/ FEDLINK SERIALS SELECTION FORM

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INSTRUCTIONS Use this form after requirements for your serials competition are met for a direct pay account of any size for serials subscription services. You must submit a Serials Selection Form in the base year of your use of the FEDLINK IDIQ Serials Subscription Services contracts, for each option year,and each time you recompete your serials requirements. FY2016 is the base year for the current FEDLINK serials contracts. The Serials Selection Form notifies FEDLINK of your selection of a serials vendor and documents your agency's competition and selection process. You have the option to renew with the selected vendor in future fiscal years, assuming:

  1. FEDLINK Contracts is able to negotiate the option years for the IDIQ contract;
  2. Options were included in your delivery order award and your requirements did not change (discuss this with your agency contracting officer and with FEDLINK Contracts if you are not sure);
  3. Your contracting officer deems your agency's requirements have been met for exercising the option.

A: AGENCY IDENTIFICATION

Date: FEDLINK IAA#17-69-FEDLINK ID:
Agency Name:
Contact Name:
Title:
Branch/Office:
Address:
City: State: Zip:
Phone (work): Fax (work):
Email:

B: SERIALS COMPETITION
Please indicate your serials competition category:

/ Direct pay under $3,500. A copy of your agency Delivery Order must be emailed to with your FEDLINK ID identified on the document.
/ Direct pay over $3,500. A copy of your agency Delivery Order must be emailed to with your FEDLINK ID identified on the document.

Verify that all FEDLINK serials vendors were requested to compete and indicate which vendors submitted quotes. Indicate the name of other companies that were requested to compete and indicate which submitted quotes.

Serials Vendor / Contract # / Requested to Compete / Provided Quote / Fee/discount rate
Basch Subscriptions, Inc. / LCFDL16C0002 / / / ______
EBSCO Information Services / LCFDL16C0003 / / / ______
Wolper Subscription Services, Inc. / LCFDL16C0001 / / / ______
W.T. Cox Subscriptions / LCFDL16C0004 / / / ______

C: SELECTION
has been selected as vendor for my FY serials requirement.

D: PRICING INFORMATION

Please provide price information regarding the quote by the vendor you selected:

Title List / $ / Number of titles /
Supplemental Charges / $ / Number of subscriptions /
Bill-Laters / $
Subtotal Price / $
Fixed fee/discount / $ / Fee/discount rate / %
LOT 2 or 3 Optional Services / $
Total / $

E: REASON FOR SELECTION (Check appropriate box)

Direct pay customer with serials order under $3,500

/ I reviewed the quotes submitted by the vendors listed above and selected the vendor with the best value among those who meet my requirements.

Direct pay customers with serials order over $3,500

/ My agency contracting officer has competed my serials requirements in accordance with our agency's competition policies and procedures.

F: ATTACHMENTS

Justification of serials selection / Delivery Order for Direct Pay
Other

G: SEND ATTACHMENTS TO:
Email attachments to . If you have any questions about setting up an Interagency Agreement (IAA) with a serials service, please contact: FEDLINK Fiscal Hotline at (202) 707-4900; fax (202) 707-4999; TTY (202) 707-4998; or email .

H: SIGNATURE.Signatures and attachments are required.

Direct Pay: This serials selection form must be signed by an agency contracting officer.

Signature / Date
Name / Phone (commercial)
Title / Fax (commercial)

By submitting this form, I hereby certify that I have verified the accuracy of the information provided herein.

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