1449.docx

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1449

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SOLICITATION/CONTRACT/ORDER AL ITEMS

1. REQUISITION NUMBER
PAGE 1 OF 57

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

2. CONTRACT NO.
3. AWARD/EFFECTIVE
4. ORDER NUMBER
5. SOLICITATION NUMBER
6. SOLICIATION ISSUE

DATE

NIHOD2011281

DATE

July 18, 2011

a. NAME
b. TELEPHONE NUMBER(No collect
8. OFFER DUE DATE/

7. FOR SOLICITATION

calls)
LOCAL TIME
INFORMATION CALL:
Terita Stevenson Stevenst@od.nih.gov
(301)402-3727
8/16/2011 2:15 p.m. EST
9. ISSUED BY CODE …..
10. THIS ACQUISITON IS
National Institutes of Health
|_| UNRESTRICTED OR|X| SET ASIDE: 100 % FOR
Office of Logistics and Acquisition Operations, Branch 2
|X| SMALL BUSINESS|_| EMERGING SMALL
BUSINESS
6011 Executive Blvd., Rm. 539 C
|_| HUBZONE SMALL BUSINESS
Rockville, MD 20852
NAICS:|_| SERVICE-DISABLED VETERAN-|_| 8(A)

SIZE STANDARD: 750 emp. OWNED SMALL BUSINESS

11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED

|_| SEE SCHEDULE

12. DISCOUNT TERMS

|_| 13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700)
13b. RATING

14. METHOD OF SOLICITATION

|_| RFQ |X| IFB |_| RFP

15. DELIVER TO CODE …..

16. ADMINISTERED BY CODE … ..

Same as Block 9

17a. CONTRACTOR/ CODE …..FACILITY …..
OFFERORCODE

18a. PAYMENT WILL BE MADE BY CODE …..

TELEPHONE N0. e-mail:

|_| 17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW
OFFER
IS CHECKED

|X| SEE ADDENDUM

19.
20.
21.
22.
23.
24.
ITEM N0.
SCHEDULE OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

Box, Shipping See Attachment

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

25. ACCOUNTING AND APPROPRIATION DATA

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

|X|
27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
|_|
ARE
|X|
ARE NOT ATTACHED
|_|
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.2124. FAR 52.212-5 IS ATTACHED. ADDENDA
|_|
ARE
|_|
ARE NOT ATTACHED
|_| 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
|_| 29. AWARD OF CONTRACT: REF. OFFER
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
DATED .. YOUR OFFER ON SOLICITATION
DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED
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

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV.3/2005)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA FAR (48 CFR) 53.212

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