SF-1449.doc
DOC document 78 KB Posted
- Solicitation number
- AG-4419-S-10-0303
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SF-1449
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Other files
| File | Type | Posted |
|---|---|---|
| CIM-0900-17F-546-0919-02_SignInstallationGuide_Part2.pdf | ||
| CIM-0900-17F-546-0919-02_Spec List.doc | DOC document | |
| CIM-0900-17F-546-0919-02_SignInstallationGuide_Part1.pdf | ||
| CIM-0900-17F-546-0919-02_Sign Detail List.xls | XLS spreadsheet | |
| CIM-0900-17F-546-0919-02_Evaluation_Criteria.doc | DOC document | |
| CIM-0900-17F-546-0919-02_Specs.doc | DOC document |
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Text version
SOLICITATION/CONTRACT/ORDER AL ITEMS
| 1. REQUISITION NUMBER |
| PAGE 1 OF |
| OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 |
| 1 |
| 2. CONTRACT NO. |
| 3. AWARD/EFFECTIVE |
| 4. ORDER NUMBER |
| 5. SOLICITATION NUMBER |
| 6. SOLICIATION ISSUE |
| DATE |
| AG-4419-S-10-0303 |
| 12/11/2009 |
| a. NAME |
| b. TELEPHONE NUMBER(No collect |
| 8. OFFER DUE DATE/ |
| 7. FOR SOLICITATION |
| Paul Zagaruyka |
| calls) 703 605 4548 |
| LOCAL TIME |
INFORMATION CALL:
12/17/2009 3:00 PM
| 9. ISSUED BY CODE |
| 10. THIS ACQUISITON IS |
USDA Forest Service AQM 7th Floor RPE
1621 N. Kent St
Arlington, VA 22209-2131
FORMCHECKBOX
UNRESTRICTED OR xx SET ASIDE: % FOR xx SMALL BUSINESS FORMCHECKBOX
EMERGING SMALL
BUSINESS
FORMCHECKBOX
HUBZONE SMALL
NAICS: 237310 BUSINESS
FORMCHECKBOX
SERVICE-DISABLED VETERAN- FORMCHECKBOX
8(A)
SIZE STANDARD: OWNED SMALL BUSINESS
11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED
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SEE SCHEDULE
12. DISCOUNT TERMS
Net 30 days
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13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700) 13b. RATING
14. METHOD OF SOLICITATION
xx RFQ FORMCHECKBOX
IFB FORMCHECKBOX
RFP
15. DELIVER TO CODE
Allegheny National Forest
16. ADMINISTERED BY CODE
USDA Forest Service WO/AQM
17a. CONTRACTOR/ CODE FACILITY
OFFEROR CODE
18a. PAYMENT WILL BE MADE BY CODE
TELEPHONE N0.
FORMCHECKBOX
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW
| OFFER |
| IS CHECKED |
FORMCHECKBOX
SEE ADDENDUM
| 19. |
| 20. |
| 21. |
| 22. |
| 23. |
| 24. |
| ITEM N0. |
| SCHEDULE OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| CLIN 001 |
| Installation of Forest Service Provided Signs and Hardware per attached SOW |
| 0001 |
| JOB |
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
| xx |
| 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA |
| FORMCHECKBOX |
| ARE |
| Xx |
| ARE NOT ATTACHED |
FORMCHECKBOX
| 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.2124. FAR 52.212-5 IS ATTACHED. ADDENDA |
| FORMCHECKBOX |
| ARE |
| FORMCHECKBOX |
ARE NOT ATTACHED
| 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN |
| FORMCHECKBOX |
29. AWARD OF CONTRACT: REF. OFFER
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
| DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY |
| DATED .. YOUR OFFER ON SOLICITATION |
| ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED |
| (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) |
| 30b. NAME AND TITLE OF SIGNER (Type or print) |
| 30c. DATE SIGNED |
| 31b. NAME OF CONTRACTING OFFICER (Type or print) |
| 31c. DATE SIGNED |
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
FORMCHECKBOX
RECEIVED
FORMCHECKBOX
INSPECTED
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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. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
| 33. SHIP NUMBER |
| 34. VOUCHER NUMBER |
| 35. AMOUNT VERIFIED |
CORRECTFOR
| 36. PAYMENT |
| 37. CHECK NUMBER |
|PARTIAL | |FINAL
FORMCHECKBOX
COMPLETE FORMCHECKBOX
PARTIAL FORMCHECKBOX
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)
| 41 b. SIGNATURE AND TITLE OF CERTIFYING OFFICER |
| 41 c. DATE |
42b. RECEIVED AT (Location)
| 42c. DATE RECD (YY/MM/DD) |
| 42d. TOTAL CONTAINERS |
STANDARD FORM 1449 (REV.3/2005) BACK
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