FA8501-18-P-0065_Executed.pdf

SEE ADDENDUM

(No Collect Calls)b. TELEPHONE NUMBER 8. OFFER DUE DATE/LOCAL TIME

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

FA85019. ISSUED BY

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

FA850118P0065 28-Sep-2018

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

F3Q0AK8270A001

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

See Schedule $20,514.40

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE 768R4 FACILITY

OFFEROR CODE

AFSC/PZIOB - FA8501

OPERATIONS SUPPORT

375 PERRY STREET

BLDG 255

ROBINS AFB GA 31098-1672

B&H INTERNATIONAL LLC

4600 ASHE RD STE 311

BAKERSFIELD CA 93313-2041

DFAS COLUMBUS - F03000

ACCTG DISB STA NR 503000

BLDG 21 JAIM ANALYSIS RECON

3990 E BROAD ST RM 6C 240

COLUMBUS OH 43213-1152

18a. PAYMENT WILL BE MADE BY CODE F03000

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE

SEE ITEM 9

15. DELIVER TO CODE F3QTDL 16. ADMINISTERED BY

10 Days - 0.5%; Net 30 Days

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFP

16TH ACCS *F3QTDF

GARY PRIEST

525 BORGHESE DR BLDG 2079,

ROBINS AFB GA 31098

FAX:

TEL: 478-926-3666 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

334290

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

purchase Text Box 9/28/2018 purchase Text Box

ANTHON SNYGG

Purchasing Mgr

Purchase

SIGN

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

FA850118P0065

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 6 Each $2,759.24 $16,555.44

Surecall Force5 2.0 Kit

FFP

SC-POLYO2-72-OD4-KIT Cell booster kit with omni directional outdoor antenna and four indoor dome antennas.

FOB: Destination

PURCHASE REQUEST NUMBER: F3Q0AK8270A001

NET AMT $16,555.44

ACRN AA

CIN: F3Q0AK8270A0010001

$16,555.44

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0002 6 Each $58.34 $350.04

Lightning Surge Protector

FFP

859902 Lighting arrestor for external antenna.

FOB: Destination

PURCHASE REQUEST NUMBER: F3Q0AK8270A001

NET AMT $350.04

ACRN AA

CIN: F3Q0AK8270A0010002

$350.04

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0003 6 Each $24.98 $149.88 10' Black Ultra Low Loss Cable (N/Male C

FFP

952310 1262 Cable to connect external antenna to lightning arrestor.

FOB: Destination

PURCHASE REQUEST NUMBER: F3Q0AK8270A001

NET AMT $149.88

ACRN AA

CIN: F3Q0AK8270A0010003

$149.88

0004 6 Each $30.41 $182.46 Easy Up Deluxe 18-inch Y-Type Wall Mount

FFP

EZ30-18

Antenna mount hardware for external antenna.

NET AMT $182.46

CIN: F3Q0AK8270A0010004

$182.46

0005 6 Each $16.46 $98.76 5-Foot Antenna Mast 1.25-inch OD Heavy D

FFP

5-Foot Antenna Mast 1.25-inch OD Heavy Duty Stackable Swedged (SSMAST) SSMAST Mast pipe for external antenna.

NET AMT $98.76

CIN: F3Q0AK8270A0010005

$98.76

0006 6 Each $10.07 $60.42 6-Pack of 10" strips of MOCAP Install

FFP

6-Pack of 10" strips of MOCAP Installation Tape 2992 Sealant tape for outdoor antenna connections.

NET AMT $60.42

CIN: F3Q0AK8270A0010006

$60.42

0007 6 Each $8.76 $52.56 Winegard U-Bolt Clamp for Up to 2-Inch

FFP

Winegard U-Bolt Clamp for Up to 2-Inch Masts - 2-Pack DS-2002 Antenna mount hardware for external antenna.

NET AMT $52.56

CIN: F3Q0AK8270A0010007

$52.56

0008 6 Each $315.61 $1,893.66 Tripp Lite 12U Wall Mount Rack Enclosure

FFP

Tripp Lite 12U Wall Mount Rack Enclosure Cabinet 13" Patch Switch Depth SRW12U13 Cabinet for mounting of cell booster.

NET AMT $1,893.66

CIN: F3Q0AK8270A0010008

$1,893.66

0009 2 Each $585.59 $1,171.18 Times Microwave Plenum-rated 3/8" LMR 40

FFP

Times Microwave Plenum-rated 3/8" LMR 400 Series Coaxial Cable LMR400LL-PL- 100 Extended length cable to connect external antenna to booster.

NET AMT $1,171.18

CIN: F3Q0AK8270A0010009

$1,171.18

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A Government 0002 N/A N/A N/A Government 0003 N/A N/A N/A Government 0004 N/A N/A N/A Government 0005 N/A N/A N/A Government 0006 N/A N/A N/A Government 0007 N/A N/A N/A Government 0008 N/A N/A N/A Government 0009 N/A N/A N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 27-NOV-2018 6 16TH ACCS *F3QTDF

GARY PRIEST

525 BORGHESE DR BLDG 2079,

ROBINS AFB GA 31098

2014327

F3QTDL

0002 27-NOV-2018 6 (SAME AS PREVIOUS LOCATION)

0003 27-NOV-2018 6 (SAME AS PREVIOUS LOCATION)

0004 27-NOV-2018 6 (SAME AS PREVIOUS LOCATION)

0005 27-NOV-2018 6 (SAME AS PREVIOUS LOCATION)

0006 27-NOV-2018 6 (SAME AS PREVIOUS LOCATION)

0007 27-NOV-2018 6 (SAME AS PREVIOUS LOCATION)

0008 27-NOV-2018 6 (SAME AS PREVIOUS LOCATION)

0009 27-NOV-2018 2 (SAME AS PREVIOUS LOCATION)

ACCOUNTING AND APPROPRIATION DATA

AA: 5783400 308 78JS 300002 010000 44200 28534F 503000 F03000 ESP:CA ALD:AA FSR: 050580 PSR: 670199 DSR: 246527

AMOUNT: $20,514.40

ACRN CLIN/SLIN CIN AMOUNT

AA 0001 F3Q0AK8270A0010001 $16,555.44

0002 F3Q0AK8270A0010002 $350.04

0003 F3Q0AK8270A0010003 $149.88

0004 F3Q0AK8270A0010004 $182.46

0005 F3Q0AK8270A0010005 $98.76

0006 F3Q0AK8270A0010006 $60.42

0007 F3Q0AK8270A0010007 $52.56

0008 F3Q0AK8270A0010008 $1,893.66

0009 F3Q0AK8270A0010009 $1,171.18

CLAUSES INCORPORATED BY REFERENCE

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items

AUG 2018

52.213-4 Terms and Conditions--Simplified Acquisitions (Other Than Commercial Items).

AUG 2018

52.222-19 Child Labor -- Cooperation with Authorities and Remedies JAN 2018 52.222-50 Combating Trafficking in Persons MAR 2015 52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

JUL 2013

52.233-3 Protest After Award AUG 1996 52.247-34 F.O.B. Destination NOV 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting

OCT 2016

252.211-7003 Item Unique Identification and Valuation MAR 2016 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

CLAUSES INCORPORATED BY FULL TEXT

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(a) Definitions. As used in this clause--

Department of Defense Activity Address Code (DoDAAC) is a six position code that uniquely identifies a unit, activity, or organization.

Document type means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

Local processing office (LPO) is the office responsible for payment certification when payment certification is done external to the entitlement system.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall--

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.acquisition.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this Web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via Web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

COMBO

(Contracting Officer: Insert applicable document type(s). Note: If a “Combo” document type is identified but not supportable by the Contractor's business systems, an “Invoice” (stand-alone) and “Receiving Report” (stand-alone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

F3QTDL

(Contracting Officer: Insert inspection and acceptance locations or “Not applicable”.)

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table* Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC F03000 Issue By DoDAAC FA8501 Admin DoDAAC FA8501 Inspect By DoDAAC F3QTDL Ship To Code F3QTDL Ship From Code ____ Mark For Code ____ Service Approver (DoDAAC) ____ Service Acceptor (DoDAAC) ____ Accept at Other DoDAAC ____ LPO DoDAAC ____ DCAA Auditor DoDAAC ____ Other DoDAAC(s) ____

(*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

WAWF: Maj Gary Priest 116th Comm Sq 201-4327 Alt WAWF: MSgt Derek Woodard 116th Comm Sq 201-4322

(Contracting Officer: Insert applicable email addresses or “Not applicable.”)

(g) WAWF point of contact. (1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.

WAWF: Maj Gary Priest 116th Comm Sq 201-4327

(Contracting Officer: Insert applicable information or “Not applicable.”)

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

(End of clause)

OMBUDSMAN (JUN 2018)

(a) An ombudsman has been appointed to hear and facilitate the resolution of concerns from offerors, potential offerors, and others for this acquisition. When requested, the ombudsman will maintain strict confidentiality as to the source of the concern. The existence of the ombudsman does not affect the authority of the program manager, contracting officer, or source selection official. Further, the ombudsman does not participate in the evaluation of proposals, the source selection process, or the adjudication of protests or formal contract disputes. The ombudsman may refer the interested party to another official who can resolve the concern.

(b) Before consulting with an ombudsman, interested parties must first address their concerns, issues, disagreements, and/or recommendations to the contracting officer for resolution. Consulting an ombudsman does not alter or postpone the timelines for any other processes (e.g., agency level bid protests, GAO bid protests, requests for debriefings, employee-employer actions, contests of OMB Circular A-76 competition performance decisions).

(c) If resolution cannot be made by the contracting officer, the interested party may contact the ombudsman:

Mr. Timothy Inman timothy.inman@us.af.mil Phone: (478) 472-7426 Address: 295 Byron St, Robins AFB, GA 31098-1611

Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU/SMC ombudsman level, may be brought by the interested party for further consideration to the Air Force ombudsman, Associate Deputy Assistant Secretary (ADAS) (Contracting), SAF/AQC, 1060 Air Force Pentagon, Washington DC 20330-1060, phone number (571) 256-2395, facsimile number (571) 256-2431.

(d) The ombudsman has no authority to render a decision that binds the agency.

(e) Do not contact the ombudsman to request copies of the solicitation, verify offer due date, or clarify technical requirements. Such inquiries shall be directed to the Contracting Officer.

(End of clause)