PAS: Safe Migration Through Community Screening

1 SBU - CONTRACTING AND ACQUISITIONS -- 1 of 55 -- 2 SBU - CONTRACTING AND ACQUISITIONS TABLE OF CONTENTS SECTION 1 - THE SCHEDULE • SF 1449 cover sheet • Continuation To SF-1449, RFQ Number [19NP4026Q0032], Prices, Block 23 • Continuation To SF-1449, RFQ Number [19NP4026Q0032], Schedule of Supplies/Services, Block 20 Description/Specifications/Work Statement • Attachment 1 to Description/Specifications/Performance Work Statement, Government Furnished Property SECTION 2 - CONTRACT CLAUSES • Contract Clauses • Addendum to Contract Clauses - FAR and DOSAR Clauses not Prescribed in Part 12 SECTION 3 - SOLICITATION PROVISIONS • Solicitation Provisions • Addendum to Solicitation Provisions - FAR and DOSAR Provisions not Prescribed in Part 12 SECTION 4 - EVALUATION FACTORS • Evaluation Factors • Addendum to Evaluation Factors - FAR and DOSAR Provisions not Prescribed in Part 12 SECTION 5 - REPRESENTATIONS AND CERTIFICATIONS • Offeror Representations and Certifications • Addendum to Offeror Representations and Certifications - FAR and DOSAR Provisions not Prescribed in Part 12 -- 2 of 55 -- 3 SBU - CONTRACTING AND ACQUISITIONS SECTION 1 - THE SCHEDULE CONTINUATION TO SF-1449 RFQ NUMBER S- [19NP4026Q0032] PRICES, BLOCK 23 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 1. REQUISITION NUMBER PR16102207 PAGE 1 OF 2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER 5. SOLICITATION NUMBER 19NP4026Q0032 6. SOLICITATION ISSUE DATE 07/21/2026 7. FOR SOLICITATION INFORMATION CALL: a. NAME Bidhya Gyawali b. TELEPHONE NUMBER(No collect calls) 014234000 8. OFFER DUE DATE/ 08/20/2026 , 1700 hrs LOCAL TIME 9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED SET ASIDE:____ % SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS American Embassy Kathmandu Bramha Cottage, Narayan Gopal Sadak, Maharajgunj, Kathmandu HUBZONE SMALL BUSINESS (WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED SMALL BUSINESS PROGRAM NAICS: SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS EDWOSB 8 (A) SIZE STANDARD: 11. DELIVERY FOR FOB DESTINAT- TION UNLESS BLOCK IS MARKED 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 American Embassy Kathmandu Attn: General Services Officer Maharajgunj, Kathmandu ktmcontracts@state.gov General Services Officer American Embassy Kathmandu Bramha Cottage, Narayan Gopal Sadak, Maharajgunj, Kathmandu 17a. CONTRACTOR/ OFFERER CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY Financial Management Officer American Embassy Kathmandu Bramha Cottage, Narayan Gopal Sadak, CODE 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 SEE ADDENDUM 19. ITEM NO. 20. SCHEDULE OF SUPPLIES/SERVICES 21. QUANTITY 22. UNIT 23. UNIT PRICE 24. AMOUNT 1 Safe Migration Through Community Screening 1 EA (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 -- 3 of 55 -- 4 SBU - CONTRACTING AND ACQUISITIONS 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN ____ COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN. 29. AWARD OF CONTRACT: REF. _________________ OFFER DATED ____________. YOUR OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE 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) Albina Collingham 31c. DATE SIGNED AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV.02/2012) PREVIOUS EDITION IS NOT USABLE Computer Generated Prescribed by GSA - FAR (48 CFR) 53.212 19. ITEM NO. 20. SCHEDULE OF SUPPLIES/SERVICES 21. QUANTITY 22. UNIT 23. UNIT PRICE 24. AMOUNT 32a. QUANTITY IN COLUMN 21 HAS BEEN RECEIVED INSPECTED ACCEPTED AND CONFORMS TO THE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE 33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED CORRECT FOR 36. PAYMENT 37. CHECK NUMBER PARTIA L FINAL COMPLETE 38. S/R ACCOUNT NO. 39. S/R VOUCHER NO. 40. PAID BY 41.a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR 42a. RECEIVED BY (Print) 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41C. DATE 42b. RECEIVED AT (Location) 42c. DATE REC’D (YY/MM/DD) 42d. TOTAL CONTAINERS STANDARD FORM 1449 (REV. 2/2012) BACK Note: 1. Please strictly follow instructions below to submit your offer/quote: • Submit your offer/quote ONLY to email id: KTMContracts@state.gov. Do not copy your offer to any other email address. If you copy your offer to any other email, your offer will not be considered as valid offer for evaluation. • You must mention solicitation/RFQ number 19NP4026Q0032 and description in your email subject. • Send questions/queries related to solicitation to gyawalib@state.gov and copy to KTMContracts@state.gov. Do not copy your offer/quote to the email gyawalib@state.gov or anyone other than KTMContracts@state.gov. -- 4 of 55 -- 5 SBU - CONTRACTING AND ACQUISITIONS SECTION 1 - THE SCHEDULE CONTINUATION TO SF-1449 RFQ NUMBER S- [19NP4026Q0032] PRI…