15-Q-61845_SF1449.doc

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TECHNICAL EVALUATION IN SUPPORT OF USCG CUTTER STRUCTURAL LOADS PREDICTION Federal contract opportunity
Solicitation number
HSCG40-15-Q-61845
Issued by
Department of Homeland Security US Coast Guard

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SF 1449

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15-Q-61845_FAR_52.212-5.doc DOC document
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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

4. ORDER NUMBER

5. SOLICITATION NUMBER

HSCG40-15-Q-61845

6. SOLICITATION ISSUE

7/17/2015

7. FOR SOLICITATION

INFORMATION CALL:

(
a. NAME

KATHLEEN LOBASSO

b. TELEPHONE NUMBER No collect calls) (410) 762-6494
8. OFFER DUE DATE

LOCAL TIME

SEE FBO DEADLINE

9. ISSUED BY
CODE
045/46
10. TxHIS ACQUISITION IS

_X____UNRESTRICTED*

SET ASIDE:100 %FOR

____ SMALL BUSINESS

____ HUBZONE SMALL

_____ BUSINESS

NAICS: SIZE STANDARD 500

*NOT SET A SIDE

11. DELIVERY FOR

FOB DESTINATION

UNLESS BLOCK IS

MARKED

FORMCHECKBOX

SEE SCHEDULE

12. DISCOUNT TERMS

NET 30

USCG SURFACE FORCES LOGISTICS CENTER

CPD3

2401 HAWKINS POINT RD

BALTIMORE, MD 21226

FORMCHECKBOX

13.a THIS CONTRACT IS A RATED

ORDER UNDER DPAS (15 DFR 700)

14. METHOD OF SOLICITATION

WRITTEN QUOTE

15. DELIVER TO
CODE
16. ADMINISTERED BY
CODE

U.S. Coast Guard Surface Logistics Center (SFLC)

USCG YARD, RECEIVING ROOM

2401 Hawkins Point Road

Baltimore, MD 21226-5000

KATHLEEN LOBASSO 410-762-6494

EMAIL: KATHLEEN.K.LOBASSO@USCG.MIL

17.a CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

18a. PAYMENT WILL BE MADE BY
CODE

To be furnished at time of award

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.

SEE ATTACHED SCHEDULE “A”
21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

DUNS #___________________

TAX ID#__________________

NAICS CODE #_____________

PACKING IAW RQMTS?__________

GSA SCHEDULE #______________(if applicable)

EMAIL ADDRESS: _____________________________

MAILING ADDRESS:

BUSINESS SIZE_________(as pertaining to NAICS Code)

PAYMENT TERMS_________

DELIVERY TIME FRAME:

FOB: DEST?____________

Govt preferred method of shipment

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

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

FORMCHECKBOX

ARE

FORMCHECKBOX

ARE

FORMCHECKBOX

ARE NOT ATTACHED

FORMCHECKBOX

ARE NOT ATTACHED

28.

FORMCHECKBOX

CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN ONE COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AN ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.
29.

FORMCHECKBOX

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 AND ADDRESS
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)
31c. DATE SIGNED

KATHLEEN LOBASSO

Contracting Officer

AUTHORIZED FOR LOCAL REPRODUCTION
SEE REVERSE FOR OMB CONTROL NUMBER AND

PAPERWORK BURDEN STATEMENT

STANDARD FORM 1449 (4/2002)

Prescribed by GSA – FAR (48CFR) 53.212

PAGE______OF_______

SCHEDULE “A”

SUPPLIES OR SERVICES AND PRICES

1. TECHNICAL EVALUATIONS IN SUPPORT OF USCG CUTTER STRUCTURAL LOADS PREDICTION IAW THE STATEMENT OF WORK. 1 JOB @ $________ = $________

******AWARD WILL BE BASED ON LOWEST TECHNICALLY ACCEPTABLE PRICE********

Blocks 19 -24 and 30 on page 1 of SF 1449 must be filled out.

PREPARATION FOR DELIVERY

All material shipped to the U.S. Coast Guard Surface Forces Logistics Center must be accompanied by an itemized packing list securely attached to the outside of the package.

All packing lists shall cite the Purchase Order Number (when issued after award) with the package in such a manner as to provide identification.

Material shall be packed for shipment in such a manner as to afford adequate protection to the item against corrosion, deterioration, and physical damage during shipment from the supply source to Engineering Logistic Center locations.

Package shall also provide adequate protection for warehouse storage and multiple shipments.

All packages shall have the Purchase Order Number, Stock Number and Vendor name and Part Number clearly marked on the exterior of the package.

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