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

1. REQUISITION NUMBER

PAGE 1 OF

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

PR6550465

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

DATE

SPP500-17-Q-0012

8/18/2017

a. NAME

b. TELEPHONE NUMBER

(No collect

8. OFFER DUE DATE/

LOCAL

7. FOR SOLICITATION

calls)

TIME

Devon Van Dyne

INFORMATION CALL:

321 1455

9/08/2017 nlt 4.30pm

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:____ % FOR:

General Service Office

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

US Embassy Port Moresby

HUBZONE SMALL

(WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED

Douglas Street

BUSINESS

SMALL BUSINESS PROGRAM

NAICS:

SERVICE-DISABLED

EDWOSB

VETERAN-OWNED

SIZE STANDARD:

8 (A)

SMALL BUSINESS

13b. RATING

11. DELIVERY FOR FOB DESTINAT-

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

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

17a. CONTRACTOR/

CODE

FACILITY

18a. PAYMENT WILL BE MADE BY

CODE

OFFERER

CODE

PortMoresbyInvoice@state.gov

TELEPHONE NO.

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

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

BELOW IS CHECKED

SEE ADDENDUM

OFFER

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

ISP Services for the American Corner Dedicated Internet

Network (DIN)

Unlimited Service plan, 2048kpbs(download

speed)/1024kbps(Upload speed), 4MB minimum

bandwidth

(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

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

29. AWARD OF CONTRACT: REF. _________________ OFFER DATED

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

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

ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

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

SHEETS 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

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 02/2012)

PREVIOUS EDITION IS NOT USABLE

Computer Generated

Prescribed by GSA - FAR (48 CFR) 53.212

Form 1449 - Solicitation/contract/order For Commercial Items

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