Attachment 4 - SF1449 Quote Submission Forms.pdf

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Attached to
Medusa Gamma Radiation Soil Scanner - RFQ
Solicitation number
1232SA26Q0982
Issued by

About this file

This is a Solicitation/Contract/Order for Commercial Items (Standard Form 1449) issued by the USDA Agricultural Research Service for the procurement of a Medusa Gamma Radiation Soil Scanner system. The solicitation number is 1232SA26Q0982, with a requisition number of 1173953, issued on 09/04/2026, with an offer due date of 09/14/2026 at 2359 CT. The contracting officer is Kristine M. Stout, with Aaron Dimeo listed as the information contact at (608)-416-0027.

The solicitation requires three line items: (1) one Medusa Gamma Radiation Soil Scanner (MS-2000-CsI-MTS), Product/Service Code 6655 (Geophysical Instruments), with 90-day delivery and performance period 09/30/2026 to 12/29/2026; (2) Shipping/Freight/Delivery for the scanner, 90-day delivery, same performance period; and (3) Set-Up services, 120-day delivery with performance period 12/29/2026 to 01/28/2027. The overall contract period of performance runs from 09/30/2026 to 01/28/2027. Delivery is FOB Destination to USDA-ARS Riesel Watersheds, 1702 Blackland Road, Riesel, TX 76682. The NAICS code is 334519 (Other Measuring and Controlling Device Manufacturing) with a small business size standard of 600 employees. Payment will be made to USDA ARS Acquisition and Property D, 5601 Sunnyside Avenue, Beltsville, MD 20705. The solicitation incorporates FAR clauses 52.212-1, 52.212-3, 52.212-4, and 52.212-5 by reference. Offerors must provide company information including SAM registration status, socio-economic certifications, and country of manufacture information. Unit pricing must be submitted on the attached Standard Form 1449.

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SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

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

OFFEROR

ARS-1232SA

BELTSVILLE MD 20705

RM 3-2102

5601 SUNNYSIDE AVENUE

USDA ARS ACQUISITION AND PROPERTY D

CODE 16. ADMINISTERED BYCODE

X

X

334519

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORARS-1232SA

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

09/14/2026 2359 CT

09/04/2026

(608)-416-0027AARON DIMEO

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

1232SA26Q0982

5. SOLICITATION NUMBER

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

1 5 1173953OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Riesel, TX 76682 1702 Blackland Road, USDA -ARS Riesel Watersheds

15. DELIVER TO

BELTSVILLE MD 20705

RM 3-2102

5601 SUNNYSIDE AVENUE

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

USDA ARS ACQUISITION AND PROPERTY D

WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Period of Performance: 09/30/2026 to 01/28/2027

0001 Medusa Gamma Radiation Soil Scanner 1 EA (MS-2000-CsI-MTS) Product/Service Code: 6655 Product/Service Description: GEOPHYSICAL

INSTRUMENTS

Delivery: 90 Days After Award Period of Performance: 09/30/2026 to 12/29/2026 Continued ...

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

KRISTINE M. STOUT

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

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

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

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT: REFERENCE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

0002 Shipping/Freight/Delivery 1 EA

Product/Service Code: 6655

Product/Service Description: GEOPHYSICAL

INSTRUMENTS

Delivery: 90 Days After Award

Period of Performance: 09/30/2026 to 12/29/2026

0003 Set-Up 1 EA

Product/Service Code: 6655

Product/Service Description: GEOPHYSICAL

INSTRUMENTS

Delivery: 120 Days After Award

Period of Performance: 12/29/2026 to 01/28/2027

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

5 2 of

United States Department of Agriculture

Office of the Director Contracting Operations Branch ● Acquisition and Property Division

5601 Sunnyside Avenue ● Beltsville, MD 20705 USDA is an Equal Opportunity Provider and Employer

Research, Education, and Economics Agricultural Research Service

Solicitation Title: _____________________________________________________________________

Solicitation Number: ______________________

Company Information:

Currently Registered and Active in the System for Award Management (SAM): ( ) Yes ( ) No

SAM Unique Entity Identifier (UEI) Number:

Company Legal Name: _____________________________________________

Doing Business As (if applicable): ____________________________________

Company Address as registered in the System for Award Management (SAM):

CAGE Code(s):

Socio-economic status for the NAICS code: __________ (with a small business threshold of under ______________) – please check ALL that apply:

( ) Small Business Concern [ ] Disadvantaged

[ ] SBA-certified 8(a) Program Participant [ ] SBA-certified HUB Zone Business

[ ] Veteran Owned [ ] Service-Disabled Veteran Owned

[ ] Woman-Owned [ ] Economically Disadvantaged Woman Owned

( ) Other Than Small Business Concern

( ) I confirm that my company is registered in the System for Award Management (SAM) with the socio-economic status identified above and the NAICS code specified or that my firm qualifies for the selected the socio-economic status under the applicable NAICS code.

Research, Education, and Economics

Agricultural Research Service

Contracting Operations Branch ● Acquisition and Property Division

5601 Sunnyside Avenue ● Beltsville, MD 20705 USDA is an Equal Opportunity Provider and Employer

Quote Information:

Quote Number: _________________

Quote Date:

Quote Expiration Date:

Quoted Price:

Offeror’s shall insert the Total Quoted Price in the cell below. The Total Quoted Price is to be the sum of all Line-Item Total Amounts from the SF1449 (including all options).

Total Quoted Price:

Period of Performance:

Time to Deliver: ( ) days ( ) weeks ( ) months

Country of Manufacture Information:

Product Name(s) and Part Number(s):

Manufacturer’s Legal Name:

Product is Manufactured in the United States of America (is a domestic product): ( )Yes ( )No

Manufacturing Address (for domestic products):

Country of Origin (for nondomestic products):

Research, Education, and Economics

Agricultural Research Service

Contracting Operations Branch ● Acquisition and Property Division

5601 Sunnyside Avenue ● Beltsville, MD 20705 USDA is an Equal Opportunity Provider and Employer

( ) I confirm that a written certification of the above information was obtained from the product’s manufacturer and is included in the support documents submitted with this quote.

Certification:

I understand that incomplete sections, failure to provide all required documentation, and/or failure to sign this certification may remove my company’s quote from being put into consideration by the Government for award.

Signature:

Name:

Title:

Contact Information:

Date:

Quote Submission Forms
1

Quote Submission Form Pg 2 - Products

Solicitation Title: Medusa Gamma Radiation Soil Scanner - RFQ
Solicitation Number: 1232SA26Q0982
SAM Unique Entity Identifier UEI Number:
Company Legal Name:
Doing Business As if applicable:
Company Address as registered in the System for Award Management SAM 1:
Company Address as registered in the System for Award Management SAM 2:
Company Address as registered in the System for Award Management SAM 3:
Company Address as registered in the System for Award Management SAM 4:
CAGE Codes:
please check ALL that apply: 600 Employees
Group1: Off
Group2: Off
Check Box7: Off
Check Box9: Off
Check Box12: Off
Check Box15: Off
Check Box16: Off
Check Box17: Off
Check Box18: Off
Text19: 334519
Group3: Off
Quote Number:
Quote Date:
Quote Expiration Date:
Total Quoted Price:
Time to Deliver:
Product Names and Part Numbers:
Manufacturers Legal Name:
Manufacturing Address for domestic products 1:
Manufacturing Address for domestic products 2:
Manufacturing Address for domestic products 3:
Manufacturing Address for domestic products 4:
Country of Origin for nondomestic products:
Group4: Off
Group5: Off
Name:
Title:
Contact Information:
Date:
Group6: Off

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