contractor shall submit a detailed quote/proposal to include an itemized cost breakdown with offer;

NOTE: Products, Services, Shipping, Delivery, and/or incidental charges shall be included on the quote as separate line items.

Quotes shall include all of the following information:

(1) The solicitation number;

(2) The time specified in the solicitation for receipt of offers;

(3) The name, address, telephone number, and e-mail address of the offeror;

(4) A technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary;

(5) Terms of warranties;

(6) Price, availability, and any discount terms;

(7) "Remit to" address, if different than mailing address;

(8) Acknowledgment of Solicitation Amendments;

(9) Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information);

(10) Company Tax Identification Number (TIN) and DUNS Number;

(11) Detailed itemized cost breakdown to clearly show GSA contract priced vs. Open Market priced items; installation, freight charges, ancillary charges, etc.

(12) Completed Reference Information sheet.

Quotes are to remain effective for 60 days after close of solicitation. Mail or e-mail offers to the address listed below.

Contracting Office Mailing Address:

U. S. COAST GUARD TRAINING CENTER

S.GREEN - CONTRACTING OFFICE

1 MUNRO AVENUE

BUILDING #262, ROOM 212

CAPE MAY, NJ 08204

e-mail: Shirley.L.Green@uscg.mil USCG TRAINING CENTER CAPE MAY ACCESS-ENTRY PROTOCOL REQUIREMENTS In compliance with Homeland Security Presidential Directive 12 (HSPD12) Coast Guard Training Center (TRACEN) Cape May has a standardized entry protocol for all personnel, vendors, suppliers, contractors, and subcontractors who require access to the USCG Training Center (TRACEN), Cape May, NJ. All contract and subcontract personnel are subject to a background check conducted by USCG Training Center Cape May Police Department. All contractors are instructed to contact USCG TRACEN Police Department at (609)898-6915 for detailed requirements.

Notice For Filing Agency Protests - United States Coast Guard Ombudsman Program

It is the policy of the United States Coast Guard (USCG) to issue solicitations and make contract awards in a fair and timely manner. The Ombudsman Program for Agency Protests (OPAP) was established to investigate agency protest issues and resolve them without expensive and time consuming litigation. OPAP is an independent reviewing authority that is empowered to grant a prevailing protester essentially the same relief as the Government Accountability Office (GAO).

Interested parties are encouraged to seek resolution of their concerns within the USCG as an

Alternative Dispute Resolution (ADR) forum rather than filing a protest with the GAO or some external forum. Interested parties may seek resolution of their concerns informally or opt to file a formal agency protest with the Contracting Officer or Ombudsman.

Informal Forum with the Ombudsman. Interested parties who believe a specific USCG procurement is unfair or otherwise defective should first direct their concerns to the applicable

Contracting Officer. If the Contracting Officer is unable to satisfy their concerns, interested parties are encouraged to contact the U.S. Coast Guard Ombudsman for Agency Protests. Under this informal process the agency is not required to suspend contract award performance. Use of an informal forum does not suspend any time requirement for filing a protest with the agency or other forum. In order to ensure a timely response, interested parties should provide the following information to the Ombudsman: solicitation/contract number, contracting office, Contracting

Officer, and solicitation closing date (if applicable).

Formal Agency Protest with the Ombudsman. Prior to submitting a formal agency protest, protesters must first use their best efforts to resolve their concerns with the Contracting Officer through open and frank discussions. If the protester’s concerns are unresolved, an Independent

Review is available by the Ombudsman. The protester may file a formal agency protest to either the Contracting Officer or as an alternative to that, the Ombudsman under the OPAP program.

Contract award or performance will be suspended during the protest period unless contract award or performance is justified, in writing, for urgent and compelling reasons or is determined in writing to be in the best interest of the Government. The agency’s goal is to resolve protests in less than 35 calendar days from the date of filing. Protests shall include the information set forth in FAR 33.103(d) (2). If the protester fails to submit the required information, resolution of the protest may be delayed or the protest may be dismissed. To be timely protests must be filed within the period specified in FAR 33.103(e). Formal protests filed under the OPAP program should be submitted to:

COMMANDANT (CG-9131)

U S COAST GUARD

OMBUDSMAN PROGRAM FOR AGENCY PROTESTS

2100 2ND ST SW STOP 7112

WASHINGTON DC 20593-7112

The Ombudsman Hotline telephone number is 202.372.3695.

14. SITE VISIT:

The clauses at 52.236-2, Differing Site Conditions, and 52.236-3, Site Investigations and Conditions Affecting the Work is included in all solicitations and awards as a result of this solicitation. Accordingly, offerors or quoters are urged and expected to inspect the site where the work will be performed prior to award.

52.236-3 Site Investigation and Conditions Affecting the Work. (Apr 1984)

(a) The Contractor acknowledges that it has taken steps reasonably necessary to ascertain the nature and location of the work, and that it has investigated and satisfied itself as to the general and local conditions which can affect the work or its cost, including but not limited to (1) conditions bearing upon transportation, disposal, handling, and storage of materials; (2) the availability of labor, water, electric power, and roads; (3) uncertainties of weather, river stages, tides, or similar physical conditions at the site; (4) the conformation and conditions of the ground; and (5) the character of equipment and facilities needed preliminary to and during work performance. The Contractor also acknowledges that it has satisfied itself as to the character, quality, and quantity of surface and subsurface materials or obstacles to be encountered insofar as this information is reasonably ascertainable from an inspection of the site, including all exploratory work done by the Government, as well as from the drawings and specifications made a part of this contract. Any failure of the Contractor to take the actions described and acknowledged in this paragraph will not relieve the Contractor from responsibility for estimating properly the difficulty and cost of successfully performing the work, or for proceeding to successfully perform the work without additional expense to the Government.

(b) The Government assumes no responsibility for any conclusions or interpretations made by the Contractor based on the information made available by the Government. Nor does the Government assume responsibility for any understanding reached or representation made concerning conditions which can affect the work by any of its officers or agents before the execution of this contract, unless that understanding or representation is expressly stated in this contract.

If interested, contractors are responsible to contact the technical POC to schedule a site visit. Arrangements to attend site visit(s) should be made with the USCG POC, Mr. Jim Schena who may be reached at the following

Office phone number: 609-898-6973 or e-mail: James.M.Schena@uscg.mil

15. BASIS OF AWARD / EVALUATION FACTORS FOR AWARD:

(a) Award will be made utilizing Simplified Acquisition Procedures.

(b) The contractor shall submit a written cost proposal for consideration before the due date and time stated.

(c) The government shall evaluate offers in response to this solicitation with or without discussions. A contract will be awarded to the responsible offeror, whose offer, conforming to the solicitation and work statement, which will be considered the best value to the government. The government reserves the right to award to other than the lowest priced offeror.

It’s the government’s intent to make one contract award.

(d) Offers that are unrealistic in terms of price will be deemed reflective of an inherent lack of technical competence or indicative of a failure to comprehend the complexity and risk of the proposed contract. Such offers may be rejected as unacceptable without further discussion. In addition, the government reserves the right to eliminate from consideration those offers so deficient in information as to require a major re-write or revision in order to become acceptable.

(e) The government may reject any or all offers and waive informalities or minor irregularities in offers received.

(f) An offeror with no record of relevant past performance will not be evaluated favorably or unfavorably – a neutral rating will be given.

16.

ATTACHMENTS:

· Scope of Work

· Reference Information Sheet

· Request for Information (RFI) Form

· DOL Service Contract Labor Standards

· FAR 52.212-3 Offeror Representations And Certifications

· FAR 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Order – Commercial Items

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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 CODE17a. CONTRACTOR/

OFFEROR

FACILITY

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

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. OFFER

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. 3/2011)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

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

8 (A)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL BUSINESS

(EDWOSB)

WOMEN-OWNED SMALL

BUSINESS (WOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

SLGreen

Cross-Out

SLGreen

Cross-Out

STANDARD FORM 1449 (REV. 3/2011) 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

Printing C:\FORMFLOW\FORMS\SF\S1449_3.FRP

BarbMWilliams

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

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

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. OFFER

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. 3/2011)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS

UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700)

SET ASIDE:

% FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE

ARE NOT ATTACHED

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

\\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg

Right Arrow Pointing to Call the Contact Point for this Solicitation/Contract/Order

8 (A)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL BUSINESS (EDWOSB)

SMALL BUSINESS

WOMEN-OWNED SMALL

BUSINESS (WOSB)

SMALL BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

SMALL BUSINESS

STANDARD FORM 1449 (REV. 3/2011)

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

1. REQUISITION NUMBER:

PAGE 1 OF: 11

2. CONTRACT NUMBER:

4. ORDER NUMBER:

5. SOLICITATION NUMBER: 70Z04218QQNT82800

7. FOR SOLICITATION INFORMATION CALL: a. NAME: Shirley Green

7. FOR SOLICITATION INFORMATION CALL: b. TELEPHONE NUMBER (No collect calls): Shirley.L.Green@uscg.mil

9. ISSUED BY CODE:

% For : 100

12. DISCOUNT TERMS:

13b. RATING:

15. DELIVER TO: See attached Scope of Work for description of Supplies/Services

16. ADMINISTERED BY CODE:

16. ADMINISTERED BY: SAME AS BLOCK #9

17a. CONTRACTOR/ OFFEROR CODE:

17a. CONTRACTOR/ OFFEROR: Contractor Business Name, address, phone here PLEASE!

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

18a. PAYMENT WILL BE MADE BY: U.S. Coast Guard Finance Center 1430A Kristina Way Chesapeake, VA 23326

19. ITEM NUMBER. Line 1 of 8.: 1.00000000

20. SCHEDULE OF SUPPLIES/ SERVICES: Contractor shall provide all labor, equipment,

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 2 of 8.:

20. SCHEDULE OF SUPPLIES/ SERVICES: material, transportation, and supervision required for

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 3 of 8.:

20. SCHEDULE OF SUPPLIES/ SERVICES: POOL WATER MANAGEMENT SERVICES

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 4 of 8.:

20. SCHEDULE OF SUPPLIES/ SERVICES: at U.S. Coast Guard Training Center, Gym Building #269,

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 5 of 8.:

20. SCHEDULE OF SUPPLIES/ SERVICES: 1 Munro Avenue, Cape May, NJ (Cape May county).

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 6 of 8.:

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 7 of 8.:

20. SCHEDULE OF SUPPLIES/ SERVICES: PLACE PRICING ON CONTINUATION PAGES.

20. SCHEDULE OF SUPPLIES/ SERVICES:

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 8 of 8.:

20. SCHEDULE OF SUPPLIES/ SERVICES: SEE SOW AND RFQ FOR FURTHER DETAILS.

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

25. ACCOUNTING AND APPROPRIATION DATA:

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED. INITIALS : 1

29. AWARD OF CONTRACT: REFERENCE OFFER:

DATE. YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS.:

30b. NAME OF SIGNER (Type or print):

30b. TITLE OF SIGNER (Type or print):

31b. NAME OF CONTRACTING OFFICER (Type or print):

10. THIS ACQUISITION IS UNRESTRICTED: 0

10. THIS ACQUISITION IS SET ASIDE:: 1

11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED SEE SCHEDULE: 0

13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700): 0

14. METHOD OF SOLICITATION RFQ: 1

10. THIS ACQUISITION IS NAICS:: 561790

10. THIS ACQUISITION IS SIZE STANDARD:: $7.5 mil

14. METHOD OF SOLICITATION IFB: 0

14. METHOD OF SOLICITATION RFP: 0

18a. PAYMENT WILL BE MADE BY CODE: 2:00 PM

18a. PAYMENT WILL BE MADE BY CODE: US Coast Guard Training Center Attn: Shirley Green 1 Munro Avenue Cape May, NJ 08204 E-mail: Shirley.L.Green@uscg.mil

29. AWARD OF CONTRACT : 1

29. AWARD OF CONTRACT : 0

29. AWARD OF CONTRACT : 1

29. AWARD OF CONTRACT : 0

27a. ARE ATTACHED: 1

27a. ARE NOT ATTACHED: 0

27b. ARE ATTACHED: 0

27b. ARE NOT ATTACHED: 0

42c. DATE RECEIVED. Enter 2 digit month, 2 digit day and 4 digit year.: 2018-03-16

42c. DATE RECEIVED. Enter 2 digit month, 2 digit day and 4 digit year.: 2018-04-16

3. AWARD/ EFFECTIVE DATE. Enter 2 digit month, 2 digit day and 4 digit year.:

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK IS CHECKED SEE ADDENDUM: 0

26. TOTAL AWARD AMOUNT (FOR GOVT. USE ONLY):

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

OFFER : 0

41b. SIGNATURE OF CERTIFYING OFFICER. :

10. THIS ACQUISITION IS 8 (A): 0

10. THIS ACQUISITION IS SMALL BUSINESS: 0

10. THIS ACQUISITION IS SMALL BUSINESS: 0

10. THIS ACQUISITION IS SMALL BUSINESS: 1

10. THIS ACQUISITION IS SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS: 0

10. THIS ACQUISITION IS HUBZONE SMALL BUSINESS: 0

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32a. QUANTITY IN COLUMN 21 HAS BEEN ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32d. PRINTED NAME OF AUTHORIZED GOVERNMENT REPRESENTATIVE:

32d. PRINTED TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE.:

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE:

32F. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE:

32G. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE:

33. SHIP NUMBER:

34. VOUCHER NUMBER:

35. AMOUNT VERIFIED CORRECT FOR:

37. CHECK NUMBER:

38. S/R ACCOUNT NUMBER:

39. S/R VOUCHER NUMBER:

40. PAID BY:

41b. TITLE OF CERTIFYING OFFICER:

42a. RECEIVED BY (Print):

42b. RECEIVED AT (Location):

42d. TOTAL CONTAINERS:

32a. QUANTITY IN COLUMN 21 HAS BEEN RECEIVED: 0

32a. QUANTITY IN COLUMN 21 HAS BEEN INSPECTED : 0

32a. QUANTITY IN COLUMN 21 HAS BEEN ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: 0

41c. DATE. Enter 2 digit month, 2 digit day and 4 digit year.:

33. SHIP NUMBER PARTIAL: 0

33. SHIP NUMBER FINAL: 0

32c. DATE. Enter 2 digit month, 2 digit day and 4 digit year.:

36. PAYMENT COMPLETE: 0

36. PAYMENT PARTIAL: 0

36. PAYMENT FINAL: 0

41b. SIGNATURE OF CERTIFYING OFFICER. THIS IS A PROTECTED FIELD.: