F3XXX-07-M-XXXX / Page 1 of 3
`SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 / 1. REQUISITION NO
PR # / PAGE1OF 3
2. CONTRACT NO.
F3XXXX-07-______ / 3. AWARD/EFFECTIVE DATE
Date / 4. ORDER NO. / 5. SOLICITATION NO / 6. SOLICITATION ISSUE DATE
7. FOR SOLICITATION
INFORMATION CALL / a. NAME / b. TELEPHONE NO.(No collect calls) / 8. OFFER DUE DATE/LOCAL TIME
9. ISSUED BYCODE
GS / F38604 / 10. THIS ACQUISITION IS / 11. DELIVERY FOR FOB / 12. DISCOUNT TERMS
CONTRACTING OFFICER
379 ECONS/LGCA / UNRESTRICTED
SET ASIDE: % FOR
SMALL BUSINESS / DESTINATION UNLESS BLOCK IS MARKED
SEE SCHEDULE
APO AE 12345 / HUBZONE SMALL BUSINESS / 13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS
(15 CFR 700)
E-Mail address / 8(A) / 13b. RATING
NAICS:
SIZE STD: / 14. METHOD OF SOLICITATION
RFQ IFB RFP
15. DELIVER TOCODE / F38604 / 16. ADMINISTERED BYCODE
CCO Name
USAF-PO# 07-______
XXX AEW/ECONS
TENT CITY AB, COUNTRY Z / SAME AS BLOCK 9
17a. CONTRACTOR/CODE
OFFEROR / FACILITY
CODE / 18a. PAYMENT WILL BE MADE BYCODE
XXX ECPTS
TENT CITY AB
APOAE 12345
COUNTRY Z
** Submit invoices to POC in Block 9 **
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
0001 / AIR COMPRESSOR, 20 GALLONS, GRAINGER 5.5 HP PETROL DRIVEN (PN# 4B241) / 1 / EA / $X,XXX.00 / $X,XXX.00
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTINGANDAPPROPRIATIONDATA
Fund Cite / 26. TOTAL AWARD AMOUNT (For Govt. Use Only)
$X,XXX.00
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 01 COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN. / 29.AWARD OF CONTRACT: REFERENCE ______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)
CCO Name
Contracting Officer / 31c. DATE SIGNED
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVEDINSPECTEDACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______
32b. SIGNATURE OF AUTHORIZED GOVT 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
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
33. SHIP NUMBER / 34. VOUCHER NUMBER / 35. AMOUNT VERIFIED CORRECT FOR / 36. PAYMENT / 37. CHECK NUMBER
PARTIAL / FINAL / COMPLETE PARTIAL FINAL
38. S/R ACCOUNT No. / 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
AUTHORIZED FOR LOCAL REPRODUCTION COMPUTER GENERATEDSTANDARD FORM 1449 (3/2005)
PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212
DELIVERYDATES:Line item 1 – 14 Apr 2007 ARO
POCAT XXXthECONS:CCO Name CommercialPhone 555-5555,Ext. 333-3333,LocalPhone:444-4444, E-Mail: E-mail address
PLEASE REFERENCE CONTRACT# F38604-07-______ON ALL SHIPPING LABELS
CONTRACT ACCEPTANCE: CONTRACTOR
THE GOVERNMENT REQUIRES THAT IN ORDER FOR THIS CONTRACT TO BE A BINDING AGREEMENT BETWEEN THE UNITED STATES AIR FORCE AND THE CONTRACTOR STATED IN BLOCK 17a; THE CONTRACTOR MUST SIGN IN BLOCKS 30a, 30b, & 30c. THE CONTRACTOR IS REQUIRED TO SUBMIT THE CONTRACT BACK TO THE CONTRACTING OFFICER VIA EMAIL OR FAX LISTED IN BLOCK 9.
PROOF OF DELIVERY: CONTRACTOR
SUBMIT A LEGIBLE PROOF OF DELIVERY IDENTIFYING EACH LINE ITEM AND QUANTITY SHIPPED UNDER EACH TCN ALONG WITH YOUR INVOICE TO ENSURE PAYMENT IS MADE IN A TIMELY MANNER. PLEASE ENSURE SHIPMENT IS TRACEABLE IF LOST OR STOLEN. ON ALL DELIVERY RECEIPTS SIGNED AND SENT TO 379 ECONS, ENSURE YOU HAVE THE CONTRACT NUMBER LISTED FOR REFERENCE. SHIPPING LABELS AND ASSOCIATED PAPERWORK: ALL SHIPPING LABELS AND ASSOCIATED PAPERWORK MUST HAVE THE ENTIRE CONTRACT NUMBER FOUND IN BLOCK # 2 ON THE FIRST PAGE OF YOUR CONTRACT.
LATE DELIVERIES: CONTRACTOR
ALL CONTRACTORS ARE EXPECTED TO MEET THE REQUIRED DELIVERY DATE LISTED UNDER “DELIVERY INFORMATION” ON PAGE TWO OF YOUR CONTRACT. IF YOU FEEL YOUR DELIVERY MIGHT BE LATE IN GETTING TO ITS FINAL DESTINATION OR YOU ENCOUNTER SHIPPING PROBLEMS, CONTACT YOUR CONTRACTING OFFICER IN BLOCK 9 VIA EMAIL. IF YOUR DELIVERY IS LATE, CONSIDERATION TOWARDS THE GOVERNMENT MIGHT BE REQUESTED BY THE CONTRACTING OFFICER.
INVOICES: CONTRACTOR
INVOICES MUST HAVE A CONTRACTING OFFICERS SIGNATURE AND CERTIFICATION FOR PAYMENT. IN ORDER TO AVOID POSSIBLE DELAYS FROM DFAS, PLEASE ENSURE TO SUBMIT YOUR INVOICE TO THE INDIVIDUAL IN BLOCK 9. YOUR INVOICE MUST CONTAIN THE FOLLOWING ITEMS AS STATED IN FAR 52.212-5. FAILURE TO INCLUDE THESE ITEMS IN YOUR INVOICE WILL RESULT IN REJECTION OF INVOICE AT THE 332 ECPTS. INCLUDE THE FOLLOWING ON THE INVOICE:
- NAME AND ADDRESS OF THE CONTRACTOR
- INVOICE DATE AND NUMBER
- CONTRACT NUMBER
- DESCRIPTION, QUANTITY, UNIT OF MEASURE, UNIT PRICE AND EXTENDED PRICE OF THE ITEMS DELIVERED
- SHIPPING NUMBER AND DATE OF SHIPMENT, INCLUDING BILL OF LADING NUMBER OF SHIPMENT IF SHIPPED ON GOVERNMENT BILL OF LADING (PLEASE INCLUDE FED EX, DHL, OR ANY OTHER TYPE OF TRACKING NUMBER AS WELL)
- TERMS OF ANY DISCOUNT FOR PROMPT PAYMENT OFFERED
- NAME AND ADDRESS OF OFFICIAL TO WHOM PAYMENT IS TO BE SENT
- NAME, TITLE, AND PHONE NUMBER OF PERSON TO NOTIFY IN THE EVENT OF DEFECTIVE INVOICE
- TAXPAYER IDENTIFICATION NUMBER (TIN)
- ELECTRONIC FUNDS TRANSFER (EFT) BANKING INFORMATION OR CASH WILL BE SOURCE OF PAYMENT
Include the following banking information:
Bank :______
Account No:______
Swift Code: ______
INVOICES: Must contain Vendor name, address, invoice number and contract number.
REMEMBER THAT THE GOVERNMENT DOES NOT PAY BASED ON PERFORMANCE OR PARTIAL DELIVERIES UNLESS OTHERWISE STATED IN YOUR CONTRACT.
CONTRACTING OFFICER:ALL
AIR FORCE CONTRACTING OFFICERS ARE AN AGENT OF THE GOVERNMENT AND ARE THE ONLY OFFICIALS AUTHORIZED TO ENTER INTO ANY CONTRACT OR AGREEMENT THAT BINDS THE AIR FORCE. THE CONTRACTING OFFICER HAS THE AUTHORITY TO NEGOTIATE, TERMINATE THE CONTRACT AND/OR MAKE RELATED DETERMINATIONS AND FINDINGS. IF YOU ARE ASKED TO PERFORM ADDITIONAL WORK OR MAKE CHANGES NOT SPECIFIED BY THE CONTRACTING OFFICER, DO NOT PERFORM THE WORK, BUT NOTIFY THE CONTRACTING OFFICER. ONCE THE CONTRACTOR HAS RECEIVED A VALID CONTRACT FROM A CONTRACTING OFFICER, ALL CORRESPONDENCE, QUESTIONS OR CONCERNS SHOULD BE ADDRESSED TO THE CONTRACTING OFFICER. CONTRACTORS SHOULD NOT CONDUCT ANY TYPE OF BUSINESS THROUGH ANY UNITED STATES GOVERNMENT OFFICIAL; UNLESS EXPRESSLY WRITTEN BY THE CONTRACTING OFFICER.
52.252-2CLAUSESINCORPORATEDBYREFERENCE.(FEB1998)
This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the
Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address (es):
(EndofClause)
52-212-4CONTRACTTERMSANDCONDITIONS–COMMERCIALITEMS(SEP2006)
52.212-5 -- Contract Terms and Conditions Required to Implement Statutes or Executive Orders -- Commercial Items.
As prescribed in 12.301(b)(4), insert the following clause:
Contract Terms and Conditions Required to Implement Statutes or Executive Orders -- Commercial Items (Nov 2006)
(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:
(1) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).
(2) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Pub. L. 108-77, 108-78).
(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the contracting officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:
_X_ (26) 52.225-13, Restrictions on Certain Foreign Purchases (Feb 2006) (E.o.s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).
_X_ (32) 52.232-34, Payment by Electronic Funds Transfer—Other Than Central Contractor Registration (May 1999)(31 U.S.C. 3332)
(c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or executive orders applicable to acquisitions of commercial items:
(End of Clause)
Alternate I (Feb 2000). As prescribed in 12.301(b)(4), delete paragraph (d) from the basic clause, redesignate paragraph (e) as paragraph (d), and revise the reference to “paragraphs (a), (b), (c), or (d) of this clause” in the redesignated paragraph (d) to read “paragraphs (a), (b), and (c) of this clause”.
252.212-7001 Contract Terms and Conditions Required to Implement Statutes or Executive Orders Applicable to Defense Acquisitions of Commercial Items.
As prescribed in 212.301(f)(iii), use the following clause:
CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS APPLICABLE TO DEFENSE ACQUISITIONS OF COMMERCIAL ITEMS (JAN 2007)
(a) The Contractor agrees to comply with the following Federal Acquisition Regulation (FAR) clause which, if checked, is included in this contract by reference to implement a provision of law applicable to acquisitions of commercial items or components.
(b) The Contractor agrees to comply with any clause that is checked on the following list of Defense FAR Supplement clauses which, if checked, is included in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items or components.
(20)(i) ___ 252.247-7023, Transportation of Supplies by Sea (MAY 2002) (10 U.S.C. 2631).
(ii) _X_ Alternate I (MAR 2000) of 252.247-7023.
(c) In addition to the clauses listed in paragraph (e) of the Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items clause of this contract (FAR 52.212-5), the Contractor shall include the terms of the following clauses, if applicable, in subcontracts for commercial items or commercial components, awarded at any tier under this contract:
(1) 252.225-7014, Preference for Domestic Specialty Metals, Alternate I (APR 2003) (10 U.S.C. 2533a).
(2) 252.237-7019, Training for Contractor Personnel Interacting with Detainees (SEP 2006) (Section 1092 of Public Law 108-375).
(3) 252.247-7023, Transportation of Supplies by Sea (MAY 2002) (10 U.S.C. 2631).
(4) 252.247-7024, Notification of Transportation of Supplies by Sea (MAR 2000) (10 U.S.C. 2631).
(End of clause)
252.222-7006COMBATING TRAFFICKING IN PERSONS (Oct 2006)
252.233-7001CHOICE OF LAW (OVER SEAS) (June 1997)