SSA-RFQ-10-1271-executed.pdf

PDF 108 KB Posted May 10, 2010

Attached to: Canon Equipment Maintenance
Solicitation number: SSA-RFQ-10-1271
Issued by: Social Security Administration

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Request for Quotations

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File	Type	Posted
SSA-RFQ-10-1271-v5.doc	DOC document	May 24, 2010
Cover Page-SSA-RFQ-10-1271v2.doc	DOC document	May 10, 2010

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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

OAG

7111 Security Boulevard 1st Floor - Rear Entrance Office of Acquisition and Grants

SOCIAL SECURITY ADMINISTRATION

SA CODE 16. ADMINISTERED BYCODE

811212

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR

00600

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

05/21/2010 1100 ET

05/10/2010

(410) 966-0154THEODORE KING

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

SSA-RFQ-10-1271

5. SOLICITATION NUMBER

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

1 73See ScheduleOFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

Baltimore MD 21244-1811

TELEPHONE NO.

17a. CONTRACTOR/

See Attached

15. DELIVER TO

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

9. ISSUED BY

2. CONTRACT NO.

EFFECTIVE DATE

$25.0

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.

This is a request for quote for Maintenance and Repair Services of Government Owned Equipment at the Security Records Center, 1137 Brachton Road, Boyers, Pennsylvania 16020 and SSA’s Metro West Building, 300 N. Greene Street, Baltimore, Maryland 21290.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

SYREETA GAY 05/10/2010

. 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

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. ADDEND

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.

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.

Please review our requirement for Canon Equipment

Maintenance and submit your quote no later than

11:00am ET on Friday, May 21, 2010. Instructions for quote submission can be found in Section F, Instructions to Offerors, of the solicitation.

This procurement is being conducting in accordance with FAR Part 12 and FAR Part 13.5.

Applicable Business Size:

(Please Check All Applicable Categories):

__________ Small

__________ 8(a)

__________ Hubzone

__________ Service-disabled veteran-owned small

Business

__________ Veteran-owned small business

__________ Small Disadvantaged

__________ Women-Owned

__________ Large

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

732 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 73

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

SSA-RFQ-10-1271

Duns Number: _____________________________

CCR/Cage Code: ___________________________

**Note: vendors must be registered in CCR at the time of award. Please veerfiy that your registration is active and up to date at www.ccr.gov.

Base Year - 06/18/2010 - 06/17/2011

0001 Preventive maintenance for the following Canon 12 MO equipment located at the SSA Record Center in

Boyers, PA

Canon Model MS500 Scanner Digital Microfilm (10 each)

Canon Model MS800 Digital Microfilm Scanner (2 each)

Canon Model Fileprint/400 Laserjet Printer (12 each)

Canon Model 100R Roll Autocarrier (12 each)

Requisition No: 3303-10-0200

0002 Preventive maintenance for the following Canon 12 MO equipment located at the Metro West Building in

Baltimore, MD

Canon Model 100R Autocarrier (23 each)

Canon Model CD4046 CD (2 each)

Canon Model ED500 Endorser (2 each)

Canon Fileprint/400 Printer Laserjet (23 each)

Canon Model MC60 Control pod w/ motorized carrier

(31 each)

Canon Model MP60 Readable Printer (29 each)

Canon Model MS500 Scanner Digital Microfilm (20 each)

MS300 Digital Microfilm Scanner (3 each)

MS350 Digital Microfilm Scanner (25 each)

Fileprint 470/laser Printer (28 each)

RFC200 Autocarrier (28 each)

Requisition No: 3303-10-0223

Continued ...

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