OHSS III SF 1449 Amendment 4.pdf
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- Solicitation number
- 80LARC25Q7001
About this file
This Standard Form 1449 (SF 1449) is a Solicitation/Contract/Order for Commercial Products and Commercial Services for NASA Langley Research Center's Occupational Health Support Services III (OHSS III) procurement. The competitive 8(a) set-aside solicitation (Number 80LARC25Q7001) seeks a comprehensive Occupational Health Program contractor with a $20.5 million small business size standard under NAICS code 621999. The contract will be Firm-Fixed Price with a Cost No Fee Other Direct Cost (ODC) CLIN, featuring a 30-day transition period and a 5-year performance period (2-year base with three 1-year options), anticipated to award on July 31, 2025, with a contract effective date of September 1, 2025. Services will be performed onsite at NASA Langley Research Center in Hampton, VA, with quotes due by May 6, 2025, at 2:00 PM EST through NASA's Enterprise File Sharing and Sync Box (EFSS Box).
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Text version
STOCK RECORD (S/R)
STANDARD FORM 1449 (REV. 11/2021) BACK
19.
ITEM NUMBER
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 RECEIVED (MM/DD/YYYY) 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. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED
CORRECT FOR
PARTIAL FINAL
37. CHECK NUMBER
38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER
36. PAYMENT
COMPLETE PARTIAL FINAL
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