SF33.pdf

HSCG23-11-R-PMF001

SOLICITATION, OFFER AND AWARD

4. TYPE OF SOLICITATION2. CONTRACT NUMBER 3. SOLICITATION NUMBER

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than Item 7)

ORDER UNDER DPAS (15 CFR 700)

6. REQUISITION/PURCHASE NUMBER

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

NEGOTIATED (RFP)

SEALED BID (IFB)

5. DATE ISSUED

1. THIS CONTRACT IS A RATED RATING PAGE OF PAGES

1 3

C. E-MAIL ADDRESS

EXT.NUMBERAREA CODE

B. TELEPHONE (NO COLLECT CALLS)A. NAME

10. FOR

INFORMATION

CALL:

CAUTION: LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

(Date)(Hour) local timeuntildepository located in copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the

SOLICITATION

9. Sealed offers in original and

PART IV - REPRESENTATIONS AND INSTRUCTIONS

OTHER STATEMENTS OF OFFERORS

EVALUATION FACTORS FOR AWARD

INSTRS., CONDS., AND NOTICES TO OFFERORS

REPRESENTATIONS, CERTIFICATIONS AND

LIST OF ATTACHMENTS

CONTRACT CLAUSES

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

I

J

K

L

M SPECIAL CONTRACT REQUIREMENTS

CONTRACT ADMINISTRATION DATA

DELIVERIES OR PERFORMANCE

INSPECTION AND ACCEPTANCE

PACKAGING AND MARKING

DESCRIPTION/SPECS./WORK STATEMENT

SUPPLIES OR SERVICES AND PRICES/COSTS

SOLICITATION/CONTRACT FORM

PART II - CONTRACT CLAUSESPART I - THE SCHEDULE

H

G

F

E

D

C

B

A

SEC. DESCRIPTION PAGE(S) (X) DESCRIPTION SEC. (X)

11. TABLE OF CONTENTS

18. OFFER DATE17. SIGNATURE

SUCH ADDRESS IN SCHEDULE.

IS DIFFERENT FROM ABOVE - ENTER

15C. CHECK IF REMITTANCE ADDRESS

EXT.NUMBERAREA CODE

15B. TELEPHONE NUMBER

(Type or print)AND

ADDRESS

OF

OFFEROR

CODE FACILITY

16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER15A. NAME

DATEAMENDMENT NO.DATEAMENDMENT NO.

and related documents numbered and dated):

amendments to the SOLICITATION for offerors

(The offeror acknowledges receipt of

14. ACKNOWLEDGEMENT OF AMENDMENTS

CALENDAR DAYS (%)30 CALENDAR DAYS (%)20 CALENDAR DAYS (%)10 CALENDAR DAYS (%)

(See Section I, Clause No. 52.232.8)

13. DISCOUNT FOR PROMPT PAYMENT

designated point(s), within the time specified in the schedule.

by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the

12. In compliance with the above, the undersigned agrees, if this offer is accepted within ______________ calendar days (60 calendar days unless a different period is inserted

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

OFFER (Must be fully completed by offeror)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

28. AWARD DATE

(Signature of Contracting Officer)

27. UNITED STATES OF AMERICA

25. PAYMENT WILL BE MADE BY

26. NAME OF CONTRACTING OFFICER (Type or print)

CODE 24. ADMINISTERED BY (If other than Item 7)

ITEM

(4 copies unless otherwise specified)

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

41 U.S.C. 253 (c) ( 10 U.S.C. 2304 (c) (

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

21. ACCOUNTING AND APPROPRIATION20. AMOUNT19. ACCEPTED AS TO ITEMS NUMBERED

AWARD (To be completed by government)

CODE

02/24/2011 X

USCG Headquarters (CG-9126) 2100 2ND ST. SW, Suite 1100 Attn: Eric McDoniel Stop 7112

WASHINGTON DC 20593-7112

Michelle D Taninecz 202 Michelle.Taninecz@uscg.mi l475-3428

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PAGE(S)

Eric C. McDoniel

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

STANDARD FORM 33 (Rev. 9-97)

Prescribed by GSA - FAR (48 CFR) 53.214(c)

1-3 4-6

7-24 26-28 29-30 31-34 35-37

38-48

50-61

62-76

77-83

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HSCG23-11-R-PMF001

(A) (B) (C) (D) (E) (F)

FOB: Destination

Base Period (CLIN 00001 and 00002): Twelve (12) months from the Date of Contract Award.

00001 Base Period: Twelve (12) months from the Date of

Contract Award. This is a Firm-Fixed Price CLIN.

00002 Base Period: Twelve (12) Months from Date of

Contract Award. This is a Time-and-Material CLIN.

Option Period 1 (CLIN 00003 and 00004): Twelve

(12) Months from the end of the Base Period.

00003 Option Period 1: Twelve (12) Months from the end of the Base Period (CLIN 00001). This is a

Firm-Fixed Price CLIN.

(Option Line Item)

00004 Option Period 1: Twelve (12) Months from the end of the Base Period (CLIN 00002). This is a

Time-and-Material CLIN.

(Option Line Item)

Option Period 2 (CLIN 00005 and 00006): Twelve

(12) Months from the end of the Option Period 1.

00005 Option Period 2: Twelve (12) Months from the end of the Option Period (CLIN 00003). This is a

Firm-Fixed Price CLIN.

(Option Line Item)

00006 Option Period 2: Twelve (12) Months from the end of the Base Period (CLIN 00004). This is a

Time-and-Material CLIN.

(Option Line Item)

Option Period 3 (CLIN 00007 and 00008): Twelve

(12) Months from the end of the Option Period 2.

00007 Option Period 3: Twelve (12) Months from the end of the Option Period (CLIN 00005). This is a

Firm-Fixed Price CLIN.

(Option Line Item)

00008 Option Period 3: Twelve (12) Months from the end of the Base Period (CLIN 00006). This is a

Time-and-Material CLIN.

Continued ...

OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

NSN 7540-01-152-8067

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HSCG23-11-R-PMF001

(A) (B) (C) (D) (E) (F)

(Option Line Item)

Option Period 4 (CLIN 00009 and 00010): Twelve

(12) Months from the end of the Option Period 3.

00009 Option Period 4: Twelve (12) Months from the end of the Option Period 3 (CLIN 00007). This is a

Firm-Fixed Price CLIN.

(Option Line Item)

00010 Option Period 4: Twelve (12) Months from the end of the Option Period 3(CLIN 00008). This is a

Time-and-Material CLIN.

(Option Line Item)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

NSN 7540-01-152-8067