SF1449.doc
DOC document 86 KB Posted
- Attached to
- Hoteling for official USG visits to Jerusalem
- Solicitation number
- SIS700-14-Q-0005
- Issued by
-
Department of State US Embassy Tel Aviv
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SF1449
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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
1. REQUISITION NUMBER
PR3171154
2. CONTRACT NO.
3. AWARD/EFFECTIVE DATE
4. ORDER NUMBER
5. SOLICITATION NUMBER
SIS70014Q0005
6. SOLICITATION ISSUE DATE
03/17/2014
7. FOR SOLICITATION
INFORMATION CALL
a. NAME
Chanan Stern or Myron Hirniak
b. TELEPHONE NUMBER
972-9-9712239 972-9-9712234
8. OFFER DUE DATE/LOCAL TIME
04/28/2014 / 12:00 Noon
9. ISSUED BY
CODE
| IS700 |
| 10. THIS ACQUISITION IS |
AMERICAN EMBASSY TEL AVIV
71 HAYARKON STREET, ATTN: GSO/PROCUREMENT
TEL AVIV 63903
ISRAEL
x UNRESTRICTED
_ SET ASIDE: % FOR
_ SMALL BUSINESS
_ EMERGING SMALL
_ HUBZONE SMALL BUSINESS SMALL BUSINESS
_ 8(A)
_ SERVICE-DISABLED VETERAN OWNED
NAICS:721110
SIZE STD: NA
| 11. DELIVERY FOR FOB |
| 12. DISCOUNT TERMS |
| FORMCHECKBOX |
13a. THIS CONTRACT IS A RATED ORDER
UNDER DPAS (15 CFR 700)
DESTINATION UNLESS BLOCK IS MARKED
_ SEE SCHEDULE
13b. RATING
14. METHOD OF SOLICITATION
x RFQ _ IFB _ RFP
15. DELIVER TO:
Code
16. Administered by:
AMERICAN EMBASSY TEL AVIV
9 GALGALEY HAPLADA ST., ATTN: GSO/WAREHOUSE
HERTZLIYA
ISRAEL
AMERICAN EMBASSY TEL AVIV
71 HAYARKON STREET, ATTN: GSO/PROCUREMENT
TEL AVIV
ISRAEL
117a. CONTRACTOR/OFFEROR NOVENDOR
CODE
FACILITY CODE
TELEPHONE NO:
18a. PAYMENT WILL BE MADE BY
AMERICAN EMBASSY TEL AVIV
71 HAYARKON STREET, ATTN: GSO/PROCUREMENT
TEL AVIV 63903
ISRAEL
FORMCHECKBOX
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
· SEE LINE ITEMS AND SECTION I -
(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) |
FORMCHECKBOX
30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT)
30c. DATE SIGNED
31b. NAME OF CONTRACTING OFFICER (Type or Print)
Myron V. Hirniak 31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
STANDARD FORM 1449 (REV3/2005)
PREVIOUS EDITION IS NOT USABLE
Computer Generated
Prescribed by GSA - FAR (48 CFR) 53.212
FORMCHECKBOX
11. SCHEDULE
(Include applicable Federal, State and local taxes)
ITEM NO.
(a)
SUPPLIES/SERVICES
(b)
QUANTITY
(c)
UNIT
(d)
UNIT PRICE
(e)
AMOUNT
(f)
| 1 |
| Hotel room/nights in Jerusalem for various visits per attached Ds-1970 and IGCE BASE YEAR FOR Delux single rooms for American Staff |
Funding Information:
Total: $0.00 $0.00
| 1,750.00 |
| LS |
| $0.00 |
| $0.00 |
| 2 |
| Hotel room/nights in Jerusalem for various visits per attached Ds-1970 and IGCE BASE YEAR FOR Delux single rooms for Locally Employed Staff |
Funding Information:
Total: $0.00 $0.00 $0.00
| 1,750.00 |
| LS |
| $0.00 |
| $0.00 |
| 3 |
| Hotel room/nights in Jerusalem for various visits per attached Ds-1970 and IGCE BASE YEAR FOR Delux double rooms for American Staff |
Funding Information:
Total: $0.00 $0.00
| 60.00 |
| LS |
| $0.00 |
| $0.00 |
| 4 |
| Hotel room/nights in Jerusalem for various visits per attached Ds-1970 and IGCE BASE YEAR FOR Suites for American Staff |
Funding Information:
Total: $0.00 $0.00
| 100.00 |
| LS |
| $0.00 |
| $0.00 |
| 5 |
| Hotel room/nights in Jerusalem for various visits per attached Ds-1970 and IGCE BASE YEAR FOR Conference Hall rentals |
Funding Information:
Total: $0.00 $0.00
| 50.00 |
| LS |
| $0.00 |
| $0.00 |
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