RFQ 1449 Solicitation Form.pdf

PDF 263 KB Posted Jun 21, 2021

Attached to: REPLACE CARPETS & BASE COVES Federal contract opportunity
Solicitation number: 70Z02721QPPCB3900
Issued by: Department of Homeland Security US Coast Guard

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Other files for this federal contract opportunity

Other files attached to REPLACE CARPETS & BASE COVES, newest first.
File	Type	Posted
SOW.pdf	PDF	Jun 21, 2021
Commercial Services Clauses Provisions FAC 2021-04.doc	DOC document	Jun 21, 2021
SOW.pdf	PDF	Jun 21, 2021
SERVICE CONTRACT ACT.pdf	PDF	Jun 21, 2021
Wage Rates.txt	TXT text file	Jun 21, 2021

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY 11. DELIVERY FOR

FOB DESTINATION

UNLESS BLOCK IS

MARKED

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A RATED

ORDER UNDER DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

SEE SCHEDULE

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE 17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

TELEPHONE NO.

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

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

CONTRACTOR AGREES TO FURNISH AND

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

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: REF.

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

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 4/2002)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITON IS

UNRESTRICTED

SET ASIDE: % FOR

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

NAICS:

SIZE STANDARD:

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE ARE NOT ATTACHED

COPIES TO ISSUING OFFICE.

OFFER

STANDARD FORM 1449 (REV. 4/2002) BACK

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

ReqNo:

Pages: 2

ContNo:

AwdDate:

OrdNo:

SolNo: 70Z02721QPPCB3900

SolDate: 06/21/2021

Contact: ANGEL POL

PhoneNo: 757-483-8541

DueDate: 07/06/21

LocalTim: 4:00 PM

UssuedBy: Angel Pol

USCG Base Portsmouth 4000 Coast Guard Blvd Portsmouth, VA 23703-2199

IssCode:

AsidePct: 100

NAICS: 238330

SizeStd: $16.5 M

FOBSched: Off

DiscTerm:

Rating:

Delvcode:

Deliver: USCG Base Portsmouth, 4000 Coast Guard Blvd, Portsmouth, VA 23703

AdmCode:

Administ: Same as block 9

ContCode:

ContFac:

ContOfr:

ContPhon:

Pymtcode:

Payment: Commercial Invoices

USCG Finance Center PO Box 4115 Chesapeake, VA 23327-4155

(800) 564-5504

DiffRmt: Off

RateOrd: Off

SeeAdden: Yes

ItemB:

ItemC:

ItemF:

ItemD:

ItemE:

ItemG:

ItemI:

SupplyA: Provide all labor, materials, &

SupplyB: equipment to replace carpets & base

SupplyC: coves as per attached scope of work,

SupplyD: FAR Provisions Clauses, & DOL Wage

SupplyE: Determination.

SupplyF:

SupplyG: Estimated price of project is more

SupplyH: than $25K.

SupplyI:

QtyB:

QtyC:

QtyD:

QtyE:

QtyF:

QtyG:

QtyH:

QtyA: 1

QtyI:

UnitA: JB

UnitB:

UnitC:

UnitD:

UnitE:

UnitF:

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UnitH:

UnitI:

PriceA:

PriceB:

PriceC:

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PriceF:

PriceG:

PriceH:

PriceI:

AmountA:

AmountB:

AmountC:

AmountD:

AmountF:

AmountG:

AmountH:

AmountE:

AcctData:

AwdAmt:

OrdIncor: Off

SolIncor: Off

RetCopy:

ContSign: Off

Award: Off

RefNo:

OffrDate:

OffrTitl:

OfSigDa:

OffrName:

ContOffr:

CntSigDa:

ItemA: 001

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ServiceK:

ServiceL: POC for site visit/technical questions:

ServiceM: DC1 David Ybarra (757) 638-2662

ServiceN:

ServiceO:

ServiceP: Email quote to angel.pol@uscg.mil

ServiceQ:

ServiceR: Submit this form along with your quote

ServiceS: & one copy of your business and/or

ServiceT: contractor's license, & copy of

ServiceU: liability insurance certificate.

ServiceV:

ServiceW:

ServiceX:

ServiceY:

ServiceZ:

ServicAA:

ServicAB:

ServicAC:

ServicAD:

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QtyK:

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Conforms:

GovtDate:

GovtName:

GovtTitl:

GovtMail:

GovtPhon:

GovtEMal:

VouchNo:

VerfCorr:

CheckNo:

SRAcct:

SRVouch:

PaidBy:

CertTitl:

CertDate:

RecdBy:

RecdAt:

DateRecd:

TotalCnt:

ShipNo:

AmountI:

QtyAN:

UnitK:

QtyAA:

PriceAF:

32a: Off

Pay: Off

Acq: Set Aside

SmBus: Small Business

Method: Request for Quotation

ThrAtt: Off

ShipPart: Off

AmountAF:

FivAtt: Off

File details come from the government source that posted it. Updated Jun 21, 2021.