W911RQ-18-F-0088_Signed.pdf

SEE ADDENDUM

(No Collect Calls)b. TELEPHONE NUMBER 8. OFFER DUE DATE/LOCAL TIME

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.800-782-4994

W911RQ9. ISSUED BY

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

W911RQ18D0005 31-May-2018 W911RQ18F0088

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

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

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

W45G18734701I4

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

Reymundo Moncayo / ACC-WRN (DTA) Reachback Team

See Schedule $8,521.00

(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 ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE 0UNW3 FACILITY

OFFEROR CODE

ARMY CONTRACTING COMMAND-WARREN (DTA)

6501 E.11 MILE ROAD

WARREN MI 48397-5000

SKALAR, INC.

MARK PAYNE

5012 BRISTOL INDUSTRIAL WY STE 107

BUFORD GA 30518-1775

DFAS COLUMBUS CENTER

WEST ENTITLEMENT OPERATIONS

PO BOX 182381

COLUMBUS OH 43218-2381

18a. PAYMENT WILL BE MADE BY CODE HQ0339

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE

SEE ITEM 9

15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

Net 30 Days

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

X SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFP

FAX:

TEL: 586-282-6734

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$20,500,000

NAICS:

811219

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: reymundo.moncayo.civ@mail.mil

586-282-0538TEL:

31c. DATE SIGNED

31-May-2018

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 OF9

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.

W911RQ18D0005

W911RQ18F0088

Section SF 1449 - CONTINUATION SHEET

TASK ORDER (TO) W911RQ18F0088

The purpose of Task Order (TO) W911RQ18F0088 to contract W911RQ-18-D-0005 is to:

1. Call up Not Separately Priced (NSP), CLIN 0011 Telephone Customer Support.

2. Fund Parts Time & Material, CLIN 0021 Parts in the amount of $3,061 as follows parts/upgrades:

Firmware upgrade

Processor board complete

Lamp/UV-B for 5555

Coil for UV-B digester 4x2.0mm

3. Fund Time & Material, CLIN 0031 Labor in the amount of $2,880 as follows:

Labor Rate: $180/hr. x 16 Hours = $2,880

3. Fund Time & Material, CLIN 0051 Travel in the amount of $2,280 as follows:

Air-fare: Cost Est. = $900

Travel Time: $85/hr. x 8 Hours = $680

Travel Overnight Stay: $350/Day x 2 Overnight stays = $700

4. Fund Firm Fixed Price (FFP) CLIN 0061 Contractor Manpower Reporting (CMR) in the amount of $300.

5. Call up Not Separately Priced (NSP), CLIN 0070 and SubCLINs

CDRL A001 - Service Technician Training Records

CDRL A002 - Recommendation/Quote

CDRL A003 - Repair and Service Record

6. The total contract value is increased from $0 to $8,521.00.

7. The contractor shall invoice for actual costs on Time & Material CLINs.

8. All other terms and conditions of the task order or contract, except those addressed by this task order, remain unchanged and in full force and effect.

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0011 POP 31-MAY-2018 TO

17-APR-2019

N/A N/A

FOB: N/A

0021 POP 31-MAY-2018 TO

07-JUN-2018

N/A RED RIVER ARMY DEPOT

MELINDA EVANS

M/F BLDG 300 CHEM LAB

100 JAMES CARLOW DRIVE

TEXARKANA TX 75507-5000

903-334-4878

FOB: Destination

W911RQ

0031 POP 31-MAY-2018 TO

12-JUN-2018

N/A (SAME AS PREVIOUS LOCATION)

W911RQ

0051 POP 31-MAY-2018 TO

12-JUN-2018

0061 POP 31-MAY-2018 TO

0070 N/A N/A N/A N/A

A001 POP 31-MAY-2018 TO

A002 POP 31-MAY-2018 TO

A003 POP 31-MAY-2018 TO

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Exhibit A CLIN 0070 ELIN(s) 1

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0011 N/A N/A N/A Government

0021 N/A N/A N/A Government

0031 N/A N/A N/A Government

0051 N/A N/A N/A Government

0061 N/A N/A N/A Government

0070 N/A N/A N/A N/A

A001 N/A N/A N/A Government

A002 N/A N/A N/A Government

A003 N/A N/A N/A Government

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0011 1 Lot NSP Telephone Customer Support

FFP

PWS Paragraph 2.1 and 2.2

MILSTRIP: W45G18734701I4

PURCHASE REQUEST NUMBER: W45G18734701I4

PSC CD: J066

NET AMT

0021 1 Lot $3,061.00 $3,061.00 Parts

T&M

PWS Paragraph 2.2, 2.3, 2.4, 3.1, 3.4 and 3.5.

Top ten used parts list in file.

SKALAR SAN ++ System, Model Number 3000, Serial Number 3474.

LABOR SCHEDULE

Category: Parts Only

Rate Title: No Labor

Rate: 0.01

MILSTRIP: W45G18734701I4

TOT ESTIMATED PRICE $3,061.00

CEILING PRICE

ACRN AA

CIN: W45G18734701I40001

$3,061.00

0031 1 Lot $2,880.00 $2,880.00 Labor

T&M

PWS Paragraph 3.1, 3.3, 3.5 and 6.1

Estimated 6 hours per year.

Labor Rate: _$180______

Category: Service

Rate Title: Srevice Technician

Rate: 180.00

TOT ESTIMATED PRICE $2,880.00

CIN: W45G18734701I40031

$2,880.00

0051 1 Lot $2,280.00 $2,280.00 Travel

T&M

PWS Paragraph 3.1, 3.3 and 3.5

Air-fare: Cost

Mileage: $0.545

Travel Time: $85/Hour

Travel Without Overnight Stay: $200/Day

Travel Overnight Stay: $350/Day

Category: Travel

Rate Title: See CLIN Narrative

Rate: 0.01

TOT ESTIMATED PRICE $2,280.00

ACRN AA

CIN: W45G18734701I40051

$2,280.00

0061 1 Lot $300.00 $300.00 Contractor Manpower Reporting (CMR)

FFP

PWS Paragraph 18

FOB: Destination

MILSTRIP: W45G18734701I4

NET AMT $300.00

CIN: W45G18734701I40061

$300.00

0070 NSP

Data Items

FFP

The Contract Data Requirements List (CDRLs) for this solicitation consists of the following data items:

Exhibit A:

CDRL A001 - Service Technician Training Records

CDRL A002 - Recommendation/Quote

CDRL A003 - Repair and Service Record

Data items are NOT SEPARATELY PRICED

MILSTRIP: W45G18734701I4

NET AMT $0.00

See Exhibit A

A001 2 Each NSP CDRL: Service Technici

FFP

FOB: Destination

A002 5 Each NSP Recommendation/Quote

FFP

FOB: Destination

A003 3 Each NSP Repair and Service

FFP

FOB: Destination

ACCOUNTING AND APPROPRIATION DATA

AA: 97X4930AAPP 6DAAPPZGD056F000025713L5000W45G18734701I4002OCLS41117

AMOUNT: $8,521.00

ACRN CLIN/SLIN CIN AMOUNT

AA 0021 W45G18734701I40001 $3,061.00

0031 W45G18734701I40031 $2,880.00

0051 W45G18734701I40051 $2,280.00

0061 W45G18734701I40061 $300.00