SF-1449 for RFQ 19R01025Q0022.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

PR15556296

2. CONTRACT NUMBER

3.AWARD/EFFECTIVE

DATE

4. ORDER NUMBER

5. SOLICITATION NUMBER

19R01025Q0022

6. SOLICITATION ISSUE

DATE 08/26/2025

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME Cristian Mircea Stancu

b. TELEPHONE NUMBER (no collect calls) 0040-21-200-3669

8. OFFER DUE DATE/

LOCAL TIME

09/11/2025 at 16:00 hours

9. ISSUED BY

CODE

10. THIS ACQUISITION IS 11. DELIVERY FOR

FOB

DESTINATION

UNLESS

12. DISCOUNT

TERMS

American Embassy – GSO [ x] UNRESTRICTED

[ ] SET ASIDE % FOR

BLOCK IS MARKED

[ ] SEE SCHEDULE

Blvd Liviu Librescu # 4-6 District 1, 015118 Bucharest Romania

[ ] SMALL BUSINESS

[ ] SMALL DISADV BUSINESS

13a. THIS CONTRACT IS RATED ORDER

UNDER DPAS (15 CFR 700)

[ ] 8(A) 13b. RATING

SIC: 14. METHOD OF SOLICITATION

SIZE STANDARD: [x] RFQ [ ] IFB [ ] RFP

15. DELIVER TO CODE 16 . ADMINISTERED BY CODE

American Embassy Bucharest 4-6 Liviu Librescu Blvd, Attn GSO District 1, Bucharest 015118, Romania

American Embassy Bucharest 4-6 Liviu Librescu Blvd Attn GSO District 1, Bucharest 015118, Romania

17a. CONTRACTOR / CODE

OFFEROR

FACILITY

CODE

18a. PAYMENT WILL BE MADE BY CODE

Electronic Funds Transfer (EFT)

[ ] 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

[ x] SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

LEI

24.

AMOUNT LEI

Semi-Annual and Annual Preventive Maintenance for Chillers, Air Handling Units and Variable Frequency Drives (Base Year)

VAT (21%)

all

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT LEI (For Govt.

Use Only)

[X ] 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA [X ] 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 2 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 AND CONDITIONS SPECIFIED HEREIN.

[ ] 29. AWARD OF CONTRACT: REFERENCE _____________ 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) Mark W Robinson

31c. DATE SIGNED

32a. QUANTITY IN COLUMN 21 HAS BEEN

[ ] RECEIVED [ ] INSPECTED [ ] ACCEPTED, AND CONFORMS TO THE

CONTRACT, EXCEPT AS NOTED

33. SHIP NUMBER

34. VOUCHER NUMBER 35. AMOUNT

VERIFIED CORRECT

FOR

[ ] PARTIAL [ ] FINAL

36. PAYMENT 37. CHECK NUMBER

32b. SIGNATURE OF AUTHORIZED GOVT. REPRESENTATIVE 32c. DATE [ ] COMPLETE [ ] PARTIAL [ ] FINAL

38. S/R ACCOUNT

NUMBER

39. S/R VOUCHER

NUMBER

40. PAID BY

42a. RECEIVED BY (Print) 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c . DATE 42b. RECEIVED AT (Location)

42c. DATE REC’D (YY/MM/DD) 42d. TOTAL

CONTAINERS

http://ilmsariba.state.sbu/Buyer/Main/aw?awh=r&awssk=kL_y&dard=1

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

LEI

24.

AMOUNT LEI

Semi-Annual and Annual Preventive Maintenance for Chillers, Air Handling Units and Variable Frequency Drives (Optional Year 1)

VAT (21%)

Semi-Annual and Annual Preventive Maintenance for Chillers, Air Handling Units and Variable Frequency Drives (Optional Year 2)

VAT (21%)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt.

Use Only)

[X ] 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA [X ] 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 2 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 AND CONDITIONS SPECIFIED HEREIN.

[ ] 29. AWARD OF CONTRACT: REFERENCE _____________ 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) Mark W Robinson

31c. DATE SIGNED 08/26/2025

32a. QUANTITY IN COLUMN 21 HAS BEEN

[ ] RECEIVED [ ] INSPECTED [ ] ACCEPTED, AND CONFORMS TO THE

CONTRACT, EXCEPT AS NOTED

33. SHIP NUMBER

34. VOUCHER NUMBER 35. AMOUNT

VERIFIED CORRECT

FOR

[ ] PARTIAL [ ] FINAL

36. PAYMENT 37. CHECK NUMBER

32b. SIGNATURE OF AUTHORIZED GOVT. REPRESENTATIVE 32c. DATE [ ] COMPLETE [ ] PARTIAL [ ] FINAL

38. S/R ACCOUNT

NUMBER

39. S/R VOUCHER

NUMBER

40. PAID BY

42a. RECEIVED BY (Print) 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c . DATE 42b. RECEIVED AT (Location)

42c. DATE REC’D (YY/MM/DD) 42d. TOTAL

CONTAINERS