SF 1449.pdf

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA El ARE q ARE NOT ATTACHED 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE LiARE NOT ATTACHED

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

20062528

PAGE 1 OF

2. CONTRACT NO.

HSBP1010R0074

3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER

HSBP1010R0074

6. SOLICITATION ISSUE

DATE

03/04/2011

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Robert Gerard

b. TELEPHONE NUMBER (No collect calls)

571-468-7008

8. OFFER DUE DATE/

LOCAL TIME

04/05/2011

9. ISSUED BY CODE 1 7014 10. THIS

X

ACQUISITION IS

UNRESTRICTED OR SET ASIDE: % FOR:DHS- Custom & Border Protection

Department of Homeland Security 1901 South Bell Street, 8th Floor Enterprise Contracting Office Arlington, Virginia 20598

SIZE STANDARD:

BUSINESS

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS q 8 (A)

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

Li 13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

LiRFQ q IFB X RFP

15. DELIVER TO CODE I 16. ADMINISTERED BY CODE 7014

See Attached Delivery Schedule DHS- CBP (Enterprise Contracting Office)

1901 South Bell Street,Arlington, Virginia 20598

TELEPHONE NO.

DHS - Customs & Border Protection National Finance Center PO Box 68908 Indianapolis, IN. 46268 Email: cbpinvoices@dhs.gov

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 SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

See Section B of the RFP

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

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

E51 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

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

2 29. AWARD OF CONTRACT: REF. OFFER

ON ANY

DATED . YOUR OFFER ON SOLICITATION

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

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)

Perry Smith

31c. DATE SIGNED

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

See FBO for uploaded documents.

QUANTITY IN COLUMN 21 HAS BEEN

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

SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

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

REPRESENTATIVE

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

E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

CORRECT FOR

36. PAYMENT

COMPLETE PARTIAL FINAL

37. CHECK NUMBER

q PARTIAL q FINAL

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print) 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 3/2005) BACK