SF-1449 - 19BR2525Q0026.pdf
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- Solicitation number
- 19BR2525Q0026
- Issued by
-
Department of State US Embassy Brasilia
About this file
This is Standard Form 1449 (Solicitation/Contract/Order for Commercial Items) for solicitation number 19BR2525Q0026, issued by the U.S. Embassy in Brasília, Brazil for occupational health program management services for locally engaged staff. The solicitation was issued on March 6th, 2025, with responses due by April 18th, 2025 at 4:00 PM local time.
The solicitation is unrestricted with no set-asides and will be awarded using RFQ procedures. The point of contact is Paulo Figueira (+55 61 3312-7201) at the Embassy's GSO Procurement Office. The contract will be administered by the U.S. Embassy Brasília GSO Procurement Office, with services to be delivered to the Embassy's HR Office. The solicitation incorporates by reference FAR 52.212-1, 52.212-4 and includes FAR 52.212-3 and 52.212-5 as attachments. Joel Mattson is listed as the Contracting Officer.
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Other files
| File | Type | Posted |
|---|---|---|
| RFQ 19BR2525Q0026 - Mission Brazil LE Staff Occupational Health Provider.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
2. CONTRACT NO.
3. AWARD/EFFECTIVE
DATE
4. ORDER NUMBER
5. SOLICITATION NUMBER
19BR2525Q0026
6. SOLICITATION ISSUE DATE
March 06th 2025
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
PAULO FIGUEIRA
b. TELEPHONE NUMBER(No collect calls)
+55 61 3312-7201
8. OFFER DUE DATE/ LOCAL
April 18th, 2025 –
04:00pm
9. ISSUED BY CODE 19BR25 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE:____ % FOR:
SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS
U. S. EMBASSY BRASÍLIA / BRAZIL
GSO / PROCUREMENT UNIT
SES Qd 801 Lt 03 Av. Nacoes.
Brasilia -DF
HUBZONE SMALL
BUSINESS
(WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM NAICS:
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
EDWOSB
8 (A) SIZE STANDARD:
11. DELIVERY FOR FOB DESTINAT-
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 19BR25 16. ADMINISTERED BY CODE 19BR25
U. S. EMBASSY BRASÍLIA / BRAZIL
HR Office SES Qd 801 Lt 03 Av. Nacoes.
Brasilia -DF
U. S. EMBASSY BRASÍLIA / BRAZIL
GSO Procurement Office SES Qd 801 Lt 03 Av. Nacoes.
Brasilia -DF
17a. CONTRACTOR/
OFFERER
TELEPHONE NO.
CODE FACILITY
CODE
18a. PAYMENT WILL BE MADE BY CODE
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
The purpose of this contract is to provide services for the management of the occupational health program to the U.S. Mission in Brazil locally engaged Staff
See Attached
(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 ARE ARE NOT ATTACHED
27b.CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 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 CONTRACTING OFFICER (Type or print) Joel Mattson
31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV. 02/2012)
PREVIOUS EDITION IS NOT USABLE Computer Generated 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
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
33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED
CORRECT FOR
36. PAYMENT 37. CHECK NUMBER
PARTIAL FINAL
COMPLETE PARTIAL FINAL
38. S/R ACCOUNT NO.
39. S/R VOUCHER NO. 40. PAID BY
41.a. 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
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
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