1449.pdf

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Protective Security Officer (PSO) Services at the Center for Medicaid, Woodlawn, MD
Solicitation number
HSHQE3-13-R-00003
Issued by

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SF 1449

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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

561612

SIZE STANDARD:

100.00% 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

07/10/2013 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

HSHQE3-13-R-00005

5. SOLICITATION NUMBER

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

1 13 192113PTHNBMD0217OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

Attn: T. Wanner

TELEPHONE NO.

17a. CONTRACTOR/

Multiple Destinations

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

$19.00

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)X

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.

This is a Request for Proposals for Security Guard Services at the Center for Medicaid Services, located in Baltimore, MD. The RFP follows FAR Part 12 procedures and proposals will be evaluated utilizing aspects of FAR Part 15.

The requirement is 100% set aside for 8(a) vendors.

Although the SBA will not be identified as the awardee on the resultant contract, it will in

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

Todd M. Wanner

. 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.

fact be the prime contractor for the resultant contract.

It is anticipated that an Indefinite Delivery

Indefinite Quantity (IDIQ) contract will be issued as a result of this solicitation.

Specific hourly service requirements will be provided in individual task orders.

Contracting Officer: Todd Wanner, 215-521-2251, todd.m.wanner@hq.dhs.gov

DO/DPAS Rating: NONE

Period of Performance: 10/01/2014 to 09/30/2015

0001 MD0415 84060.5 HR

BASIC PSO SERVICES

Delivery Location Code: MD0415

CMS HDQTRS-CENTRAL

7500 SECURITY BOULEVARD

WOODLAWN MD

0002 MD0454 16541 HR

BASIC PSO SERVICES

Delivery Location Code: MD0454

CMS HDQTRS-NORTH

7500 SECURITY BLVD.

WOODLAWN MD

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

13 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

HSHQE3-13-R-00005

0003 MD0455 5271 HR

BASIC PSO SERVICES

Delivery Location Code: MD0455

CMS HDQTRS-WHSE

7500 SECURITY BLVD.

WOODLAWN MD

0004 MD0456 16691 HR

BASIC PSO SERVICES

Delivery Location Code: MD0456

CMS HDQTRS-SOUTH

7500 SECURITY BLVD.

WOODLAWN MD

0005 MD0456 16691 HR

BASIC PSO SERVICES

Delivery Location Code: MD0456

CMS HDQTRS-SOUTH

7500 SECURITY BLVD.

WOODLAWN MD

0006 MD0475 12023 HR

BASIC PSO SERVICES

Delivery Location Code: MD0475

15 GOVERNORS COURT

15 GOVERNORS COURT

WOODLAWN MD

0007 MD0507 6526 HR

BASIC PSO SERVICES

Delivery Location Code: MD0507

WINDSOR CORPORATE PARK

2520 LORD BALTIMORE DRIVE

SUITES J-R

WOODLAWN MD

0008 MD1036 15035 HR

BASIC PSO SERVICES

Delivery Location Code: MD1036 CMS Boulevard Place Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

4 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

HSHQE3-13-R-00005

7111 Boulevard Place Woodlawn Md 21244

0009 MD1095 37826 HR

BASIC PSO SERVICES

Delivery Location Code: MD1095 Center for Medicaid Services 7210 Ambassador Road Baltimore MD 21244

0010 MD1094 37825 HR

BASIC PSO SERVICES

Delivery Location Code: MD1094 Center for Medicaid Services 7205 Windsor Boulevard Woodlawn MD 21207

0011 Temporary Additional Services 400 HR

Delivery Location Code: MD0000 Various Sites

MD

0012 Emergency Security Service 200 HR

Delivery Location Code: MD0000 Various Sites

MD

0013 Other Direct Costs - COOP 1 LO

Fixed Indirect Rate: ______

Total not to exceed $100,000.00

Delivery Location Code: MD0000 Various Sites

MD

1001 MD0415 84060.5 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2015 Period of Performance: 10/01/2015 to 09/30/2016

Continued ...

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

5 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

HSHQE3-13-R-00005

1002 MD0454 16541 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2015 Period of Performance: 10/01/2015 to 09/30/2016

1003 MD0455 5271 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2015 Period of Performance: 10/01/2015 to 09/30/2016

1004 MD0456 16691 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2015 Period of Performance: 10/01/2015 to 09/30/2016

1005 MD0456 16691 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2015 Period of Performance: 10/01/2015 to 09/30/2016

1006 MD0475 12023 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2015 Period of Performance: 10/01/2015 to 09/30/2016

1007 MD0507 6526 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2015 Period of Performance: 10/01/2015 to 09/30/2016

1008 MD1036 15035 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2015 Period of Performance: 10/01/2015 to 09/30/2016

1009 MD1095 37826 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2015 Period of Performance: 10/01/2015 to 09/30/2016 Continued ...

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

6 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

HSHQE3-13-R-00005

1010 MD1094 37825 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2015 Period of Performance: 10/01/2015 to 09/30/2016

1011 Temporary Additional Services 400 HR (Option Line Item) 09/30/2015 Period of Performance: 10/01/2015 to 09/30/2016

1012 Emergency Security Service 200 HR (Option Line Item) 09/30/2015 Period of Performance: 10/01/2015 to 09/30/2016

1013 Other Direct Costs - COOP 1 LO Fixed Indirect Rate: ______

Total not to exceed $100,000.00 (Option Line Item) 09/30/2015 Period of Performance: 10/01/2015 to 09/30/2016

2001 MD0415 84060.5 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2016 Period of Performance: 10/01/2016 to 09/30/2017

2002 MD0454 16541 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2016 Period of Performance: 10/01/2016 to 09/30/2017

2003 MD0455 5271 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2016 Period of Performance: 10/01/2016 to 09/30/2017

2004 MD0456 16691 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2016 Continued ...

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

7 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

HSHQE3-13-R-00005

Period of Performance: 10/01/2016 to 09/30/2017

2005 MD0456 16691 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2016 Period of Performance: 10/01/2016 to 09/30/2017

2006 MD0475 12023 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2016 Period of Performance: 10/01/2016 to 09/30/2017

2007 MD0507 6526 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2016 Period of Performance: 10/01/2016 to 09/30/2017

2008 MD1036 15035 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2016 Period of Performance: 10/01/2016 to 09/30/2017

2009 MD1095 37826 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2016 Period of Performance: 10/01/2016 to 09/30/2017

2010 MD1094 37825 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2016 Period of Performance: 10/01/2016 to 09/30/2017

2011 Temporary Additional Services 400 HR (Option Line Item) 09/30/2016 Period of Performance: 10/01/2016 to 09/30/2017

2012 Emergency Security Service 200 HR (Option Line Item) 09/30/2016 Period of Performance: 10/01/2016 to 09/30/2017 Continued ...

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

8 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

HSHQE3-13-R-00005

2013 Other Direct Costs - COOP 1 LO Fixed Indirect Rate: ______

Total not to exceed $100,000.00 (Option Line Item) 09/30/2016 Period of Performance: 10/01/2016 to 09/30/2017

3001 MD0415 84060.5 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2017 Period of Performance: 10/01/2017 to 09/30/2018

3002 MD0454 16541 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2017 Period of Performance: 10/01/2017 to 09/30/2018

3003 MD0455 5271 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2017 Period of Performance: 10/01/2017 to 09/30/2018

3004 MD0456 16691 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2017 Period of Performance: 10/01/2017 to 09/30/2018

3005 MD0456 16691 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2017 Period of Performance: 10/01/2017 to 09/30/2018

3006 MD0475 12023 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2017 Period of Performance: 10/01/2017 to 09/30/2018

3007 MD0507 6526 HR

BASIC PSO SERVICES

Continued ...

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

9 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

HSHQE3-13-R-00005

(Option Line Item) 09/30/2017 Period of Performance: 10/01/2017 to 09/30/2018

3008 MD1036 15035 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2017 Period of Performance: 10/01/2017 to 09/30/2018

3009 MD1095 37826 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2017 Period of Performance: 10/01/2017 to 09/30/2018

3010 MD1094 37825 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2017 Period of Performance: 10/01/2017 to 09/30/2018

3011 Temporary Additional Services 400 HR (Option Line Item) 09/30/2017 Period of Performance: 10/01/2017 to 09/30/2018

3012 Emergency Security Service 200 HR (Option Line Item) 09/30/2017 Period of Performance: 10/01/2017 to 09/30/2018

3013 Other Direct Costs - COOP 1 LO Fixed Indirect Rate: ______

Total not to exceed $100,000.00 (Option Line Item) 09/30/2017 Period of Performance: 10/01/2017 to 09/30/2018

4001 MD0415 84060.5 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2018 Period of Performance: 10/01/2018 to 09/30/2019

4002 MD0454 16541 HR

Continued ...

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

10 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

HSHQE3-13-R-00005

BASIC PSO SERVICES

(Option Line Item) 09/30/2018 Period of Performance: 10/01/2018 to 09/30/2019

4003 MD0455 5271 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2018 Period of Performance: 10/01/2018 to 09/30/2019

4004 MD0456 16691 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2018 Period of Performance: 10/01/2018 to 09/30/2019

4005 MD0456 16691 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2018 Period of Performance: 10/01/2018 to 09/30/2019

4006 MD0475 12023 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2018 Period of Performance: 10/01/2018 to 09/30/2019

4007 MD0507 6526 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2018 Period of Performance: 10/01/2018 to 09/30/2019

4008 MD1036 15035 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2018 Period of Performance: 10/01/2018 to 09/30/2019

4009 MD1095 37826 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2018 Period of Performance: 10/01/2018 to 09/30/2019

Continued ...

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

11 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

HSHQE3-13-R-00005

4010 MD1094 37825 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2018 Period of Performance: 10/01/2018 to 09/30/2019

4011 Temporary Additional Services 400 HR (Option Line Item) 09/30/2018 Period of Performance: 10/01/2018 to 09/30/2019

4012 Emergency Security Service 200 HR (Option Line Item) 09/30/2018 Period of Performance: 10/01/2018 to 09/30/2019

4013 Other Direct Costs - COOP 1 LO Fixed Indirect Rate: ______

Total not to exceed $100,000.00 (Option Line Item) 09/30/2018 Period of Performance: 10/01/2018 to 09/30/2019

5001 MD0415 42030 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2019 Period of Performance: 10/01/2019 to 02/28/2020

5002 MD0454 8270 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2019 Period of Performance: 10/01/2019 to 02/28/2020

5003 MD0455 2635 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2019 Period of Performance: 10/01/2019 to 02/28/2020

5004 MD0456 8345 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2019 Period of Performance: 10/01/2019 to 02/28/2020 Continued ...

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

12 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

HSHQE3-13-R-00005

5005 MD0456 8345 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2019 Period of Performance: 10/01/2019 to 02/28/2020

5006 MD0475 6011 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2019 Period of Performance: 10/01/2019 to 02/28/2020

5007 MD0507 3263 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2020 Period of Performance: 10/01/2019 to 02/28/2020

5008 MD1036 7517 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2019 Period of Performance: 10/01/2019 to 02/28/2020

5009 MD1095 18913 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2019 Period of Performance: 10/01/2019 to 02/28/2020

5010 MD1094 18912.5 HR

BASIC PSO SERVICES

(Option Line Item) 09/30/2019 Period of Performance: 10/01/2019 to 02/28/2020

5011 Temporary Additional Services 200 HR (Option Line Item) 09/30/2019 Period of Performance: 10/01/2019 to 02/28/2020

5012 Emergency Security Service 100 HR (Option Line Item) 09/30/2019 Period of Performance: 10/01/2019 to 02/28/2020

Continued ...

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

13 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

HSHQE3-13-R-00005

5013 Other Direct Costs - COOP 1 LO Fixed Indirect Rate: ______

Total not to exceed $50,000.00 (Option Line Item) 09/30/2019 Period of Performance: 10/01/2019 to 02/28/2020

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

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