SF1449_Pages_2_ _3_-_HSSCCG14R00027.pdf
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- HSSCCG-14-R-00027
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32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
2e. 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
COMPLETE PARTIAL FINAL
37. CHECK NUMBER
PARTIAL FINAL
38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY
41a. I CERTIFY 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. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
0006AA
See important requirement information regarding
FACILITY CLEARANCE, RFP page 125 of 162 (Section
IV, B, 1.6, A.2).
DO/DPAS Rating: NONE
Period of Performance: 12/01/2014 to 11/30/2018
Base Year: Transition-In, Firm-Fixed-Priced (FFP)
Period of Performance: 12/01/2014 to 1/31/2015
Base Year: Program Management (FFP)
Period of Performance: 02/01/2015 to 11/30/2015
Base Year: Correspondence Management, Fixed-Unit-Price (FUP)
Base Year: Data Collection (FUP)
Base Year: Fee Collection (FUP)
Base Year: File Operations Support (LH)
(Not Separately Priced)
Base Year: File Operations Support (LH)
(Option Line Item)
Continued ...
LH
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED
ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:
STANDARD FORM 1449 (REV. 2/2012) BACK
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED
HSSCCG-14-R-00027
PAGE OF
NAME OF OFFEROR OR CONTRACTOR
ITEM NO.
(A)
SUPPLIES/SERVICES
(B)
QUANTITY
(C)
UNIT
(D
UNIT PRICE
(E)
AMOUNT
(F)
0006AB
0006AC
Period of Performance: 02/01/2015 to 11/30/2015
Base Year: Surge - File Operations Support (Optional CLIN) (LH) (Option Line Item) Period of Performance: 02/01/2015 to 11/30/2015
Base Year: Overtime - File Operations Support (Optional) (LH) (Option Line Item) Period of Performance: 02/01/2015 to 11/30/2015
Base Year: FDNS Data Collection Support for CFDO
(FUP)
Period of Performance: 02/01/2015 to 11/30/2015
Base Year: FDNS File Operations Support - CFDO
(LH)
Period of Performance: 02/01/2015 to 11/30/2015
Base Year: FOR GROUP B ONLY: FDNS Data Collection Support - ASVVP (FUP) Period of Performance: 02/01/2015 to 11/30/2015
Base Year: FOR GROUP B ONLY: FDNS Data Collection Workload Balancer Support - ASVVP (FUP) Period of Performance: 02/01/2015 to 11/30/2015
Base Year: FOR GROUP B ONLY: FDNS File Operations Support - ASVVP (LH) Period of Performance: 02/01/2015 to 11/30/2015
Base Year: FOR GROUP B ONLY: FDNS File Operations Workload Balancer Support - ASVVP (LH) Period of Performance: 02/01/2015 to 11/30/2015
Option Year 1: Program Management (FFP) (Option Line Item) 12/01/2015 Period of Performance: 12/01/2015 to 11/30/2016
Option Year 1: Correspondence Management, Fixed-Unit-Price (FUP) (Option Line Item) Continued ...
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