SF1449.pdf

PDF 89 KB Posted Jun 12, 2012

Attached to: FDA-Wide Capital Planning Investment and Control
Solicitation number: FDA-SOL-12-1099989
Issued by: Department of Health and Human Services Food and Drug Administration

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SF 1449

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Other files

File	Type	Posted
RFPATTACHMENT2(2).pdf	PDF	Jul 13, 2012
RFPATTACHMENT1.pdf	PDF	Jul 13, 2012
CPICSOLICITATION.pdf	PDF	Jul 13, 2012
ResponsestoVendorQuestions.pdf	PDF	Jul 13, 2012
ResponsestoVendorQuestions.pdf	PDF	Jul 12, 2012
ResponsestoVendorQuestions.pdf	PDF	Jul 9, 2012
RFPATTACHMENT2(2).pdf	PDF	Jul 9, 2012
RFPATTACHMENT1.pdf	PDF	Jul 9, 2012
CPICSOLICITATION.pdf	PDF	Jul 9, 2012
RFPATTACHMENT5.xlsx	XLSX spreadsheet	Jul 9, 2012
RFPATTACHMENT4.xlsx	XLSX spreadsheet	Jul 9, 2012
RFPATTACHMENT9.pdf	PDF	Jun 12, 2012
RFPATTACHMENT5.xlsx	XLSX spreadsheet	Jun 12, 2012
RFPATTACHMENT1.pdf	PDF	Jun 12, 2012
RFPATTACHMENT10.pdf	PDF	Jun 12, 2012
Appendix A.docx	DOCX document	Jun 12, 2012
RFPATTACHMENT4.xlsx	XLSX spreadsheet	Jun 12, 2012
RFPATTACHMENT2(2).pdf	PDF	Jun 12, 2012
AppendixCSOPs.docx	DOCX document	Jun 12, 2012
RFPATTACHMENT3	—	Jun 12, 2012
RFPATTACHMENT6.docx	DOCX document	Jun 12, 2012
CPICSOLICITATION.pdf	PDF	Jun 12, 2012
RFPATTACMENT8 .pdf	PDF	Jun 12, 2012
AppendixESampleMSR.docx	DOCX document	Jun 12, 2012
RFPATTACHMENT7.pdf	PDF	Jun 12, 2012
AppendixBInvestmentList.xlsx	XLSX spreadsheet	Jun 12, 2012
AppendixDScorecard.pdf	PDF	Jun 12, 2012

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE 17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

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

BELOW IS CHECKED

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

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

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF.

DATED . YOUR OFFER ON SOLICITATION

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITON IS

UNRESTRICTED OR

NAICS:

SIZE STANDARD:

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

OFFER

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS

EMERGING SMALL

BUSINESS

8(A)

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

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

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

STANDARD FORM 1449 (REV. 3/2005) BACK

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

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

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

reqnumber:

pagenumber:

contractno:

ordernumber:

solicitationnumber: FDA-SOL-12-1099989

solicitationdate: 07/17/2012

contactname: Jody O'Kash

contactphone: 301-827-5094

offerduedate: 1:00pm

issuedbycode:

issuedby: DHHS/FDA/OAGS/DAP

ATTN: Jody O'Kash 301-827-5094 5630 Fishers Lane Room 1086 Rockville, MD 20857

unrestricted: Off

setaside: Off

setasidepercent:

smallbusiness: Off

emerging: Off

hubzone: Off

servicedisabled: Off

8A: Yes

seeschedule: Off

discountterms:

ratedorderDPAS: Off

rating:

RFQ: Off

IFB: Off

RFP: Yes

DeliverToCode:

DeliverTo: DHHS/FDA/OAGS/DAP

ATTN: Jody O'Kash 301-827-5094 5630 Fishers Lane Room 2010 Rockville, MD 20857

AdministeredByCode:

AdministeredBy: DHHS/FDA/OAGS/DAP

ATTN: Jody O'Kash 301-827-5094 5630 Fishers Lane Room 2010 Rockville, MD 20857

contractorcode:

facilitycode:

contractoraddress:

contractorphone:

paymentbycode:

paymentbyaddress: TBD at time of award

remitdifferent: Off

submitdifferent: Off

unit1:

unitprice1:

itemnumber1:

schedule1:

quantity1:

unitprice2:

amount1:

itemnumber2: 1.

schedule2: FDA-WIDE CPIC IDIQ CONTRACT

quantity2:

unit2:

amount2:

itemnumber3:

schedule3:

quantity3:

unit3:

unitprice3:

amount3:

itemnumber4:

schedule4: (See Attached RFP DOCUMENTS)

quantity4:

unit4:

unitprice4:

amount4:

itemnumber5:

schedule5:

quantity5:

unit5:

unitprice5:

amount5:

itemnumber6:

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unit6:

unitprice6:

amount6:

itemnumber7:

schedule7:

quantity7:

unit7:

unitprice7:

amount7:

accountingdata:

awardamount:

27a: Yes

27a_areattached: Off

27a_notattached: Yes

27b: Off

27b_areattached: Off

27b_notattached: Off

requiredtosign: Off

numberofcopies:

awardofcontract: Off

offerreference:

awarddate:

exceptions:

signername:

signertitle:

datesignersignature:

contractingofficer:

datesigned_controffcr:

itemnumber8:

schedule8:

quantity8:

unit8:

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received: Off

inspected: Off

accepted: Off

asnoted:

authorizedsigdate:

authorizedname:

authorizedtitle:

authorizedaddress:

authorizedphone:

authorizedemail:

shipnumber:

partialship: Off

finalship: Off

vouchernumber:

amountverified:

completepayment: Off

partialpayment: Off

finalpayment: Off

checknumber:

SRAccountNo:

SRVoucherNo:

PaidBy:

TitleCertifyOfficer:

certifydate:

receivedby:

receivedatlocation:

datereceived:

totalcontainers:

awarddate2:

File details come from the government source that posted it. Updated Nov 14, 2017.