80LARC25Q7001 SF1449.pdf

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Attached to
Draft Request for Quote for Occupational Health Support Services III (OHSS III)
Solicitation number
80LARC25Q7001
Issued by

About this file

This is Standard Form 1449 (Solicitation/Contract/Order for Commercial Products and Commercial Services) for solicitation number 80LARC25Q7001 issued by NASA Langley Research Center in Hampton, VA. The form is for Occupational Health Support Services (OHSS) with a base period and three option periods, set aside for small businesses under NAICS code 621999 with a $20.5 million size standard.

The form shows key contract details including: delivery terms of NET 30, payment to be made through NASA's NSSC payment system, and line items for Occupational Health Support Services (base and three option periods) plus Other Direct Costs. The contracting officer is Natasha King at LaRC, reachable at (757) 864-8352. The document is a standard government contract form that appears to be in draft/template format as pricing and signature fields are not completed.

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Other files

File Type Posted
DRFQ Cover Letter OHSS III.pdf PDF
Exhibits OHSS III.zip ZIP file
OHSS III Sections A - E.pdf PDF

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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

File details come from the government source that posted it. Updated .