YBI CCTV 1449.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER

21-20-310LBL543

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER

70Z03720QLBL54300

6. SOLICITATION ISSUE

DATE

06/8/2020

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Matthew J. Stern

b. TELEPHONE NUMBER No collect calls)

508-688-7059

8. OFFER DUE DATE/

LOCAL TIME

07/8/2020 1159PM

9. ISSUED BY

CODE 10. THIS ACQUISITION IS

UNRESTRICTED

SET ASIDE: 100 %FOR

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

NAICS:541620 SIZE STANDARD:

$16.5M

11. DELIVERY FOR

FOB DESTINATION

UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

Net 30 Commanding Officer U.S. Coast Guard Base Los Angeles/Long Beach 1001 Seaside Ave.

San Pedro, CA 90731

(310) 521-3645

13.a THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 DFR 700)

14. METHOD OF SOLICITATION

RFQ IFP RFP

15. DELIVER TO

CODE 16. ADMINISTERED BY CODE

Coast Guard Island 1 Yerba Buena Road

San Francisco CA 94130

SAME AS BLOCK #15

17.a CONTRACTOR/

OFFEROR

CODE

FACILITY

18a. PAYMENT WILL BE MADE BY

Commercial Invoices

USCG Finance Center

PO BOX 4115

Chesapeake, VA 23327-41115 FIN-SMB-Invoices@uscg.mil 17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

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

CHECKED

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Request quote for the following:

Contractor to provide all labor, tools, materials, transport, equipment, supervision, and personnel to install CCTV System in accordance with the statement of work (SOW)

Basis for the award: This award will be based on LPTA (lowest price/technically acceptable).

JB

(Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4, FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

VOLTS,

PHASE/

60HZ

FULL

LENGT

H

SHADO

W

LIGHT

MIN

CUT

THICKN

ESS 1/2"

ARE NOT ATTACHED

ARE NOT ATTACHED

28.CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN ___

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AN ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

29. AWARD OF CONTRACT: REF. ___________________ 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)

Matthew J. Stern

31c. DATE SIGNED

03/13/2020

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 04-2002)

Prescribed by GSA – FAR (48CFR) 53.212

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Order Type: Firm-Fixed-Price

Quotation Instructions: Request to have the quote to Matthew J. Stern by 07/08/2020 1159 Pacific time Quote can be either hand delivered to the address in block 9 or emailed to: matthew.j.stern@uscg.mil

32a. 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 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

COMPLETE PARTIAL FINAL

37. CHECK NUMBER

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 (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (04-2002) BACK