Agenda - 06-03-1996 - VIII-G - Laserfiche WebLink

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PART I - THE SCHEDULE SECTION A - SOLICITATION/CONTRAC.r FORM AWARD/CONTRACT 1. THIS CONTRACT IS A RATED ORDER , RATING '(1 6 . UNDER DPAS 5 CF 3501 2.CONTRACT (Prot.Inst. !dent.)NO. 3,EFFECTIVE DATE 4.REQUISITION/PURCHASE REQUEST/PROJECT NO. 6/5010/0145 10 O1 95 6/5010/6002 S. ISSUED BY CODE LR 6.ADMINISTERED BY (if other than Item 5) CODE U.S. EQUAL EMPLOYMENT OPPOR'T'UNITY EEDC - CHARLOTTE DISTRICT OFFICE CCMKISSION 129 WEST TRADE STREET PROCUREMENT MANAGEMENT DIVISION CHARLOTTE, NC 28211 1801 L STREET, N.W. , ROOM 2505 WASHINGTON DC 20507 7.NAME AND ADDRESS OF CONTRACTOR (No..street,city,county,State and LIP Code) 8.DELIVERY FOB DESTINATION ORANGE COUNTY HUMAN RELATIONS CC1MMISSION FOB ORIGIN a qr ) 110 SOUTH CHURCHTON STREET 9.DISCOUNT FOR PROMPT PAYMENT HILLSBOROUGH, NC 27278 10 SUBMIT INVOICES ITEM (4 copies unless other is specified)TO THE CODE FACILITY CODE ADDRESS SHOWN IN 11.SHIP TO/MARK FOR CODE 12.PAYMENT WILL BE MADE BY CODE SAME AS BLOCK 6 EEOC - FINANCIAL MANAGEMENT DIVISION 1801 L STREET, N.W. , ROOM 2005 _ WASHI%-rON, DC 20507 13.AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPE ri 14.ACCOUNTING AND APPROPRIATION DATA TION: 6/5010/22/4116 $50,000.00 10 U.S.C.2304(x)( 1 ® 41 U.S.C.253(c)( ) 6/5010/19/4116 $500.00; 6/5010/08/4106 $1,200.00 15A. ITEM NO. 15B.SUPPLIES/SERVICES 15C.QUANTITY 15D. UNIT 15E. UNIT PRICE 15F.AMOUNT PROCESSING OF FISCAL YEAR 1996 FEP AGENCY TITLE VII AND ADA CHARGE SEE SECTION B RESOLUTIONS AND PROCESSING CHARGES FOR INTAKE SERVICES, AND GENERAL FIRM.FIXED PRICE TYPE CONTRACT FEP AGENCY TRAINING. 15G.TOTAL AMOUNT OF CONTRACT 11" 51 700.00 16. TABLE OF CONTENTS N) SEC. DESCRIPTION PAGES) MI J SEC. I DESCRIPTION __ PAGE(S) PART 1—THE SCHEDULE PART II —CONTRACT CLAUSES X A SOLICITATION/CONTRACT FORM 3 X I 1 I CONTRACT CLAUSES X B SUPPLIES OR SERVICES AND PRICES/COSTS 1 PART ill—LIST OF DOCUMENTS.EXHIBITS AND OTHER ATTACH. X C DESCRIPTION/SPECS./WORK STATEMENT x I J LIST OF ATTACHMENTS K D PACKAGING AND MARKING 1 PART IV—REPRESENTATIONS AND INSTRUCTIONS X E INSPECTION AND ACCEPTANCE 1 K REPRESENTATIONS.CERTIFICATIONS AND X F DELIVERIES OR PERFORMANCE OTHER STATEMENTC OF OFFERORS X G CONTRACT ADMINISTRATION DATA 9 L INSTRS..CONDS..AND NOTICES TO OFFERORS—±L X H SPECIAL CONTRACT REQUIREMENTS M EVALUATION FACTORS FOR AWARD CONTRACTING OFFICER WILL COMPLETEITEM 17OR 18ASAPPLICA8LE 17. U CONTRACTOR'S NEGOTIATED AGREEMENT (Contractor Is re. 18. E AWARD (Contractor is not required to sign this document.) Your. quired to siltn this document and returrs3—_Signed copies to issuing of/ice.) offer on Solicitation Number Contractor agrees to furnish and deliver all items or perform all the services set including the additions or changes made by you which additions or changes forth or otherwise Identified above and on any continuation sheets for the are set forth In full above, is hereby accepted as to the items listed above and consideration stated herein. The rights and obligations of the parties to this on any continuation sheets. This award consummates the contract which con. contract shall be subject to and governed by the following documents: (a)this sists of the following documents: (a) the Government's solicitation and-your award/contract. (b)the solicitation,if any,and(c)such provisions,representa- offer,and (b) this award/contract,rvu further contractual document is neces. tions, certifications, and specifications as are attached or Incorporated by sary. reference herein. (Attachments am Iistea herein.) 19A.NAME AND TITLE OF SIGNER(Type or print) 20A.NAME OF CONTRACTING OFFICER Cynthia R. Bond Contracting Officer 198.NAME OF CONTRACTOR 19C.DATE SIGNED 208.UNITED STATES OF AMERICA 20C.DATE SIGNED BY BY (Sienature of person authorised to sign) (Signa(ure of Contracting Officer) NSN 7540-01-152-8069 26-107 STANDARD FORM 26(REV.4.85) PPFVIOUS EDITION UNUSABLF Prescribed by GSA III, GOVERNMENT PRINTING OFFICE. 1989 241 17S FAR (48 CFR)53.214(a)