Attachment 7 DHS Form 700-21Fillable508.pdf
PDF 202 KB Posted
- Attached to
- High Frequency Radio System (HFRS)
- Solicitation number
- 70Z04421R21000900
About this file
This combined synopsis and solicitation is seeking proposals for a single-award Indefinite Delivery/Indefinite Quantity contract to acquire a High Frequency Radio System for the Department of Homeland Security US Coast Guard. The solicitation involves line items for hardware, software, installation, training, and maintenance services. Proposals are due by June 14, 2021 at 11:00 AM Eastern submitted through the Department of Defense's Safe Access File Exchange system. The contract period of performance is ten years. Delivery and acceptance will occur at the locations specified in individual delivery orders, with the first order delivered to the USCG C3CEN in Portsmouth, Virginia. Questions regarding the solicitation are due by May 21, 2021 with responses provided via amendment on SAM.gov. The NAICS code is 334220 with a small business size standard of 1,250 employees, and there are no set-asides specified.
View the file
Other files
Show all 24
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
DATE
1. CONTRACT NO. AND LATEST
MODIFICATION NO.
2. ORDER NO. 3. REPORT NO.
4. MATERIAL AND/OR SERVICES INSPECTED
5. CONTRACTOR
7. MANUFACTURER
8. PLACE OF INSPECTION
DHS Form 700-21 (12/03)
PREVIOUS
16. SUBMITTED
17. REJECTED
18. ACCEPTED
19. QUANTITY ON
22. REMARKS (Use Continuation Sheet for Additional Entries)
23. INSPECTED BY 24. TITLE AND TELEPHONE NUMBER
The materials and/or services listed herein have been inspected or certified test data has been examined, by me or under my supervision. The materials and/or services listed above as accepted conform to contract requirements. Those listed as rejected do not conform and may not be delivered, except as authorized under "Remarks."
25. SIGNATURE AND PRINTED NAME 26. TITLE AND TELEPHONE NUMBER 27. DATE
MATERIAL INSPECTION ACCEPTANCE AND RECEIVING REPORT
DEPARTMENT OF HOMELAND SECURITY
CONTRACT LINE9.
15. ACCEPTED14. REJECTED
QUANTITY
13. COMPLETED12. STARTED11. READY10. RECEIVED
INSPECTION DATES
ORDER
DATE
20. ACCEPTED TO
21. BALANCE
ITEM NO(S)
(If applicable)
REPORTS REPORT
THIS
DATE
TOTAL TO
REMAINING
6. LOCATION WHERE ITEMS WERE DELIVERED OR
CONTRACTOR PERFORMED
INSPECTION DATES QUANTITY8.
9. RECEIVED 10. READY 11. STARTED 12. COMPLETED 13. REJECTED 14. ACCEPTED
3. REPORT NO.
DEPARTMENT OF HOMELAND SECURITY
MATERIAL INSPECTION ACCEPTANCE AND RECEIVING REPORT (Continued)
DHS Form 700-21 (12/03) Page 2
ITEM NO(S)
(If applicable)
CONTRACT LINE
DHS- 700- 21
Pam Washingtonq
MATERIAL INSPECTION & RECEIVING REPORT
D:20040317145138- 05'00' D:20051012110539- 04'00'
DATE
1. CONTRACT NO. AND LATEST
MODIFICATION NO.
2. ORDER NO.
3. REPORT NO.
4. MATERIAL AND/OR SERVICES INSPECTED
5. CONTRACTOR
7. MANUFACTURER
8. PLACE OF INSPECTION
DHS Form 700-21 (12/03)
PREVIOUS
16. SUBMITTED
17. REJECTED
18. ACCEPTED
19. QUANTITY ON
22. REMARKS (Use Continuation Sheet for Additional Entries)
23. INSPECTED BY
24. TITLE AND TELEPHONE NUMBER
The materials and/or services listed herein have been inspected or certified test data has been examined, by me or under my supervision. The materials and/or services listed above as accepted conform to contract requirements. Those listed as rejected do not conform and may not be delivered, except as authorized under "Remarks."
The materials and/or services listed herein have been inspected or certified test data has been examined, by me or under my supervision. The materials and/or services listed above as accepted conform to contract requirements. Those listed as rejected do not conform and may not be delivered, except as authorized under Remarks.
25. SIGNATURE AND PRINTED NAME
26. TITLE AND TELEPHONE NUMBER
27. DATE
MATERIAL INSPECTION ACCEPTANCE AND RECEIVING REPORT
DEPARTMENT OF HOMELAND SECURITY
CONTRACT LINE
9.
15. ACCEPTED
14. REJECTED
QUANTITY
13. COMPLETED
12. STARTED
11. READY
10. RECEIVED
INSPECTION DATES
ORDER
DATE
20. ACCEPTED TO
21. BALANCE
ITEM NO(S)
(If applicable)
REPORTS
REPORT
THIS
DATE
TOTAL TO
REMAINING
6. LOCATION WHERE ITEMS WERE DELIVERED OR
CONTRACTOR PERFORMED
INSPECTION DATES
QUANTITY
8.
9. RECEIVED
10. READY
11. STARTED
12. COMPLETED
13. REJECTED
14. ACCEPTED
3. REPORT NO.
DEPARTMENT OF HOMELAND SECURITY
MATERIAL INSPECTION ACCEPTANCE AND RECEIVING REPORT (Continued) DHS Form 700-21 (12/03)
ITEM NO(S)
(If applicable)
CONTRACT LINE
| 8. CONTRACT LINE ITEM NUMBER(S) (If applicable) Line 38 of 38.: |
| 14. Quantity Accepted: |
| 13. Quantity REJECTED: |
| Inspection Dates. 12. Completed Date. Enter 2-digit month, 2-digit day and 4-digit year.: |
| Inspection Dates. 11. Started Date. Enter 2-digit month, 2-digit day and 4-digit year.: |
| Inspection Dates. 10. Ready Date. Enter 2-digit month, 2-digit day and 4-digit year.: |
| Inspection Dates. 9. Received Date. Enter 2-digit month, 2-digit day and 4-digit year.: |
| Date. Enter 2-digit month, 2-digit day and 4-digit year.: |
| 1. CONTRACT NUMBER and Latest Modification Number: |
| 2. ORDER NUMBER: |
| 4. MATERIAL AND/OR SERVICES INSPECTED: |
| 5. CONTRACTOR: |
| 6. MANUFACTURER: |
| 8. PLACE OF INSPECTION: |
| 16. SUBMITTED. PREVIOUS REPORTS: |
| 16. SUBMITTED. THIS REPORT: |
| 16. SUBMITTED. TOTAL TO DATE: |
| 17. REJECTED. TOTAL TO DATE: |
| 17. REJECTED. THIS REPORT: |
| 17. REJECTED. PREVIOUS REPORTS: |
| 18. ACCEPTED. TOTAL TO DATE: |
| 18. ACCEPTED. THIS REPORT: |
| 18. ACCEPTED. PREVIOUS REPORTS: |
| 22. REMARKS (Use Continuation Sheet for Additional Entries) : |
| 23. INSPECTED BY: |
| 24. TITLE: |
| 26. TITLE : |
| 27. DATE. Enter 2-digit month, 2-digit day and 4-digit year.: |
| 25. SIGNATURE. This is a protected field.: |
| 19. QUANTITY ON ORDER: |
| 20. ACCEPTED TO DATE: |
| 21. BALANCE REMAINING: |
| 25. PRINTED NAME: |
| 3. REPORT NUMBER: |
| 6. LOCATION WHERE ITEMS WERE DELIVERED OR CONTRACTOR PERFORMED: |
| 24. Telephone Number: |
| 26. Telephone Number: |
| 3. REPORT NUMBER. Pre filled from page 1.: |
File details come from the government source that posted it. Updated .