SF33.pdf

DTNH22-10-R-00373

SOLICITATION, OFFER AND AWARD

4. TYPE OF SOLICITATION2. CONTRACT NUMBER 3. SOLICITATION NUMBER

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than Item 7)

ORDER UNDER DPAS (15 CFR 700)

6. REQUISITION/PURCHASE NUMBER

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

NEGOTIATED (RFP)

SEALED BID (IFB)

5. DATE ISSUED

1. THIS CONTRACT IS A RATED RATING PAGE OF PAGES

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C. E-MAIL ADDRESS

EXT.NUMBERAREA CODE

B. TELEPHONE (NO COLLECT CALLS)A. NAME

10. FOR

INFORMATION

CALL:

CAUTION: LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

(Date)(Hour) local timeuntildepository located in copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the

SOLICITATION

9. Sealed offers in original and

PART IV - REPRESENTATIONS AND INSTRUCTIONS

OTHER STATEMENTS OF OFFERORS

EVALUATION FACTORS FOR AWARD

INSTRS., CONDS., AND NOTICES TO OFFERORS

REPRESENTATIONS, CERTIFICATIONS AND

LIST OF ATTACHMENTS

CONTRACT CLAUSES

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

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K

L

M SPECIAL CONTRACT REQUIREMENTS

CONTRACT ADMINISTRATION DATA

DELIVERIES OR PERFORMANCE

INSPECTION AND ACCEPTANCE

PACKAGING AND MARKING

DESCRIPTION/SPECS./WORK STATEMENT

SUPPLIES OR SERVICES AND PRICES/COSTS

SOLICITATION/CONTRACT FORM

PART II - CONTRACT CLAUSESPART I - THE SCHEDULE

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F

E

D

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B

A

SEC. DESCRIPTION PAGE(S) (X) DESCRIPTION SEC. (X)

11. TABLE OF CONTENTS

18. OFFER DATE17. SIGNATURE

SUCH ADDRESS IN SCHEDULE.

IS DIFFERENT FROM ABOVE - ENTER

15C. CHECK IF REMITTANCE ADDRESS

EXT.NUMBERAREA CODE

15B. TELEPHONE NUMBER

(Type or print)AND

ADDRESS

OF

OFFEROR

CODE FACILITY

16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER15A. NAME

DATEAMENDMENT NO.DATEAMENDMENT NO.

and related documents numbered and dated):

amendments to the SOLICITATION for offerors

(The offeror acknowledges receipt of

14. ACKNOWLEDGEMENT OF AMENDMENTS

CALENDAR DAYS (%)30 CALENDAR DAYS (%)20 CALENDAR DAYS (%)10 CALENDAR DAYS (%)

(See Section I, Clause No. 52.232.8)

13. DISCOUNT FOR PROMPT PAYMENT

designated point(s), within the time specified in the schedule.

by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the

12. In compliance with the above, the undersigned agrees, if this offer is accepted within ______________ calendar days (60 calendar days unless a different period is inserted

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

OFFER (Must be fully completed by offeror)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

28. AWARD DATE

(Signature of Contracting Officer)

27. UNITED STATES OF AMERICA

25. PAYMENT WILL BE MADE BY

26. NAME OF CONTRACTING OFFICER (Type or print)

CODE 24. ADMINISTERED BY (If other than Item 7)

ITEM

(4 copies unless otherwise specified)

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

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

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

21. ACCOUNTING AND APPROPRIATION20. AMOUNT19. ACCEPTED AS TO ITEMS NUMBERED

AWARD (To be completed by government)

CODE

10-0232107/27/2010 X

NVS-220

Vechicle Safety Compliance

DOT/NHTSA

400 7th Street SW Washington DC 20590

NHTSA 1600 ET 08/26/2010

Brenda Brummer Brenda.brummer.ctr@dot.gov

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PAGE(S)

Chelly Johnson-Jones

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

STANDARD FORM 33 (Rev. 9-97)

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

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

DTNH22-10-R-00373

(A) (B) (C) (D) (E) (F)

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.

It competitively solicits from qualified sources a technical proposal to determine the potential contractor's qualifications with the intent to make multiple-award, delivery order contracts, to each awardee 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. Reimburse the contractor for the 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.

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 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;

Continued ...

OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

NSN 7540-01-152-8067

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

DTNH22-10-R-00373

(A) (B) (C) (D) (E) (F)

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).

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) Continued ...

OPTIONAL FORM 336 (4-86)

Sponsored by GSA

4 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

DTNH22-10-R-00373

(A) (B) (C) (D) (E) (F)

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

OPTIONAL FORM 336 (4-86)

Sponsored by GSA