Wellbeing App

SECTION A – SOLICITATION/CONTRACT FORM

SOLICITATION, OFFER AND AWARD

1. CONTRACT NO.

SOLICITATION NO.

2. TYPE OF SOLICITATION

2027-R-007

5. ISSUED BY

Office of the Sergeant at Arms
United States Senate
Senate Office Building
Washington, DC 20510-7207

CODE

7. FOR INFORMATION

CALL OR E-MAIL

A. NAME: Tonia Courtney

SEC
A
B
C
D
E
F
G
H

3. EFFECTIVE DATE

See Block 21

4. REQUISITION/ PURCHASE NO.

6. ADDRESS THE OFFER TO (if other than Item 5)
Office of the Sergeant at Arms
United States Senate
Attn: CONTRACT Department
Washington, DC 20510-7207

DESCRIPTION

PART I – THE SCHEDULE

SOLICITATION/CONTRACT FORM

SUPPLIES OR SERVICES AND PRICE/COSTS

STATEMENT OF WORK

PACKAGING AND MARKING

INSPECTION AND ACCEPTANCE

DELIVERIES OR PERFORMANCE

CONTRACT ADMINISTRATION DATA

SPECIAL CONTRACT REQUIREMENTS

SOLICITATION

B. TELEPHONE NO: 202 224-5658 NO COLLECT CALLS) or EMAIL:

[email protected] and [email protected]

8. TABLE OF CONTENTS

PAGE(S)

SEC

DESCRIPTION

2-3
3-11

11-12

PAGE(S)

I

CONTRACT CLAUSES

22-34

J
K
L

LIST OF ATTACHMENTS

REPRESENTATIONS AND CERTIFICATIONS

INSTRUCTIONS, CONDITIONS AND NOTICES TO OFFERORS

36-39
40-45

12-13
14-16
M

EVALUATION FACTORS FOR AWARD

16-22
N

CONTRACTOR PROPOSAL

OFFER (Must be fully completed by Offeror)

45-48

inserted by the Offeror) from the date of receipt of offers specified above, to furnish any of the items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the specified schedule. 10.

ACKNOWLEDGEMENT OF

AMENDMENTS

AMENDMENT NO.

(The Offeror acknowledges receipt of
amendments to the SOLICITATION
for Offerors and related documents
numbered and dated:

11A. NAME AND

ADDRESS

OF

OFFEROR

TIN
NO

11B. TELEPHONE NO.

15. ACCEPTED AS TO ITEMS

NUMBERED

Dunn &
Bradstreet

DATE

AMENDMENT NO.

DATE

12. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN

OFFER (Type or Print)

11C. CHECK IF REMITTANCE ADDRESS IS

13. SIGNATURE

14.DATE SIGNED

DIFFERENT FROM ABOVE - ENTER SUCH

ADDRESS IN SCHEDULE

AWARD (To be completed by Senate)

16. AMOUNT

17. SUBMIT INVOICES IN ACCORDANCE with Section G.4.2

In accordance with purchase orders issued
Submission of Invoices
under this CONTRACT

18. ADMINISTERED BY (If other than Item 5)

20. NAME OF CONTRACTING OFFICER

CODE

19. PAYMENT WILL BE MADE BY

Office of the Sergeant at Arms
United States Senate
Financial Department
Washington, DC 20510-7205
UNITED STATES SENATE (signature of Contracting Officer)

David W. Baker

IMPORTANT — Award will be made on this Form, or other authorized official written notice