SPMYM4-21-Q-0016.pdf

SEE ADDENDUM

(No Collect Calls)

SPMYM421Q0016 16-Nov-2020

b. TELEPHONE NUMBER

808-473-8000 X3314

8. OFFER DUE DATE/LOCAL TIME

06:00 AM 20 Nov 2020

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

SPMYM49. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

DAYNA K. CANTU

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SEE SCHEDULE

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

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

DLA MARITIME PEARL HARBOR

DAYNA CANTU

COMPETITIVE SOURCING DIVISION

667 SAFEGUARD ST

JBPHH HI 96860-5033

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE N32253 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

DLA DISTRIBUTION

GOVERNMENT REPRESENTATIVE

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

TEL: 808-473-8000 X4961 FAX:

FAX:

TEL: 808-473-8000 X3314 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

315990

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF6

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

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

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

SPMYM421Q0016

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 3,000 Package

ROLLER CVR WHIZZ 4"

FFP

ROLLER CVR WHIZZ 4"

WHIZZ ROLLER SYSTEM, 4" COVER, WHIZZFAB, P/N 84012, 1/2" NAP,

POLYAMIDE FIBER REPLACEMENT SLEEVES, U/I = PG = 2 EA. EQUAL

WHIZZ MAX GOLD-10 PK, PN/ 25001F., BRAND NAME ONLY,

ALTERNATE ITEMS NOT ACCEPTABLE FOR HIGH SOLID PAINTS, REQD

BY X71 PAINTERS.

FOB: Destination

MILSTRIP: N3225303025301

PURCHASE REQUEST NUMBER: N3225303025301

PROJECT: 606

PSC CD: 8415

NET AMT

0002 1,000 Pair

GLOVE, C

FFP

GLOVE HYFLEX #11

GLOVE; MDL 11-500, HYFLEX CR, SIZE 11, FOAM NITRILE COATED

GLOVES WITH LIGHTWEIGHT KEVLAR LINER RESIST CUTS AND

SHARP EDGES. NITRILE FOAM COATING PROVIDES SUPERIOR OIL

GRIP. ERGONOMICALLY DESIGNED. FULLY LAUNDERABLE. MFR BY

ANSELL, P/N 2RA68

FOB: Destination

MILSTRIP: N3225303015302

PURCHASE REQUEST NUMBER: N3225303015302

0003 2,400 Pair

GLOVE, H

FFP

GLOVE; STYLE 11-500, HYFLEX CR, SIZE 9, FOAM NITRILE COATED

GLOVES WITH LIGHTWEIGHT KEVLAR LINER RESIST CUTS AND

SHARP EDGES. NITRILE FOAM COATING PROVIDES SUPERIOR OIL

GRIP. ERGONOMICALLY DESIGNED, FULLY LAUNDERABLE, MFR

ANSELL, P/N 115009

FOB: Destination

MILSTRIP: N3225302975306

PURCHASE REQUEST NUMBER: N3225302975306

0004 3,000 Pair

GLOVE, HYFLEX #10

FFP

GLOVE; MDL 11-500, HYFLEX CR, SIZE-10 (X-LARGE), GLOVE LG - 10-

1/2", FOAM NITRILE COATED GLOVES WITH LIGHTWEIGHT KEVLAR

LINER RESIST CUTS AND SHARP EDGES. NITRILE FOAM COATING

PROVIDES SUPERIOR OIL GRIP. ERGONOMICALLY DESIGNED. FULLY

LAUNDERABLE. MFR ANSELL OR EQUAL. P/N 1150010

FOB: Destination

MILSTRIP: N3225303015301

PURCHASE REQUEST NUMBER: N3225303015301

0005 900 Pair

GLOVES

FFP

GLOVE; STYLE 11-500, HYFLEX CR, SIZE 7 (SMALL), ANSI/SEA CUT

LEVEL 2, GLOVE LENGTH 10", FOAM NITRILE COATED GLOVES WITH

LIGHTWEIGHT KEVLAR LINER RESIST CUTS AND SHARP EDGES.

NITRILE FOAM COATING PROVIDES SUPERIOR OIL GRIP.

ERGONOMICALLY DESIGNED. FULLY LAUNDERABLE. MFR: ANSELL

OR EQUAL. P/N 115007

FOB: Destination

MILSTRIP: N3225303015300

PURCHASE REQUEST NUMBER: N3225303015300

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 30-NOV-2020 3,000 DLA DISTRIBUTION

GOVERNMENT REPRESENTATIVE

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

808-473-8000 X4961 FOB: Destination

N32253

0002 30-NOV-2020 1,000 (SAME AS PREVIOUS LOCATION)

0003 30-NOV-2020 2,400 (SAME AS PREVIOUS LOCATION)

0004 30-NOV-2020 3,000 (SAME AS PREVIOUS LOCATION)

0005 30-NOV-2020 900 (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

OCT 2018

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

DEC 2018

252.232-7006 Wide Area WorkFlow Payment Instructions DEC 2018