PDFRetriever.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER OMB Clearance Control Number:

1103-0018

5. SOLICITATION NUMBER

RFQP05181200018

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

08/30/2012

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Dessie R. Dill

b. TELEPHONE NUMBER (No collect calls) 8. OFFER DUE DATE / LOCAL

TIME

09/07/2012 17:00:00

CODE BOAX

Federal Bureau of Prisons FCI Oakdale

EAST WHATLEY ROAD

OAKDALE, LA 71463

9. ISSUED BY X UNRESTRICTED OR SET ASIDE: % FOR

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN OWNED

SMALL BUSINESS

EMERGING SMALL BUSINESSWOMAN-OWNED

SMALL BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGE

WOMEN-OWNED SMALL BUSINESS

(EDWOSB)

8(A)

NAICS: 424410

SIZE STANDARD: D05

10. THE ACQUISITION IS

SEE

SCHEDULE

11. DELIVERY FOR FOB DESTINATION

UNLESS BLOCK IS MARKED

NET 30

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER DPAS

(15 CFR 700)

13b. RATING

X RFQ IFB RFP

14. METHOD OF SOLICITATION

BOAXCODE15. DELIVER TO

Federal Bureau of Prisons FCI Oakdale

EAST WHATLEY ROAD

Attn: Food Service Warehouse

OAKDALE, LA 71463

CODE BOAX16. ADMINISTERED BY

Federal Bureau of Prisons FCI Oakdale

EAST WHATLEY ROAD

OAKDALE, LA 71463

FACILITY

CODE

CODE

TELEPHONE NO.

17a. CONTRACTOR/

OFFEROR

BOAXCODE18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons FCI Oakdale

EAST WHATLEY ROAD

Attn: Accounts Payable

OAKDALE, LA 71463

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

OFFER

SEE ADDENDUM

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

CHECKED

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Delivery Date: 10/02/2012

Quarterly Bread

See Continuation Sheet(s) (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 REFERENCES FAR 52.212-1, 52.212-4, FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED

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

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 THE CONTRACTING OFFICER (TYPE OR PRINT)

Dessie Dill

31c. DATE SIGNED

08/30/2012

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.212

RFQP05181200018 Page 1 of 7

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: _________________________________

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. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

PARTIAL FINAL

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

CORRECT FOR

COMPLETE PARTIAL FINAL

36. PAYMENT 37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 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. 3/2005) BACK

RFQP05181200018 Page 2 of 7

Table of Contents

Section Description Page Number

1 Solicitation/Contract Form 2 Commodity or Services Schedule 3 Contract Clauses 4 List of Attachments 5 Solicitation Provisions

RFQP05181200018 Page 3 of 7

Section 2 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 Bread, Hamburger Buns, White, Fresh, Enriched, 12 per package.

Approximately 334 DZ per week for 13 weeks beginning on October 2, 2012 and ending on December 26, 2012.

Please note as the Qtr progress, we will monitor our consumption and increase or decrease accordingly.

334.000000 DZ $____________ $___________________

0002 Bread, Hot dog Buns, White, Fresh, Enriched, 12 per package.

Approximately 167 DZ per week for 13 weeks beginning on October 2, 2012 and ending on December 26, 2012.

Please note as the Qtr progress, we will monitor our consumption and increase or decrease accordingly.

167.000000 DZ $____________ $___________________

0003 Bread, Wheat, Fresh or Frozen, Enriched, Pan baked, Sandwich, regular sliced, Must be whole wheat, Approximately 1322 loaves/ea per week for 13 weeks beginning on October 2, 2012 and ending on December 26, 2012.

Please note as the Qtr progress, we will monitor our consumption and increase or decrease accordingly.

1,322.000000 EA $____________ $___________________

0004 Hoagie Buns, Fresh or Frozen, Enriched, Pan baked, Approximately 288 loaves/ea per week for 13 weeks beginning on October 2, 2012 and ending on December 26, 2012.

Please note as the Qtr progress, we will monitor our consumption and increase or decrease accordingly.

288.000000 EA $____________ $___________________

RFQP05181200018 Page 4 of 7

Section 3 - Contract Clauses

This Section Is Intentionally Left Blank

RFQP05181200018 Page 5 of 7

Section 4 - List of Attachments

Exhibits and Attachments

RFQP05181200018 Page 6 of 7

Section 5 - Solicitation Provisions

RFQP05181200018 Page 7 of 7