SF 1449.pdf

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Attached to
Industrial Organizational (I/O) Psychology Consulting Services
Solicitation number
SSA-RFP-11-1027
Issued by

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SF 1449

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SSA-RFP-11-1027 5-13-11.pdf PDF
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SSA-RFP-11-1027 5-5-11.pdf PDF
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SSA-RFP-11-1027 v2.docx DOCX document
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SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

BMONCH

(410) 965-9521

BRENDA MONCH

0006 CODE 16. ADMINISTERED BYCODE

X

X

541690

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR

00600

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

05/16/2011 0900 ET

04/20/2011

(410) 965-9521BRENDA MONCH

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

SSA-RFP-11-1027

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEM 1. REQUISITION NUMBER PAGE OF

1 72 9151-11-1003OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Baltimore MD 21244-1811 7111 Security Blvd 1st Floor - Rear Entrance Office of Acquisition and Grants Social Security Administration

15. DELIVER TO

Baltimore MD 21244-1811 7111 Security Boulevard 1st Floor - Rear Entrance Office of Acquisition and Grants

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$7.0

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

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS

HUBZONE SMALL

BUSINESS

EMERGING SMALL

BUSINESS

8(A)

Social Security Administration

SOLE SOURCE

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

The Social Security Administration anticipates awarding a Time and Materials contract with one firm fixed priced line item in accordance with the Federal Acquisition Regulation (FAR) Part 12 Acquisition of Commercial Items and FAR Part 15 Contracting by Negotiation. Travel line items are considered to be the “Materials” portion of this contract and shall be reimbursed at actual cost in accordance with the Federal Acquisition Regulation (FAR) 31.205-46 "Travel Costs", as pre-approved by the COTR.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

BRENDA MONCH

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

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

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

OFFER

STANDARD FORM 1449 (REV. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS

NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 3/2005) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Note: The Government intends to make multiple awards under this solicitation (no more than 2).

However, the Government reserves the right to make only one award if determined to be in the best interest of the Government. In the event that only one award is made, the labor hours and

Not-to-Exceed costs of line items 0002, 0004, and

0006 will be doubled. The amounts for all other line items will remain unchanged.

Period of Performance for Base Period: 6/1/2011 through 5/31/2012

0001 On a FIRM FIXED PRICE basis, the contractor shall attend the orientation meeting and provide all services required under paragraph B2-4 Task 1.1 of this contract. This line item includes all travel associated with the orientation meeting and Task 1.1 of B2-4.

0002 On a TIME AND MATERIALS basis, the contractor shall provide Industrial/Organizational

Psychology consulting services in accordance with

Section B-2, Statement of Work. The following labor categories and fully burdened houly rates

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

72 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

SSA-RFP-11-1027

are applicable. Total Estimated Hours = 510*

Labor Category Hourly Rate Number of Hours

NOTE: Labor categories may be added for the purpose of responding to this solicitation.

Total Not-to-Exceed Amount = $_______

*510 hours is an esitmate and will be used in the evlauation process. However, the Government reserves the right to adjust this amount in the award based on the rates of the sucessful offeror(s).

0003 On a Time and Materials basis, the contractor shall provide travel in accordance with the FAR 31.205-46 "Travel Costs." All travel shall be pre-approved by the COTR. Estimated number of trips = 4 trips to SSA Headquarters in Baltimore, MD to attend one-day meetings.

Total Not-to-Exceed Amount = $_______

0004 OPTION PERIOD 1 - On a TIME AND MATERIALS basis, the contractor shall provide Industrial/Organizational Psychology consulting services in accordance with Section B-2, Statement of Work. The following labor categories and fully burdened hourly rates are applicable.

Total Estimated Hours = 510

Labor Category Hourly Rate Number of Hours

NOTE: Labor categories may be added for the purpose of responding to this solicitation.

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

4 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

SSA-RFP-11-1027

Total Not-to-Exceed Amount = $_______

*510 hours is an esitmate and will be used in the evlauation process. However, the Government reserves the right to adjust this amount in the award based on the rates of the sucessful offeror(s).

(Option Line Item)

Period of Performance: 06/01/2012 to 05/31/2013

0005 OPTION PERIOD 1 - On a TIME AND MATERIALS basis, the contractor shall provide travel in accordance with the FAR 31.205-46 "Travel Costs." All travel shall be pre-approved by the COTR.

Estimated number of trips = 4 trips to SSA Headquarters in Baltimore, MD to attend one-day meetings.

Total Not-to-Exceed Amount = $_______ (Option Line Item)

Period of Performance: 06/01/2012 to 05/31/2013

0006 OPTION PERIOD 2 - On a TIME AND MATERIALS basis, the contractor shall provide Industrial/Organizational Psychology consulting services in accordance with Section B-2, Statement of Work. The following labor categories and fully burdened hourly rates are applicable.

Total Estimated Hours = 510

Labor Category Hourly Rate Number of Hours

* Labor categories may be added for the purpose of responding to this solicitation.

Total Not-to-Exceed Amount = $_______

*510 hours is an esitmate and will be used in the evlauation process. However, the Government reserves the right to adjust this amount in the Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

5 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

SSA-RFP-11-1027

award based on the rates of the sucessful offeror(s).

(Option Line Item)

Period of Performance: 06/01/2013 to 05/31/2014

0007 OPTION PERIOD 2 - On a TIME and MATERIALS basis, the contractor shall provide travel in accordance with the FAR 31.205-46 "Travel Costs." All travel shall be pre-approved by the COTR.

Estimated number of trips = 4 trips to SSA Headquarters in Baltimore, MD to attend one-day meetings.

Total Not-to-Exceed Amount = $_______

(Option Line Item)

Period of Performance: 06/01/2013 to 05/31/2014

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

File details come from the government source that posted it. Updated .