95332421Q0028 - Solicitation 1.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE 1 OF 52

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

2. CONTRACT NO. 3. AWARD/EFFECTIVE 4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

a. NAME

INFORMATION CALL:

7. FOR SOLICITATION ►

Staniewski, Raymond J

9. ISSUED BY CODE

11. DELIVERY FOR FOB DESTINA- 12. DISCOUNT TERMS

TION UNLESS BLOCK IS

MARKED

181 SEE SCHEDULE

1 5. DELIVER TO CODE

See Schedule

17a. CONTRACTOR/ CODE I I FACILITY OFFEROR CODE

TELEPHONE NO.

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

OFFER

19. 20.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES

See Schedule

DATE

95332421Q0028

b. TELEPHONE NUMBER (No collect 8. OFFER DUE DATE/ calls)

202-521-3656

LOCAL TIME

10. THIS ACQUISITION ISl&I UNRESTRICTED OR□ SET ASIDE: 0 %FOR:

□ SMALL BUSINESS □ WOMEN-OWNED SMALL

BUSINESS (WOSB)

□HUBZONE SMALL ECONOMICALLY BUSINESS □ DISADVANTAGED

□SERVICE-DISABLED WOMEN-OWNED SMALL

VETERAN-OWNED BUSINESS (EDWOSB)

SMALL BUSINESS □ 8 (A)

13b. RATING :J 13a. THIS CONTRACT IS A

NAICS:

SIZE STANDARD:

RATED ORDER UNDER

14. METHOD OF SOLICITATION

DPAS (15 CFR 700)

181 RFQ D1FB □ RFP

16. ADMINISTERED BY CODE I

18a. PAYMENT WILL BE MADE BY CODE I

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED □ SEE ADDENDUM

21. 22. 23. 24.

QUANTITY UNIT UNIT PRICE AMOUNT

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

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

See Schedule

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA UARE � ARE NOT ATTACHED 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA DARE □ ARE NOT ATTACHED l2S.I 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN LJ 29. AWARD OF CONTRACT: REF. OFFER ---

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31 b. NAME OF CONTRACTING OFFICER (Type or print)

03/05/2021

04/05/2021 @ 1:00 PM EST

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