Solicitation.pdf

UNCLASSIFIED

[1. REQUISITION NUMBERSOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEM lPAG~ OF I

OFFEROR TO COMPLETE BLOCKS 12, 17,23,24, & 30 NSIOG10026HS26 12

2. CONTRACT NO. 14. ORDER NUMBER r. SOLICITATION NUMBER

EFFECTIVE DATE HM017710ROO06 ISSUE DATE

13 AWARD/ I~ SOLICITATION

7. FOR SOLICITATION la. NAME Ib. TELEPHONE NUMBER (No collect calls) lB. OFFER DUE DATE/LOCAL TIME

INFORMATION CALL: ~ Adam Greenspan 301-227-5901

9 ISSUED BY 10. THIS ACQUISITION IS

UNRESTRICTED OR iX SET ASIDE: 100 . 00 % FOR:

CODE IHMO 1 7 7

Nat'l Geospatia1-Inte11igence Agen.

xi SMALL BUSINESS ,EMERGING SMALLATTN: ACH/MS D88

BUSiNESS 4600 Sangamore Rd , NAICS 45 4311 i HUBZONE SMALL SOLE SOURCE

BETHESDA MD 20816-5003 BUSINESS

SIZE STANDARD:

I SERVICE-DISABLED VETERAN- iBIA)

12. DI

$11. 5

SCOUNT TERMS

I i 13a.

CODE INGABETH

P.O.C.

OWNED SMALL BUSINESS

11. DELIVERY FOR FOB DESTINA 13b. RATING

TION UNLESS BLOCK IS THIS CONTRACT IS A

MARKED RATED ORDER UNDER

14. METHOD OF SOLICITATION

DPAS (15 CFR 700)SEE SCHEDULE IX RFQ IIFB RFP

15, DELIVER TO '6 ADMINiSTERED BY CODE 153GREENSPAN

Attn: Michael Sepety Adam Greenspan NGA Bethesda 4600 Sangamore Road Bethesda MD 20816-5003

17a. CONTRACTOR/ CODE I

OFFEROR

I FACILITY I

CODE

Phone: (301) 227-5901 Fax: (301 ) 227-1728 Email: Adam.M.Greenspan@nga.mi1 lBa. PAYMENT WILL BE MADE BY CODE I

TELEPHONE NO

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 'Bb SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 'Ba UNLESS BLOCK BELOW

IS CHECKED 'SEE ADDENDUM

19. 20.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

Delivery: 30 Days After Award

The Contractor shall provide:

#2 Diesel Fuel Oil for Heating/Air Conditioning 8,500 gallons into Tank #1 (48K Tank) to the Erskine Hall Complex 4600 Sangamore Rd.

Bethesda, MD 20816-5003 Unit price shall include Montgomery County Excise Tax.

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

2'.

QUANTITY

22.

UNIT

UNIT PRICE

AMOUNT

8500 GA

25. ACCOUNTING AND APPROPRIATION DATA 16. TOTAL AWARD AMOUNT (For Govt. Use Only)

X 27a SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDEND X ARE ARE NOT ATTACHED.

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

I , 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

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 HEREIN.

29. AWARD OF CONTRACT REF. 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) roc, DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print) 131C. DATE SIGNED

Scott L. Stallsmith

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV. 312005)

PREVIOUS EDITION IS NOT USABLE Prescribed by G5A • FAR (48 CFR) 53.212

20. 21 22. 2319. 24

SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICEITEM NO. AMOUNT

This is a Fixed-price with economic price adjustment type contract, as identified under

Federal Acquisition Regulation (FAR) 16.203-1, in the total amount as stated in blk. 24.

0002 #2 Diesel Fuel Oil for Heating/Air Conditioning 8500 GA

8,500 gallons into Tank #2 (48K Tank) to the

Erskine Hall Complex

4600 Sangamore Rd.

Bethesda, MD 20816-5003

Unit price shall include Montgomery County Excise

Tax.

This is a Fixed-price with economic price adjustment type contract, as identified under

Federal Acquisition Regulation (FAR) 16.203-1, in the total amount as stated in blk. 24.

0003 #2 Diesel Fuel Oil for Heating/Air Conditioning 8000 GA

8,000 gallons into Ruth Bldg. Tank (30K Tank) to the Dalecarlia Site - Ruth Building

6100 MacArthur Blvd.

Bethesda, MD 20816-5000

Unit price shall include Montgomery County Excise

Tax.

This is a Fixed-price with economic price adjustment type contract, as identified under

Federal Acquisition Regulation (FAR) 16.203-1, the total amount as stated in blk. 24.

I I

32•. QUANTITY IN COLUMN 21 HAS BEEN

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS

RECEIVED , INSPECTED NOTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 1 32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 321. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

CORRECT FOR

PARTIAL FINAL

36. PAYMENT

COMPLETE i PARTIAL FINAL

37. CHECK NUMBER

40. PAID BY 38 SIR ACCOUNT NUMBER 39. SIR VOUCHER NUMBER

41 •. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42. RECEIVED BY (Print) I

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42b. RECEIVED AT (Location)

42c. DATE REC'D (YYIMMIDD) 142d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 3/2005) BACK