Sol_140D0426Q0326.pdf
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- Attached to
- Mock Survey (Operational Assessment) for AFRH Federal contract opportunity
- Solicitation number
- 140D0426Q0326
About this file
This is a Request for Quote (RFQ) for a commercial, non-personal, firm-fixed-price purchase order for an on-site mock survey and structured findings report to support the Armed Forces Retirement Homes (AFRH) preparation for Joint Commission Accreditation at two campus locations: Washington, DC and Gulfport, MS.
The contractor will conduct an operational assessment (mock survey) to prepare AFRH for Joint Commission accreditation in multiple service areas including Ambulatory Care, Home Care (Independent Living Plus), Nursing Care, Life Safety/Environment of Care, Assisted Living Services, Long Term Care Services, and Memory Support Services. The contractor must deliver a Mock Survey Findings Report identifying gaps and recommendations for corrective action upon completion. The solicitation number is 140D0426Q0326, with an offer due date of April 13, 2026 at 1500 ED and a performance period of May 1, 2026 to October 31, 2026. The acquisition is set aside for Small Business concerns under NAICS code 541611 (Administrative Management and General Management Consulting Services) with a size standard of $24.5 million. Award will be made to the quoter offering the best value considering Technical, Past Performance, and Price factors under FAR 12.203, with Technical and Past Performance weighted more heavily than Price. Quoters must submit technical and price proposals in separate volumes and provide a fully loaded, firm-fixed price with breakdowns by location. The Contracting Officer is Catherine Mattocks at the Interior Business Center, Acquisition Services Directorate. All invoices must be submitted electronically through the U.S. Department of Treasury's Invoice Processing Platform (IPP) system.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140D0426Q0326_Amd_0001.pdf | ||
| AFRH_QA_0001.pdf | ||
| Mock_Surveys_PWS_(1).pdf |
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Text version
WOMEN-OWNED SMALL
BUSINESS (WOSB)
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES
1. REQUISITION NUMBER PAGE 1 OF
2. CONTRACT NUMBER 3.AWARD/EFFECTIVE
DATE
4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE
DATE
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME b. TELEPHONE NUMBER (No collect calls)
8. OFFER DUE DATE/
LOCAL TIME
9. ISSUED BY
13b. RATING
14. METHOD OF SOLICITATION
CODE
15. DELIVER TO 16. ADMINISTERED BY CODE
18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/
OFFEROR
CODE
FACILITY
CODE
CODE
TELEPHONE NUMBER
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
REQUEST
FOR QUOTE
(RFQ)
INVITATION
FOR BID
(IFB)
REQUEST
FOR
PROPOSAL
(RFP)
SEE ADDENDUM
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE
. 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
30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED
31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV. 11/2021)
Prescribed by GSA - FAR (48 CFR) 53.212
10. THIS ACQUISITION IS UNRESTRICTED OR
NORTH AMERICAN
INDUSTRY CLASSIFICATION
STANDARD (NAICS):
SIZE STANDARD:
13a. THIS CONTRACT IS A
RATED ORDER UNDER
THE DEFENSE PRIORITIES
AND ALLOCATIONS
SYSTEM - DPAS (15 CFR 700)
SET ASIDE: % FOR:
11. DELIVERY FOR FREE ON
BOARD (FOB) DESTINATION
UNLESS BLOCK IS MARKED
SEE SCHEDULE
12. DISCOUNT TERMS
ARE ARE NOT ATTACHED
ARE ARE NOT ATTACHED
27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4.
FAR 52.212-3 AND 52.212-5 ARE ATTACHED.
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED.
8(A)
ECONOMICALLY
DISADVANTAGED
WOMEN-OWNED SMALL
BUSINESS (EDWOSB)
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
(SDVOSB)
HUBZONE SMALL
BUSINESS
SMALL BUSINESS
NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.
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
DATED.
OFFER
ADDENDA
ADDENDA
140D0426Q0326
See Schedule See Schedule
Interior Business Center, AQD Acquisition Services Directorate 381 Elden Street Suite 2000A Herndon VA 20170
04/13/2026 1500 ED
Catherine Mattocks 7039648409
D52 100.00
D52
Catherine Mattocks
541611
$24.5
04/06/2026
ADMINISTERED BY:
Interior Business Center, AQD
Acquisition Services Directorate
381 Elden Street
Suite 2000A
Herndon VA 20170 USA
Continued...
STOCK RECORD (S/R)
STANDARD FORM 1449 (REV. 11/2021) BACK
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 AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT
32b. SIGNATURE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32c. DATE
41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE
42a. RECEIVED BY (Print)
42b. RECEIVED AT (Location)
42c. DATE RECEIVED (MM/DD/YYYY) 42d. TOTAL CONTAINERS
40. PAID BY
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED
CORRECT FOR
PARTIAL FINAL
37. CHECK NUMBER
38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER
36. PAYMENT
COMPLETE PARTIAL FINAL
ACCEPTED,
This Request for Quote (RFQ) is for a non-severable, non-personal service, firm-fixed-price purchase order for an onsite survey and provide a structured findings report and recommendations in relation to the AFRH's preparation for Joint Commission Accreditation at the Washington DC, and Gulfport, MS campus locations.
See attached documents for more information.
00001 1 EAMock Survey
Product/Service Code: R408
Product/Service Description: SUPPORT-
PROFESSIONAL: PROGRAM MANAGEMENT/SUPPORT
Period of Performance: 05/01/2026 to
10/31/2026
Section 1 - Continuation Pages Section 2 - Contract Clauses
2-1 Clauses Incorporated by Reference 2-2 Clauses Incorporated by Full Text
Section 3 - List of Documents, Exhibits and Other Attachments Section 4 - Provisions
4-1 Provisions Incorporated by Full Text
Section 1 - Continuation Pages Administrative Information
This Request for Quote (RFQ) is for a commercial, non-personal, severable firm-fixed-price purchase order for an On-Site Survey and structured findings report and recommendations in relation to the Armed Forces Retirement Homes (AFRH)¿s preparation for Joint Commission Accreditation at the Washington DC, and Gulfport, MS campus locations as defined in the Performance Work Statement (PWS), attachment 1.
Overview of requirement:
The contractor will conduct an operational assessment (Mock Survey) to prepare AFRH for Joint Commission accreditation in the Ambulatory Care (Outpatient Care), Home Care (Independent Living Plus), Nursing Care, Life Safety/Environment of Care, Assisted Living Services, Long Term Care Services and Memory Support Services. A Mock Survey Findings Report, including identified gaps and recommendations for corrective action, shall be provided upon completion of the mock survey.
Anticipated Award Type:
Fixed Price
Attachments:
Attachment 1 -PWS
Government Points of Contact
Contracting Officer Catherine Mattocks, CATHERINE_MATTOCKS@IBC.DOI.GOV, 7039648409
Contract Specialist/ Procurement Technician Catherine Mattocks, CATHERINE_MATTOCKS@IBC.DOI.GOV, 7039648409
Administrative Codes
R408, SUPPORT- PROFESSIONAL: PROGRAM MANAGEMENT/SUPPORT
541611, Administrative Management and General Management Consulting Services ($24.5)
Section 2 - Contract Clauses 2-1 Clauses Incorporated by Reference
2-1.1 1452.201-70 Authorities and delegations. (SEP 2011)
2-1.2 1452.203-70 Restriction on Endorsements (JUL 1996)
2-1.3 52.203-17 Contractor Employee Whistleblower Rights. (NOV 2023)
2-1.4 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements. (JAN 2017)
2-1.5 52.204-13 System for Award Management-Maintenance. (OCT 2018) (Deviation Effective Date)
2-1.6 52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded. (JAN 2025) (Deviation Effective Date)
2-1.7 52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (NOV 2015) (Deviation Effective Date)
2-1.8 52.212-4 Terms and Conditions-Commercial Products and Commercial Services. (NOV 2023) (Deviation Effective Date)
2-1.9 52.219-6 Notice of Total Small Business Set-Aside. (NOV 2020) (Deviation JAN 2026)
2-1.10 52.222-3 Convict Labor. (JUN 2003)
2-1.11 52.222-50 Combating Trafficking in Persons. (OCT 2025) (Deviation Effective Date)
2-1.12 52.223-23 Sustainable Products and Services. (MAY 2024) (Deviation Effective Date)
2-1.13 52.226-8 Encouraging Contractor Policies To Ban Text Messaging While Driving. (MAY 2024)
2-1.14 52.232-33 Payment by Electronic Funds Transfer - System for Award Management. (OCT 2018)
2-1.15 52.232-40 Providing Accelerated Payments to Small Business Subcontractors. (MAR 2023)
2-1.16 52.233-3 Protest after Award. (AUG 1996) (Deviation Effective Date)
2-1.17 52.233-4 Applicable Law for Breach of Contract Claim. (OCT 2004) (Deviation Effective Date)
2-1.18 52.240-91 Security Prohibitions and Exclusions. (Deviation Effective Date)
2-2 Clauses Incorporated by Full Text
2-2.1 DOI ELECTRONIC INVOICING Electronic Invoicing and Payment Requirements - Invoice Processing Platform (IPP) (February 2021)
Payment requests must be submitted electronically through the U. S. Department of the Treasury's Invoice Processing Platform System (IPP).
"Payment request" means any request for contract financing payment or invoice payment by the Contractor. To constitute a proper invoice, the payment request must comply with the requirements identified in the applicable Prompt Payment clause included in the contract, or the clause 52.212-4 Contract Terms and Conditions - Commercial Items included in commercial item contracts. The IPP website address is: https://www.ipp.gov.
Under this contract, the following documents are required to be submitted as an attachment to the IPP invoice [Contracting Officer to edit and include the documentation required under this contract]:
The Contractor must use the IPP website to register access and use IPP for submitting requests for payment. The Contractor Government Business Point of Contact (as listed in SAM) will receive enrollment instructions via email from the Federal Reserve Bank of St. Louis (FRBSTL) within 3 - 5 business days of the contract award date. Contractor assistance with enrollment can be obtained by contacting the IPP Production Helpdesk via email IPPCustomerSupport@fiscal.treasury.gov or phone (866) 973-3131.
If the Contractor is unable to comply with the requirement to use IPP for submitting invoices for payment, the Contractor must submit a waiver request in writing to the Contracting Officer with its proposal or quotation.
(End of Local Clause)
2-2.2 52.252-6 Authorized Deviations in Clauses. (NOV 2020)
(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of (DEVIATION) after the date of the clause.
(b) The use in this solicitation or contract of any [insert regulation name] (48 CFR [ ]) clause with an authorized deviation is indicated by the addition of (DEVIATION) after the name of the regulation.
(End of clause)
Section 3 - List of Documents, Exhibits and Other Attachments Attachment Table
Attachment Number Title Pages Date
1 Mock_Surveys_PWS (1) 404/06/2026
Section 4 - Provisions
4-1.1 52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements-Representation. (JAN 2017)
4-1.2 52.204-7 System for Award Management-Registration. (NOV 2024) (Deviation Effective Date)
4-1.3 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services. (SEP 2023) (Deviation Effective Date)
4-1.4 52.219-1 Small Business Program Representations. (FEB 2024) (Deviation JAN 2026)
(b)(1) The North American Industry Classification System (NAICS) code for this acquisition is [insert NAICS code].
(2) The small business size standard is [insert size standard].
(i) it [ ] is, [ ] is not a small business concern; or
(ii) It [ ] is, [ ] is not a small business joint venture that complies with the requirements of 13 CFR 121.103(h) and 13 CFR 125.8(a) and (b). [ The offeror shall enter the name and unique entity identifier of each party to the joint venture: __.]
(2) [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [ ] is, [ ] is not a women-owned small disadvantage business concern.
(3) Women-owned small business (WOSB) joint venture eligible under the WOSB Program. The offeror represents as part of its offer that it [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR 127.506(a) through (c). [ The offeror shall enter the name and unique entity identifier of each party to the joint venture: __.]
(4) Economically disadvantaged women-owned small business (EDWOSB) joint venture. The offeror represents as part of its offer that it [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR 127.506(a) through (c). [ The offeror shall enter the name and unique entity identifier of each party to the joint venture: __.]
(5) SDVOSB joint venture eligible under the SDVOSB Program. [Complete only if the offeror is certified as a SDVOSB concern]. The offeror represents as part of its offer that it [ ] is, [ ] is not a SDVOSB joint venture eligible under the SDVOSB Program that complies with the requirements of 13 CFR 128.402. [ The offeror shall enter the name and unique entity identifier of each party to the joint venture:__.]
(6) HUBZone joint venture eligible under the HUBZone Program. [Complete only if the offeror is a HUBZone small business concern.] The offeror represents, as part of its offer, that it [ ] is, [ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR 126.616(a) through (c). [ The offeror shall enter the name and unique entity identifier of each party to the joint venture: __.] Each HUBZone small business concern participating in the HUBZone joint venture must be certified as a HUBZone concern.
4-1 Provisions Incorporated by Full Text
4-1.5 52.252-5 Authorized Deviations in Provisions. (NOV 2020)
(a) The use in this solicitation of any Federal Acquisition Regulation (48 CFR chapter 1) provision with an authorized deviation is indicated by the addition of (DEVIATION) after the date of the provision.
(b) The use in this solicitation of any [insert regulation name] (48 CFR chapter [ ]) provision with an authorized deviation is indicated by the addition of (DEVIATION) after the name of the regulation.
(End of provision)
4-1.6 52.212-1 Addendum Instructions to Offerors - Commercial Items
This Request for Quote (RFQ) is for a commercial, non-personal, non-severable firm-fixed-price purchase order for an on-site survey and provide a structured findings report and recommendations in relation to the AFRH's preparation for Joint Commission Accreditation at the Washington DC, and Gulfport, MS campus locations.
This RFQ is set aside for a Small Business award.
The Government intends to award a purchase order to the quoter whose offer represents the best value to the Government, considering Technical, Past Performance, and Price in accordance with FAR 12.203. Therefore, it is important that Offerors submit their absolute best terms in regard to the technical evaluation factors and price prior to the submission deadlines in this solicitation. Evaluation factors and methodology are discussed in provision 52.212-2 Evaluation - Commercial Items. The technical submission should be specific and complete in every detail; and should be prepared simply and economically, providing a straightforward and concise description of capabilities to satisfactorily perform the requirements. The technical submission should be practical, legible, clear, and coherent.
To evaluate all quotations effectively and equitably, the Contracting Officer must receive information containing sufficient detail to allow review and evaluation by the Government. Failure to submit and organize technical submissions as requested may adversely affect an evaluation.
QUESTIONS
1 Any questions shall be sent via email to Catherine Mattocks at Catherine_Mattocks@ibc.doi.gov.
2 Please identify the RFQ number in the email subject line.
3 Questions are due by 3:00 p.m. ED April 8, 2026.
GENERAL INSTRUCTIONS
1. Quotes shall be submitted by closing date and time noted on the cover of this solicitation. Submit quotes to Catherine Mattocks at Catherine_Mattocks@ibc.doi.gov.
2. Quoters shall prepare a quotation as described below. Please ensure that the technical, and price quotations are sent electronically, are separate files, and are clearly identified as technical and price quotations, respectively.
3. In case of any disagreement or discrepancies between the terms and conditions of this RFQ and the FAR, the latter shall prevail.
4. The Quoter shall follow the instructions contained in this RFQ and supply all information and signatures/certifications as required. Failure to furnish all information requested shall disqualify the offer.
5. The Quoter must set forth full, accurate, and complete information as required by this RFQ. The penalty for making false statements to the Government is prescribed in 18 U.S.C. § 1001.6. Government Obligation. The U.S. Government is not obligated to make an award or pay for any costs incurred by the Offeror in preparation of a quotation in response hereto.
QUOTATION INSTRUCTIONS
The quotation shall be submitted in two separate volumes, Volume I - Technical and Volume II - Price. Each of the volumes shall be prepared and submitted in separate electronic files, so the evaluation of each part may be conducted independently.
Volume 1, Section 1 - Cover Sheet with Business Information
Please include the following:
1. The solicitation number and title.
2. Company name, address, contact information, and any proposed subcontractor or partner organization.
3. Point(s) of contact: specify the name(s) of those authorized to negotiate with the Government on behalf of the company. For each name, include a phone number, email address, and physical address.
4. Statement of the Offeror's (and any proposed subcontractor's) UEI number.
5. In addition to the requirements below, all quotations shall include the following:
a. Signed and completed SF1449.
b. Signed SF30 for all amendments issued (if applicable).
c. All applicable representations and certifications.
d. Technical quotation
e. Any assumptions to the request for quotation.
f. Any pricing discounts applied to the quotation.
Volume 1, Section 2 - Technical
The Technical Quote shall clearly demonstrate how the quoter's proposed approach and personnel qualifications best meet the requirements identified in Section four of the attached Performance Work Statement (PWS). The Technical Quote shall describe the quoter's proposed approach to performing the required services and demonstrate the qualifications and relevant experience of proposed personnel.
Volume 1, Section 3 - Past Performance
The quoter shall provide information on up to three (3) contracts performed within the past three (3) years that are the same as or similar in scope to this requirement. For each reference, provide the following:
1. Contract number
2. Agency/organization name
3. Period of performance
4. Contract value
5. Brief description of the services performed and their similarity to this requirement.
6. Government point of contact (name, title, phone number, and email address)
Quoters are advised that an unacceptable past performance rating requires a documented finding that the quoter's past performance record demonstrates a pattern of material failures likely to recur; a single negative reference will not automatically result in an unacceptable rating.
Volume 2 - Price The Price Quote shall be firm-fixed-price. Quoters shall provide a fully loaded price inclusive of all costs required to fulfill the requirements of the PWS, including but not limited to labor, travel, and any other direct costs associated with on-site survey activities at both the Washington, DC and Gulfport, MS campus locations. Quoters shall provide a price breakdown by location as follows:
Washington, DC Campus Gulfport, MS Campus Total Combined Price
The quoter shall identify any discounts applied to the quoted price. Price will be evaluated in accordance with FAR 12.203(a)(3) and will be determined fair and reasonable through price analysis.
4-1.7 52.212-2 Evaluation-Commercial Products and Commercial Services. (NOV 2021) (Deviation Effective Date)
(a) Evaluation factors. The Government will award a contract resulting from this solicitation to the responsible Offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors will be used to evaluate offers:
Basis of Award: Award will be made to the quoter whose offer represents the best value to the Government, considering Technical, Past Performance, and Price in accordance with FAR 12.203. Technical and Past Performance, when combined, are considered more important than Price. The Government reserves the right to award to other than the lowest-priced quoter if a higher-priced offer provides superior value to the Government.
Technical Acceptability: The Government will evaluate Technical based on how well the proposed services meet the Government's requirements, including the quoter's demonstrated expertise in conducting mock surveys for long-term care or skilled nursing facilities and the qualifications of proposed personnel.
Past Performance: Past performance will be evaluated using the Contractor Performance Assessment Reporting System
(CPARS). A quoters' past performance will be considered acceptable if they have a satisfactory or better record of delivering the same or similar services on time and in conformance with contract requirements. An unacceptable rating requires a documented finding that the quoter's past performance record demonstrates a pattern of material failures likely to recur. Neutral rating will be assigned in the absence of past performance records.
Price: Price will be evaluated in accordance with FAR 12.203(a)(3) and will be determined fair and reasonable through price analysis.
(b) Options (if applicable). The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. The evaluation of options does not obligate the Government to exercise the option(s).
(c) Notice of award. A written notice of award or acceptance of an offer furnished to the successful Offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.
(End of provision)
| Solicitation/Contract/Order for commercial products and commercial services |
| Requisition number |
| Contract number |
| Award/Effective date |
| Order number |
| Solicitation number |
| Solicitation issue date |
| For solicitation information call: |
| Name |
| Telephone number |
| Offer due date/local time |
| Issued by |
| Code |
| This acquisition is |
| NAICS |
| Size standard |
| Delivery for free on board (FOB) destination unless block is marked |
| Discount terms |
| This contract is a rated order under the defense priorities and allocations system - DPAS |
| Rating |
| Method of solicitation |
| Deliver to |
| Code |
| Administered by |
| Code |
| Contractor/Offeror |
| Code |
| Facility code |
| Telephone number |
| Check if remittance is different and put such address in offer |
| Payment will be made by |
| Code |
| Submit invoices to address shown in block 18a unless block below is checked |
| Accounting and appropriation data |
| Total award amount |
| Solicitation incorporates by reference |
| Addenda |
| Contract/purchase order incorporates by reference |
| Addenda |
| Contractor is required to sign this doc. and return: |
| Award of contract: reference |
| Signature of offeror/contractor |
| Name and title of signer |
| Signer date signed |
| Signature of contracting officer |
| Name of contracting officer |
| Contracting officer date signed |
| Authorized for local reproduction. Previous edition is not usable |
| Standard Form 1449 (Rev. 11/2021) |
| Quantity in column 21 has been |
| Signature of authorized government representative |
| Date |
| Printed name and title of authorized government representative |
| Mailing address authorized government representative |
| Telephone number of authorized government representative |
| Email number of authorized government representative |
| Ship number |
| Voucher number |
| Amount verified correct for |
| Payment |
| Check number |
| Stock record (S/R) |
| S/R account number |
| S/R voucher number |
| Paid by |
| I certify this account is correct and proper for payment |
| Signature and title of certifying officer |
| Date |
| Received by |
| Received at |
| Date received |
| Total containers |
| Standard Form 1449 (rev. 11/2021) Back |
File details come from the government source that posted it. Updated .