SF 1449 Solicitation for Commerical Svs - Wash DC R20103AH-0014.docx
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- Solicitation number
- R20103AH0014
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SF 1449 Solicitation/Contract/Order for Commerical Items
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|---|---|---|
| FRA Solicitation R03AH0014 Washington.docx | DOCX document |
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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
1. REQUISITION NO.
PAGE
1 of
2. CONTRACT NO.
3. AWARD/EFFECTIVE DATE
4. ORDER NO.
5. SOLICITATION NO.
R20103AH0014
6. SOLICITATION ISSUE DATE
08-31-10
7. FOR SOLICITATION
INFORMATION CALL
a. NAME Pat Leseman, Contract Specialist
b. TELEPHONE NO. (No collect calls) (612 370-3000 x2138
8. OFFER DUE DATE/LOCAL TIME
9/10/10-1:00PM
9. ISSUED BY CODE
| 10. THIS ACQUISITION IS |
| 11. DELIVERY FOR FOB |
| 12. DISCOUNT TERMS |
U. S. Department of HUD Attn: Pat Leseman 920 Second Avenue S, Suite 1300 Minneapolis, MN 55402
|X| UNRESTRICTED |_| SET ASIDE: 100%
|X| SMALL BUSINESS
DESTINATION UNLESS BLOCK IS MARKED
|_| SEE SCHEDULE
| |_| SMALL DISADV. BUSINESS | |
| |_| 13a. THIS CONTRACT IS A RATED ORDER | |
| UNDER DPAS (15 CFR 700) |
| |_| 8(A) |
| 13b. RATING |
| SIC: | NAICS: 531320 | ||
| SIZE STD: | $2M | ||
| 14. METHOD OF SOLICITATION | |||
| |X| RFQ | |_| IFB | |_| RFP |
15. DELIVER TO CODE
16. ADMINISTERED BY CODE
Government Technical Representative (GTR) See Block 16
Michael Gdula, U. S. Dept of HUD, Technical Support Br #1, The Wanamaker Bldg, 100 Penn Square E, Phil, PA 19107
(215) 861-7532
| 17a. CONTRACTOR/ | CODE |
| OFFEROR |
| FACILITY | |
| CODE |
18a. PAYMENT WILL BE MADE BY CODE
TELEPHONE NO.. ________________
| TIN # __________________________ DUNS#________ | _________________ |
| HUD |
CMIS
Washington, DC
| |_| 17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER | |
| 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED | |X| SEE ADDENDUM |
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
Single Family Review of Appraisal Services – Washington, DC Area
See Attached
(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 |X| ARE |_| ARE NOT ATTACHED.
|X| 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA |X| ARE |_| ARE NOT ATTACHED.
| 28. | CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN one COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN. |
| 29. | AWARD OF CONTRACT: REFERENCE OFFER DATED . YOUR OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE 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
| 32a. QUANTITY IN COLUMN 21 HAS BEEN |
| ACCEPTED, AND CONFORMS TO THE |
| 33. SHIP NUMBER |
34. VOUCHER NUMBER
35. AMOUNT VERIFIED CORRECT FOR
| |_| RECEIVED | |_| | INSPECTED | |_| | CONTRACT, EXCEPT AS NOTED |
| |_| PARTIAL | |_| FINAL |
| 36. PAYMENT |
| 37. CHECK NUMBER |
| 32b. SIGNATURE OF AUTHORIZED GOVT REPRESENTATIVE | ||
| 32c. DATE | ||
| |_| COMPLETE | |_| PARTIAL | |_| FINAL |
38. S/R ACCOUNT NO.
39. S/R VOUCHER NO.
40. PAID BY
42a. RECEIVED BY (Print)
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT
| 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER |
| 41c. DATE |
| 42b. RECEIVED AT (Location) |
| 42c. DATE REC’D (YY/MM/DD) |
| 42d. TOTAL CONTAINERS |
| AUTHORIZED FOR LOCAL REPRODUCTION | SEE REVERSE FOR OMB CONTROL | STANDARD FORM 1449 (10-) |
| Computer Generated | NUMBER AND PAPERWORK BURDEN STATEMENT | Prescribed by GSA - FAR (48 CFR) 3.212 |
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