sf1449.docx
DOCX document 28 KB Posted
- Solicitation number
- SIT70017Q0011
- Issued by
-
Department of State US Embassy Rome
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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
PAGE 1 OF
2. CONTRACT NO.
3. AWARD/EFFECTIVE
DATE
4. ORDER NUMBER
5. SOLICITATION NUMBER
S-IT700-17-Q-0011
6. SOLICITATION ISSUE DATE
January 27, 2017
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME Carrie Basnight Raffaella Iacovacci
b. TELEPHONE NUMBER(No collect calls) 06-4674-2581 06-4674-2179
8. OFFER DUE DATE/ LOCAL TIME
February 27, 2017 at 12:00 noon
9. ISSUED BY CODE
| 10. THIS ACQUISITION IS |
| |X| UNRESTRICTED OR |
| |_| SET ASIDE:____ % FOR: |
| |_| SMALL BUSINESS |
| |_| WOMEN-OWNED SMALL BUSINESS |
US Embassy GSO Acquisitions
|_| HUBZONE SMALL
BUSINESS
|_| (WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM NAICS:
Via Sallustiana 49, 00187 Rome, Italy
|_| SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
|_| EDWOSB
| |_| 8 (A) |
| SIZE STANDARD: |
11. DELIVERY FOR FOB DESTINAT-
TION UNLESS BLOCK IS
MARKED
|X| SEE SCHEDULE
| 12. DISCOUNT TERMS |
| |_| 13a. THIS CONTRACT IS A |
RATED ORDER UNDER
DPAS (15 CFR 700)
13b. RATING
14. METHOD OF SOLICITATION
|X| RFQ |_| IFB |_| RFP
| 15. DELIVER TO |
| CODE |
| 16. ADMINISTERED BY |
| CODE |
US Embassy GSO Acquisitions Via Sallustiana 49 00187 Rome, Italy
US Embassy Information Management Office Via Sallustiana 49 00187 Rome, Italy
17a. CONTRACTOR/
OFFERER
TELEPHONE NO.
CODE
FACILITY CODE
18a. PAYMENT WILL BE MADE BY US Embassy Financial Management Center Via Sallustiana 49 00187 Rome, Italy
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
Internet Services Provider (ISP) services at the U.S. Government facilities Italy-wide.
(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 ORIGINAL 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) Carrie L. Basnight 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) 53.21 |
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