16-Q-5BL034_SF_1449.doc
DOC document 64 KB Posted
- Attached to
- CONTROL, RADIO SET Federal contract opportunity
- Solicitation number
- HSCG40-16-Q-5BL034
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SF 1449
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| WAREHOUSE_PACKING_ _BAR_CODE.doc | DOC document | |
| 16-Q-5BL034_FAR.docx | DOCX document |
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Text version
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
16-Q-5BL034
6. SOLICITATION ISSUE
4/20/2016
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
| 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 |
| See Schedule |
| 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 |
TBA
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?__________
VENDOR POC:_____________________________
EMAIL ADDRESS: _____________________________
MAILING ADDRESS:
BUSINESS SIZE_________(as pertaining to NAICS Code)
CREDIT CARD? Y/N_________
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
1. NSN 5820-99-975-2201, CONTROL, RADIO SET, P/N GAS5152.2, QTY 30 EA @ $_______ = $________
2. NSN 5820-99-213-9413, CONTROL RADIO SET, P/N GAS5149.2, QTY 20 EA @ $_______ = $________
3. NSN 5820-99-227-3516, CONTROL RADIO SET, P/N GAS5140.5, QTY 20 EA @ $_______ = $________
4. NSN 5965-99-310-9417, HANDSET, P/N GAS5172.2, QTY 10 EA @ $_______ = $________
5. NSN 5995-99-668-2825, CABLE ASSY, SPECIAL PURPOSE, P/N CAB4527.1, QTY 15 EA @ $_______ = $________
6. NSN 6150-99-509-7868, CABLE ASSY, SPECIAL PURPOSE ELE, P/N CAB4526.2, QTY 15 EA @ $_______ = $________
PACKAGING AND MARKING REQUIREMENTS: SHALL BE IAW SP-PP&M-001 (REV D). DTD 10/1/00 AND BAR CODING Delivery is required on or before 5/30/16. THIS IS A BRAND NAME ONLY SOLICITATION, IT HAS BEEN DETERMINED THAT NO OTHER BRAND WILL FIT THE GOVERNMENT NEEDS. It is the Government’s belief that only ULTRA ELECTRONICS can meet our requirement.
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