SF1449--BPA_FCI_BECKLEY_2.0.docx
DOCX document 36 KB Posted
- Attached to
- COMPREHENSIVE MEDICAL BPA BECKLEY
- Solicitation number
- RFQP01031600019
About this file
Modification to correct the RFQ number on the SF1449 The correct RFQ is RFQP01031600019. See corrected SF1449.
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| File | Type | Posted |
|---|---|---|
| SF1449--BPA_FCI_BECKLEY_2.0.docx | DOCX document | |
| Binder1.pdf |
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Text version
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 |
RFQP01031600019
6. SOLICITATION ISSUE DATE
10/07/2016
7. FOR SOLICITATION INFORMATION CALL:
a. NAME
TARYN S.JONES tsjones@bop.gov
b. TELEPHONE NUMBER (No collect calls)
(O)972-352-4506
8. OFFER DUE DATE/ LOCAL TIME
10/14/2016
3:00 P.M. CT
9. ISSUED BY CODE
| 10. THIS ACQUISITION IS | UNRESTRICTED OR | SET ASIDE: | % FOR: SMALL BUSINESS | WOMEN-OWNED SMALL BUSINESS | |
| (WOSB) ELIGIBLE UNDER THE WOMEN-OWNED HUBZONE SMALL | SMALL BUSINESS PROGRAM NAICS: BUSINESS | ||||
| EDWOSB | 622110 |
SERVICE-DISABLED
| VETERAN-OWNED | SIZE STANDARD: |
| SMALL BUSINESS | 8 (A) |
Federal Bureau of Prisons Field Acquisition Office U.S. Armed Forces Reserve Complex 346 Marine Forces Drive Grand Prairie, Texas 75051
11. DELIVERY FOR FOB DESTINA- TION 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 | IFB | RFP |
15. DELIVER TO CODE
16. ADMINISTERED BY CODE
Federal Bureau of Prisons FCI Beckley West Virginia 1600 Industrial Park Beaver, West Virginia 25813 Same as Block # 9
17a. CONTRACTOR/ CODE
FACILITY
18a. PAYMENT WILL BE MADE BY CODE
OFFEROR CODE
TELEPHONE NO.
Federal Bureau of Prisons FCI Beckley West Virginia 1600 Industrial Park Beaver, West Virginia 25813
| 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 | SEE ADDENDUM |
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
| 22. UNIT |
| 23. |
UNIT PRICE
24.
AMOUNT
COMPREHENSIVE MEDICAL SERVICES FCI BECKLEY BLANKET PURCHASE AGREEMENT FOR 12 MONTHS
SEE CONTINUATION SHEETS
(Use Reverse and/or Attach Additional Sheets as Necessary)
| 25. ACCOUNTING AND APPROPRIATION DATA |
| 26. TOTAL AWARD AMOUNT (For Govt. Use Only) |
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
ARE ARE NOT ATTACHED
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 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
29. AWARD OF CONTRACT: REF. 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 |
AUTHORIZED FOR LOCAL REPRODUCTION PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV. 2/2012)
Prescribed by GSA - FAR (48 CFR) 53.212
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
| 22. UNIT |
| 23. |
UNIT PRICE
24.
AMOUNT
| 0001 |
| BPA COMPREHENSIVE MEDICAL SERVICES FOR FCI BECKLEY WEST VIRGINIA |
SEE PERFORMANCE WORK STATEMENT AND BPA SCHEDULE OF ITEMS/PRICING
| 12 |
| MO |
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:
| 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE |
| 32c. DATE |
| 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 |
| 36. PAYMENT |
| COMPLETE | PARTIAL | FINAL |
| 37. CHECK NUMBER |
PARTIAL FINAL
| 38. S/R ACCOUNT NO. |
| 39. S/R VOUCHER NUMBER |
| 40. PAID BY |
| 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT |
| 42a. RECEIVED BY (Print) |
| 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER |
| 41c. DATE |
42b. RECEIVED AT (Location)
| 42c. DATE REC'D (YY/MM/DD) |
| 42d. TOTAL CONTAINERS |
STANDARD FORM 1449 (REV. 2/2012) BACK
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