SF1449.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

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

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

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

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

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

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

2113233MSF059 4

HSCG23-13-R-MSF059

Camille Tongco/ James F. Ferguson 2024753745 / 2024753194

See Block 9

See 'Schedule' next page

James F. Ferguson

01/07/2013

USCG Headquarters (CG-912) 2100 2nd St SW Washington, DC 205937112

Schedule

Ordering Period 1:

CLIN EST. QTY UNIT

PRICE

TOTAL

0001 CONDUCT VTS

CERTIFICATION

TRAINIING COURSE PER

PWS 60 QUOTAS $_______ $_______

0002 MAINTAIN ANNUAL

CURRICULUM UPDATES

PER PWS 1 EACH $_______ $_______

0003 TRAVEL 1 LOT $1,900.00 $1,900.00

BASE PERIOD TOTAL $_______

Ordering Period 2:

PRICE

1001 CONDUCT VTS

TRAINIING COURSE PER

PWS 60 QUOTAS $_______ $_______

1002 MAINTAIN ANNUAL

CURRICULUM UPDATES

PER PWS 1 EACH $_______ $_______

1003 TRAVEL 1 LOT $2,000.00 $2,000.00

Ordering Period 3:

2001 CONDUCT VTS

TRAINIING COURSE PER

PWS 60 QUOTAS $_______ $_______

2002 MAINTAIN ANNUAL

CURRICULUM UPDATES

PER PWS 1 EACH $_______ $_______

2003 TRAVEL 1 LOT $2,100.00 $2,100.00

Ordering Period 4:

PRICE

3001 CONDUCT VTS

TRAINIING COURSE PER

PWS 60 QUOTAS $_______ $_______

3002 MAINTAIN ANNUAL

CURRICULUM UPDATES

PER PWS 1 EACH $_______ $_______

3003 TRAVEL 1 LOT $2,200.00 $2,200.00

Ordering Period 5:

4001 CONDUCT VTS

TRAINIING COURSE PER

PWS 60 QUOTAS $_______ $_______

4002 MAINTAIN ANNUAL

CURRICULUM UPDATES

PER PWS 1 EACH $_______ $_______

4003 TRAVEL 1 LOT $2,300.00 $2,300.00