PAGE 1 OF
1. REQUISITION NO.
2. CONTRACT NO.
3. AWARD/EFFECTIVE DATE
4. ORDER NO.
5. SOLICITATION NUMBER
6. SOLICITATION ISSUE DATE
a. NAME
b. TELEPHONE NO. (No Collect Calls)
8. OFFER DUE DATE/LOCAL
TIME
9. ISSUED BY
CODE
10. THIS ACQUISITION IS
UNRESTRICTED OR
SET ASIDE:
% FOR:
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
WOMEN-OWNED SMALL BUSINESS
(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
8(A)
NAICS:
SIZE STANDARD:
11. DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
SEE SCHEDULE
12. DISCOUNT TERMS
13a. THIS CONTRACT IS A
RATED ORDER UNDER
DPAS (15 CFR 700)
13b. RATING
14. METHOD OF SOLICITATION
RFQ
IFB
RFP
15. DELIVER TO
CODE
16. ADMINISTERED BY
CODE
17a. CONTRACTOR/OFFEROR
CODE
FACILITY CODE
18a. PAYMENT WILL BE MADE BY
CODE
TELEPHONE NO.
DUNS:
DUNS+4:
PHONE:
FAX:
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.
20.
21.
22.
23.
24.
ITEM NO.
SCHEDULE OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
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 _______________
29. AWARD OF CONTRACT: REF. ___________________________________ OFFER
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
DATED ________________________________. YOUR OFFER ON SOLICITATION
DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED
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)
31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
(REV. 2/2012)
PREVIOUS EDITION IS NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.212
7. FOR SOLICITATION
INFORMATION CALL:
STANDARD FORM 1449
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
39
None
695-18-3-6095-0064
36C25218Q9637
06-27-2018
Pauline Ludwig
414-844-4868
0069D
Great Lakes Acquisition Center (GLAC)
Department of Veterans Affairs
115 S 84th St, Suite 100
Milwaukee WI 53214-1476
x
100
x
N
314120
750 employees
N/A
0069D
Department of Veterans Affairs
Clement J Zablocki VAMC
5000 W National Ave
Milwaukee WI 53295
36C252
Great Lakes Acquisition Center (GLAC)
Department of Veterans Affairs
115 S 84th St, Suite 100
Milwaukee WI 53214-1476
Department of Veterans Affairs
Financial Services Center
PO Box 149971
Austin TX 78714-9971
Linen
Purchase order 695-A8
Please reference all correspondence and invoices
with the above number
The Contracting officer is the only person
authorized to modify or make changes
to this contract.
695-3680162-6095-857100-2665-695-A8 0100561Z6
x
x
Pauline Ludwig
Contracting Officer
SECTION B - CONTINUATION OF SF 1449 BLOCKS
CONTRACT ADMINISTRATION DATA
(Continuation from Standard Form 1449, block 18A.)
1. Contract Administration: All contract administration matters will be handled by the following individuals:
A. CONTRACTOR:
B. GOVERNMENT: Pauline Ludwig, Contract Specialist
Great Lakes Acquisition Center
115 S 84th St.
Milwaukee, WI 53214 (414) 844-4868
2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:
[X] 52.232-33, Payment by Electronic Funds Transfer System for Award Management (Jul 2013)
3. INVOICES: Invoices shall be submitted in arrears in accordance with:
a. 852.232-72 Electronic Submission of Payment Requests (Nov 2012)
b. Upon Acceptance of Items
FACSIMILE, E-Mail, and Scanned Documents are Not Acceptable forms of Submission for Payment Requests.
For assistance setting up e-Invoice, the below information is provided:
*OB10 e-Invoice Setup Information: 1-877-489-6135
*OB10 e-Invoice email:
[email protected]
*FSC e-invoice contact information: 1-877-353-9791
*FSC e-invoice email:
[email protected]
BASIS OF AWARD:
The Government will make the award to the most fair and reasonably priced offer.
SCHEDULE OF SUPPLIES/SERVICES AND PRICES/COSTS
(SF 1449, Continuation of Blocks 19 24)
Contractor shall provide the following linen for the Clement J Zablocki VAMC, Milwaukee, WI. All products are FOB destination. Offeror shall provide the following brand name or equal product:
Item No.
Description
QTY
UNIT
UNIT PRICE
TOTAL PRICE
1
C&SL-005 Blue/Ivory Comfort and Safety Linen one-piece bedding set, 80 x 35 x 6
75
each
2
Embroidery (VA Milwaukee)
75
each
TOTAL
Salients:
Fits snugly on mattress (Mattress size 80 x 35 x 6)
No joining seams
Quilted material
Custom blend fabric to reduce pilling and increase color longevity
Washable as a whole
Pillow designed for wash machine
Pillow does not require a pillowcase
Meets CDC commercial washing recommendations
B.1 DELIVERY SCHEDULE
ITEM NUMBER
QUANTITY
DELIVERY DATE
0001
SHIP TO:
Clement J Zablocki VAMC
5000 W National Ave
Milwaukee, WI 53295
USA
75.00
120 days ARO
This is a request for quote (RFQ) to sources that can provide safety linen for the Clement J Zablocki VAMC, Milwaukee, WI. The Dept of Veterans Affairs has not made a commitment to procure any of the items discussed, and the release of this RFQ should not be construed as such a commitment or as authorization to incur cost for which reimbursement would be required or sought. All submissions become government property and will not be returned. Responders are advised that the US Government will not pay for any information or administrative costs incurred in response to this RFQ.
Bid Protests Not Available