SF1449.doc

DOC document 69 KB Posted Dec 16, 2012

Attached to: Basic training equipment for local Police Department
Solicitation number: SMD70013Q0002
Issued by: Department of State US Embassy Chisinau

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SF 1449

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Equipment_list.xlsx	XLSX spreadsheet	Dec 16, 2012

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER

PR2232997

2. CONTRACT NO.

3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER

PR2232997

5. SOLICITATION NUMBER

SMD70013Q0002

6. SOLICITATION ISSUE DATE

12/10/2012

7. FOR SOLICITATION

INFORMATION CALL

a. NAME

Gunther T. Fehr or Eugeniu Sandu

b. TELEPHONE NUMBER(No collect calls)

+373-22-40-83-00

8. OFFER DUE DATE/ 01/18/2013

LOCAL TIME

5 PM

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

Department of State US Embassy Chisinau

103 A.Mateevici str., MD 2009

Chisinau, Moldova

Tel

Chisinau

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UNRESTRICTED

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SET ASIDE: % FOR

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SMALL BUSINESS FORMCHECKBOX

EMERGING SMALL BUSINESS

Tel:+373 22 40 83 00 Fax:+373 22 40 84 47

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HUBZONE SMALL BUSINESS SMALL BUSINESS

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SERVICE-DISABLED VETERAN OWNED FORMCHECKBOX

8(A)

NAICS:

SIZE STD:

11. DELIVERY FOR FOB

12. DISCOUNT TERMS

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13a. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)

DESTINATION UNLESS BLOCK IS MARKED

FORMCHECKBOX

SEE SCHEDULE

13b. RATING

14. METHOD OF SOLICITATION

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RFQ FORMCHECKBOX

IFB FORMCHECKBOX

RFP

15. DELIVER TO:

Code

16. Administered by:

US Embassy Chisinau 103 A. Mateevici str., Chisinau, Moldova, MD-2009

17.a. CONTRACTOR/OFFEROR CODE FACILITY CODE

TELEPHONE NO:

18a. PAYMENT WILL BE MADE BY

US Embassy Chisinau

Attn: Budget & Finance Division

103 A.Mateevici str., MD 2009

Chisinau, Moldova

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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

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SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

NUMB JOHN XT (MODEL# 12, On Mobile Platform) DYNO FLEX PRACTICE BATON (Size 26")

CUFF-MAN ARREST & CONTROL DUMMY

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

FORMCHECKBOX

27a.SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA FORMCHECKBOX

ARE FORMCHECKBOX

ARE NOT ATTACHED.

FORMCHECKBOX

27b.CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA FORMCHECKBOX

ARE FORMCHECKBOX

ARE NOT ATTACHED.

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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.

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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)

Gunther T. Fehr Contracting Officer 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

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

CPR SIMON BLS TORSO S 308

MANIKIN KYLE WITH CARRY BAG 3 YR OLD CHIL CPR

SMITH&WESSON RESTRAINTS STANDARD SIZE NICKEL PUSH PIN

REDMAN XP INSTRUCTOR SUIT # 4 (suitable L/XL) REDMAN XP INSTRUCTOR SUIT # 1 (suitable S/M)

REDMAN STRIKING SHIELD BS 300P

DELUXE CASUALTY SIMULATION KIT SI-890 B

GLOCK 17T 9mm FX (Blue / Black) BULET SIMMULATION 9mm FX, (Blue) BULET SIMMULATION 9mm FX, (Orange) UNCLE MIKE'S ULTRA DUTY BELT KODRA (Black, Medium 32"-36", w/o Velcro) UNCLE MIKE'S DELUXE DUTY BELT KODRA (Black, Large 38"-42") SPORTSTER RIGHT HANDED HIP HOLSTER (Size 07)

HANDCUFF CASE X670 PHOENIX ADVANTAGE-PLUS

GLASSES, ANTI-FOG, CLR (DL 310 AF)

EAR MUFFS (Model 1000) NYLON BELT KEEPERS (Belt Size 2")

SIDE BREACK SCABBARDS CLIP-ON SCABBARD (52437)

FRICTION LOC SENTRY BATON - S21 (Size 21")

32a. QUANTITY IN COLUMN 21 HAS BEEN

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RECEIVED

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INSPECTED

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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

FORMCHECKBOX

COMPLETE

FORMCHECKBOX

PARTIAL

FORMCHECKBOX

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. 3/2005) BACK

File details come from the government source that posted it. Updated Nov 14, 2017.