Sol_75N94022Q00034.pdf

75N94022Q00034

SOLICITATION, OFFER AND AWARD

4. TYPE OF SOLICITATION2. CONTRACT NUMBER 3. SOLICITATION NUMBER

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

ORDER UNDER DPAS (15 CFR 700)

6. REQUISITION/PURCHASE NUMBER

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

NEGOTIATED (RFP)

SEALED BID (IFB)

5. DATE ISSUED

1. THIS CONTRACT IS A RATED RATING PAGE OF PAGES

1 3

C. E-MAIL ADDRESS

EXT.NUMBERAREA CODE

B. TELEPHONE (NO COLLECT CALLS)A. NAME

10. FOR

INFORMATION

CALL:

CAUTION: LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

(Date)(Hour) local timeuntildepository located in copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the

SOLICITATION

9. Sealed offers in original and

PART IV - REPRESENTATIONS AND INSTRUCTIONS

OTHER STATEMENTS OF OFFERORS

EVALUATION FACTORS FOR AWARD

INSTRS., CONDS., AND NOTICES TO OFFERORS

REPRESENTATIONS, CERTIFICATIONS AND

LIST OF ATTACHMENTS

CONTRACT CLAUSES

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

I

J

K

L

M SPECIAL CONTRACT REQUIREMENTS

CONTRACT ADMINISTRATION DATA

DELIVERIES OR PERFORMANCE

INSPECTION AND ACCEPTANCE

PACKAGING AND MARKING

DESCRIPTION/SPECS./WORK STATEMENT

SUPPLIES OR SERVICES AND PRICES/COSTS

SOLICITATION/CONTRACT FORM

PART II - CONTRACT CLAUSESPART I - THE SCHEDULE

H

G

F

E

D

C

B

A

SEC. DESCRIPTION PAGE(S) (X) DESCRIPTION SEC. (X)

11. TABLE OF CONTENTS

18. OFFER DATE17. SIGNATURE

SUCH ADDRESS IN SCHEDULE.

IS DIFFERENT FROM ABOVE - ENTER

15C. CHECK IF REMITTANCE ADDRESS

EXT.NUMBERAREA CODE

15B. TELEPHONE NUMBER

(Type or print)AND

ADDRESS

OF

OFFEROR

CODE FACILITY

16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER15A. NAME

DATEAMENDMENT NO.DATEAMENDMENT NO.

and related documents numbered and dated):

amendments to the SOLICITATION for offerors

(The offeror acknowledges receipt of

14. ACKNOWLEDGEMENT OF AMENDMENTS

CALENDAR DAYS (%)30 CALENDAR DAYS (%)20 CALENDAR DAYS (%)10 CALENDAR DAYS (%)

(See Section I, Clause No. 52.232.8)

13. DISCOUNT FOR PROMPT PAYMENT

designated point(s), within the time specified in the schedule.

by the offeror) 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

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

OFFER (Must be fully completed by offeror)

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

28. AWARD DATE

(Signature of Contracting Officer)

27. UNITED STATES OF AMERICA

25. PAYMENT WILL BE MADE BY

26. NAME OF CONTRACTING OFFICER (Type or print)

CODE 24. ADMINISTERED BY (If other than Item 7)

ITEM

(4 copies unless otherwise specified)

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

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

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

21. ACCOUNTING AND APPROPRIATION20. AMOUNT19. ACCEPTED AS TO ITEMS NUMBERED

AWARD (To be completed by government)

CODE

619985012/08/2021

NICHD

National Institutes of Health National Institute of Child Health Bethesda, MD 20892-7511

1600 ES 12/17/2021

TINA ROBINSON

robinsti@mail.nih.gov

PAGE(S)

PATRICIA M. HAUN

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

STANDARD FORM 33 (Rev. 9-97)

Prescribed by GSA - FAR (48 CFR) 53.214(c)

12. In compliance with the above, the undersigned agrees, if this offer is accepted within _____0_________ calendar days (60 calendar days unless a different period is inserted

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

75N94022Q00034

(A) (B) (C) (D) (E) (F)

Delivery Location Code: 5625FL, ROCKVL

5625 Fishers Lane, Rockville

5625 Fishers Lane

Rockville MD 20852 US

Period of Performance: 12/28/2021 to 02/22/2022

1 Product Code: 1000-005204 - nVoke Expansion

Project Unit - 1 x nVoke 2.0 Integrated Imaging and Optogenetics System Includes miniature microscope with optogenetic capability, data acquisition box, and nVoke acq software. 1 x

Standard Warranty, One year standard manufacturing warranty

Product/Service Code: 6640

Product/Service Description: LABORATORY EQUIPMENT

AND SUPPLIES

Delivery: 02/22/2022

2 Product Code: 1000-004377 - Application Module -

5 baseplate covers and 1 dummy scope

Product/Service Code: 6640

Product/Service Description: LABORATORY EQUIPMENT

AND SUPPLIES

Delivery: 02/22/2022

3 Product Code: 1000-002390 Field Scientific

Consultant On-site multiple day training with follow-on availability for consultation by

Inscopix Field Scientific Consultant

Product/Service Code: U099

Product/Service Description: EDUCATION/TRAINING-

OTHER

Delivery: 02/25/2022

Period of Performance: 12/28/2021 to 02/25/2022

4 Product Code: 1000-002390 - Inscopix Commutator

System- A commutator system to transfer high-speed video and signal and to minimize cable and to minimize cable entanglement. Includes:

Continued ...

OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

NSN 7540-01-152-8067

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

75N94022Q00034

(A) (B) (C) (D) (E) (F) active commutator system compatible with nVista

3.0, nVoke 2.0 and nVue systems, and commutator cable. 1x Wire Perch. 1x Cable Sheath Kit

Product/Service Code: 6640

Product/Service Description: LABORATORY EQUIPMENT

AND SUPPLIES

Delivery: 02/22/2022

5 Product Code: 1000-002897, Inscopix Care (1 yr subscription) include free repairs and/or replacements for ANY hardware damage, whether damage, whether caused by user, animal, or unknown -

Product/Service Code: J066

Product/Service Description: MAINT/REPAIR/REBUILD

OF EQUIPMENT- INSTRUMENTS AND LABORATORY EQUIPMENT

Delivery: 02/22/2023

Period of Performance: 02/22/2022 to 02/22/2023

OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

NSN 7540-01-152-8067