RFQNE825SF1449pgs1-2.doc

DOC document 72 KB Posted Mar 20, 2008

Attached to: Advisory and Assistance Services, Arc Flash Hazard Analysis of the Electrical Distribution System
Solicitation number: HSCG42-08-Q-QNE825
Issued by: Department of Homeland Security US Coast Guard

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RFQ SF1449 form pages 1-2

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File	Type	Posted
RFQsolicQNE825.doc	DOC document	Mar 20, 2008
ReferenceInformationsheet.doc	DOC document	Mar 20, 2008
RequestforInfoSheet.doc	DOC document	Mar 20, 2008

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

2108428QNE825

PAGE 1 OF

Request for Quotation (RFQ)

2. CONTRACT NO.

3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER

5. SOLICITATION NUMBER

HSCG42-08-Q-QNE825

6. SOLICITATION ISSUE

DATE

03/20/2008

7. FOR SOLICITATION

INFORMATION:

(

a. Submit :

Request for Information form faxed to:

b. FAX TELEPHONE NUMBER No collect calls) (609)898-6811

8. OFFER DUE DATE/

LOCAL TIME

04/07/08, 2PM EST

9. ISSUED BY

CODE

042

10. THIS ACQUISITION IS

FORMCHECKBOX

UNRESTRICTED

FORMCHECKBOX

SET ASIDE: %FOR

SMALL BUSINESS

HUBZONE SMALL BUSINESS

NAICS: 541330

SIZE STANDARD: $4.5 mil

11. DELIVERY FOR

FOB DESTINATION

UNLESS BLOCK IS

MARKED

FORMCHECKBOX

SEE SCHEDULE

12. DISCOUNT TERMS

U.S. Coast Guard Training Center

Procurement Office Command & Mission Support Building, Room 212a 1 Munro Avenue Cape May, NJ 08204-5000

FORMCHECKBOX

13.a THIS CONTRACT IS A RATED

ORDER UNDER DPAS (15 DFR 700)

14. METHOD OF SOLICITATION

Request for Quotation

RFP

IFP

FORMCHECKBOX

RFQ

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

042

Services shall be provided as specified in the attached

Same as block #9 ATTN: Ms. Shirley Green

Fax: (609)898-6811 e-mail: Shirley.L.Green@uscg.mil

17.a CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

18a. PAYMENT WILL BE MADE BY

CODE

Please complete and provide e-mail address and cell phone #.

Commercial Invoices

PO Box 4115

Chesapeake, VA 23327-4115

PHONE: 800-564-5504

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

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

NON-PERSONAL SERVICES, ARC FLASH HAZARD ANALYSIS OF THE ELECTRICAL DISTRIBUTION SYSTEM You may mail, fax or e-mail your quote to Ms. Shirley Green, Contracting Officer at the location

Specified in block 16.

(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

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 AND 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

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)

Shirley Green 31c. DATE SIGNED

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

HSCG42-07-Q-3WN078 page 2 of

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 CONTACT, EXCEPT AS NOTED: _______________________________________

32b. SIGNATURE OF AUTHORIZED GOVT.

REPRESENTATIVE

32c. DATE

32d. PRINTED NAME AND TITAE 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

38. S/R ACCOUNT NUMBER

39. S/R VOUCHER NUMBER

40. PAID BY

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

42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41c. DATE

42b. RECEIVED AT (Location)

42c. RECEIVED AT (Location)

42d. TOTAL CONTAINERS

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