SSA-RFQ-15-0451.pdf

NO RISK LEVEL DESIGNATION

SSA-RFQ-15-0451

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDE

05/15/2015 3303-15-1259

1 3

Office of Acquisition and Grants 1540 Robert M. Ball Building 6401 Security Blvd

Social Security Administration

Baltimore MD 21235

Social Security Administration

410-966-4955 Rcvg Hrs: 6:00a-2:30p National Computer Ctr Loading Dock 6201 Security Blvd

Baltimore

MD 21235-2000

410 965-9540SHERRIE WILLIAMS

05/20/2015 1700 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

This is a Request for Quotation (RFQ). SSA intends to purchase the authorized reseller or manufacturer of LeadTools software detailed below. Maintenance Renewal on Purchase Order

SS00-14-51256

The Government seeks to purchase all items off the open market.

A complete quotation shall include:

• A valid firm fixed-price quote for item(s) listed, including period of performance. Please be sure to include information on when the quote expires.

PLEASE NOTE: ALL QUOTES MUST BE IN U.S. DOLLARS.

Continued ...

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

SSA-RFQ-15-0451

ALL QUOTES MUST BE IN ENGLISH.

• Offeror Representations and Certifications.

The Representations and Certifications can be completed online at: https://www.acquisition.gov

• A copy of the license agreement, if applicable.

As part of normal software purchase procedures, we review all license agreements submitted with quotes to determine that they do not conflict with Federal laws and regulations

• Information on any “spot discounts” offered to the Social Security Administration

• A completed and signed copy of the RFQ (Form

SF1449) including pricing.

• A current copy of the applicable pages of your price list with the subject products and prices underlined or otherwise denoted.

• A comprehensive listing of all maintenance features (i.e., updates, upgrades, telephone support #, newsletters, etc. (See maintenance section of the Additional Information Form).

* Return a completed copy of the attached

"Additional Information Form" being sure to provide comprehensive details regarding maintenance features and terms.

Basis for Award is as follows: Award will be made to the vendor that submits the lowest, firm-fixed-priced, technically acceptable quotation. It reserves the right to make an award on an all or none basis

If there are any questions, contact Sherrie

Williams at sherrie.williams@ssa.gov

0001 Annual 1-Year Software License Renewal for 1 EA

LEADTOOLS Document Imaging (Unlimited License -

Allows for deployment or distribution of an unlimited quantity of copies of the Application

Software).

Continued ...

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

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

SSA-RFQ-15-0451

0002 Annual 1-Year Term Software License Renewal for 1 EA

LEADTOOLS 2D PDF 417 Barcode (Unlimited License -

Allows for deployment or distribution of an unlimited quantity of copies of the Application

Software).

0003 Annual 1-Year Maintenance Support Renewal for 1 EA

Document Imaging SDK Perpetual License.

0004 Annual 1-Year Software License Renewal for 1 EA

LEADTOOS PDF Read Module (Unlimited Deployment

License).

*** Attachments ***

Additional Information Sheets

FAR Agency Clauses and Provisions

Informal Sole Source Justification

In addition to your quotation:

Send a completed copy of Attachment 1 "Additional

Information Form" being sure to provide comprehensive details regarding maintenance features and terms.

*** 508 Information ***

SSA will not ignore the applicability of Section

508 requirements to future upgrades; therefore, contractors are encouraged to continually maintain or improve a product's Section 508 compliance with each new release.

Direct Procurement Questions to:

sherrie.williams@ssa.gov

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