RFQ_for_SF1449_form.docx
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- Solicitation number
- 886692
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|---|---|---|
| SF1449_additional.docx | DOCX document |
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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
1. REQUISITION NUMBER
886692
2. CONTRACT NO.
3. AWARD/EFFECTIVE DATE
4. ORDER NUMBER
5. SOLICITATION NUMBER
886692
6. SOLICITATION ISSUE DATE
4/9/2018
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
Marnie Miller, Contracting Officer
b. TELEPHONE NO. (No collect calls)
301-504-4235
8. OFFER DUE DATE/LOCAL TIME
4/17/2018 5:00pm EST 12pm EST
9. ISSUED BY CODE
10. THIS ACQUISITION IS
|_| UNRESTRICTED OR |X| SET ASIDE: 100 % FOR NISH
|_| SMALL BUSINESS |_| EMERGING SMALL
BUSINESS
|_| HUBZONE SMALL
NAICS: 334516 BUSINESS
SIZE STANDARD $.15.0 |_| SERVICE-DISABLED VETERAN- |_| 8(A)
OWNED SMALL BUSINESS
United States Department of Agriculture Food Safety Inspection Service
5601 Sunnyside Avenue Mail drop 5230, Location 2-L188A
Beltsville, MD 20705
11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED
|_| SEE SCHEDULE
| 12. DISCOUNT TERMS |
| |_| 13a. THIS CONTRACT IS A |
RATED ORDER UNDER
DPAS (15 CFR 700)
13b. RATING
| 14. METHOD OF SOLICITATION | |
| |X| RFQ | |_| IFB |_| RFP |
15. DELIVER TO
16. ADMINISTERED BY CODE
| See Herein |
| See Block 9 |
| 17a. CONTRACTOR/ | CODE |
| OFFEROR |
| FACILITY | |
| CODE |
18a. PAYMENT WILL BE MADE BY CODE
IPP invoicing ww.IPP.gov
| |_| 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 | |X| SEE ADDENDUM |
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
The contractor shall supply Combination Meat Micro Program PT samples, E.coli =/Listeria-Standard Microbiology Program PT samples, Meat chemistry Program PT samples and shipping
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
|X| 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA |X| ARE |_| ARE NOT ATTACHED.
|_| 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA |_| ARE |_| ARE NOT ATTACHED.
| |X| 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN __1__ 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 HEREIN. | |
| |_| 29. | AWARD OF CONTRACT: REFERENCE ____________________ 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 |
| 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER |
Marnie Miller
30b. NAME AND TITLE OF SIGNER (Type or print)
30c. DATE SIGNED
31b. NAME OF CONTRACTING OFFICER (Type or print) Marnie Miller
31c. DATE SIGNED
4-11-18
| AUTHORIZED FOR LOCAL REPRODUCTION | STANDARD FORM 1449 (REV. 3/2005) |
| PREVIOUS EDITION IS NOT USABLE | Prescribed by GSA - FAR (48 CFR) 53.212 |
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:______________________________________________
32b. SIGNATURE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
| 32c. DATE |
| 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE |
| 32e. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE |
| 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE |
32g. E-MAIL OF AUTHORIZED GAOVERNMENT REPRESENTATIVE
33. SHIP NUMBER
34. VOUCHER NUMBER
35. AMOUNT VERIFIED CORRECT FOR
36. PAYMENT
|_| COMPLETE |_| PARTIAL |_| FINAL
37 CHECK NUMBER
|_| PARTIAL |_| FINAL
38. S/R ACCOUNT NUMBER
39. S/R VOUCHER NUMBER
40. PAID BY
| 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT |
| 42a. RECEIVED BY (Print) |
| 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER |
| 41c. DATE |
42b. RECEIVED AT (Location)
| 42c. DATE REC’D (YY/MM/DD) |
| 42d. TOTAL CONTAINERS |
Computer Generated STANDARD FORM 1449 (REV. 3/2005)
File details come from the government source that posted it.