DATE SPE D V DECOO Sf>E3()().13 R MIIY0l. a.nmie b. TELEPHONE NUMBER {No COI/6CI 8. OFFER DUE DATE/ calls)

Transcription

1 SOLCTATON/CONTRACT/ORDER FOR COMMERCAL TEMS 1. REQUSTON NUMBER PAGE 1 OF 7 OFFEROR TO COMPLETE BLOCKS , & CONTMOT NO. 3. AWARD/EFFEC'JWE 4. ORDER NUMBER 5. SOLCTATON NUMBER lr. SOliCTATON SSUE DATE DATE SPE D V DECOO Sf>E3()().13 R MY0l 7. FOR SOLCTATON NFORMATON CALL: ~ a.nme b. TELEPHONE NUMBER {No CO/6C 8. OFFER DUE DATE/ calls) LOCAL TME 9.1SSUEOBY CODE SPE nlisacqusmons 0 UNRESTRCTED OR QSET ASDE: ~FO DlA TROOP SUPPORT 0 SMALLBUSN S$ 0 WOME«OWNEO SMALL llusness OJRECTOMTE OF SUBSSTECE (WOSB) ELGBLE UNDER THE WOMEN-OWNED too MBBS AVEtl~ 0 HUBZONESMAll SMALlllUSNESS PROGRM PHil.ADElPHU\'A busness 0 SERVCE OSALED 0 EDWOSB NAJCS: loc l M11'ln: Ctrlolla Wner-CtA-ens f>sptpbe Te~ 2 H31-80s.l Fax: ~1-42(0 E11toJ: CAAl61TA.\VA!.KER.()\'.'ENS@DlAML VETERAN-OWNED SMALL BUSNESS 08(A) SZE STANDARD; 1!. DELVEf!'(FOf!fOh lle$t/j\ 12. DSCOUNT TERMS 13b.RATNO TON UNLESS DlOCK S MARKED 0 13a, THS CONTRACT S A RATED ORDER UNDER Nal10dayt DPAS (16 CFR 700) N. METUOD OF SOLClTATON 0 see SCHE01Jt 0 RFO 0 F8 RJ RFP 15. DEliVER TO CODE 16. ADMNSTERED BY CODE JSPE30Q SEE SCHEDULE 6EUlotK O<tloo!'f: PJ.S:~-. t7a. COtHRACTOR CODE jox877 FACiliTY l 188. PAYMENT WLL DE MADE BY CODE jsl4701 OFFEROR CODE MAYfiElD DARY FARMS,LLC DDA DEf FN ANO ACCOUNTmG SVC MAYFELD DARY FARMS, li.c DSM 1971 OElK NDUSTRAL lllvd P 0 BOX 3691)31 MARETAOA COLUMBUSOif TElEPONE NO. 8762&30954 D 17b. CHECK f REMTTANCE S DFFERENT AND PUT SUCH ADDRESS N t8b. SUBMT NVOCES TO ADDESS SHOWN N BLOCK 18a UNLESS D~OCK OFFER BELOW S CliECKED. 0 SEE ADDENDUM TEM NO. SCHEOULE OF SUPPLES/SERVCES QUANnTY UNT UNT PRCE AMOUNT Sea Schedule 25. ACCOUtHNG AND APPROPRATON DATA 26. TOTALAWARDM!OUNT (ForGoyt U1e On~} $_164,33(Ui0 0 27e.SOLCTATONJHCORPORATES OY REFERENCE FAR , faa6?.212-3aou212 SMEATACitEO. ADDENDA 0 ARE 0 ARE NOT ATACHED. RJ 271>, CONTRACT/PURCHASE ORDER NCORPORATES Y REFERENCE FAR 5?.212-f. FAR62.212~ S A.TTACEO. AODSPA 8J ARE 0 ARE OT ATTACHED. {g) 28. CONTRACTOR S REQURED TO SGN THS DOCUMENT AND lleturt-1 1 (8] 29. AWARD OF CONTMCT: REF. RO OFFER COPES TO SSUNG OFFCE. CONTRACTOR AGREES TO FURNSH AND -- DATED 201~ 11ov-07 YOUROFFERONSOLCTATON (BLOCK6), DELVER ALL TEMS SET FORTH OR OTHERWSE DENTFED ABOVE AND ON ANY ADDTO'-A. SHEETS SUBJECT TO THE TERMS AND CONDTONS SPECFED NCLUDNG ANY ADDTONS OR CUANGES WHCH ARE SET FORlH, HEREN S ACCEPTED AS TO TEMS:11u llems! i i 30Q. DATE SGNED 3fo. DATE SGNED 20130!COO AUTHORZED FOR LOCAL REPRODUCTON PREVOUS EDTON S NOT BLE

2 TEM NO. SCHEDULE OF SUPPLES/SERVCES QUANTTY UNT UNT PRCE AMOUNT 32a. QUANTTY N COLUMN 21 HAS BEEN D RECEVED DNSPECTED 0ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: 32b. SGNATURE OF AUTHORZED GOVERNMENT 32c.DATE 32d. PRNTED NAME AND TTLE OF AUTHORZED GOVERNMENT REPRESENTATVE REPRESENTATVE 32e. MALNG ADDRESS OF AUTHORZED GOVERNMENT REPRESENTATVE 32f. TELEPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATVE 32g. E-MAL OF AUTHORZED GOVERNMENT REPRESENTATVE 33. SHP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERFED 36. PAYMENT 37. CHECK NUMBER CORRECT FOR 0PARTAL 0 FNAL D COMPLETE D PARTAL D FNAL 38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER 40. PAD BY 41a.l CERTFY THS ACCOUNT S CORRECT AND PROPER FOR PAYMENT 41b. SGNATURE AND TTLE OF CERTFYNG OFFCER 41c. DATE 42a. RECEVED BY (Print) 42b. RECEVED AT (Location) 42c. DATE REC'D (YY!MMDD) ~42d. TOTAL CONTANERS STANDARD FORM 1449 (REV ) BACK

3 CONTNUATON SHEET REFERENCE NO. OF DOCUMENT BENG CONTNUED: PAGE 3 OF 7 PAGES CONTNUED ON NEXT PAGE

4 CONTNUATON SHEET REFERENCE NO. OF DOCUMENT BENG CONTNUED: PAGE 4 OF 7 PAGES Form Mayfield Dairy FLUD DARY TEMS (TEMS #17-21) YEAR 1, YEAR 2, and YEAR 3- FRM FXED PRCES WTH EPA DECEMBER 8, DECEMBER 3, 2016 GROUP ll MLK & DARY PRODUCTS- TROOP SSUE: MCGHEE TYSON, ANG, TN TEM ESTMATED UNT NO. SUPPLES/SERVCES QUANTTY PRCE TOTAL 18. EGGNOG, CHL, 1 QUART CO 72 QT $1.80 $1, NSN E PRODUCT NUMBER MLK, REDUCED FAT, CHL, 2% MLK FAT 5 GAL BB GAL BB $17.75 $15, NSN E PRODUCT NUMBER MLK, NONFAT, CHL 5GAL BB GAL BB $15.75 $6, NSN E PRODUCT NUMBER MLK, CHOC, LOWFAT, CHL, 0.5% MLK FAT 5 GAL BB GAL BB $18.50 $11, NSN E PRODUCT NUMBER BUTTERMLK, LOW FAT, CHL, 1.5% MLK FAT HALF GALLON 972 HG $1.90 $1, NSN E PRODUCT NUMBER FRST TER FOR OTHER DARY TEMS (TEMS #22-23) YEAR 1 AND 2 FRM FXED PRCES (DECEMBER 8, DECEMBER 5, 2015) GROUP ll MLK & DARY PRODUCTS- TROOP SSUE: MCGHEE TYSON, ANG, TN CONTNUED ON NEXT PAGE

5 CONTNUATON SHEET REFERENCE NO. OF DOCUMENT BENG CONTNUED: PAGE 5 OF 7 PAGES TEM NO. SUPPLES/SERVCES ESTMATED QUANTTY UNT PRCE TOTAL 23. CHEESE, COTTAGE, LOW FAT, CHL CREAMED, LARGE OR SMALL CURD 5 LB CO 1,126 5 LB CO $7.50 $8, NSN E PRODUCT NUMBER CE CREAM MX, REDUCED FAT, VANLLA, CHL, LQ, 1 GAL CO, FOR SOFT SERVE DSPENSER 1 GAL CO 1,560 GL $5.00 $7, NSN E PRODUCT NUMBER FRST TER FOR OTHER DARY TEMS {TEMS #15-16) YEAR 3 FRM FXED PRCES (DECEMBER 6, DECEMBER 3, 2016) GROUP ll MLK & DARY PRODUCTS- TROOP SSUE: MCGHEE TYSON, ANG, TN TEM NO. SUPPLES/SERVCES ESTMATED QUANTTY UNT PRCE TOTAL 23. CHEESE, COTTAGE, LOW FAT, CHL CREAMED, LARGE OR SMALL CURD 5 LB CO LB CO NSN E PRODUCT NUMBER $7.50 $4, CE CREAM MX, REDUCED FAT, VANLLA, CHL, LQ, 1 GAL CO, FOR SOFT SERVE DSPENSER 1 GAL CO 780 GL CO NSN E PRODUCT NUMBER $5.25 $4, TOTAL GROUP ll $61, (Add estimated totals for all items #17-21, 22-23) Group ll: MLK AND DARY PRODUCTS- TROOP SSUE: MCGHEE TYSON, ANG, TN GOVERNMENT QUALFCATONS: The Government will make one award per Group. The Government expects to award all items within a Group but reserves the right to award a contract with less than all listed items within a Group if determined to be in its best interest. OFFEROR QUALFCATONS: CONTNUED ON NEXT PAGE