ATCH 1 SOL_SCHEDULE_DELIVERY 36C24823Q0170.docx

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION 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

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

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

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

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 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

516-223-1-5213-0009

36C24823Q0170 11-02-2022

COLLEEN HOUSER

201-727-6880 11-10-2022

EST

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) Room 315, Bldg. 2 10,000 Bay Pines Blvd Bay Pines FL 33744

X

333415 1250 Employees

NET 30

N/A

MCC: 90D

Department Of Veteran Affairs C.W. Bill Young VA Medical Center Bldg 110 Warehouse 10,000 Bay Pines Blvd.

Bay Pines FL 33744 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) C.W. Bill Young VA Medical Center 10000 Bay Pines Blvd. Room 315, Bldg. 2 Bay Pines FL 33744

Department of Veterans Affairs

FMS-VA-2(101)

Financial Services Center PO Box 149971 Austin TX 78714-9971

See CONTINUATION Page This requirement is for **Brand Name or Equal** Symphony Ice Makers Model 12CI400A-SI and Model 25CI400A-SI. See Schedule Below.

See CONTINUATION Page x

Christina Blevins

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR: TBD

b. GOVERNMENT:

Contracting Officer 36C248 - Christina Blevins Department of Veterans Affairs

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

STATEMENT OF NEED

**BRAND NAME OR EQUAL**

Symphony model number 12CI400A-SI and model number 25CI400A-SI .

GENERAL: C.W. Bill Young Veterans Hospital 10000 Bay Pines Blvd. Bay Pines, FL 33744. Facilities Management Service is requesting ice machines for inpatient use.

BACKGROUND: These ice machines are needed to replace older, malfunctioning items on the CLC, inpatient, and residential units of the facility. These items meet the minimum needs of the facility and will allow patients and families to have access to ice during their stay at the facility.

SCOPE: Vendor is to provide (25) twenty-five brand name or equal of the Symphony model number 12CI400A-SI and (15) fifteen brand name or equal Symphony model number 25CI400A-SI .

SALIENT CHARACTERISTICS:

25 Ice and water dispenser with 12 lb storage, autofill capability, countertop mountable, integrated icemaker, air cooled, 425 lb\day rated, sensor-safe dispensing.

15 ice and water dispenser with 25 lb storage, auto fill capability, removable icemaker, air cooled, 425 lb\day rated, sensor-safe dispensing.

SOFTWARE: N/A

TRAINING: Government will not require additional training.

WARRANTY OF EQUIPMENT: Government requirement for standard manufacturer industry warranty term. Government does not accept extended warranty, which requires advance payment.

Please including the following information when submitting your quote:

1. Original Equipment Manufacturer (OEM) Name

1. OEM - UEI Number & DUNs Number

1. OEM Part Number (if different that quoters part number)

1. OEM County of Origin

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ICE MACHINE & DISPENSER, NUGGET STYLE 12 LBS STORAGE

**BRAND NAME OR EQUAL**

Contract Period: Base POP Begin: 11-17-2022 POP End: 01-31-2023 PRINCIPAL NAICS CODE: 333415 - Air-Conditioning and Warm Air Heating Equipment and Commercial and Industrial Refrigeration Equipment Manufacturing PRODUCT/SERVICE CODE: 4110 - Refrigeration Equipment

LOCAL STOCK NUMBER: 12CI400A

ICE MACHINE & DISPENSER, NUGGET STYLE 25 LBS STORAGE

**BRAND NAME OR EQUAL **

Contract Period: Base POP Begin: 11-02-2022 POP End: 01-31-2023 PRINCIPAL NAICS CODE: 333415 - Air-Conditioning and Warm Air Heating Equipment and Commercial and Industrial Refrigeration Equipment Manufacturing PRODUCT/SERVICE CODE: 4110 - Refrigeration Equipment

LOCAL STOCK NUMBER: 25CI400A

B.3 DELIVERY SCHEDULE

10000 BAY PINES BLVD

Bldg 110 Warehouse

BAY PINES, FL 33744

USA

1-727-398-6661

10000 BAY PINES BLVD

Bldg 110 Warehouse

BAY PINES, FL 33744

USA

1-727-398-6661

36C24823Q0170

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