SF33 Cover Page_Vehicle_Insurance.pdf

SOLICITATION, OFFER AND AWARD

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)

RATING PAGE OF PAGES

2. CONTRACT (Proc. Inst. Ident.) NO.

3. SOLICITATION NO.

SIS70014R0004

4. TYPE OF SOLICITATION

_ SEALED BID (IFB)

x NEGOTIATED (RFP)

5. DATE ISSUED

6. REQUISITION/PURCHASE NO.

PR3649041

7. ISSUED BY CODE IS700 8. ADDRESS OFFER TO (If other than item 7)

AMERICAN EMBASSY TEL AVIV

71 HAYARKON STREET, ATTN: GSO/PROCUREMENT

TEL AVIV 63903 ISRAEL

Phone: Fax: 97299558656

AMERICAN EMBASSY TEL AVIV

71 HAYARKON STREET, ATTN: GSO/PROCUREMENT

TEL AVIV 63903 ISRAEL

NOTE: In sealed bid solicitation "offer" and "offeror” mean "bid" and "bidder".

SOLICITATION

9. Sealed offers in original and 3 copies for furnishing the supplies or services in the Schedule will be received at the place specificed, in the deposito ry located in until (date) local time (hour).

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L. Provision No. 52.215 -1. All offers are subject to all tems and conditions contained in this solicitation.

10. FOR INFORMATION

CALL:

A. NAME

Chanan Stern

B. TELEPHONE (NO COLLECT CALLS)

97299712234

C. E-MAIL ADDRESS

SternCC@state.gov

11. TABLE OF CONTENTS

(x) SEC. DESCRIPTION PAGE(S) (x) SEC. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

x A SOLICITATION/CONTRACT FORM 1-2 of

SF33

x I CONTRACT CLAUSES 77-83 x B SUPPLIES OR SERVICE AND PRICES/COSTS 3-63 PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACH.

x C DESCRIPTION/SPECS/WORK STATEMENT 64-67 x J LIST OF ATTACHMENTS 84-86 x D PACKAGING AND MARKETING 68 PART IV - REPRESENTATIONS AND INSTRUCTIONS x E INSPECTION AND ACCEPTANCE 69-70 x K REPRESENTATIONS, CERTIFICATIONS, AND 87-x F DELIVERIES OR PERFORMANCE 71-72 OTHER STATEMENTS OF OFFERORS x G CONTRACT ADMINISTRATION 73-74 x L INSTRS., COND., AND NOTICES TO OFFERORS 102-x H SPECIAL CONTRACT REQUIREMENTS 75-76 x M EVALUATION FACTORS FOR AWARD 108-

OFFER (Must be ful ly completed by offeror)

NOTE: ITEM 12 does not apply if the solicitation includes the provisions at 52.214 -16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (120 calendar days unless a different period is inseted by the offer) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT SEE 14

(See section I, Clause No 52.232-8)

10 CALENDAR DAYS

20 CALENDAR DAYS

30 CALENDAR DAYS

CALENDAR DAYS

14. ACKNOWLEDGMENT OF AMENDMENTS AMENDMENT NO. DATE AMENDMENT NO. DATE

(The offeror acknowledges receipt of amendments to the solicitation and related documents ) numbered and dated:

15A. NAME CODE FACILITY 16. NAME AND TITLE OF PERSON AUTHORIZED

AND ADDRESS

OF OFFEROR

TO SIGN OFFER (Type or print)

15B. TELEPHONE NO. (Include area code)

15C. CHECK IF REMITTANCE ADDRESS [ ] IS

DIFFERENT FROM ABOVE - ENTER SUCH ADDRESS

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEM NUMBERED

20. AMOUNT

21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

_ 10 U.S.C. 2304(c)( ) _ 41 U.S.C. 253(c)( )

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

ITEM

24. ADMINISTRATION BY (If other than Item 7) CODE 25. PAYMENT WILL BE MADE BY CODE

26. NAME OF CONTRACTING OFFICER (Type or print)

27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

28. AWARD DATE

IMPORTANT - Award will be made on this form, or on the Standard Form 26, or by other authorized official written notice.

NSN 7540-01-152-8064 STANDARD FORM 33 (REV 9-97)

PREVIOUS EDITION NOT USABLE Prescribed by GSA

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 B.3.3. Premiums - Base Peri od: The Contractor shal l provide the services for the premiums shown below for the base period of the contract, s tarting on the s tart date in the Notice to Proceed and continuing for a period of 12 months . B.3.3.1 Mandatory Insurance – Bodi ly Injury (“B” Contract Line Items) Tota l Annual Mandatory Insurance Premium for Base Year (See l i s t in the sol ici tation):

Funding Information:

Tota l : 0.00

0.00

1.00 EA 0.00 0.00

2 B.3.3.2 Third Party Liabi l i ty Insurance – Property Damage (“P” Contract Li ne Items) Tota l Annual 3rd party Premium: (See l i s t in the sol ici tation).

Funding Information:

Tota l : 0.00

0.00

1.00 EA 0.00 0.00