FA8201-12-R-0043.pdf

OO-ALC/PZIO

DUSTIN HARVEY 6038 ASPEN AVE B1289

HILL AFB UT 84056-5805

801-775-2365

UNDER DPAS (15 CFR 700)

11. DELIVERY FOR FOB

RFQ

SEE SCHEDULE

14. METHOD OF SOLICITATION

IFB RFP

CODE

SEE ADDENDUM

BLOCK IS MARKED

DESTINATION UNLESS

12. DISCOUNT TERMS

(No Collect Calls)

13b. RATING

13a. THIS CONTRACT IS A RATED ORDER

X

CODE

FA8201-12-R-0043 15-Aug-2012

b. TELEPHONE NUMBER

801-775-2365

8. OFFER DUE DATE/LOCAL TIME

12:00 AM 30 Aug 2012

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV 3/2005)

Prescribed by GSA

FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER) 31c. DATE SIGNED

ADDENDA ARE

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

22. UNIT 23. UNIT PRICE 24. AMOUNT21. QUANTITY

CODE 10. THIS ACQUISITION IS

UNRESTRICTED

FAX: NAICS:

TEL:

CODE 18a. PAYMENT WILL BE MADE BYOFFEROR

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TEL.

FA8201

SIZE STD:

9. ISSUED BY

FACILITY

CODE

17a.CONTRACTOR/

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

15. DELIVER TO CODE F2DCCK 16. ADMINISTERED BY

309 MXW/OBH

DONITA RELETHFORD

6091 GUM LANE

BLDG 1221 RM 16

HILL AFB UT 84056-5826

TEL: 810-586-7335 FAX:

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

DUSTIN HARVEY

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

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES

SEE SCHEDULE

TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS

SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS

SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

SB

HUBZONE SB

SET ASIDE: % FOR

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

TEL: EMAIL:

1 COPIES

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

.OFFER DATED YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

X

8(A)

SVC-DISABLED VET-OWNED SB

EMERGING SB

X

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

SEE SCHEDULE

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES 21. QUANTITY 22. UNIT 24. AMOUNT

PAGE 2 OF

23. UNIT PRICE

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 3/2005) BACK

Prescribed by GSA

FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

FA8201-12-R-0043

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

E-Drill System with Hand Tool

FFP

EDM Fastener Removal Tool E-Drill System with Hand Tool, Control Rerminal and Mobil Service Cart.

FOB: Destination

NSN: 5130-01-586-6558

BRAND NAME/SOLE SOURCE: BN

MFR PART NR: CP1-SY-011

NET AMT

3/8" Copper Electrode

FFP

3/8" Copper Electrode for cutting soft metal with E-Drill- 5 pack

FOB: Destination

NSN: 5130-01-590-0368

MFR PART NR: EDK-0212-0

1/4" Copper Electrode

FFP

1/4" Copper Electrode for cuttin soft metal with E-Drill- 5 pack.

FOB: Destination

NSN: 5130-01-590-0370

MFR PART NR: EDK-0208-0

5/16" Copper Electrode

FFP

5/16" Copper Electrode for cutting soft metal with E-Drill-5 pack

FOB: Destination

NSN: 5130-01-590-0363

MFR PART NR: EDK-0210-0

3/16" Copper Electrode

FFP

3/16" Copper Electrode for cutting soft metal with E-drill

FOB: Destination

NSN: 5130-01-590-0367

MFR PART NR: EDK-0206-0

5/32" Copper Electrode

FFP

5/32" Copper Electrode for cutting soft metal with E-Drill

FOB: Destination

NSN: 5130-01-590-0361

MFR PART NR: EDK-0205-0

3/8" Brass Electrode

FFP

3/8" Brass Electrode for cutting hard metal with E-Drill- 5 pack

FOB: Destination

NSN: 5130-01-590-0365

MFR PART NR: EDK-0112-0

5/16" Brass Electrode

FFP

5/16" Brass Electrode for cutting hard metal with E-Drill- 5 pack

FOB: Destination

NSN: 5130-01-590-0362

MFR PART NR: EDK-0110-0

1/4" Brass Electrode

FFP

1/4" Brass Electrode for cutting hard metal with E-Drill-5 pack

FOB: Destination

NSN: 5130-01-590-0369

MFR PART NR: EDK-0108-0

3/16" Brass Electrode

FFP

3/16" Brass Electrode for cutting hard metal with E-Drill

FOB: Destination

NSN: 5130-01-590-0366

MFR PART NR: EDK-0106-0

5/32" Brass Electrode

FFP

5/32" Brass Electrode for cutting hard metal with E-Drill- 5 pack

FOB: Destination

NSN: 5130-01-590-0364

MFR PART NR: EDK-0105-0

Vacuum Flush Head Locator

FFP

Vacuum Flush Head Locator

FOB: Destination

MFR PART NR: EDF-0220

Anti Skid Punch

FFP

For removal of 1/4" fasteners

MFR PART NR: EDT-0208

Anti Skid Punch

FFP

For removal of 3/16" fasteners

MFR PART NR: EDT-0206

Anti Skid Punch

FFP

For removal of 5/32" fasteners

MFR PART NR: EDT-0205

Portable Stand

FFP

Portable stand for E-Drill Hand Tool

MFR PART NR: EDT-0106

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination 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

0010 N/A N/A N/A Government

0011 N/A N/A N/A Government

0012 N/A N/A N/A Government

0013 N/A N/A N/A Government

0014 N/A N/A N/A Government

0015 N/A N/A N/A Government

0016 N/A N/A N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 30 dys. ADC 309 MXW/OBH

DONITA RELETHFORD

6091 GUM LANE

BLDG 1221 RM 16

HILL AFB UT 84056-5826

810-586-7335

F2DCCK

0002 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0003 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0004 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0005 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0006 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0007 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0008 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0009 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0010 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0011 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0012 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0013 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0014 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0015 30 dys. ADC (SAME AS PREVIOUS LOCATION)

0016 30 dys. ADC (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.204-7 Central Contractor Registration FEB 2012

52.204-10 Reporting Executive Compensation and First-Tier Subcontract

Awards

FEB 2012

52.207-4 Economic Purchase Quantity-Supplies AUG 1987

52.209-2 Prohibition on Contracting with Inverted Domestic

Corporations--Representation

MAY 2011

52.209-10 Prohibition on Contracting With Inverted Domestic

Corporations

MAY 2012

52.211-8 Time of Delivery JUN 1997

52.212-1 Instructions to Offerors--Commercial Items FEB 2012

52.212-3 Offeror Representations and Certification--Commercial Items APR 2012

52.212-3 Offerer Representations and Certification-Commercial Item JAN 2005

52.212-4 Contract Terms and Conditions--Commercial Items FEB 2012

52.212-5 Contract Terms and Conditions Required to Implement

Statutes or Executive Orders--Commercial Items

JUL 2012

52.213-1 Fast Payment Procedure MAY 2006

52.219-6 Notice Of Total Small Business Set-Aside NOV 2011

52.219-28 Post-Award Small Business Program Rerepresentation APR 2012

52.222-18 Certification Regarding Knowledge of Child Labor for Listed

End Products

FEB 2001

52.222-19 Child Labor -- Cooperation with Authorities and Remedies MAR 2012

52.222-21 Prohibition Of Segregated Facilities FEB 1999

52.222-26 Equal Opportunity MAR 2007

52.222-36 Affirmative Action For Workers With Disabilities OCT 2010

52.222-50 Combating Trafficking in Persons FEB 2009

52.223-4 Recovered Material Certification MAY 2008

52.223-15 Energy Efficiency in Energy-Consuming Products DEC 2007

52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.225-1 Buy American Act--Supplies FEB 2009

52.225-2 Buy American Act Certificate FEB 2009

52.225-3 Buy American Act--Free Trade Agreement--Israeli Trade Act MAY 2012

52.225-3 Alt I Buy American Act--Free Trade Agreement--Israeli Trade Act

(MAY 2012) Alternate I

MAR 2012

52.225-3 Alt II Buy American Act--Free Trade Agreement--Israeli Trade Act

(MAY 2012) Alternate II

MAR 2012

52.225-3 Alt III Buy American Act--Free Trade Agreements--Israeli Trade Act

(MAY 2012) Alternate III

MAR 2012

52.225-4 Buy American Act--Free Trade Agreement--Israeli Trade Act

Certificate

JUN 2009

52.225-4 Alt I Buy American Act--Free Trade Agreement--Israeli Trade Act

Certificate (Jun 2009) Alternate I

JAN 2004

52.225-4 Alt II Buy American Act--Free Trade Agreement--Israeli Trade Act

Certificate (Jun 2009) Alternate II

JAN 2004

52.225-4 Alt III Buy American Act--Free Trade Agreements--Israeli Trade Act

Certificate (JUN 2009) Alternate III

MAR 2012

52.225-13 Restrictions on Certain Foreign Purchases JUN 2008

52.225-18 Place of Manufacture SEP 2006

52.225-25 Prohibition on Engaging in Sanctioned Activities Relating to

Iran--Certification.

NOV 2011

52.232-25 Prompt Payment OCT 2008

52.232-33 Payment by Electronic Funds Transfer--Central Contractor

Registration

OCT 2003

52.232-36 Payment by Third Party FEB 2010

52.233-1 Disputes JUL 2002

52.233-3 Protest After Award AUG 1996

52.233-4 Applicable Law for Breach of Contract Claim OCT 2004

52.243-1 Changes--Fixed Price AUG 1987

52.247-34 F.O.B. Destination NOV 1991

52.249-1 Termination For Convenience Of The Government (Fixed

Price) (Short Form)

APR 1984

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7008 Export-Controlled Items APR 2010

252.204-7011 Alternative Line Item Structure SEP 2011

252.211-7003 Item Identification and Valuation JUN 2011

252.212-7001 Contract Terms and Conditions Required to Implement

Statutes or Executive Orders Applicable to Defense

Acquisitions of Commercial Items

JUN 2012

252.223-7008 Prohibition of Hexavalent Chromium MAY 2011

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006

252.246-7000 Material Inspection And Receiving Report MAR 2008

252.247-7023 Transportation of Supplies by Sea MAY 2002

252.247-7023 Alt III Transportation of Supplies by Sea (May 2002) Alternate III MAY 2002

CLAUSES INCORPORATED BY FULL TEXT

5352.201-9101 OMBUDSMAN (APR 2010)

(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 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 OMBC A-76 competition performance decisions).

(c) If resolution cannot be made by the contracting officer, concerned parties may contact the Center/MAJCOM or

AFISRA ombudsmen, . Concerns, issues, disagreements, and recommendations that cannot be resolved at the

MAJCOM/DRU or ARISRA level, may be brought by the concerned 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 (703) 588-7004, facsimile number (703) 588-1067.

(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)