SF_1449 FOR SCA003.pdf

PDF 369 KB Posted

Attached to
MONTHLY LAWN SERVICE FOR US COAST GUARD NORTH BEND, OR
Solicitation number
HSCG3312QSCA003
Issued by

About this file

From the source

REVISED SF1449

View the file

Other files

File Type Posted
Scope of work SCA003 NB landscape.pdf PDF
FAR Clauses and Wage Rates —
SF_1449 FOR SCA003.pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

SOLlClTATlON/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 Ib. TELEPHONE NUMBER (No collect Calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY CODE 10. THIS ACQUISITON IS

UNRESTRICTED

SET ASIDE: %FOR

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR

FOB DESTINATION

UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A RATED

ORDER UNDER DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/

OFFEROR

TELEPHONE NO.

CODE FACILITY

CODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18a. PAYMENT WILL BE MADE BY CODE

18b. SUBMIT INVOICESTO 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

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

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 ARE ARE NOT ATTACHED

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

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 O F CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV.4/2002)

Prescribed by GSA - FAR (48 CFR) 53.212

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT~

32a. QUANTITY IN COLUMN 21 HAS BEEN

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

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

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

REPRESENTATIVE

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

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER

PARTIAL FINAL

34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

36. PAYMENT

COMPLETE PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41 b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 4/2002) BACK

Untitled
Untitled
total_pages:
requisition_no:
award_effective_date:
order_no:
solicitation_no: HSCG33-12-Q-SCA003
solicitation_issue_date: 09/08/11
contract_no:
name: GREG M. HERMSEN
phone_no: 206.217.6370
offer_due_date: 09/26/11
9_issued_by: CONTRACTING AND PROCUREMENT

US COAST GUARD BASE SEATTLE

1519 ALASKAN WAY SOUTH

SEATTLE, WA 98134

(206)217-6370

9_code: 52150
10_acquisition_is_set_aside: X
10_acquisition_is_set_aside_percent:
10_acquisition_is_small_business: X
10_acquisition_is_hubzone:
10_acquisition_is_8a:
10_acquisition_is_naics: 561730
10_acquisition_is_size_standard: $7.0
11_see_schedule:
12_discount_terms:
13_a_contract_is_rated:
13_b_rating:
10_acquisition_is_unrestricted:
15_deliver_to: LTJG PATRICK WRIGHT

USCG SECTOR/AIR STATION NORTH BEND

2000 CONNECTICUT AVENUE

NORTH BEND, OR 97459

(541)756-9611

15_code:
16_administered_by: CONTRACTING AND PROCUREMENT

US COAST GUARD BASE SEATTLE

1519 ALASKAN WAY SOUTH

SEATTLE, WA 98134

(206)217-6370

16_code: 52150
17_a_contractor_offeror: TBD
17_a_phone_no:
17_a_code:
17_a_facility_code:
17_b_remittance_is_different:
18_a_payment_made_by: ELECTRONIC FUNDS TRANSFER (EFT)

VIA USCG FINANCE CENTER

18_a_code:
18_b_submit_invoices:
14_method_of_solicitation_ifb:
14_method_of_solicitation_rfp:
14_method_of_solicitation_rfq: X
19_item_no:
0: 0001
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12: 0001
13: 0002
14: 0003
15: 0004
16: 0005
17:
18:
19:
20:
21:
22:
23:
24:
25:
26:
27:
28:
29:
30:
31:
32:
33:
34:
35:
36:
37:
38:
39:
20_schedule_of_supplies:
0: CONTRACTOR IS TO PROVIDE MONTHLY
1: LAWN SERVICE FOR US COAST GUARD
2: AIR STATION NORTH BEND, OR.
3:
4: ALL WORK SHALL BE PERFORMED IN
5: ACCORDANCE WITH THE SCOPE OF WORK.
6:
7: SEE PAGE 2 FOR ADDITIONAL DETAILS.
8:
9:
10:
0: FEDERAL ACQUISITION REGULATION CLAUSES
1: AND THE DEPARTMENT OF LABOR WAGE RATES
2: FOR SERVICES ARE INCLUDED IN THIS
3: REQUEST FOR QUOTE AND ARE APPLICABLE.
4:
5: IN ACCORDANCE WITH THE FBO POSTING,
6: A MANDATORY SITE VISIT IS REQUIRED TO
7: QUOTE ON THE SUBJECT SERVICE.
8:
9: PLEASE PROVIDE A QUOTE FOR MONTHLY
10: LAWN SERVICE FOR THE FOLLOWING:
11:
12: BASE YEAR: 10/01/11 THRU 09/30/12
13: OPTION YEAR: 10/01/12 THRU 09/30/13
14: OPTION YEAR: 10/01/13 THRU 09/30/14
15: OPTION YEAR: 10/01/14 THRU 09/30/15
16: OPTION YEAR: 10/01/15 THRU 09/30/16
17:
18: PLEASE SUBMIT QUOTES TO:
19:
20: GREG M. HERMSEN
21: CONTRACTING OFFICER
22: USCG BASE SEATTLE
23: EMAIL: GREGORY.M.HERMSEN@USCG.MIL
24:
25: IF YOU HAVE ANY QUESTIONS OR CONCERNS
26: PLEASE CONTACT GREG HERMSEN AT
27:
28: PHONE: (206) 217-6370
29: EMAIL: GREGORY.M.HERMSEN@USCG.MIL
30:
31:
32:
33:
34:
35:
36:
37:
38:
39:
21_quantity:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12: 12
13: 12
14: 12
15: 12
16: 12
17:
18:
19:
20:
21:
22:
23:
24:
25:
26:
27:
28:
29:
30:
31:
32:
33:
34:
35:
36:
37:
38:
39:
22_unit:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12: MO
13: MO
14: MO
15: MO
16: MO
17:
18:
19:
20:
21:
22:
23:
24:
25:
26:
27:
28:
29:
30:
31:
32:
33:
34:
35:
36:
37:
38:
39:
23_unit_price:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
0:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12: $______
13: $______
14: $______
15: $______
16: $______
17:
18:
19:
20:
21:
22:
23:
24:
25:
26:
27:
28:
29:
30:
31:
32:
33:
34:
35:
36:
37:
38:
39:
24_amount:
0: 0
1: 0
2: 0
3: 0
4: 0
5: 0
6: 0
7: 0
8: 0
9: 0
10:
0: 0.00
1: 0
2: 0
3: 0
4: 0.00
5: 0
6: 0
7: 0
8: 0.00
9: 0
10: 0
11: 0
12: $______
13: $______
14: $______
15: $______
16: $______
17: 0
18: 0
19: 0
20: 0
21: 0
22: 0
23: 0
24: 0
25: 0
26: 0
27: 0
28: 0
29: 0
30: 0
31: 0
32: 0
33: 0
34: 0
35: 0
36: 0
37: 0
38: 0
39: 0
25_acct_and_appropriation_data:
26_total_award_amt:
27_a_solicitation_incorporates: x
27_b_contract_pruchase_order:
28_contractor_is_required:
28_no_copies:
29_award_contract:
29_ref_no:
29_offer_dated:
30_b_name_title_of_signer:
31_b_name_of_officer:
30_c_date_signed:
31_c_date_signed:
32_a_qty_received:
32_a_qty_inspected:
32_a_qty_accepted:
32_a_qty_except_as_noted:
32_c_date:
32_d_printed_name_title_auth_gov_rep:
32_e_mailing_address_auth_gov_rep:
32_f_phone_auth_gov_rep:
32_g_email_auth_gov_rep:
33_ship_number:
33_ship_no_partial:
33_ship_no_final:
34_voucher_no:
35_amt_verified_correct:
36_payment_complete:
36_payment_partial:
36_payment_final:
37_check_number:
38_s_r_acct_no:
39_s_r_voucher_no:
40_paid_by:
41_c_date:
42_a_received_by:
42_b_received_at:
42_c_date_received:
42_d_total_containers:
27_a_addenda_are_attached: x
27_a_addenda_are_not_attached:
27_b_addenda_are_attached:
27_b_addenda_are_not_attached:
Reset:
41_b_signature_title_cert_officer:

File details come from the government source that posted it. Updated .