PR-HQ-07-11751
1. REQUISITION NUMBERPAGE 1 OF
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMSPR-HQ-07-11751
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
6.SOLICITATION ISSUE DATE2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER5. SOLICITATION NUMBER
PR-HQ-07-11751
b. TELEPHONE NUMBER
(No collect calls)
8. OFFER DUE DATE/LOCAL TIMEa. NAME
7. FOR SOLICITATIONINFORMATION CALL:
(202) 564-4794ROBERT M. MINJACK5/21/07 01:00 PM
12. DISCOUNT TERMSDESTINATION UNLESS11. DELIVERY FOR FOB9. ISSUED BY CODE 10. THIS A CQ UISIT ION IS
Environmental Protection Agency
BLOCK IS MARKED[] SEE SCHEDULE[ ] UNRESTRICTED
Bid and Proposal Room, Ronald Reagan Building, 6th Floor
[ ] 13a. THIS CONTRACT IS A RATED ORDER[
X
] SET ASIDE:
Total
% FOR
(3802R)
UNDER DPAS (15 CFR 700)[
X
] SMALL BUSINESS
1300 Pennsylvania Avenue, N.W.
[] SMALL DISADV. BUSINESS13b. RATING
Washington, DC 20004
[
]8
(A)NAIC S:
333315
SIZE STANDARD: 500 Employees14. METHOD OF SOLICITATION[
X
] RFQ[] IFB [] RFP15. DELIVER TO CODE 16. ADMINISTERED BY CODE17a. CONTRACTOR/FACILITY18a. PAYMENT WILL BE MADE BY CODEOFFEROR CODE CODE
Environmental Protection AgencyResearch Triangle Park Financial,Management Center (D143-02)Research Triangle Park, NC 27711
TEL EPH ON E NO .18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK BELOW[ ] 17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFERIS CHECKED[] SEE ADDENDUM19. 20. 21. 22. 23. 24.ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0001000200030004High Volume Copiers - Base QuantityMaintenance Services - Base QuantityHigh Volume Copiers - Optional QuantityMaintenance Services - Optional Quantity812812# of ItemsMonths# of ItemsMonths
(Attach Additional sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT
(For Govt. Use Only)
N/A
[] 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED.[] 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 COPIES[] TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SETFORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TOTHE TERMS AND CONDITIONS SPECIFIED HEREIN.30a. SIGNATURE OF OFFEROR/CONTRACTOR30b. NAME AND TITLE OF SIGNER
(TYPE OR PRINT)
30c. DATE SIGNED32a. QUANTITY IN COLUMN 21 HAS BEENACCEPTED AND CONFORMS TO THE[ ] RECEIVED [ ] INSPECTED [ ] CONTRACT, EXCEPT AS NOTED32b. SIGNATURE OF AUTHORIZED GOVT. REPRESENTATIVE 32c. DATE41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE29. AWARD OF CONTRACT: REFERENCEOFFER[] DATED . YOUR OFFER ON SOLICITATION (BLOCK5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTHHER EIN, IS ACC EPT ED A S TO ITEM S:31a. UNITED STATES OF AMERICA
(SIGNATURE OF CONTRACTING OFFICER)
31b. NAME OF CONTRACTING OFFICER
(TYPE OR PRINT)
ROBERT M. MINJACK
31c. DATE SIGNED33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIEDCORRECT FORPARTIAL FINAL36. PAYMENT[ ] COMPLETE [ ] PARTIAL [ ] FINAL37. CHECK NUMBER38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY42a. RECEIVE D BY
(Print)
42b. RECEIVED AT
(Location)
42c. DATE REC'D
(YY/MM/DD)
42d. TOTAL CONTAINERSAUTHORIZED FOR LOCAL REPRODUCTION SEE REVERSE FOR OMB CONTROL NUMBER AND PAPERWORK
STANDARD FORM 1449
(10-95)BURDEN STATEMENT Prescribed by GSA - FAR (48 CFR) 53.212
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