Solicitation.pdf

SEE ADDENDUM

(No Collect Calls)

W91248-16-T-0035 30-Aug-2016

b. TELEPHONE NUMBER

270-798-7825

8. OFFER DUE DATE/LOCAL TIME

01:00 PM 13 Sep 2016

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.

W912489. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

SALONDA M. OZIER

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

0 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

0010899474

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

(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 OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

MICC FORT CAMPBELL, KY

BLDG 6923 38TH AND DESERT STORM AVE

FORT CAMPBELL KY 42223

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE W34GMZ 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

W0U4 USAG FT CAMPBELL

W0U4 USAG FT CAMPBELL

CRP BLDG 5207

8TH STREET AND DESERT STORM AVE

FORT CAMPBELL KY 42223-5565

TEL: FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$7,500,000

NAICS:

813110

X

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:

TEL:

31c. DATE SIGNED

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 OF10

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.

W91248-16-T-0035

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Each

1001 Plan and Prepare Sacramental

FFP

1001 Plan and Prepare Sacramental FOB: Destination

PURCHASE REQUEST NUMBER: 0010899474

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0002 40 Each

1002 Plan provide Baptism

FFP

1002 Plan provide Baptism FOB: Destination

PURCHASE REQUEST NUMBER: 0010899474

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0003 8 Each 1003 Resource Support Volunteers

FFP

1003 Resource Support Volunteers FOB: Destination

0004 60 Each 1004 Liturgy Programs

FFP

1004 Liturgy Programs

0005 50 Each 1005 Women's Program

FFP

1005 Women's Program

0006 1 Each 1006 Summer VBS

FFP

1006 Summer VBS

0007 52 Each 1007 Meetings w/Chaplains

FFP

1007 Meetings w/Chaplains

0008 52 Each 1008 Assess Catholic Chaplains, Priests

FFP

1008 Assess Catholic Chaplains, Priests

0009 50 Each 1009 Marriage Intake Interviews

FFP

1009 Marriage Intake Interviews

0010 30 Each 1010 Weddings

FFP

1010 Weddings

0011 12 Each 1011 Catholic Parish Calendar

FFP

1011 Catholic Parish Calendar

0012 52 Each 1012 Community Meetings

FFP

1012 Community Meetings

0013 4 Each 1013 Spanish Mass

FFP

1013 Spanish Mass

0014 42 Each 1014 Pre-marriage screening

FFP

1014 Pre-marriage screening

0015 40 Each 1015 Hospital Care

FFP

1015 Hospital Care

0016 1 Each 1016 Manpower Reporting

FFP

1016 Manpower Reporting

1001 1 Each 1001 Plan and Prepare Sacramental

FFP

1001 Plan and Prepare Sacramental

1002 40 Each 1002 Plan provide Baptism

FFP

1002 Plan provide Baptism

1003 8 Each 1003 Resource Support Volunteers

FFP

1003 Resource Support Volunteers

1004 60 Each 1004 Liturgy Programs

FFP

1004 Liturgy Programs

1005 50 Each 1005 Women's Program

FFP

1005 Women's Program

1006 1 Each 1006 Summer VBS

FFP

1006 Summer VBS

1007 52 Each 1007 Meetings w/Chaplains

FFP

1007 Meetings w/Chaplains

1008 52 Each 1008 Assess Catholic Chaplains, Priests

FFP

1008 Assess Catholic Chaplains, Priests

1009 50 Each 1009 Marriage Intake Interviews

FFP

1009 Marriage Intake Interviews

1010 30 Each 1010 Weddings

FFP

1010 Weddings

1011 12 Each 1011 Catholic Parish Calendar

FFP

1011 Catholic Parish Calendar

1012 52 Each 1012 Community Meetings

FFP

1012 Community Meetings

1013 4 Each 1013 Spanish Mass

FFP

1013 Spanish Mass

1014 42 Each 1014 Pre-marriage screening

FFP

1014 Pre-marriage screening

1015 40 Each 1015 Hospital Care

FFP

1015 Hospital Care

1016 1 Each 1016 Manpower Reporting

FFP

1016 Manpower Reporting

2001 1 Each 2001 Plan and Prepare Sacramental

FFP

2001 Plan and Prepare Sacramental

2002 40 Each 2002 Plan provide Baptism

FFP

2002 Plan provide Baptism

2003 8 Each 2003 Resource Support Volunteers

FFP

2003 Resource Support Volunteers

2004 60 Each 2004 Liturgy Programs

FFP

2004 Liturgy Programs

2005 50 Each 2005 Women's Program

FFP

2005 Women's Program

2006 1 Each 2006 Summer VBS

FFP

2006 Summer VBS

2007 52 Each 2007 Meetings w/Chaplains

FFP

2007 Meetings w/Chaplains

2008 52 Each 2008 Assess Catholic Chaplains, Priests

FFP

2008 Assess Catholic Chaplains, Priests

2009 50 Each 2009 Marriage Intake Interviews

FFP

2009 Marriage Intake Interviews

2010 30 Each 2010 Weddings

FFP

2010 Weddings

2011 12 Each 2011 Catholic Parish Calendar

FFP

2011 Catholic Parish Calendar

2012 52 Each 2012 Community Meetings

FFP

2012 Community Meetings

2013 4 Each 2013 Spanish Mass

FFP

2013 Spanish Mass

2014 42 Each 2014 Pre-marriage screening

FFP

2014 Pre-marriage screening

2015 40 Each 2015 Hospital Care

FFP

2015 Hospital Care

2016 1 Each 2016 Manpower Reporting

FFP

2016 Manpower Reporting

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A Government 0002 N/A N/A N/A Government 0003 N/A N/A N/A Government 0004 N/A N/A N/A Government 0005 N/A N/A N/A Government 0006 N/A N/A N/A Government 0007 N/A N/A N/A Government 0008 N/A N/A N/A Government 0009 N/A N/A N/A Government 0010 N/A N/A N/A Government 0011 N/A N/A N/A Government 0012 N/A N/A N/A Government 0013 N/A N/A N/A Government 0014 N/A N/A N/A Government 0015 N/A N/A N/A Government 0016 N/A N/A N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

0001 POP 29-SEP-2016 TO

28-SEP-2017

N/A W0U4 USAG FT CAMPBELL

W0U4 USAG FT CAMPBELL

CRP BLDG 5207

8TH STREET AND DESERT STORM AVE

FORT CAMPBELL KY 42223-5565

W34GMZ

0002 POP 29-SEP-2016 TO

28-SEP-2017

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0010 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0011 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0012 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0013 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0014 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0015 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0016 POP 29-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)