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

RFQP05181200020

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)

318-215-2559

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 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: 424490

SIZE STANDARD: E02

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: Account Payable

OAKDALE, LA 71463

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

OFFER

X 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

0001 Delivery Date: 10/01/2012

Kosher Chicken Patty Meal, 12/4 oz Chicken Patty made from chunked and formed dark or white meat in any porportion, not from mechanically de-boned meat, breaded, 2 oz chicken gravy, 6 oz mashed potato, 4 oz mixed vegetables.

See Continuation Sheet(s) (Use Reverse and/or Attach Additional Sheets as Necessary)

15.000000 CS $________________ $_________________

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

X 27A. SOLICITATION INCORPORATES BY REFERENCES FAR 52.212-1, 52.212-4, FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE X 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

RFQP05181200020 Page 1 of 8

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

RFQP05181200020 Page 2 of 8

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

RFQP05181200020 Page 3 of 8

Section 2 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0005 Kosher Chick Chow Mein Meal, 12/case, 4 oz breaded chicken nuggets made from chunked and formed dark or white meat in any porportion( not mechanically de-boned meat), breaded, 6oz gravy, 1 oz celery, bell pepper, onion, 2 oz grean beans, 3.5 oz rice

3.5 oz peas and carrots

15.000000 CS $____________ $___________________

0006 Kosher Chicken wing Meal 12/cs, 6 oz chicken wings w/skin and bones, 2 oz buffalo sauce, 6 oz mashed potato, 4 oz sweet peas

15.000000 CS $____________ $___________________

0008 Kosher Oatmeal, 1oz, 144/cs, each ind pkg must be marked w/the kosher cert.

24.000000 CS $____________ $___________________

0011 Kosher Veg Protein Chili 12/cs, 4 oz textured soy protein concentrate seasoned to resemble ground beef, 3.5 oz kidney beans, 4 oz crushed tomato, onion, spices, 3.5 oz rice, 4 oz mix vegetables, each must be marked with the kosher cert.

10.000000 CS $____________ $___________________

0012 Kosher Vegetables Juice, 6 pk equal 1 pack, easy open top, made from juices of tomato, carrots, celery, beets, parsley, lettuce, eatercress, and spinach, v8 or equal, certified kosher parve, and each pkg must be marked with the kosher cert.

400.000000 EA $____________ $___________________

0013 Kosher Beans and Franks Meal 12/cs., Beans and Franks Entree madde from 4oz beef franks or cockfranks, no artificial colors, no soy protein, 8 oz vegetarians bean w/tomato sauce, 6 oz diced potatoes

15.000000 CS $____________ $___________________

0015 Kosher Pickle Relish, 9 gm each-500 count case 10.000000 CS $____________ $___________________

0018 Kosher Fish Fillet meal, 12/cs, 4 oz Fish fillet, cut from solid muscle fillet block pollack, whiting, flounder, cod, tilapia ot toher white fish flesh, 2 oz tomato sauce, 4 oz white rice, 4 oz mature lima beans

22.000000 CS $____________ $___________________

0019 Kosher Dairy - 12/cs, 7 Ounce Cheese Omelet Meal consisting of:

3 oz, plain egg omelet, 1 oz cheese, 3 oz potato, w/each meal must conform to all statement of work requirements.

10.000000 CS $____________ $___________________

0020 Kosher Veg Prot cutlet, 12/cs, 3.6 oz veg protein cutlet. Product not to exceed 260mg sodium, must have a min. of 12g protein and not less than 5g dietary fiber. Must use soy protein for at least 70% of product and not to exceed 30% of breading, 2 oz mushroom gravy, 3.4 oz rice, 4 oz lima beans

10.000000 CS $____________ $___________________

0021 Kosher Spaghetti and Meatball Meal, 12/cs, 4 oz cooked beef meatballs (made w/ground beef, not more than 20% fat, 20% added ingredients, no soy protein), 5 oz spaghetti pasta, 3 oz tomato sauce, 8 oz sweet peas

25.000000 CS $____________ $___________________

0022 Kosher coffee pkt, Individual 1000 ct, certified kosher, each ind pkg must be marked w/the kosher cert.

100.000000 EA $____________ $___________________

0023 Kosher grits, 1 oz, 144/cs, each ind pkg must be marked w/the kosher cert.

24.000000 EA $____________ $___________________

0024 Kosher Salisbury stk meal, 12/case, 4 oz salisbury steak (made w/ground beef, not more than 20% fat, 20% added ingredients, no soy protein allowed, 2 oz brown gravy, 6 oz mashed potatoes, 4 oz mature lima beans

25.000000 CS $____________ $___________________

0025 Kosher Meatloaf Meal 12/cs, 4 oz meatloaf, (made w/ground beef w/no more than 20% fat, 20% added ingredients, no soy protein), 2 oz brown gravy, 6 oz mashed potatoes, 4 oz mixed vegetables.

25.000000 CS $____________ $___________________

0026 Kosher Spanish Omelet, 12/cs, 3 oz plain egg omelet, 1 oz spanish sauce, 3 oz potatoes. Each Meal Must Conform To All Statement Of Work Requirements.

13.000000 CS $____________ $___________________

RFQP05181200020 Page 4 of 8

0027 Kosher Cereal Bran FLK, 7/8 oz per case, each ind pkg must be marked w/the kosher certification.

2,000.000000 CS $____________ $___________________

RFQP05181200020 Page 5 of 8

Section 3 - Contract Clauses

This Section Is Intentionally Left Blank

RFQP05181200020 Page 6 of 8

Section 4 - List of Attachments

Exhibits and Attachments Identifier Title Number of

Pages 1 Certified Food Bid Sheet 5

RFQP05181200020 Page 7 of 8

Section 5 - Solicitation Provisions

This Section Is Intentionally Left Blank

RFQP05181200020 Page 8 of 8