SF1449 -MELLON.doc

DOC document 59 KB Posted Jul 6, 2011

Attached to: Dockside repairs of CGC MELLON (WHEC 717)
Solicitation number: HSCG85-11-R-P45VG2
Issued by: Department of Homeland Security US Coast Guard

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SF 1449

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File	Type	Posted
Request for Clarification	—	Jul 6, 2011
TECHNICAL EVALUATION CRTERIA.doc	DOC document	Jul 6, 2011
Solicitation Pkg	—	Jul 6, 2011
MELLON _WHEC_378W__DS_BJR_11R0	—	Jul 6, 2011
NOTICE TO OFFERORS(MELLON).doc	DOC document	Jul 6, 2011

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

21-11-851P45VG2

PAGE 1 OF

2. CONTRACT NO.

3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER

5. SOLICITATION NUMBER

HSCG85-11-R-P45VG2

6. SOLICITATION ISSUE

DATE 06 JUL 2011

7. FOR SOLICITATION

INFORMATION CALL:

(

a. NAME

Valerie Rivera-Chase

b. TELEPHONE NUMBER No collect calls) 510-637-5972

8. OFFER DUE DATE 07/20/11

LOCAL TIME 2:00PM

9. ISSUED BY

CODE

HSCG85

10. THIS ACQUISITION IS

FORMCHECKBOX

UNRESTRICTED

FORMCHECKBOX

SET ASIDE: 100 %FOR

SMALL BUSINESS

SMAL DISAV. BUSINESS

8(a)

SIC:

SIZE STANDARD:1000 employees

11. DELIVERY FOR

FOB DESTINATION

UNLESS BLOCK IS

MARKED

FORMCHECKBOX

SEE SCHEDULE

12. DISCOUNT TERMS

COMMAND, USCG

Surface Forces Logistics Centers, LRE-CP&1 1301 Clay street, Suite 800N

Oakland, CA 94612

FORMCHECKBOX

13.a THIS CONTRACT IS A RATED

ORDER UNDER DPAS (15 DFR 700)

14. METHOD OF SOLICITATION

RFQ

FORMCHECKBOX

IFP

FORMCHECKBOX

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

USCG, COMMAND

CGC MELLON, Seattle, WA

SAME AS BLOCK #9

17.a CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

18a. PAYMENT WILL BE MADE BY

CODE

COMMANDING OFFICER

USCG FINANCE CENTER, 1430 KRISTINA WAY

CHESAPEAKE, VA 23326-1224

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

THIS IS A 100% SMALL BUSINESS SET-ASIDE

PERIOD OF PERFORMANCE: 15 August 2011 through 19September 2011

(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 ___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

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

FORMCHECKBOX

RECEIVED

FORMCHECKBOX

INSPECTED

FORMCHECKBOX

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED

33. SHIP NUMBER

34. VOUCHER NUMBER

35. AMOUNT VERIFIED CORRECT FOR

PARTIAL

FINAL

32b. SIGNATURE OF AUTHORIZED GOVT.

REPRESENTATIVE

32c. DATE

36. PAYMENT

FORMCHECKBOX

COMLETE

FORMCHECKBOX

PARTIAL

FINAL

37. CHECK NUMBER

38 S/R ACCOUNT NUMBER

39. S/R VOUCHER NUMBER

40. PAID BY

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

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC’D

(YY/MM/DD)

42d. TOTAL CONTAINERS

AUTHORIZED FOR LOCAL REPRODUCTION

SEE REVERSE FOR OMB CONTROL NUMBER AND

PAPERWORK BURDEN STATEMENT

STANDARD FORM 1449 (10-95)

Prescribed by GSA – FAR (48CFR) 53.212

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