SF_1449_Final.pdf
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- Administrative Support Services
- Solicitation number
- DTPH56-13-R-000002
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Part I SF 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
PHA-30
E22-301 1200 New Jersey Avenue, SE
US DOT/PHMSA/PHA-30
Office of Acquisition Services
PHMSA CODE 16. ADMINISTERED BYCODE
X
X
561110
SIZE STANDARD:
100.00 % FOR:SET ASIDE:UNRESTRICTED ORPHA-30
RFPIFB
10. THIS ACQUISITION ISCODE
RFQ
14. METHOD OF SOLICITATION
13b. RATING
NAICS:
SMALL BUSINESS
02/27/2013 1700 ET
01/28/2013
(202) 366-5513Maria Munoz (No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
DTPH56-13-R-000002
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 4 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
Washington DC 20590-0001
TELEPHONE NO.
17a. CONTRACTOR/
Service Performance Locations See Attachment J.1,
15. DELIVER TO
Washington DC 20590-0001 E22-301 1200 New Jersey Avenue, SE
US DOT/PHMSA/PHA-30
9. ISSUED BY
7.
2. CONTRACT NO.
EFFECTIVE DATE
$7.0
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW
ISSUE DATE
DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
11.
SEE SCHEDULE
12. DISCOUNT TERMS
THIS CONTRACT IS A
RATED ORDER UNDER
DPAS (15 CFR 700)
13a.
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
8(A)
Office of Acquisition Services
WOMEN-OWNED SMALL BUSINESS
(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
X
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
PHMSA Solicitation/RFP #DTPH56-13-R-000002, "PHMSA's Administrative Support Services Contract" Authority for Other than Full & Open Competition:
41 USC 3304(a)(5) formerly 41 USC 253(c)(5)
This entire solicitation consists of the following documents:
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
X
XX
DATED
WARREN OSTERBERG
. 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 FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
OFFER
STANDARD FORM 1449 (REV. 2/2012)
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: REF.
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text U.S. Department of Transportation PHMSA/Financial Operations
AMZ-160
P.O. Box 269039 Oklahoma City, OK 73126-9039
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. 2/2012) BACK
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
* Notice Concerning Solicitation (2 pages)
* SF 1449 (4 pages)
* Section B (4 pages)
* Section C (13 pages)
* Section D&E (1 page)
* Section F (1 page)
* Section G (3 pages)
* Section H (3 pages)
* Section I (31 pages)
* Section J (1 pages)
-- Attachment J.1 (3 pages)
-- Attachment J.2 (10 pages)
-- Attachment J.3 (10 pages)
-- Attachment J.4 (10 pages)
-- Attachment J.5 (10 pages)
-- Attachment J.6 (10 pages)
-- Attachment J.7 (10 pages)
-- Attachment J.8 (10 pages)
-- Attachment J.9 (10 pages)
-- Attachment J.10 (10 pages)
-- Attachment J.11 (10 pages)
-- Attachment J.12 (2 pages)
-- Attachment J.13 (3 pages)
-- Attachment J.14 (1 pages)
-- Attachment J.15 (3 pages)
* Section K (13 pages)
* Section L (10 pages)
* Section M (3 pages)
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
4 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 4
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
DTPH56-13-R-000002
0001 Base Period (May 1, 2013 - May 31, 2014)
* The amount for this line item is the ceiling price for this period.
Actual value of this line item and contract will depend on the number of support positions ordered by PHMSA. Work is not guaranteed.
Period of Performance: 05/01/2013 to 05/31/2014
0002 Option Period 1 (June 1, 2014 - May 31, 2015)
* The amount for this line item is the ceiling price for this period.
Actual value of this line item and contract will depend on the number of support positions ordered by PHMSA. Work is not guaranteed.
(Option Line Item)
Period of Performance: 06/01/2014 to 05/31/2015
0003 Option Period 2 (June 1, 2015 - May 31, 2016)
* The amount for this line item is the ceiling price for this period.
Actual value of this line item and contract will depend on the number of support positions ordered by PHMSA. Work is not guaranteed.
(Option Line Item)
Period of Performance: 06/01/2015 to 05/31/2016
0004 Option Period 3 (June 1, 2016 - May 31, 2017)
* The amount for this line item is the ceiling price for this period.
Actual value of this line item and contract will depend on the number of support positions ordered by PHMSA. Work is not guaranteed.
(Option Line Item)
Period of Performance: 06/01/2016 to 05/31/2017
0005 Option Period 4 (June 1, 2017 - May 31, 2018)
* The amount for this line item is the ceiling price for this period.
Actual value of this line item and contract will depend on the number of support positions ordered by PHMSA. Work is not guaranteed.
(Option Line Item) Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
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Maria.Munoz Typewritten Text Not to Exceed $3,900,000.00
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text Not to Exceed $4,100,000.00
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text Not to Exceed $4,300,000.00
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text Not to Exceed $4,500,000.00
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text Not to Exceed $4,700,000.0
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
Maria.Munoz Typewritten Text
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
4 4
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
DTPH56-13-R-000002
Period of Performance: 06/01/2017 to 05/31/2018
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
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