SF-1449.docx
DOCX document 36 KB Posted
- Solicitation number
- SFR63016Q0076
- Issued by
-
Department of State US Embassy Paris
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SF1449
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| Attachment_3.docx | DOCX document | |
| Attachment_2.docx | DOCX document | |
| Solicitation_document.doc | DOC document | |
| Cover_letter.pdf |
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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
1. REQUISITION NUMBER
55539391
2. CONTRACT NO.
3. AWARD/EFFECTIVE
DATE
4. ORDER NUMBER
5. SOLICITATION NUMBER
SFR63016Q0076
6. SOLICITATION ISSUE DATE
September 21, 2016
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME Ms. Dominique MAZIER
b. TELEPHONE NUMBER(No collect calls) 33-143122487
8. OFFER DUE DATE/ LOCAL TIME
October 21, 2016 - 4:00PM
9. ISSUED BY CODE
| 10. THIS ACQUISITION IS |
| |_| UNRESTRICTED OR |
| |_| SET ASIDE:____ % FOR: |
CONTRACTS OFFICE, A M-8
| |_| SMALL BUSINESS |
| |_| WOMEN-OWNED SMALL BUSINESS |
AMERICAN EMBASSY
2 AVENUE GABRIEL
|_| HUBZONE SMALL
BUSINESS
|_| (WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM NAICS:
75008 PARIS
To be submitted electronically to the Contracting Officer to the following email address: agnermk@state.gov, o’dwyerUM@state.gov and cc to MazierD@state.gov
|_| 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 |
| 16. ADMINISTERED BY |
| CODE |
17a. CONTRACTOR/
OFFERER
TELEPHONE NO.
CODE
FACILITY CODE
18a. PAYMENT WILL BE MADE BY
American Embassy – Attn : Isabelle Blanchot Financial Management Center, Room A-18 2 avenue Gabriel 75382 Paris Cedex 08
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
Gardening maintenance services.
(Use Reverse and/or Attach Additional Sheets as Necessary)
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 ____ 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) Michael K. Agner 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
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