SF1449-Cover-Page.pdf
PDF 76 KB Posted
- Solicitation number
- 19CV1026Q0001
- Issued by
-
Department of State
About this file
This is a Standard Form 1449 (SF 1449) for Solicitation/Contract/Order for Commercial Items issued by the American Embassy Praia in Cape Verde. The requisition number is PR12766022, issued by code CV105 with solicitation contact Albertina C Pina. This is an unrestricted acquisition with a total award amount of 2,888,800.00 CVE (Cape Verdean Escudo). The contracting method is not specified in the available fields, though the form indicates that FAR 52.212-1, 52.212-3, 52.212-4, and 52.212-5 are incorporated by reference.
The document serves as both a solicitation template and contract formation document, requiring offerors to complete blocks 12 (discount terms), 17 (contractor/offeror information), 23 (unit price), 24 (amount), and 30 (signature). Delivery is to be made FOB destination to the American Embassy Praia at Rua Abilio Macedo 6, with administration and payment also handled through the embassy's GSO/Procurement office at the same address. The identified contractor/offeror in the document is MTCV Cabo Verde, located at Zona Industrial de Achada Grande Tras Lote 8, C.P. 264, Praia, Cape Verde, with facility code 123456787. The schedule of supplies/services section is blank, indicating this is an incomplete or template form awaiting specific item details, quantities, and pricing information to be populated by the offeror.
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Text version
AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV. 02/2012)
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
1. REQUISITION NUMBER
PR12766022
PAGE 1 OF PAGES
2. CONTRACT NO.
3. AWARD/EFFECTIVE DATE
4. ORDER NUMBER 5. SOLICITATION NUMBER
6. SOLICITATION ISSUE DATE
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
Albertina C Pina
b. TELEPHONE NUMBER(No collect calls) 8. OFFER DUE DATE/ LOCAL
TIME
9. ISSUED BY CODE CV105 10. THIS ACQUISITION IS x UNRESTRICTED OR SET ASIDE: % FOR:
SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS
HUBZONE SMALL
BUSINESS
(WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM NAICS:
EDWOSB EMERGING SMALL BUSINESS
AMERICAN EMBASSY PRAIA
RUA ABILIO MACEDO 6, ATTN: PRAIA
GSO/PROCUREMENT
PRAIA
CAPE VERDE
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS 8 (A) SIZE STANDARD:
13b. RATING11. 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)
14. METHOD OF SOLICITATION
RFQ IFB RFP
15. DELIVER TO CODE 16. ADMINISTERED BY CODE
AMERICAN EMBASSY PRAIA
RUA ABILIO MACEDO 6, ATTN:
GSO/RECEIVING
PRAIA 07400
CAPE VERDE
AMERICAN EMBASSY PRAIA
RUA ABILIO MACEDO 6, ATTN: PRAIA GSO/PROCUREMENT
07400
CAPE VERDE
17a. CONTRACTOR/ CODE
OFFEROR
123456787 FACILITY
CODE
MTCV CABO VERDE
NOCONTACTSIDENTIFIED
ZONA INDUSTRIAL DE ACHADA
GRANDE TRAS LOTE 8 C.P. 264
PRAIA
CAPE VERDE
TELEPHONE NO.
18a. PAYMENT WILL BE MADE BY
AMERICAN EMBASSY PRAIA
RUA ABILIO MACEDO 6, ATTN: FMO
praiadbo@state.gov
PRAIA 07400
CAPE VERDE
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
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
2,888,800.00 CVE
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)
31c. DATE SIGNED
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
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