16-Q-5ZF074_SF_1449.doc

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

PAGE 1 OF

4. ORDER NUMBER

5. SOLICITATION NUMBER

HSCG40-16-Q-5ZF074

6. SOLICITATION ISSUE

7/22/2016

7. FOR SOLICITATION

INFORMATION CALL:

KATHLEEN LOBASSO

LOCAL TIME

SEE FBO DEADLINE

__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

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SEE SCHEDULE

12. DISCOUNT TERMS

NET 30

USCG SURFACE FORCES LOGISTICS CENTER

CPD3

2401 HAWKINS POINT RD

BALTIMORE, MD 21226

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13.a THIS CONTRACT IS A RATED

ORDER UNDER DPAS (15 DFR 700)

14. METHOD OF SOLICITATION

WRITTEN QUOTE

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

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

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SEE ADDENDUM

19.

ITEM NO.

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

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:

KATHLEEN LOBASSO

Contracting Officer

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. NSN 5830-01-621-3757 CONTROL, INTERCOMMUNICATION, 5.0 FIRMWARE INSTALLED, P/N N101111-04-0002, OEM: GENTEX CORPORATION, QTY 12 EA

PACKAGING AND MARKING REQUIREMENTS: SHALL BE IAW SP-PP&M-001 (REV D). DTD 10/1/00 Delivery is required on or before 9/1/16. THIS IS A BRAND NAME ONLY SOLICITATION, Companies must have valid DUNS numbers, be registered with the System for Award Management (SAM) and shall provide the company Tax Information Number (TIN) with their quote.

All responsible sources may submit a quotation, which if timely received, shall be considered by this Agency.

******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.

USCG /SFLC SP-PP&M-00l DATED 05/95 REVISION D 10/00

PRESERVATION, PACKAGING & MARKING

PRESERVATION – Each piece or assembly that make up one each of any contract line item (CLIN) shall be preserved in accordance with ASTM-D-3951.

PACKAGING – Each preserved contract line item shall be packed in its own carton or box as needed to meet the requirements of ASTM-D-3951.This package shall be considered a unit pack. This unit pack shall meet the requirements of a shipping container.

UNITIZATION – Unit packs can be unitized as specified in ASTM-D3951.

MARKING – Marking shall be clear, legible, permanent and in English.

UNIT PACKAGES – Shall be marked as specified herein.

National Stock Number/ Activity Control Number.

Item Name

Part Number (as shipped)

Purchase Order / Contract Number (example HSCG40-16-P-00000)

Date of Manufacturer/Repair

The Words “COAST GUARD SFLC MATERIAL” CONDITION (A)

Quantity & Unit of Issue (i.e. “1-EA”)

Hazardous Material Marking (As required in Code of Federal Regulations (CFR) section 4).

Flash Point (If item is a liquid with a flash point of 93.3 degrees C (200 Degrees F) or less.)

Propellant Chemical Name (Aerosol Containers only).

UNITIZATION – If unitization is used as the final shipping container the unitized pack for one stock number shall be marked as specified below, see “Single Stock Number” If there are multiple stock numbers involved see “Multiple Stock Numbers” herein. For no reason shall more then one delivery order be unitized together.

Single Stock Number

National Stock Number/ Activity Control Number.

Purchase Order / Contract Number (example HSCG40-16-P-00000)

The Words “COAST GUARD SFLC MATERIAL” CONDITION (A).

Quantity & Unit of Issue (i.e. “1-EA”)

Hazardous Material Marking (If needed and as required in Code of Federal Regulations (CFR) section 4).

Flash Point (If item is a liquid with a flash point of 93.3 degrees C (200 Degrees F) or less.).

The Words “COAST GUARD SFLC MATERIAL” “MULTIPACK”

Multiple Stock Numbers

“ALL” National Stock Numbers/ Activity Control Numbers.

Purchase Order / Contract Number (example HSCG40-16-P-00000)

The Words “COAST GUARD SFLC MATERIAL” CONDITION (A).

Quantity & Unit of Issue (i.e. “1-EA”)

Hazardous Material Marking (If needed and as required in Code of Federal Regulations (CFR) section 4).

Flash Point (If item is a liquid with a flash point of 93.3 degrees C (200 Degrees F) or less.).

The Words “COAST GUARD SFLC MATERIAL” “MULTIPACK”