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
5
None
607-19-3-6022-0167
36C25219Q0514
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
325180
1000 employees
N/A
N/A
0069D
Department of Veterans Affairs
William S Middleton VAMC
2500 Overlook Terrace
Madison WI 53705
36C252
Great Lakes Acquisition Center (GLAC)
Department of Veterans Affairs
115 S 84th St, Suite 100
Milwaukee WI 53214
Department of Veterans Affairs
Financial Services Center
PO Box 149971
Austin TX 78714-9971
Solar Salt for Water Softener
Purchase order 607-C9
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.
607-3690162-6022-851100-2660 010050100
x
1
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:
Tungsten Network Setup Information: 1-866-340-4980
Tungsten Network Online Registration: http//www.tungsten-network.com/veteransaffairs
Tungsten Network email: VA.Registration@tungsten-network.com
FSC Vendor Support Section Contact: 1-877-353-9791
FSC Vendor Support Section email: vafsccshd@va.gov
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)
Vendor shall provide the following bulk water softener salt for the William S Middleton VAMC, Madison, WI. VAMC Madison will call in a 25-ton delivery. The water softener salt shall be delivered to the designated destination by close of business the next business day. Delivery times are M-F, 5pm- 6pm, Deliveries will be made throughout the year for a total of Eight (8) 25-ton deliveries. Offeror shall provide the following Brand Name or Equivalent water softener salt. FOB destination.
Item No.
Description
QTY
UNIT
PRICE PER TON
TOTAL PRICE
1
NSN 6810-01-030-4256 Coarse solar water salt, 99% minimum purity, type 88, 99.5% pure. Form II, large granule
Eight (8) 25-ton deliveries throughout the year
200 tons
TOTAL
Salient characteristics:
Brand name or equivalent. Technical specifications are required on all offers.
Deliveries to be made to the VAMC Madison salt pit by pneumatic truck.
Period of performance: 5-1-2019 thru 4-30-2020.
B.1 DELIVERY SCHEDULE
ITEM NUMBER
QUANTITY
DELIVERY DATE
0001
SHIP TO:
William S Middleton VAMC
Salt pit
2500 Overlook Terrace
Madison, WI 53705
USA
200.00
4-30-2020
SECTION C - CONTRACT CLAUSES
52.212-4 CONTRACT TERMS AND CONDITIONS COMMERCIAL ITEMS (JAN 2017)
ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS COMMERCIAL ITEMS
C.2 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
C.3 52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS (DEC 2013)
C.4 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)
C.5 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2012)
C.6 VAAR 852.246-71 INSPECTION (JAN 2008)
(End of Addendum to 52.212-4)
C.7 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS COMMERCIAL ITEMS (JAN 2018)
SECTION E - SOLICITATION PROVISIONS
E.1 52.212-1 INSTRUCTIONS TO OFFERORS COMMERCIAL ITEMS (JAN 2017)
ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS COMMERCIAL ITEMS
E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)
E.3 52.232-38 SUBMISSION OF ELECTRONIC FUNDS TRANSFER INFORMATION WITH OFFER (JUL 2013)
E.4 VAAR 852.252-70 SOLICITATION PROVISIONS OR CLAUSES INCORPORATED BY REFERENCE (JAN 2008)
(End of Addendum to 52.212-1)
E.5 52.212-2 EVALUATION COMMERCIAL ITEMS (OCT 2014)
E.6 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS COMMERCIAL ITEMS (NOV 2017)
End of Document
Pauline Ludwig
414-844-4868
pauline.ludwig@va.gov
pauline.ludwig@va.gov