SF 1449 Pump Repair.doc

DOC document 82 KB Posted Mar 16, 2011

Attached to: Gould's Pump Repair
Solicitation number: HSCG40-11-Q-11910
Issued by: Department of Homeland Security US Coast Guard

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Due date for proposals has been entered on the SF 1449

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Other files

File	Type	Posted
sf-30 solicitation.doc	DOC document	Apr 6, 2011
BPA PUMPS RFQ FINAL	—	Apr 6, 2011
SUMMARY OF CHANGES.doc	DOC document	Apr 6, 2011
Questions Answers 11910.doc	DOC document	Mar 17, 2011
SF 1449 Pump Repair.doc	DOC document	Mar 17, 2011
Questions Answers 11910.doc	DOC document	Mar 16, 2011
BPA PUMPS RFQ FINAL	—	Mar 16, 2011
SF 1449 Pump Repair.doc	DOC document	Mar 4, 2011
BPA PUMPS RFQ FINAL	—	Mar 4, 2011

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

SEE SCHEDULE

2. CONTRACT NO.

3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER

5. SOLICITATION NUMBER

HSCG40-11-Q-11910

6. SOLICITATION

ISSUE DATE

03/4/2011

7. FOR SOLICITATION INFORMATION CALL:

a. NAME

WALTER A. MACK JR.

b. TELEPHONE NUMBER (no collect calls)

410-762-6162

8. OFFER DUE DATE/ LOCAL TIME

3/18/2011 11:59 EST

9. ISSUED BY CODE 75174

SURFACE FORCES LOGISTICS CENTER

CPD-1 PBPL

2401 HAWKINS POINT ROAD

BALTIMORE, MD 21226

10. THIS ACQUISITION IS

FORMCHECKBOX

UNRESTRICTED OR

FORMCHECKBOX

SET ASIDE 100% FOR:

SMALL BUSINESS

FORMCHECKBOX

EMERGING SMALL

FORMCHECKBOX

HUBZONE SMALL

BUSINESS

SERVICE DISABLED VETERAN-

8(A)

OWNED SMALL BUSINESS

NAICS: 333911

SIZE STANDARD 500

11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT

TERMS

NET 30

FORMCHECKBOX

13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700) 13b. RATING

14. METHOD OF SOLICITATION

RFQ FORMCHECKBOX

IFB FORMCHECKBOX

RFP

15. DELIVER TO CODE

USCG Surface Forces Logistics Center Receiving Room – Bldg. 88

2401 Hawkins Point Road

Baltimore, MD 21226

16. ADMINISTERED BY CODE

WALTER A. MACK JR.

CONTRACT SPECIALIST

410-762-6162

17a. CONTRACTOR/ CAGE CODE FACILITY

OFFEROR CODE

TELEPHONE NO:

FAX NO:

18a. PAYMENT WILL BE MADE BY CODE

USCG YARD

P.O BOX 4122

CHESAPEAKE, VA 23327-4122

FORMCHECKBOX

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 FORMCHECKBOX

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Overhaul of A/C Raw Water Pump, NSN: 4320-01-209-1909

Overhaul of Fire Pumps, NSN: 4320-01-206-3745

Overhaul of Bilge Pumps, NSN: 4320-01-206-4721

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

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (FOR GOVT USE ONLY)

FORMCHECKBOX

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 5.212-3 & 52.212-5 ARE ATTACHED. ADDENDA FORMCHECKBOX

ARE FORMCHECKBOX

ARE NOT ATTACHED.

FORMCHECKBOX

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4, FAR 42.212-5 IS ATTACHED. ADDENDA FORMCHECKBOX

ARE FORMCHECKBOX

ARE NOT ATTACHED.

FORMCHECKBOX

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 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.

FORMCHECKBOX

29. AWARD OF CONTRACT: REFERENCE 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 (SINGATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER

30c. DATE SIGNED

31b. NAME OF CONTRACTING OFFICER

31c. DATE SIGNED

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

FORMCHECKBOX

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. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER

34. VOUCHER NUMBER

35. AMOUNT VERIFIED CORRECT FOR

36. PAYMENT

FORMCHECKBOX

COMPLETE

FORMCHECKBOX

PARTIAL

FORMCHECKBOX

FINAL

37. CHECK NUMBER

FORMCHECKBOX

PARTIAL FORMCHECKBOX

FINAL

38. S/R ACCOUNT NUMBER

39. S/R VOUCHER NUMBER

40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

42 a. 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

AUTHORIZED FOR LOCAL REPRODUCTION

STANDARD FORM 1449 (Rev. 3/2005)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA – FAR (48 CFR) 53.212

File details come from the government source that posted it. Updated Nov 14, 2017.