SF 1449(3_2005).pdf

PDF 99 KB Posted Mar 2, 2010

Attached to: Temporary Services IDIQ
Solicitation number: RFQ-AG-8173-S-10-0009
Issued by: Department of Agriculture Forest Service R3-Southwestern Region

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Standard Form 1449 (cover form)

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File	Type	Posted
sf-30 Amendment1.doc	DOC document	Mar 17, 2010
AG-8173-S-10-0009_Return.rtf	RTF text file	Mar 2, 2010
AG-8173-S-10-0009.rtf	RTF text file	Mar 2, 2010

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SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

30 S CHIRICAHUA DR

PO BOX 640

APACHE SITGREAVES NATIONAL FOREST

USDA FOREST SERVICE

CODE 16. ADMINISTERED BYCODE

561320

SIZE STANDARD:

100.00% FOR:SET ASIDE:UNRESTRICTED OR

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

03/24/2010 1630 MS

03/02/2010

928-333-6341ANNE WEISKIRCHER

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

AG-8173-S-10-0009

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEM 1. REQUISITION NUMBER PAGE OF

1 49OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SPRINGERVILLE AZ 85938

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

SPRINGERVILLE AZ 85938

30 S CHIRICAHUA DR

PO BOX 640

APACHE SITGREAVES NATIONAL FOREST

9. ISSUED BY

2. CONTRACT NO.

EFFECTIVE DATE

$13.5

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS

HUBZONE SMALL

BUSINESS

EMERGING SMALL

BUSINESS

8(A)X

USDA FOREST SERVICE

Sole Source

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Temporary Services IDIQ

Please fill in pricing on the Schedule of Items in PART I. Offerors shall return the SF-1449, the Schedule of Items, and FAR provision 52.212-3 Offeror Representatives and Certifications--Commercial Items along with Past Performance information and company Statement of Qualifications.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

ANNE WEISKIRCHER

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

31c. DATE SIGNED

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

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

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

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

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

OFFER

STANDARD FORM 1449 (REV. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS

NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 3/2005) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

001 Receptionist (01280) HR

Product/Service Code: R607

Product/Service Description: WORD

PROCESSING/TYPING SERVICES

002 Mail/File/Copy Clerk (01111) HR

Product/Service Code: R607

Product/Service Description: WORD

PROCESSING/TYPING SERVICES

003 General Clerk II (01112) HR

Product/Service Code: R607

Product/Service Description: WORD

PROCESSING/TYPING SERVICES

004 Word Processor (01611) HR

Product/Service Code: R607

Product/Service Description: WORD

PROCESSING/TYPING SERVICES

005 Furniture Movers (09040) HR

Product/Service Code: S216

Product/Service Description: FACILITIES

OPERATIONS SUPPORT SERVICES

Items are coded with the categories found in the

Department of Labor (DOL) Wage Determination

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

492 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 49

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

AG-8173-S-10-0009

based on the Service Contract Act. Descriptions of the job categories can be found on the DOL website www.dol.gov. Offerors shall provide quotes for the hourly price for each category.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)