SF-1449 SSA-RFQ-09-1796.doc

DOC document 136 KB Posted Jul 22, 2009

Attached to: Fraud Investigation Services
Solicitation number: SSA-RFQ-09-1796
Issued by: Social Security Administration

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2- SF 1449 for Fraud Investigation Services

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Other files

File	Type	Posted
SF30 Amend 00001 RFQ 1796 pg 2-4.doc	DOC document	Aug 4, 2009
SF30 Amend 00001 RFQ 1796 Pg 1 of 4.doc	DOC document	Aug 4, 2009
Cover Letter SSA- RFQ-09-1796.doc	DOC document	Jul 22, 2009
Solicitation CDI LA 09 1796.doc	DOC document	Jul 22, 2009

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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 NUMBER

3. AWARD/EFFECTIVE DATE

4. ORDER NUMBER

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

SSA-RFQ-09-1796

07/21/2009

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

b. TELEPHONE NUMBER (no collect calls)

8. OFFER DUE DATE/TIME

Renata Terry

(510) 970-8355

2:00 p.m

08/10/2009

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

( UNRESTRICTED

( SET-ASIDE 100% FOR:

( SMALL BUSINESS

( HUBZONE SMALL

BUSINESS

( 8(A)

NAICS: 561611

SIZE STANDARD: 11.5M

11.

DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED

12. DISCOUNT TERMS

Social Security Administration

Attn: Renata Terry, FMT,R6

1221 Nevin Avenue

Richmond, CA 94801-3123

( SEE SCHEDULE

(

13a. THIS CONTRACT IS A RATED ORDER UNDER

DPAS (16 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

( RFQ ( IFB ( RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

Social Security Administration

See Statement of Work, Section C

SOCIAL SECURITY ADMINISTRATION

SEE BLOCK #9

17a. CONTRACTOR/OFFEROR

CODE

FACILITY

18a. PAYMENT WILL BE MADE BY

CODE

Social Security Administration

Office of Finance, P.O. Box 47

Baltimore, MD 21235

TELEPHONE NO. 703-364-2132

(

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

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

( SEE ADDENDUM SHEETS

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Fraud Investigation Services See Sections B & C of the RFQ for further information.

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

25. ACCOUNTING AND APPROPRIATION DATA

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

TIN:

DUNS:

( 27a. SOLICITATION INCORPORATES BY REFERENCE 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.

ADDENDA ( ARE ( ARE NOT ATTACHED

ADDENDA (ARE ( ARE NOT ATTACHED

28.

CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 2 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.

29.

AWARD OF CONTRACT. REFERENCE YOUR 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)

31c. DATE SIGNED

Renata Terry

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 4/2002)

Prescribed by GSA - FAR (48 CFR) 53.212

19.

ITEM MO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Direct Procurement Questions to the following Contracting Officer’s:

LaTanya Evans 510-970-8347 or

Renata Terry 510-970-8355

At a minimum, offers must include:

1. Standard Form 1449 Solicitation/Contract/Order for Commercial Items- Complete blocks 17a, 17b, 30(a) (b) and (c.) The offeror shall enter their Data Universal Numbering System (DUNS) number (as assigned by Dun & Bradstreet) in Block 17 of the SF 1449.

2. Section B – Pricing (Base & Option Year) – reference how your prices were establish on a separate sheet.

3. Section D – Complete Designation of Program Mgr.

4. Section D – Complete the Social Security Administration (SSA) Security Awareness:

Contractor Personnel Security Certification.

(Return document signed and dated.)

5. Section F – Complete the Representations and Certifications at FAR 52.212-3. See FAR 52.212-3(b) if the offeror has completed the representations and certifications electronically.

6. Acknowledgement of Solicitation Amendments (if applicable)

7. Complete the online Central Contracting Registration at htt://www.ccr.gov

8. Section H - submit Experience and Past Performance information.

2a. QUANTITY IN COLUMN 21 HAS BEEN

( RECEIVED

( INSPECTED

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

_____________________________________

32b. SIGNATURE OF AUTHORIZED GOVT. 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

PARTIAL

FINAL

( COMPLETED

( PARTIAL

( FINAL

38. S/R ACCOUNT NUMBER

39. S/R VOUCHER NUMBER

40. PAID BY

41a. 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 (MM/DD/YYYY)

42.d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 4/2002) BACK

PAGE

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