CUS1449_-_Commercial_Items_(SF1449).pdf
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- Attached to
- Preventative Maintenance and Repair Program for the Northwest Region Federal contract opportunity
- Solicitation number
- HSBP1016R00400
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SF 1449
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12. DISCOUNT TERMS
8. OFFER DUE DATE/
LOCAL TIME
9. ISSUED BY CODE 10. THIS ACQUISITION IS
6. SOLICITATION
ISSUE DATE
3. AWARD/EFF. DATE 5. SOLICITATION NUMBER2. CONTRACT NO. 4. ORDER NUMBER
a. NAME b. TELEPHONE NUMBER (No collect calls)7. FOR SOLICITATION
INFORMATION CALL:
SET ASIDE : % FOR:
SMALL BUSINESS
NAICS:
SIZE STANDARD:
HUBZONE SMALL
BUSINESS
11. DELIVERY FOR FOB
DESTINATION UNLESS
BLOCK IS MARKED
SEE SCHEDULE
13b. RATING
14. METHOD OF SOLICITATION
IFB RFPRFQ
15. DELIVER TO CODE 16. ADMINISTERED BY CODEDELIVERY DATE
18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/ CODE
OFFEROR
FACILITY
CODE
TELEPHONE NO.
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS
BLOCK BELOW IS CHECKED.
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS
IN OFFER.
8(A)
00/00/0000 HSBP1016R0040
Diggs, Jonathan W. 202-325-7257 09/09/2016 05:00PM
DHS - Customs & Border Protection
Customs and Border Protection
1300 Pennsylvania Ave, NW
Procurement Directorate - NP 1310
Washington DC 20229
561210
$38.5 MILLION
See Attached Delivery Schedule
02/12/2018 DHS - Customs & Border Protection Customs and Border Protection 1300 Pennsylvania Ave, NW Procurement Directorate - NP 1310 Washington DC 20229
DHS - Customs & Border Protection Commercial Accounts Sect.
6650 Telecom Drive, Suite 100 Indianapolis IN 46278
PAGE OF PAGES1. REQUISITION NUMBERSOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12,17,23,24, & 30 0020091654 1 47
ORDER UNDER DPAS (15 CFR 700)
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
100UNRESTRICTED OR
13a. THIS CONTRACT IS A RATED
08/19/2016
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
24.
AMOUNT
22.
UNIT
23.
UNIT PRICE
SEE ADDENDUM
WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE
UNDER THE WOMEN-OWNED SMALL BUSINESS PROGRAM
ECONOMICALLY DISADVANTAGED
WOMEN-OWNED SMALL BUSINESS
(EDWOSB)
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
31c. DATE SIGNED
25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt Use Only)
27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED.
ADDENDA
ADDENDA
ARE ARE NOT ATTACHED.
ARE ARE NOT ATTACHED.
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND
RETURN
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.
YOUR OFFER ON SOLICITATION (BLOCK 5), INCLUDING
ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO
ITEMS:
OFFER DATED
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)
STANDARD FORM 1449 (REV. 5/2011)
Prescribed by GSA - FAR (48 CFR) 53.212
$0.00
Kerri A. Bishop
COPIES TO ISSUING OFFICE. CONTRACTOR
10 FY17 NW Regional-BPFTI-AMF-PM Services 1.000 EA
20 FY17 NW Regional-BPFTI-AMF-Phase-In 1.000 EA
30 FY17 NW Regional-BPFTI-AMF-Minor Repairs 1.000 EA
2 47
CONTRACT NO.: REQUISITION NUMBER AWARD/EFF. DATE
PAGE OF PAGES
ADDITIONAL INFORMATION:
41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER
32a. QUANTITY IN COLUMN 21 HAS BEEN
ACCEPTED AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED RECEIVED INSPECTED
32b. SIGNATURE OF AUTHORIZED GOVT. 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
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED
CORRECT FOR
FINALPARTIAL
36. PAYMENT 37. CHECK NUMBER
COMPLETE PARTIAL FINAL
39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER 40. PAID BY
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)
41c. DATE 42b. RECEIVED AT (Location)
STANDARD FORM 1449 (REV. 5/2011) BACK
42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)
0020091654 00/00/0000
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