Sol_RFQ-DC-15-00186.pdf

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

HPOD

Washington DC 20460

1200 Pennsylvania Avenue, N. W.

William Jefferson Clinton Building US Environmental Protection Agency

HPOD

OEI/OIC CODE 16. ADMINISTERED BYCODE

X

611310

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORHPOD

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

06/08/2015 0900 ET

06/05/2015

202-564-4459Deborah Darry (No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

RFQ-DC-15-00186

5. SOLICITATION NUMBER

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

1 15 See ScheduleOFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

Mail Code: 3803R

TELEPHONE NO.

17a. CONTRACTOR/

Washington DC 20460 1300 Pennsylvania Avenue, N. W.

MC 2821T

US Environmental Protection Agency OEI Office of Information Collectio

15. DELIVER TO

Washington DC 20460 Mail Code: 3803R 1200 Pennsylvania Avenue, N. W.

William Jefferson Clinton Building US Environmental Protection Agency

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$25.5

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

8(A)

HPOD

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

0001 WINS program, Washington Internships for Native Students GSA procurement - Two interns for the Office of Information Collection in OEI -

GS-02F-0086V

Requisition No: PR-OEI-15-00480

0002 WINS program, Washington Internships for Native Students GSA procurement - Two interns for the Continued ...

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

Deborah Darry 06/10/2015

. 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

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.

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

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

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

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. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Office of Information Collection in OEI -

GS-02F-0086V

Requisition No: PR-OEI-15-00498

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

15 2 of

SECTION B - Supplies or Services/Prices B-1 Clauses

SECTION C - Description/Specifications C-1 Clauses

SECTION D - Packaging and Marking D-1 Clauses

SECTION E - Inspection and Acceptance E-1 Clauses

SECTION F - Deliveries or Performance F-1 Clauses

SECTION G - Contract Administration Data G-1 Clauses

SECTION H - Special Contract Requirements H-1 Clauses

SECTION I - Contract Clauses I-1 Clauses

SECTION J - List of Documents, Exhibits and Other Attachments J-1 List of Documents, Exhibits, and Other Attachments J-2 Clauses

SECTION K - Representations, Certifications, and Other Statements of Bidders K-1 Clauses

SECTION L - Instructions,Conditions, and Notices to Bidders L-1 Clauses

SECTION M - Evaluation Factors for Award M-1 Clauses

SECTION B - Supplies or Services/Prices

B-1 Clauses

SECTION C - Description/Specifications

C-1 Clauses

SECTION D - Packaging and Marking

D-1 Clauses

SECTION E - Inspection and Acceptance

E-1 Clauses

SECTION F - Deliveries or Performance

F-1 Clauses

SECTION G - Contract Administration Data

G-1 Clauses

SECTION H - Special Contract Requirements

H-1 Clauses

SECTION I - Contract Clauses

I-1 Clauses

SECTION J - List of Documents, Exhibits and Other Attachments

J-1 List of Documents, Exhibits, and Other Attachments

Attachment Number Title Date

J-2 Clauses

SECTION K - Representations, Certifications, and Other Statements of Bidders

K-1 Clauses

SECTION L - Instructions,Conditions, and Notices to Bidders

L-1 Clauses

SECTION M - Evaluation Factors for Award

M-1 Clauses