II 1 Request for Proposals phased 9

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

PAGE 1 OF

2. CONTRACT NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE

DATE

3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER

205AE9-26-Q-00053

a. NAME

7. FOR SOLICITATION

INFORMATION CALL:

Michelle McGibbon

9. ISSUED BY

CODE

2050

10. THIS ACQUISITION IS

Office of Procurement Operations-Office of Procurement
Operations
310 S Broadway
Rochester, MN 55904-6513
Attn: Michelle McGibbon
Tel: Email: [email protected]

11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS

MARKED

8. OFFER DUE DATE/

LOCAL TIME

b. TELEPHONE NUMBER (No collect
calls)

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

x

SET ASIDE: 100

% FOR:

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM NAICS:

UNRESTRICTED OR

541519

EDWOSB

SIZE STANDARD:

8 (A)

12. DISCOUNT TERMS

13b. RATING

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

14. METHOD OF SOLICITATION

RFP

SEE SCHEDULE

15. DELIVER TO

RFQ

IFB

CODE

16. ADMINISTERED BY

CODE

FACILITY

CODE

18a. PAYMENT WILL BE MADE BY

CODE

See Attached Delivery Schedule

17a. CONTRACTOR/

OFFEROR

CODE

TELEPHONE NO.
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

OFFER

SEE ADDENDUM

19.
ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

22.

UNIT

21.

QUANTITY

23.

UNIT PRICE

24.

AMOUNT

See Attached Schedule(s)

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

See Attached Schedule(s)
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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print)

OFFER

DATED .

. YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED

31b. NAME OF CONTRACTING OFFICER (Type or print)

31c. DATE SIGNED