Form 1449 Without Schedule (Fillable Word Version).docx
DOCX document 34 KB Posted
- Solicitation number
- W90JVM42001900
About this file
This is Standard Form 1449 (Solicitation/Contract/Order for Commercial Products and Commercial Services) template for solicitation number W90JVM42001900. The form is being issued by the General Services Administration Supply Chain Management General Products Branch in Fort Worth, TX for the procurement of one T-ROC Equipment P/N HBM86 or equal box making machine.
Key details include an offer due date of December 12, 2024, with an award effective date of December 5, 2024. The point of contact is Jim Dear (jim.dear@gsa.gov, 817-850-8253). Vendors quoting "or equal" products must provide sufficient technical data for evaluation. The NAICS code is 333993. The form requires contractors to complete blocks 12, 17, 23, 24, and 30, and return one signed copy to the issuing office. No set-aside preferences are indicated on the form as the checkboxes are unmarked.
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| File | Type | Posted |
|---|---|---|
| RFQ W90JVM42001900.docx | DOCX document |
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Text version
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES
| NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30. |
| 1. REQUISITION NUMBER |
| PAGE 1 OF 48 |
See RFQ
| 2. CONTRACT NUMBER |
| 3. AWARD/ |
EFFECTIVE DATE
| 4. ORDER NUMBER |
| 5. SOLICITATION NUMBER |
| 6. SOLICITATION |
ISSUE DATE
| N/A |
| W90JVM42001900 |
| 12/5/2024 |
7. FOR SOLICITATION INFORMATION CALL:
| a. NAME |
| b. TELEPHONE NUMBER (No |
collect calls)
8. OFFER DUE DATE/
LOCAL TIME
| Jim Dear (jim.dear@gsa.gov) |
| 817-850-8253 |
| 12/12/2024 |
| 9. ISSUED BY |
| CODE |
| 10. THIS ACQUISITION IS |
| |_| UNRESTRICTED or |
| |_| SET ASIDE |
| % FOR |
| General Services Administration |
| |_| |
| SMALL BUSINESS |
| |_| |
| WOMEN-OWNED SMALL BUSINESS (WOSB) |
| NORTH AMERICAN INDUSTRY CLASSIFICATION STANDARD (NAICS) |
Supply Chain Management General Prosucts Branch
| |_| |
| HUBZONE SMALL BUSINESS |
| |_| |
| ECONOMICALLY DISADVANTAGED |
| 819 Taylor Street |
| |_| |
| SERVICE-DISABLED VETERAN-OWNED |
| |_| |
| WOMEN-OWNED SMALL BUSINESS (EDWOSB) |
| 333993 |
SIZE STANDARD
Fort Worth, TX 76102-6105
| SMALL BUSINESS (SDVOSB) |
| |_| |
| 8(A) |
11. DELIVERY FOR FREE ON
BOARD (FOB)
DESTINATION UNLESS
BLOCK IS MARKED
12. DISCOUNT TERMS
13a. THIS CONTRACT IS A RATED
RATED ORDER UNDER THE
|_| DEFENSE PRIORITIES AND
ALLOCATIONS SYSTEM –
DPAS (15 CFR 700)
13b. RATING
14. METHOD OF SOLICITATION
(select one)
|_| SEE SCHEDULE
| 15. DELIVER TO |
| CODE |
| 16.ADMINISTERED BY |
| CODE |
| To be shown on issued purchase orders |
| Same as Block 9 |
17a. CONTRACTOR/
OFFEROR
| CODE |
| FACILITY CODE |
| 18a. PAYMENT WILL BE MADE BY |
| CODE |
| |_| |
| 17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER |
| 18b. SUBMIT INVOICE TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK |
BELOW IS CHECKED |_| SEE ADDENDUM
| 19. |
| 20. |
| 21. |
| 22. |
| 22. |
| 24. |
| ITEM NUMBER |
| SCHEDULE OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
***Please use the Schedule of Items provided on page 6 of attached RFQ***
| 25. ACCOUNTING AND APPROPRIATION DATA |
| 26. TOTAL AWARD AMOUNT (For Government Use Only) |
| |_| |
| 27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR |
52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
| |_| |
| ARE |
| |_| |
| 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 |
| |_| |
| 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 COPIES 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 |
| |_| |
| 29. AWARD OF CONTRACT REFERENCE OFFER |
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 |
| 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) |
| 30b. NAME AND TITLE OF SIGNER (Type or print) |
| 30c. DATE SIGNED |
| 31b. NAME OF CONTRACTING OFFICER (Type or print) |
| 31c. DATE SIGNED |
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV. 11/2021) Prescribed by GSA - FAR (48 CFR) 53.212
| 19. |
| 20. |
| 21. |
| 22. |
| 22. |
| 24. |
| ITEM NUMBER |
| SCHEDULE OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
32a. QUANTITY IN COLUMN 21 HAS BEEN
| |_| |
| RECEIVED |
| |_| |
| INSPECTED |
| |_| |
| ACCEPTED, AND CONFORMS TO THE CONTACT, EXCEPT AS NOTED |
| _________________ |
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. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE |
| 32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE |
| 33. SHIP NUMBER |
| 34. VOUCHER |
NUMBER
35. AMOUNT VERIFIED
CORRECT FOR
| 36. PAYMENT |
| 37. CHECK NUMBER |
| |_| |
| PARTIAL |
| |_| |
| FINAL |
| |_| |
| COMPLETE |
| |_| |
| PARTIAL |
| |_| |
| FINAL |
| STOCK RECORD (S/R) |
| 40. PAID BY |
| 38. S/R ACCOUNT NUMBER |
| 39. S/R VOUCHER NUMBER |
42a. RECEIVED BY (Print)
| 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT |
42b. RECEIVED AT (Location)
| 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER |
| 41c. DATE |
| 42c. DATE RECEIVED (MM/DD/YYYY) |
| 42d. TOTAL CONTAINERS |
STANDARD FORM 1449 (REV. 11/2021) BACK
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