SF1447.pdf

SOLICITATION/CONTRACT 1. THIS CONTRACT IS A RATED

5. SOLICITATION TYPE2. CONTRACT NO. 4. SOLICITATION NUMBER

PAGE OF PAGES

7. ISSUED BY CODE 8. THIS ACQUISITION IS

BIDDER/OFFEROR TO COMPLETE BLOCKS 11, 13, 15, 21, 22, & 27

RATING

ORDER UNDER DPAS (15 CFR 350)

3. AWARD/

EFFECTIVE DATE ISSUE DATE

6. SOLICITATION

UNRESTRICTED OR SET ASIDE:

SMALL BUSINESS

SIZE STANDARD:

9. (AGENCY USE)

NO COLLECT CALLS

10. ITEMS TO BE PURCHASED (BRIEF DESCRIPTION)

SUPPLIES SERVICES

11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN

DAYS (60 CALENDAR DAYS UNLESS OFFEROR INSERTS A DIFFERENT

PERIOD) FROM THE DATE SET FORTH IN BLK 9 ABOVE, THE CONTRACTOR

AGREES TO HOLD ITS OFFERED PRICES FIRM FOR THE ITEMS SOLICITED

HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO THE

TERMS AND CONDITIONS STATED HEREIN.

CODE 12. ADMINISTERED BY

13. CONTRACTOR FACILITY 14. PAYMENT WILL BE MADE BY CODE CODE

OFFEROR CODE

TELEPHONE NO.

DUNS NO.

CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK:

15. PROMPT PAYMENT DISCOUNT 16. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION

10 U.S.C. 2304 ( 41 U.S.C. 253 (

NEGOTIATED (RFP)

SEALED BIDS (IFB)

1 4

07/27/2010

Vechicle Safety Compliance

DOT/NHTSA

400 7th Street SW Washington DC 20590

FMVSS 119 AND 139 TIRE TESTING AND EQUIPMENT

Office Of Acquisition Management

DOT/NHTSA/NPO-320

1200 New Jersey Avenue, SE Washington DC 20590

NHTSAOCP 2023660607

334519

% FOR:

CALENDAR

x x x

NVS-220

Tire Compliance Tests as described in SOW.

DTNH22-10-R-00373

NAICS:

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS

EMERGING SMALL

BUSINESS

8(A)

SOLE SOURCE

17.

ITEM NO.

18.

SCHEDULE OF SUPPLIES/SERVICES

19.

QUANTITY

20.

UNIT

21.

UNIT PRICE

22.

AMOUNT

TITLE: FMVSS 119 AND 139 TIRE TESTING AND

EQUIPMENT

This acquisition is to support the agency's annual tire compliance program from 2011 to 2015.

Qualified sources are solicited to submit proposals. Evaluation of proposals will determine the potential contractor's qualifications and abilities to perform the

Continued ...

27. SIGNATURE OF OFFEROR/CONTACTOR 28. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

NAME AND TITLE OF SIGNER (TYPE OR PRINT) DATE SIGNED NAME OF CONTRACTING OFFICER DATE SIGNED

25. 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 CONTINUATION

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION

NUMBER SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR

CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS

TO ITEMS:

23. ACCOUNTING AND APPROPRIATION DATA 24. TOTAL AWARD AMOUNT (FOR GOVT. USE ONLY)

Chelly Johnson-Jones x

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION NOT USABLE

STANDARD FORM 1447 (REV. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.214(d)

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include ZIP Code)

WE DO NOT, DESIRE TO BE RETAINED ON THE MAILING LIST FOR FUTURE PROCUREMENT OF THE TYPE OF ITEM(S) INVOLVEDWE DO

DO NOT REGULARLY MANUFACTURE OR SELL THE TYPE OF ITEMS INVOLVED

CANNOT MEET DELIVERY REQUIREMENT

OTHER (Specify)

UNABLE TO IDENTIFY THE ITEM(S)

CANNOT COMPLY WITH SPECIFICATIONS

PAGE

NO RESPONSE FOR REASONS CHECKED

4 2 OF

DATE AND LOCAL TIME

AFFIX

STAMP

HERE

TO:

FROM:

SOLICITATION NO.

Vechicle Safety Compliance

DOT/NHTSA

400 7th Street SW Washington DC 20590

NVS-220

DTNH22-10-R-00373

STANDARD FORM1447 (REV. 3/2005) BACK

(A)

ITEM NO.

(B)

SUPPLIES/SERVICES

(C)

QUANTITY

(D)

UNIT

(E)

UNIT PRICE

(F)

AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

DTNH22-10-R-00373

requirements, with the intent to make multiple awards of delivery order contracts. Each awardee will be issued delivery orders to:

1. Test tires in accordance with FMVSS Nos. 119 and 139, "New Pneumatic Tires for Vehicles Other than Passenger Cars," and "New Pneumatic Radial Tires for Light Vehicles" and 49 CFR 575.106 Tire Efficiency;

2. Procure sets of Contractor Procured Test Items (CPTI), i.e., tires, from a list of tires provided by the COTR annually in accordance with an annual delivery order; and,

3. Receive reimbursement for services rendered to procure the CPTI in the form of a fixed service fee for each set of tires purchased. A set of tires is defined in the SOW.

DESCRIPTION: The testing of tires to assess compliance to FMVSS Nos. 109 and 119, and reporting results. Testing shall be conducted in accordance with the OVSC Safety Compliance Laboratory Test Procedures TP-119-04 and

TP-139-03.

Delivery: 1 Days After Award FOB: Destination Period of Performance: 09/30/2010 to 09/30/2014

0001 BASE (12 MONTHS)

FMVSS 119 AND 139 TIRE TESTING AND EQUIPMENT

Annual Tire Compliance Testing Program Known and Optional Quantities, in accordance with Section B, Price Schedule, Base (Year 1).

0002 OPTION I (12 MONTHS)

(Option Line Item) 08/01/2011

FMVSS 119 AND 139 TIRE TESTING AND EQUIPMENT

Annual Tire Compliance Testing Program Optional Quantities, in accordance with Section B, Price Schedule, Option I (Year 2).

Continued ...

NSN 7540-01-218-4386 STANDARD FORM 1447 (REV. 3/2005)

(A)

ITEM NO.

(B)

SUPPLIES/SERVICES

(C)

QUANTITY

(D)

UNIT

(E)

UNIT PRICE

(F)

AMOUNT

NAME OF OFFEROR OR CONTRACTOR

4 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

DTNH22-10-R-00373

0003 OPTION II (12 MONTHS)

(Option Line Item) 08/01/2012

FMVSS 119 AND 139 TIRE TESTING AND EQUIPMENT

Annual Tire Compliance Testing Program Optional Quantities, in accordance with Section B, Price Schedule, Option II (Year 3).

0004 OPTION III (12 MONTHS)

(Option Line Item) 08/01/2013

FMVSS 119 AND 139 TIRE TESTING AND EQUIPMENT

Annual Tire Compliance Testing Program Optional Quantities, in accordance with Section B, Price Schedule, Option III (Year 4).

0005 OPTION IV (12 MONTHS)

(Option Line Item) 08/01/2014

FMVSS 119 AND 139 TIRE TESTING AND EQUIPMENT

Annual Tire Compliance Testing Program Optional Quantities, in accordance with Section B, Price Schedule, Option IV (Year 5).

Delivery Location Code: SHIP TO See Schedule Section F

NSN 7540-01-218-4386 STANDARD FORM 1447 (REV. 3/2005)