Standard Form 1449 - Solicitation /contract/order For Commercial Items printable pdf download

1. REQUISITION NUMBER

PAGE 1

OF 40 PAGES

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

PR6280171

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

2. CONTRACT NO.

3. AWARD/ EFFECTIVE

4. ORDER NUMBER

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE

DATE

SHA70017Q0035

DATE

04/28/2017

b. TELEPHONE NUMBER

(No collect

a. NAME

8. OFFER DUE DATE/

7. FOR SOLICITATION

calls)

Margie Nin

LOCAL TIME

INFORMATION CALL:

509-2229-8000

05/08/2017

14:00

9. ISSUED BY

CODE

HA700

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

AMERICAN EMBASSY PORT-AU-PRINCE

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

BLVD 15 OCTOBRE-TABARRE 41, ATTN:

GSO/PROCUREMENT

HUBZONE SMALL

(WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED

PORT-AU-PRINCE

BUSINESS

SMALL BUSINESS PROGRAM

NAICS:

HAITI

SERVICE-DISABLED

EDWOSB

EMERGING SMALL BUSINESS

VETERAN-OWNED

8 (A)

SIZE STANDARD:

SMALL BUSINESS

13a. THIS CONTRACT IS A

13b. RATING

11. DELIVERY FOR FOB DESTINAT-

12. DISCOUNT TERMS

RATED ORDER UNDER

TION UNLESS BLOCK IS

DPAS (15 CFR 700)

MARKED

14. METHOD OF SOLICITATION

SEE SCHEDULE

RFQ

IFB

RFP

CODE

15. DELIVER TO

16. ADMINISTERED BY

CODE

AMERICAN EMBASSY PORT-AU-PRINCE

BLVD 15 OCTOBRE-TABARRE 41, ATTN:

BLVD 15 OCTOBRE-TABARRE 41, ATTN: GSO/PROCUREMENT

GSO/WAREHOUSE

PORT-AU-PRINCE

HAITI

17a. CONTRACTOR/

CODE

FACILITY

18a. PAYMENT WILL BE MADE BY

CODE

OFFERER

CODE

AMERICAN EMBASSY PORT-AU-PRINCE

BLVD 15 OCTOBRE-TABARRE 41, ATTN: FMC

PORT-AU-PRINCE

HAITI

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

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

OFFER

BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or 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

ARE

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

29. AWARD OF CONTRACT: REF. _ _______________ OFFER DATED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _ __ COPIES

TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS

_ __________. YOUR OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY

SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS

ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS

SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

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)

31c. DATE SIGNED

STANDARD FORM 1449

AUTORIZED FOR LOCAL REPRODUCTION

(REV. 02/2012)

PREVIOUS EDITION IS NOT USABLE

Computer Generated

Prescribed by GSA - FAR (48 CFR) 53.212

Standard Form 1449 - Solicitation /contract/order For Commercial Items

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