BOP14422.pdf

FACILITY CODECODE

15. TELEPHONE NO. (INCLUDE AREA CODE)

16. REMITTANCE ADDRESS (INCLUDE ONLY IF DIFFERENT THAN ITEM 14)

OFFER (Must be fully completed by offeror)

14. NAME AND ADDRESS OF OFFEROR (INCLUDE ZIP CODE)

DUNS NUMBER:

TAX IDENTIFICATION NUMBER (TIN):

OFFERS ARE DUE. (INSERT ANY NUMBER EQUAL TO OR GREATER THAN THE MINIMUM REQUIREMENT STATED IN ITEM 13D. FAILURE TO

INSERT ANY NUMBER MEANS OFFEROR ACCEPTS THE MINIMUM IN ITEM 13D.)

17. THE OFFEROR AGREES TO PERFORM THE WORK REQUIRED AT THE PRICE(S) SPECIFIED BELOW IN STRICT ACCOORDANCE WITH THE TERMS OF

CALENDAR DAYS AFTER THE DATE THIS SOLICITATION, IF THIS OFFER IS ACCEPTED BY GOVERNMENT IN WRITING WITHIN

AMOUNTS

18. THE OFFEROR AGREES TO FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS.

19. ACKNOWLEDGMENT OF AMENDMENTS

(THE OFFEROR ACKNOWLEDGES RECEIPT OF AMENDMENTS TO THE SOLICITATION - GIVE NUMBER AND DATE OF EACH)

AMENDMENT NO.

DATE.

20A. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER (TYPE OR PRINT) 20B. SIGNATURE 20C. OFFER DATE

AWARD (TO BE COMPLETED BY GOVERNMENT)

22. AMOUNT:21. ITEMS ACCEPTED:

23. ACCOUNTING AND APPROPRIATION DATA

25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO24. SUBMIT INVOICES TO ADDRESS SHOWN IN

(5 COPIES UNLESS OTHERWISE SPECIFIED) 6

ITEM

)10 U.S.C.2304(c) ( )41 U.S.C.253(c) (

27. PAYMENT WILL BE MADE BY26. ADMINISTERED BY

USP Lewisburg Attn: Contracting Office P. O. Box 1000

Lewisburg PA 17837

CODE

USP Lewisburg P. O. Box 1000

Lewisburg PA 17837

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

28. NEGOTIATED AGREEMENT (CONTRACTOR IS REQUIRED TO SIGN

THIS DOCUMENT AND RETURN COPIES TO ISSUING

OFFICE.) CONTRACTOR AGREES TO FURNISH AND DELIVER ALL

ITEMS OR PERFORM ALL WORK REQUISITIONS IDENTIFIED ON THIS

FORM AND ANY CONTINUATION SHEETS FOR THE CONSIDERATION

STATED IN THIS CONTRACT. THE RIGHTS AND OBLIGATIONS OF THE

PARTIES TO THIS CONTRACT SHALL BE GOVERNED BY (A) THIS

CONTRACT AWARD, (B) THE SOLICITATION, AND (C) THE CLAUSES,

REPRESENTATIONS, CERTIFICATIONS, AND SPECIFICATIONS

INCORPORATED BY REFERENCE IN OR ATTACHED TO THIS

CONTRACT.

29. AWARD (CONTRACTOR IS NOT REQUIRED TO SIGN THIS

DOCUMENT) YOUR OFFER ON THIS SOLICITATION, IS HEREBY

ACCEPTED AS TO THE ITEMS LISTED. THIS AWARD CONSUMMATES

THE CONTRACT, WHICH CONSISTS OF (A) THE GOVERNMENT

SOLICITATION AND YOUR OFFER, AND (B) THE CONTRACT AWARD.

NO FURTHER CONTRACTUAL DOCUMENT IS NECESSARY.

30A. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED

TO SIGN (TYPE OR PRINT)

31A. NAME OF CONTRACTING OFFICER (TYPE OR PRINT)

Robert J. Kruskie

STANDARD FORM 1442 (REV 4-85) BACK

31B. UNITED STATES OF AMERICA 31C. AWARD DATE

BY

30B. SIGNATURE 30C. DATE