A19-Solicitation (RG 6.6.24).pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

2. CONTRACT NO.

7. FOR SOLICITATION

► INFORMATION CALL:

9. ISSUED BY

la.NAME

Rose

EFFECTIVE DATE 1

3.AWARD/

4. ORDER NUMBER

Goodwin

CODE ICAS

us Department of Labor Customer Acquisition Services 200 Constitution Ave, NW, S-4307 Washington DC 20210

11. DELIVERY FOR FREE ON BOARD 2. DISCOUNT TERMS

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

lXi SEE SCHEDULE

15. DELIVER TO CODE

I

Multiple Destinations

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

1. REQUISITION NUMBER

I

PAG

OF

1645-AAM-24-NAT-0050 I 46

,5. SOLICITATION NUMBER

1:

6. SOLICITATION

1605C4-24-Q-00042 ISSUE DATE

06/07/2024 llb. TELEPHONE NUMBER (Na collect calls)

8. OFFER DUE DATE/LOCAL TIME

304-256-3306 06/13/2024 1700 ED

10. THIS ACQUISITION IS Ix] UNRESTRICTED OR DsETASIDE: %FOR:

□ SMALL BUSINESS

□ WOMEN-OWNED SMALL NORTH AMERICAN INDUSTRY

BUSINESS (WOSB) CLASSIFICATION STANDARD

□ HUBZONE SMALL

ECONOMICALLY DISADVANTAGED (NAICS):

BUSINESS WOMEN-OWNED SMALL

□ SERVICE-DISABLED BUSINESS (EDWOSB) 334513

VETERAN-OWNED

SMALL BUSINESS □ B(A) SIZE STANDARD:

(SDVOSB)

13a. THIS CONTRACT IS A RATED 13b. RATING

□ ORDER UNDER THE DEFENSE 1 4. METHOD OF SOLICITATION

K]

REQUEST FOR PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700) QUOTE(RFQ)

16. ADMINISTERED BY

us Department of Labor Customer Acquisition Services

INVITATION

FOR BID (IFB)

CODE ICAS

200 Constitution Ave, NW, S-4307 Washington DC 20210

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

REQUEST FOR

PROPOSAL

(RFP)

This is a Request for Quote (RFQ) to procure Small Rocket Lift Device (SRLD), Self-Contained Self-Rescuers (SCSR' s), Disposal, and SLRD Pouches for the Mine Safety and Health Administration's Enforcement Division. The U.S.

Department of Labor, Mine Safety and Health Administration (MSHA), intends to establish a Firm Fixed Priced Order with a Contractor that can provide all items and delivery specifications as set forth in the details provided in the attached Product Specifications.

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

25. ACCOUNTING AND APPROPRIATION DATA

r

6- TOTAL AWARD AMOUNT (For Government Use Only)

□ 27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3 □ ARE □ ARE NOT ATTACHED.

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 □ ARE □ ARE NOT ATTACHED.

□ 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.

30a, SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print)

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

I 30c. DATE SIGNED

□ 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:

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

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

Roy G. Massey I 31c. DATE SIGNED

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA- FAR (48 CFR) 53.212

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

A contract will be awarded to the contractor that is found responsible, responsive to the solicitation, meets the requirement specifications, and provides a fair and reasonable price.

This requirement is being competed in accordance with FAR Part 13.

The Government intends to issue a firm fixed price purchase order for this requirement.

The NAICS code for this requirement is 334513 -

Instruments and Related Products Manufacturing for Measuring, Displaying, and Controlling

Industrial Process Variables.

The Government anticipates the following Period of Performance:

Date of Award - August 19, 2024

Quotes are due by 13 June 2024, at 5:00 p.m.

Quotes shall be submitted via email to goodwin.rose@dol.gov or massey.roy.g@dol.gov.

Period of Performance: 06/17/2024 to 08/19/2024

The purpose of this acquisition is to obtain

Continued ...

32a. QUANTITY IN COLUMN 21 HAS BEEN

21. 22.

QUANTITY UNIT

0 RECEIVED 0 INSPECTED 0 ACCEPTED AND CONFORMS TO THE CONTRACT EXCEPT AS NOTED·

23.

UNIT PRICE

24.

AMOUNT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE I

32c. DATE 32d. PRINTED NAME AND 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 36. PAYMENT 37. CHECK NUMBER

CORRECT FOR

0 COMPLETE □ PARTIAL 0 FINAL

0 PARTIAL 0 FINAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41 a. 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/MMIDD) 142d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 11/2021) BACK