HSHQE3-11-R-00004.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

OPO/FPS/EAST CCG/R3

Philadelphia PA 19106

701 Market Street, Suite 3200 Ofc of Procurement Operations - FPS U.S. Dept. of Homeland Security NPPD/FPS/East CCG/Region 3

CODE 16. ADMINISTERED BYCODE

X

X

X

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR

OPO/FPS/EAST CCG/R3

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

08/01/2011 1400 ET215-521-2251Todd Wanner (No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

HSHQE3-11-R-00004

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEM 1. REQUISITION NUMBER PAGE OF

1 4 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

Attn: T. Wanner

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Philadelphia PA 19106 701 Market Street, Suite 3200 Office of Procurement Operations Federal Protective Service U.S. Dept. of Homeland Security

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS

HUBZONE SMALL

BUSINESS

EMERGING SMALL

BUSINESS

8(A)

NPPD/FPS/East CCG/Region 3

SOLE SOURCE

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

PSO Services throughout Commonwealth of Pennsylvania (excluding metropolitan Philadelphia and surrounding counties) Period of Performance: 5-years consisting of a 12-month base and (4) 12-month options

Vendors shall insert a unit price (column 23) and an extended total price (columnn 24) for each

CLIN.

In accordance with paragraph (b) of the (Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED . YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS

NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 3/2005) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

�Indefinite Quantity� clause, the guaranteed minimum amount to be ordered under this contract is $100,000.00 worth of orders at the established unit price (s). The contract maximum is the total awarded price, inclusive of all options.

DO/DPAS Rating: NONE

0001 Productive PSO Services in accordance with the 237000 HR

Statement of Work

0002 Temporary Additional PSO Services in accordance 1500 HR with the Statement of Work

0003 Emergency Security Services in accordance with 2880 HR the Statement of Work

0004 Other Direct Costs in support of Continuity of 1 LO

Operations Plan Implementation

1001 Productive PSO Services in accordance with the 237000 HR

Statement of Work

(Option Line Item)

1002 Temporary Additional PSO Services in accordance 1500 HR with the Statement of Work

(Option Line Item)

1003 Emergency Security Services in accordance with 2880 HR

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

4 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HSHQE3-11-R-00004

the Statement of Work (Option Line Item)

1004 Other Direct Costs in support of Continuity of 1 LO Operations Plan Implementation (Option Line Item)

2001 Productive PSO Services in accordance with the 237000 HR Statement of Work (Option Line Item)

2002 Temporary Additional PSO Services in accordance 1500 HR with the Statement of Work (Option Line Item)

2003 Emergency Security Services in accordance with 2880 HR the Statement of Work (Option Line Item)

2004 Other Direct Costs in support of Continuity of 1 LO Operations Plan Implementation (Option Line Item)

3001 Productive PSO Services in accordance with the 237000 HR Statement of Work (Option Line Item)

3002 Temporary Additional PSO Services in accordance 1500 HR with the Statement of Work (Option Line Item)

3003 Emergency Security Services in accordance with 2880 HR the Statement of Work (Option Line Item)

3004 Other Direct Costs in support of Continuity of 1 LO Operations Plan Implementation (Option Line Item)

4001 Productive PSO Services in accordance with the 237000 HR Statement of Work (Option Line Item)

4002 Temporary Additional PSO Services in accordance 1500 HR with the Statement of Work (Option Line Item)

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

4 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HSHQE3-11-R-00004

4003 Emergency Security Services in accordance with 2880 HR the Statement of Work (Option Line Item)

4004 Other Direct Costs in support of Continuity of 1 LO Operations Plan Implementation (Option Line Item)

5001 6 Month Additional Productive PSO Service in 118500 HR accordance with FAR 52.217-8 (Option Line Item)

5002 6 Month Temporary Additional PSO Services in 750 HR accordance with the Statement of Work (Option Line Item)

5003 6 Month Emergency Security Services in accordance 1440 HR with the Statement of Work (Option Line Item)

5004 Other Direct Costs in support of Continuity of 1 LO Operations Plan Implementation (Option Line Item)

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110