sf1449.doc

DOC document 67 KB Posted Apr 29, 2013

Attached to: Mobile Devices and Services for U. S. Mission in Poland
Solicitation number: SPL90013Q0003
Issued by: Department of State US Embassy Warsaw

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SF 1449

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File	Type	Posted
Amendment_A002_-_second_page_-_final.docx	DOCX document	May 29, 2013
Amendment_A002_-_first_page_-_final.pdf	PDF	May 29, 2013
SPL900-13-Q-0003_Amendment.pdf	PDF	May 22, 2013
SPL90013Q0003_minutes_from_pre-proposal_meeting_May_14_2013.pdf	PDF	May 22, 2013
cellphones_solicitation_package_posted_on_fed_biz_opps_april_29.docx	DOCX document	Apr 29, 2013
Final_JOFOC.pdf	PDF	Apr 29, 2013

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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

7/12/2013

4. ORDER NUMBER

5. SOLICITATION NUMBER

SPL90013Q0003

6. SOLICITATION ISSUE DATE

4/29/2013

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Jennifer L. Young

b. TELEPHONE NUMBER(No collect calls) 22 504-2470

8. OFFER DUE DATE/ LOCAL TIME

5/28/2013 4 P.M.

9. ISSUED BY CODE

10. THIS ACQUISITION IS

( UNRESTRICTED OR

FORMCHECKBOX

SET ASIDE:____ % FOR:

AMERICAN EMBASSY

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SMALL BUSINESS

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WOMEN-OWNED SMALL BUSINESS

WARSAW, POLAND

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HUBZONE SMALL

BUSINESS

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(WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM NAICS:

Al. Ujazdowskie 29/31 00-540 Warszawa

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SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

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EDWOSB

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8 (A)

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINAT-

TION UNLESS BLOCK IS

MARKED

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SEE SCHEDULE

12. DISCOUNT TERMS

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13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

(RFQ FORMCHECKBOX

IFB FORMCHECKBOX

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

American Embassy Warsaw/GSO Al. Ujazdowskie 29/31

00-540 Warszawa

17a. CONTRACTOR/

OFFERER

TELEPHONE NO.

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY American Embassy

WARSAW, POLAND

Budget and Fiscal Office

Al. Ujazdowskie 29/31

00-540 Warszawa

CODE

FORMCHECKBOX

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

Cell Phone Services as described in the Schedule

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

25. ACCOUNTING AND APPROPRIATION DATA

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

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

(ARE FORMCHECKBOX

ARE NOT ATTACHED

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

(ARE FORMCHECKBOX

ARE NOT ATTACHED

( 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.

FORMCHECKBOX

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) Jennifer L. Young 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) 53.212

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

FORMCHECKBOX

RECEIVED

FORMCHECKBOX

INSPECTED

FORMCHECKBOX

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

FORMCHECKBOX

PARTIAL

FORMCHECKBOX

FINAL

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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. 2/2012) BACK

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