ITEM BASIS OF

NO. DESCRIPTION AWARD UNIT RATE COST UNIT RATE COST UNIT RATE COST UNIT RATE COST UNIT 

I. PREPRESS: (a) Trim/Page-size unit............................per page 24 5.47 131.28 36.00 864.00 No charge 0.00 5.00 120.00 No c

 (b) Trim/Page-size unit from camera copy.........per page 144 5.95 856.80 36.00 5,184.00 No charge 0.00 5.00 720.00 No c

 (c) Trim/Page-size unit from electronic file.........per page 558 2.29 1,277.82 24.00 13,392.00 No charge 0.00 No charge 0.00 No c

 (d) Digital Content Proofs...................per page 312 1.43 446.16 5.00 1,560.00 6.00 1,872.00 25.00 7,800.00 

II. PRINTING AND BINDING: (a) Paste-on-fold or saddle-stitch: Prtg in a single

ink color, including binding.................per page

 (1) Makeready and/or Setup 744 19.24 14,314.56 40.00 29,760.00 20.92 15,564.48 18.00 13,392.00 

 (2) Running Per 1,000 Copies 55,577 1.19 66,136.63 25.62 1,423,882.74 1.21 67,248.17 15.50 861,443.50 

III. PAPER: Per 1,000 Leaves (a) White Writing, 20-lbs or Offset Book 50-lbs................... 8,762 5.16 45,211.92 10.06 88,145.72 6.14 53,798.68 11.00 96,382.00 

 (b) Colored Writing, 20-lbs or Offset Book 50-lbs............... 17,898 6.87 122,959.26 14.23 254,688.54 7.52 134,592.96 16.50 295,317.00 

 (c) White 100% recycled Offset Book 50-lbs..................... 2,089 8.79 18,362.31 12.60 26,321.40 7.28 15,207.92 15.10 31,543.90 

IV. ADDITIONAL OPERATIONS: (a) Banding or Shrink-film packaging.............per package...... 43229 0.11 4,755.19 0.30 12,968.70 0.35 15,130.15 0.40 17,291.60 

 (b) Perforating or scoring: (1) Makeready ........................................per order......... 48 24.74 1,187.52 25.00 1,200.00 75.00 3,600.00 20.00 960.00 

 (2) Running (maximum of 3 lines per run)........prt 1,000 leaves... 5,785 0.32 1,851.20 1.00 5,785.00 No charge 0.00 60.00 347,100.00 

 (c) Drilling ............................................per 1,000 leaves...... 27,288 0.15 4,093.20 1.00 27,288.00 1.05 28,652.40 8.00 218,304.00 

V. PACKING:(a) Bulk shipments (other than by mail): (1) Pack/seal shipping containers......per container 14,481 0.84 12,164.04 1.75 25,341.75 0.85 12,308.85 1.00 14,481.00 

(b) Creating/Affixing labels, Mailing, and Internal Distribution: (1) Sgl/mult copies in kraft envelope (up to 200 leaves)...............

....................................per envelope................ 63 0.32 20.16 2.50 157.50 0.55 34.65 1.00 63.00 

 (2) Quantities over 200 leaves, up to 12 lbs., in cushioned shipping

bags or bundles, (maxium gross weight 14 lbs)....................

........................................per bundles or container........ 60 1.32 79.20 2.75 165.00 0.75 45.00 1.50 90.00 

 (3) Quantities over 12 lbs., up to 36 lbs., packed in shipping 

containers (maximum gross weight 40 lbs).....................

........................................per container...................... 6 1.58 9.48 2.85 17.10 1.75 10.50 2.00 12.00 

CONTRACTOR TOTALS $293,856.73 $1,916,721.45 $348,065.76 --------------------- 

DISCOUNT 5.00% $14,692.84 1.00% $19,167.21 0.00% $0.00 1.00% --------------------- 

DISCOUNTED TOTALS $279,163.89 $1,897,554.24 $348,065.76 --------------------- 

AWARDED

Upper Marlboro, MD TEMPLE HILLS, MD Byron, MN Albuquerque, NM 

Program No. 411-S Term Date of Award To November 30, 2013Title: SSA FORM BOOKLETS

McArdle Printing Co. MPE Business Forms, Inc. Schmidt Printing, Inc. WBC, Inc.

Page 1 of 1
 Program 411-S Page 1 of 21 

Specifications by: DLL 

U.S. GOVERNMENT PRINTING OFFICE 

 Washington, DC 

 GENERAL TERMS, CONDITIONS, AND SPECIFICATIONS 

 For the Procurement of 

SSA Form Booklets 

 as requisitioned from the U.S. Government Printing Office (GPO) by the 

Social Security Administration 

 Single Award 

TERM OF CONTRACT: The term of this contract is for the period beginning Date of Award and ending November 

30, 2013, plus up to four (4) optional 12-month extension periods that may be added in accordance with the "Option to 

Extend the Term of the Contract" clause in Section 1 of this contract. 

BID OPENING: Bids shall be publicly opened at 11 a.m., prevailing Washington, DC time, on December 14, 2012. 

BID SUBMISSION: Submit bid in pre-addressed envelope furnished with solicitation, or send to: U.S. Government 

Printing Office, Bid Section, 36 H Street NW, Room C-161, Washington, DC 20404-0001. Facsimile bids in response to 

this solicitation are permitted. Facsimile bids may be submitted directly to the GPO Bid Section, FAX No. (202) 512-

1782. The Program number and bid opening date must be specified with the bid. Refer to Facsimile Bids in Solicitation 

Provisions of GPO Contract Terms, GPO Publication 310.2 as revised June, 2001. 

PLEASE NOTE: These specifications have been revised. Bidders are cautioned to familiarize themselves with all 

provisions of these specifications before bidding. 

Abstracts of contract prices are available at http://www.gpo.gov/gpo/abstracts/abstract.action?region=Central

For information of a technical nature call David Love (202) 512-0310 (No collect calls). 
SSA Form Booklets Page 2 of 21 

411-S (11/13) 

SECTION 1 - GENERAL TERMS AND CONDITIONS 

GPO CONTRACT TERMS: Any contract which results from this Invitation for Bid will be subject to the applicable 

provisions, clauses, and supplemental specifications of GPO Contract Terms (GPO Publication 310.2, effective 

December 1, 1987 (Rev. 6-01)) and GPO Contract Terms, Quality Assurance through Attributes Program for Printing 

and Binding (GPO Publication 310.1, effective May 1979 (Rev. August 2002)). 

GPO Contract Terms (GPO Publication 310.2) – http://www.gpo.gov/pdfs/vendors/sfas/terms.pdf. 

GPO QATAP (GPO Publication 310.1) – http://www.gpo.gov/pdfs/vendors/sfas/qatap.pdf

DISPUTES: GPO Publication 310.2, GPO Contract Terms, Contract Clause 5. Disputes, is hereby replaced with the 

June 2008 clause found at www.gpo.gov/pdfs/vendors/contractdisputes.pdf. This June 2008 clause also cancels and 

supersedes any other disputes language currently included in existing contractual actions. 

QUALITY ASSURANCE LEVELS AND STANDARDS: The following levels and standards shall apply to these 

specifications: 

Product Quality Levels: 

(a) Printing (page related) Attributes -- Level III. 

(b) Finishing (item related) Attributes Level III. 

Inspection Levels (from ANSI/ASQC Z1.4): 

(a) Non-destructive Tests - General Inspection Level I. 

(b) Destructive Tests - Special Inspection Level S-2. 

Specified Standards: The specified standards for the attributes requiring them shall be: 

 Attribute Specified Standard

P-7 Type Quality and Uniformity Approved Proofs / Government Furnished Materials 

P-9 Solid and Screen Tint Color Match Pantone Matching System 

OPTION TO EXTEND THE TERM OF THE CONTRACT: The Government has the option to extend the term of 

this contract for a period of 12 months by written notice to the contractor not later than 30 days before the contract 

expires. If the Government exercises this option, the extended contract shall be considered to include this clause, except, 

the total duration of the contract may not exceed five (5) years as a result of, and including, any extension(s) added 

under this clause. Further extension may be negotiated under the "Extension of Contract Term" clause. See also 

"Economic Price Adjustment" for authorized pricing adjustment(s). 

EXTENSION OF CONTRACT TERM: At the request of the Government, the term of any contract resulting from this 

solicitation may be extended for such period of time as may be mutually agreeable to the GPO and the contractor. 

ECONOMIC PRICE ADJUSTMENT: The pricing under this contract shall be adjusted in accordance with this clause, 

provided that in no event will any pricing adjustment be made that would exceed the maximum permissible under any 

law in effect at the time of the adjustment. There will be no adjustment for orders placed during the first period specified 

below. Pricing will thereafter be eligible for adjustment during the second and any succeeding performance period(s). 

For each performance period after the first, a percentage figure will be calculated as described below and that figure will 

be the economic price adjustment for that entire next period. Pricing adjustments under this clause are not applicable to 

reimbursable postage or transportation costs, or to paper, if paper prices are subject to adjustment by separate clause 

elsewhere in this contract. 
SSA Form Booklets Page 3 of 21 

411-S (11/13) 

For the purpose of this clause, performance under this contract will be divided into successive periods. The first period 

will extend from Date of Award to November 30, 2013, and the second and any succeeding period(s) will extend for 

12 months from the end of the last preceding period, except that the length of the final period may vary. The first day of 

the second and any succeeding period(s) will be the effective date of the economic price adjustment for that period. 

Pricing adjustments in accordance with this clause will be based on changes in the seasonally adjusted "Consumer Price 

Index For All Urban Consumers - Commodities Less Food" (Index) published monthly in the CPI Detailed Report by the 

U.S. Department of Labor, Bureau of Labor Statistics. 

The economic price adjustment will be the percentage difference between Index averages as specified in this paragraph. 

An index called the variable index will be calculated by averaging the monthly Indexes from the 12-month interval 

ending 3 months prior to the beginning of the period being considered for adjustment. This average is then compared to 

the average of the monthly Indexes for the 12-month interval ending August 31, 2012, called the base index. The 

percentage change (plus or minus) of the variable index from the base index will be the economic price adjustment for 

the period being considered for adjustment. 

The Government will notify the contractor by contract modification specifying the percentage increase or decrease to be 

applied to invoices for orders placed during the period indicated. The contractor will apply the percentage increase or 

decrease against the total price of the invoice less reimbursable postage or transportation costs and separately adjusted 

paper prices. Payment discounts shall be applied after the invoice price is adjusted 

PAPER PRICE ADJUSTMENT: Paper prices charged under this contract will be adjusted in accordance with "Table 

6 - Producer Price Indexes and Percent Changes for Commodity Groupings and Individual Items" in Producer Price 

Indexes report, published by the Bureau of Labor Statistics (BLS), as follows: 

1. BLS code 0913-01 for offset and text will apply to all paper required under this contract. 

2. The applicable index figures for the month of November, 2012 will establish the base index. 

3. There shall be no price adjustment for the first three months of the contract. 

4. Price adjustments may be monthly thereafter, but only if the index varies by an amount (plus or minus) 

exceeding 5% by comparing the base index to the index for that month which is two months prior to the month 

being considered for adjustment. 

5. Beginning with order placement in the fourth month, index variances will be calculated in accordance with the 

following formula: 

 X - Base Index _____________________ x 100 = ______ %

Base Index 

Where X = the index for that month which is two months prior to the month being considered for adjustment. 

6. The contract adjustment amount, if any, will be the percentage calculated in 5 above less 5%. 

7. Adjustments under this clause will be applied to the contractor's bid price(s) for line items(s) IV. (a) and (b) in 

the Schedule of Prices and will be effective on the first day of any month for which prices are to be adjusted. 

The Contracting Officer will give written notice to the contractor of any adjustments to be applied to invoices for orders 

placed during months affected by this clause. 

In no event, however, will any price adjustment be made which would exceed the maximum permissible under any law 

in effect at the time of the adjustment. The adjustment, if any, shall not be based upon the actual change in cost to the 

contractor, but shall be computed as provided above. 

The contractor warrants that the paper prices set forth in this contract do not include any allowance for any contingency 

to cover anticipated increased costs of paper to the extent such increases are covered by this price adjustment clause. 
SSA Form Booklets Page 4 of 21 

411-S (11/13) 

PREAWARD SURVEY: In order to determine the responsibility of the prime contractor or any subcontractor, the 

Government reserves the right to conduct an on-site preaward survey of all of the contractor’s computer, printing, and 

mailing equipment which will be used on this contract or to require other evidence of technical, production, managerial, 

financial, and similar abilities to perform, prior to the award of a contract. Attending this meeting will be representatives 

from the Government Printing Office (GPO) and the Social Security Administration (SSA). 

The Preaward Survey will include a review of: all subcontractors involved, along with their specific functions, and the 

contractor’s quality control, mail, material, personnel, and production as required by these specifications. 

PRODUCTION PLANS: The contractor must present in writing to the GPO contracting officer or his/her 

representative, detailed plans for each of the activities listed below. Should the pre-award survey be waived, the 

contractor must submit these written plans within 5 workdays of being notified to do so by the GPO contracting officer 

or his/her representative. The workday after notification to submit will be the first day of the schedule 

NOTE: These proposed plans are subject to review and approval by the Government and award will not be made prior 

to approval of same. SSA reserves the right to waive some or all plans. 

Quality Control Plan - The contractor shall provide and maintain, within his own organization, an independent quality 

assurance organization of sufficient size and expertise to monitor the operations performed, and inspect the products of 

each operation to a degree and extent that will ensure the Government’s quality assurance, inspection, and acceptance 

provisions are met. The contractor shall perform, or have performed, the process controls, inspections and tests 

required to substantiate that the products provided under this contract conform to the specifications and contract 

requirements. The contractor must describe in detail their quality control/quality assurance and recovery plans 

describing how, when, and by whom the plans will be performed. 

The plan must provide for periodic samplings to be taken during the production run, a control system that will detect 

defective pieces, and the actions to be taken by the contractor when either defects are discovered. These actions must be 

consistent with the requirements found in GPO Contract Terms (GPO Pub. 310.2, effective December 1, 1987, 

Rev. June 2001). A recovery system is required to replace all defective and missing/mutilated pieces.

The Government will periodically verify that the contractor is complying with the approved quality control plan through 

on-site examinations and/or requiring copies of the contractor’s quality assurance records and quality assurance 

random copies. 

Mail Plan - This plan should include sufficient detail as to how the contractor will comply with all applicable U.S. Postal 

Service (USPS) mailing requirements as listed in the USPS Domestic Mail Manual in effect at the time of the mailing 

and other USPS instructional material such as the Postal Bulletin. The contractor must also disclose how they will 

achieve maximum postal discounts as required in this contract. 

Production Plan - This plan should include items such as a detailed listing of all production equipment and equipment 

capacities to be utilized on this contract. If new equipment is to be utilized, documentation of the source, delivery 

schedule and installation dates are required. 

POST-AWARD CONFERENCE: In order to insure that the contractor fully understands the total requirements of the 

job as indicated in these specifications, Government representatives reserve the right to conduct a conference with the 

contractor's representatives at the SSA, Baltimore, Maryland (see address under "SCHEDULE"), immediately after 

award. 

ASSIGNMENT OF JACKETS, PURCHASE AND PRINT ORDERS: A GPO jacket number will be assigned and a 

purchase order issued to the contractor to cover work performed. The purchase order will be supplemented by an 

individual "Print Order" for each job placed with the contractor. The print order, when issued, will indicate the quantity 

to be produced and any other information pertinent to the particular order. 
SSA Form Booklets Page 5 of 21 

411-S (11/13) 

ORDERING: Items to be furnished under the contract shall be ordered by the issuance of print orders by the 

Government. Orders may be issued under the contract from Date of Award through November 30, 2013 plus for such 

additional period(s) as the contract is extended. All print orders issued hereunder are subject to the terms and conditions 

of the contract. The contract shall control in the event of conflict with any print order. A print order shall be "issued" for 

purposes of the contract, when it is either deposited in the U.S. Postal Service mail or otherwise furnished to the 

contractor in conformance with the schedule. 

REQUIREMENTS: This is a requirements contract for the items and for the period specified herein. 

Shipment/delivery of items or performance of work shall be made only as authorized by orders issued in accordance 

with the clause entitled "Ordering". The quantities of items specified herein are estimates only, and are not purchased 

hereby. Except as may be otherwise provided in this contract, if the Government's requirements for the items set forth 

herein do not result in orders in the amounts or quantities described as "estimated", it shall not constitute the basis for an 

equitable price adjustment under this contract. 

Except as otherwise provided in this contract, the Government shall order from the contractor all the items set forth 

which are required to be purchased by the Government activity identified on page 1. 

The Government shall not be required to purchase from the contractor, requirements in excess of the limit on total orders 

under this contract, if any. 

Orders issued during the effective period of this contract and not completed within that time shall be completed by the 

contractor within the time specified in the order, and the rights and obligations of the contractor and the Government 

respecting those orders shall be governed by the terms of this contract to the same extent as if completed during the 

effective period of this contract. 

If shipment/delivery of any quantity of an item covered by the contract is required by reason of urgency prior to the 

earliest date that shipment/delivery may be specified under this contract, and if the contractor will not accept an order 

providing for the accelerated shipment/delivery, the Government may procure this requirement from another source. 

The Government may issue orders which provide for shipment/delivery to or performance at multiple destinations. 

Subject to any limitations elsewhere in this contract, the contractor shall furnish to the Government all items set forth 

herein which are called for by print orders issued in accordance with the "Ordering" clause of this contract. 
SSA Form Booklets Page 6 of 21 

411-S (11/13) 

SECTION 2 - SPECIFICATIONS 

SCOPE: These specifications cover the production of self-covered, paste on fold, or saddle-stitched form booklets 

requiring such operations as pre-press, printing in one color, folding, binding, drilling, perforating, packing, and 

distribution. 

TITLE: SSA Form Booklets. 

FREQUENCY OF ORDERS: It is anticipated that there will be approximately 60 orders per year. The number of 

orders issued per month can range from zero to 20, with July and August usually having the most orders. 

QUANTITY: Approximately 500 copies up to 500,000 copies per order (1-4 orders per year may require over 500,000 

to 1,200,000 copies). 

NUMBER OF PAGES: Approximately 8, 12, or 16 pages per order. (An occasional order may have from 20 to 32 

pages). 

NOTE: All orders for booklets that are 16 pages or greater requiring white stock will be further required to utilize 

100% recycled paper (JCP Code A70). 

TRIM SIZE: 8-1/2 x 11" Finished Size. 

GOVERNMENT TO FURNISH: 

Film negatives, Camera copy, Portable Document Format (PDF) or other Electronic Media 

Electronic media will be furnished as follows

Platform: Macintosh OSX; IBM or compatible using MS Windows 

Storage Media: CD-R/RW; DVD-R/RW; E-mail 

Software: Adobe Acrobat Professional with Adobe LiveCycle Designer 

All files will be created in current versions or near current versions of the above mentioned 

programs. 

Note: All platform system and software upgrades (for specified applications) which may occur 

during the term of the contract must be supported by the contractor. 

Fonts: All printer and screen fonts will be furnished. All fonts used for this contract will be Adobe 

Type I and/or TrueType. The contractor is cautioned that the furnished fonts are the property 

of the Government and/or its contractors. All furnished fonts are to be eliminated from the 

contractor’s archive immediately after completion of the contract. 

Additional Information supplied 

A visual of the supplied electronic files may or may not be furnished 

GPO Form 905 - Reproduction proof, (R.6/03) with labeling and marking specifications 

Camera copy for 5” x 3" unaddressed Postage and Fees Paid Permit Imprint label. 

PS Form 3615 - Mailing Permit Application & Customer Profile 

Recycled Logos / Legends in English and Spanish - two (2) logos; two (2) extended legends; two (2) basic legends 

See: “Recycled Logos / Legends” 

Blue labels, Yellow labels, and Certificates of Selection (GPO Form 917) for shipping Departmental Random copies 
SSA Form Booklets Page 7 of 21 

411-S (11/13) 

Exhibit A: Automated Distribution Management System 

Exhibit B: Direct Delivery Record Layout 

Exhibit C: Bar Code Marking Requirements 

Exhibit D: Distribution and Packaging Transmittal – Form SSA-813-U5 (2-2001) 

Exhibit E: Certificate of Selection for Yellow Labels 

Exhibit F: Yellow Label Template 

Identification markings such as register marks, ring folios, rubber-stamped jacket numbers, commercial identification 

marks of any kind, etc., except GPO imprint, form number, and revision date, carried on copy or film, must not print on 

finished product. 

DISTRIBUTION DATA: 

The distribution data will be transmitted electronically via the Internet and/or furnished in the form of Pre-printed 

address labels. Tally/summaries of addressees and quantities will be furnished with the print orders or when transmitted 

electronically. 

Distribution data transmitted electronically - One of two standard file formats will be applied to the data: 

 Automated Distribution Management System - Fixed length flat ASCII 

 See Exhibit A: Automated Distribution Management System 

 Direct Delivery – Comma Quote Delimited 

 See Exhibit B: Direct Delivery Record Layout 

Distribution files consist of address data and quantity requirements for addressees receiving individual distribution. 

NOTE: The Government requires samples of distribution mailing labels before release of first job. Details will be 

provided after award. 

Pre-printed address labels - Pressure sensitive individually printed labels contain address data for addressees receiving 

individual distribution. Labels have quantity indicated thereon. Quantities shown on mailing labels reflect actual 

quantities, unless otherwise noted. 

The labels may be supplied in either ZIP sequence, quantity order, and/or as unsorted labels. 

Sort for Labels - 

States and territories outside the 48 contiguous states and foreign countries: These labels are separate and clearly 

identified with "1STCL" or "1CLS" appearing in the first line of the address label. 

All other address labels: These labels are used for United States Postal Service (USPS) mailings, small package common 

carrier service (SPCC) and Commercial Bills of Lading (BLs). 

CONTRACTOR TO FURNISH: All materials and operations, other than those listed under "Government to Furnish," 

necessary to produce the product(s) in accordance with these specifications. 

ELECTRONIC PREPRESS: Prior to image processing, the contractor shall perform a basic check (preflight) of the 

furnished media and publishing files to assure correct output of the required reproduction image. 

This preflight must identify any problem areas with digital file submission and must include but not be limited to missing 

or damaged fonts, damaged disks, missing bleeds, improper trim size, and improper color definition. The Contractor is 

also responsible for creating or altering any necessary trapping, setting proper screen angles and frequency (unless 

indicated otherwise by the Government), and defining proper file output selection for the imaging device being used. All 

furnished files must be imaged as necessary to meet the assigned Quality Assurance Through Attributes Program 

(QATAP) level. 
SSA Form Booklets Page 8 of 21 

411-S (11/13) 

Any errors, media damage, or data corruption that might interfere with proper file image processing must be reported to 

Cheryl Tarver on (410) 965-7253 or Jamey Cunningham on (410) 966-8480. 

When required by the Government, the contractor shall make minor revisions to the electronic files. It is anticipated 

that the Government will make all major revisions. Prior to making revisions, the contractor must copy the 

furnished files and make all changes to the copy. 

PROOFS: When indicated on the print order, two sets of digital color content proofs for each form will be 

required. Direct to plate must be used to produce the final product with a minimum of 2400 x 2400 dpi. Proofs must 

be created using the same Raster Image Processor (RIP) that will be used to produce the product. Proofs shall be 

collated with all elements in proper position (not pasted up), imaged face and back, trimmed and folded to the 

finished size of the product. Proofs must be sent to SSA unless otherwise indicated. 

At the government’s option, a PDF proof may be requested in lieu of hard copy proofs for content of the forms. 

Contractor will email the PDF proof to Cheryl Tarver at Cheryl.tarver@ssa.gov and Jamey Cunningham at 

Jamey.cunningham@ssa.gov. 

If any contractor’s errors are serious enough in the opinion of the GPO to require revised proofs, the revised proofs are to 

be provided at no expense to the Government. No extra time can be allowed for this reproofing; such operations must be 

accomplished within the original production schedule allotted in the specifications. 

NOTE: IF PROOFS ARE REQUIRED, THE CONTRACTOR MUST NOT PRINT PRIOR TO RECEIPT 

OF AN "OK TO PRINT". 

STOCK/PAPER: The specifications of all paper furnished must be in accordance with those listed herein or listed for 

the corresponding JCP Code numbers in the "Government Paper Specification Standards No. 12" dated March 2011. 

Government Paper Specification Standards No. 12 - http://www.gpo.gov/pdfs/customers/sfas/vol12/vol_12.pdf

Color of paper furnished shall be of a uniform shade and a close match by visual inspection of the JCP and/or attached 

color sample(s).The Contracting Officer reserves the right to reject shipments of any order printed on paper the color of 

which, in their opinion, materially differs from that of the color sample(s) specified. Color of paper should remain 

consistent between different print runs throughout the term of the contract. 

The paper to be used will be indicated on each print order. 

White Writing, basis weight: 20 lbs. per 500 sheets, 17 x 22”, equal to JCPCode D10 OR White Offset Book, basis 

weight: 50 lbs. per 500 sheets, 25” x 38", equal to JCP Code A60 

Colored Writing, (Blue, Buff, Green, Pink Salmon, and Yellow) basis weight: 20 lbs. per 500 sheets, 17 x 22", equal to 

JCP Code D10 OR Colored Offset Book, basis weight: 50 lbs. per 500 sheets, 25” x 38", equal to JCP Code A63 

100% Recycled Offset Book, White, basis weight: 50 lbs. per 500 sheets, 25 x 38”, equal to JCP Code A70 

PRINTING: Print face only or face and back (head-to-head, head-to-foot, or head-to-side) in black or a single color 

other than black; Match Pantone number as indicated on the print order. 

RECYCLED LOGOS / LEGENDS: The recycled paper logo and legend must be printed on all the forms. 

(See Government Paper Specification Standards No. 12 for recycled content requirements) 

The logo and legend must be printed in the same color as indicated on print order. 

The English extended legend and logo will print on all forms printed on 100% recycled paper. The English basic 

legend and logo will print on all other English forms. 

The Spanish extended legend and logo will print on all Spanish forms printed on 100% recycled paper. The Spanish 

basic legend and logo will print on all other Spanish forms. 
SSA Form Booklets Page 9 of 21 

411-S (11/13) 

NOTE: The location of the recycled legend and logo will be indicated on the Government Furnished materials 

supplied with each print order. 

MARGINS: Margins will be as indicated on the print order or furnished copy. Most orders will be provided with 

adequate gripper margins throughout, while an occasional order may bleed on one or all sides. 

BINDING: Bind as indicated on the print order. Press trimming is acceptable. Various binding styles will be ordered as 

follows: 

Folding - Paste on fold and trim three sides or saddle-wire stitch in two places and trim three sides, as ordered. Most 

orders will be paste on fold with an occasional order requiring saddle-stitch. Single leaves connected with a lip (i.e., 

binding stub) to left or right side of stitches will not be allowed. An occasional order may be perforated on the fold. 

Perforating / Scoring - Majority of orders will require one to three perforations/scores. Perforate (slit or slot, with or 

without ink) along the entire 11" dimension, 3/8" or 1/4" from the bind edge, as indicated on the print order. Print 

order will indicate the location and the number of perforations/scores required. 

Drilling - Majority of orders will require drilling as follows: 

• Drill two 9/32" or 1/4" diameter holes centered on the left side, right side or top 2-3/4" center-to-center. 

• Drill three 9/32" or 1/4" diameter holes centered on the left side, right side or top 4-1/4" center-to-center. 

 Center of all holes to be 3/8" from edge of product unless otherwise specified 

PACKAGING: Shrink-film wrap or band in units as directed on the print order. Bands will consist of strips of heavy 

kraft paper, approximately 4-1/2" in width, around the short dimension. Banding must not cause bowing of product. 

When banding is required, chipboard or equal must be placed top and bottom to prevent bowing. 

The contractor is responsible for proper packing of all items shipped; additional packaging information may be found in 

the USPS Domestic Mail Manual. 

Bulk Shipments and Internal Bulk Shipments - 

Pack in shipping containers as indicated on the print order. 

Each shipping container must not exceed 40 lbs. when fully packed, unless specified otherwise on the print order. 

Chipboard or equal must be placed top and bottom of each carton to prevent bowing. 

Shipping containers shall have a minimum bursting strength of 275 pounds per square inch or a minimum edge crush test 

(ECT) of 44 pounds per inch width. 

All shipments which fill less than a shipping container must be packaged with materials of sufficient strength and 

durability and in such a manner which will guarantee that the product will not be damaged and the package will not open 

nor split when processed through the U.S. mail system or a small package carrier delivery system. 

The contractor is responsible for proper packaging of all items shipped. 

Pallets are required. Each order must be placed and shipped on its own pallet. There must be no commingling of orders 

on a single pallet. 
SSA Form Booklets Page 10 of 21 

411-S (11/13) 

Priority Mailing or Small Package Common Carrier - 

Insert single or multiple copies (up to 200 leaves) into kraft envelopes 

Quantities over 200 leaves, up to 12 pounds, must be inserted into cushioned shipping bags (maximum gross weight 14 

pounds). A fiber-filled padded bag or any bag that will produce a powdery substance when torn during shipment or 

opening must not be used. 

NOTE: Cushioned shipping bags must be made with an exterior ply of at least 60 pounds basis weight and must be 

sealed with heavy duty steel stitches spaced no more than 2-1/2 inches apart and not more than 1-1/4 inches from 

the end of the bag. Heavy duty filament reinforced cloth or plastic backed pressure sensitive tape that will remain 

sealed at below freezing temperatures may be used instead of steel stitching provided the tape seals the sack 

securely. 

Quantities over 12 pounds, up to 36 pounds, must be packed in shipping containers (not to exceed a maximum gross 

weight of 40 lbs. when fully packed). 

LABELING AND MARKING (package and/or container label): 

The appropriate Inventory Control Number (ICN) must be on all cartons. ICN’s will be provided with each 

individual print order. 

Contractor must reproduce Postage and Fees Paid Permit Imprint indicia labels from furnished camera copy. 

Affix Postage and Fees Paid label and a pre-addressed label to each unit of mail packaged in envelopes, cushioned 

shipping bags, shipping bundles and containers. Contractor is responsible for duplicating original labels for each 

destination as needed. 

NOTE: When duplicating is required, the contractor must indicate the quantity contained in each container on each label 

required for that particular destination. Labels must be completely covered with transparent tape. 

Bulk Shipments - 

Reproduce shipping container label from furnished repro, fill in appropriate blanks and attach to shipping containers. 

Material shipped to 6301 Security Boulevard, Baltimore, MD 21235-6301 and Preston Gateway Corporate 

Parkway, 1415 Magellan Drive, Building B, Hanover, MD 21076, must be in cartons labeled with the number of 

copies and the ICN in addition to the standard GPO shipping label. 

NOTE: The destination address in the “TO” box does not have to be filled in on the individual shipping container labels 

when packed on pallets. In lieu thereof, complete filled in labels, the destination address must be attached to all four 

sides of each pallet. In addition to regular markings, include the “ICN (fill-in number)” on all labeling. 

Bar code Marking Requirements - The Inventory Control Number (ICN), National Stock Number (NSN), Quantity Per 

Container, Unit of Issue, Revision Date, Department Requisition Number, and Print Order Number must be bar coded on 

shipping containers, using 10, (3/8”) high standard 3 of 9 (code 39) bar code system, for non-contact reading, in 

accordance with Mil. Std. 1189. In addition, the bar code must have a human-readable interpretation (HRI) printed 

above or below the 3 of 9 bar code. 

See Exhibit C: Bar Code Marking Requirements.

Internal Bulk shipments - 

Individually prepare and label packages displaying the following zip codes. Place packages in containers according 

to the zip code, and ship as follows. 
SSA Form Booklets Page 11 of 21 

411-S (11/13) 

Zip Code Ship To 

 21235 Social Security Administration 

 2700 Lord Baltimore Dr. 

 Baltimore MD 21244-2680 

 21241 Social Security Administration 

 1500 Woodlawn Dr 

 Baltimore MD 21241-1500 

21201 Social Security Administration 

 300 N Greene St. 

 Baltimore MD 21290-0300 

22041 Social Security Administration 

 ODAR Mail Center 

 5107 Leesburg, Pike, 2nd Floor 

 Falls Church VA 22041-3255 

Priority Mailing or Small Package Common Carrier - 

The contractor will be required to package and label shipments to as many as 2,500 destinations. 

Contractor is responsible for duplicating original labels for each destination as needed. 

NOTE: When duplication is required, the contractor must indicate the quantity contained in each container on each 

label required for that particular destination. Labels must be completely covered with transparent tape. 

Containers and packages must be marked to indicate number of containers/packages to a destination when more than 

one container/package is necessary for a single destination, i.e., 1 of 3, 2 of 3, etc. 

DEPARTMENTAL RANDOM COPIES (BLUE LABEL): All orders must be divided into equal sub-lots in 

accordance with the chart below. A random copy must be selected from each sub-lot. Do not choose copies from the 

same general area in each sub-lot. The contractor will be required to execute a statement furnished by GPO certifying 

that copies were selected as directed. The random copies constitute a part of the total quantity ordered, and no additional 

charge will be allowed. 

Quantity Number of 

 Ordered Sub-lots

 500 – 3,200 50 

 3,200 – 10,000 80 

 10,000 – 35,000 125 

 35,000 and over 200 

These randomly selected copies must be packed separately and identified by a special government-furnished blue label, 

affixed to each affected container. The container and its contents shall be recorded separately on all shipping documents 

All print orders require Blue Label samples. SSA will indicate on its Distribution and Packaging Transmittal (Form 

SSA-813) if Blue Label samples are to be forwarded to the attention of the SSA Print Specialist. 

If Blue Label samples are not specifically requested on Form SSA-813, this means all or part of the order will contain a 

delivery to an SSA Warehouse (Bulk Shipment shown on Form SSA-813-U5, under Category E) facility. In this case, 

the Blue Label samples become part of the quantity ordered and placed at the end of the order (last carton) delivered to 

the SSA Warehouse. In either case, a copy of the PRINT ORDER/SPECIFICATION and a signed Governmentfurnished Certificate of Selection (GPO Form 917) must be included. 

CUSTOMER RANDOM COPIES (YELLOW LABEL): All orders must be divided into equal sub-lots in accordance 

with the chart below. A random copy must be selected from each sub-lot. Do not choose copies from the same general 

area in each sub-lot. 
SSA Form Booklets Page 12 of 21 

411-S (11/13) 

The contractor will be required to execute a statement furnished by the agency certifying that copies were selected as 

directed. The random copies constitute a part of the total quantity ordered, and no additional charge will be allowed. 

 Quantity Number of 

 Ordered Sub-lots

 500 – 3,200 5 

 3,200 – 10,000 10 

 10,000 – 35,000 15 

 35,000 and over 20 

These randomly selected copies must be packed separately and identified by a special government-furnished 

YELLOW LABEL, affixed to each affected container. The container and its contents must be recorded separately on all 

shipping documents and sent in accordance with the distribution list to the address indicated. 

See Exhibit F: Yellow Label Template 

A copy of the PRINT ORDER/SPECIFICATION and a signed Government-furnished certificate of selection must be 

included. See Exhibit E: Certificate of Selection for Yellow Labels 

DISTRIBUTION: Specific shipping instructions will be provided with each Print Order or transmitted 

electronically. The contractor cannot deviate from these instructions without first consulting and obtaining 

permission from SSA. See Exhibit D: Distribution and Packaging Transmittal – Form SSA-813-U5 (2-2001) 

f.o.b. Destination 

Bulk Shipments and Internal Bulk shipments - 

Deliver f.o.b. destination to approximately six addresses located within a 75-miles radius of the Social Security 

Administration headquarters, 6401 Security Blvd. Baltimore, MD area. 

Entrance to the receiving platform for each of the five (5) addresses at the Social Security Administration has maximum 

height clearances. It is the responsibility of the contractor to provide shipment to the platforms as follows: 

1500 Woodlawn Drive, Baltimore, MD 21241 Clearance is 13’3” 

6301 Security Boulevard, Baltimore, MD 21235 Clearance is 13’6” 

6401 Security Boulevard, Baltimore, MD 21235 Clearance is 13’3” 

300 North Greene Street, Baltimore, MD 21290 Clearance is 13’6” 

2700 Lord Baltimore Drive, Woodlawn, MD 21244 Clearance is 14’0” 

Hours of Operation for above locations: 8:30 AM to 2:30 PM. local prevailing time, on normal Government workdays. 

Shipments to the Social Security Administration, Receiving Clerk, Preston Gateway, 1415 Magellan Drive, Building B, 

Hanover, MD 21076, must be driver assisted/tailgate deliveries at destination. No clearance required. 

Hours of Operation for Preston Gateway location: In the morning 6:30 AM to 12:00 PM. In the afternoon, 1:00 PM 

 to 2:30 PM (Based on local prevailing times, on normal Government workdays) 

NOTE: Historically, approximately 50% of any order will deliver to Social Security Administration (SSA) and therefore 

must be included in Contractor’s bid prices. 
SSA Form Booklets Page 13 of 21 

411-S (11/13) 

f.o.b. Contractor's City 

The contractor may be required to mail/ship packages via USPS Priority Mail or Small Package Common 

Carrier (SPCC) with 3rd Party Billing to as many as 2,500 destinations. 

Complete addresses and quantities will be furnished with the print order or transmitted electronically. 

A single shipment or several shipments totaling 499 pounds or less scheduled for shipment on the same day to a 

single destination are to be sent by USPS Priority Mail, International Mail (Par Avion), SPCC or as instructed. 

However, shipments to APO, FPO, and Post Office Box addresses, regardless of total weight of shipment, must be 

made by Priority Mail. 

The contractor is responsible for all costs incurred in transporting this product to the post office. The contractor is 

required to prepare domestic Priority Mail in accordance with appropriate USPS rules and regulations including the 

USPS Domestic Mail Manual (DMM), and Postal Bulletins, in effect at the time of mailing. 

Shipments over 499 pounds must ship reimbursable motor freight (excluding bulk and internal bulk shipments as 

described above). 

USPS Priority Mail - 

Reimbursable USPS Priority Mail will only be used when shipping packages to a Post Office Box, APO/FPO or US 

Possession/Territory. The majority of packages will be shipped by SPCC. 

Priority Mail and International Mail (Par Avion) will be clearly identified. 

Contractor will be reimbursed for all USPS Priority Mail shipping costs by submitting all shipping receipts with 

billing invoice for payment. 

International Mail (Par Avion) - 

All items mailed must conform to the appropriate USPS International Mail Manual (IMM), Postal Bulletins, and 

other USPS rules and regulations in effect at the time of mailing. 

All international mail must be endorsed PAR AVION or AIR MAIL as described in the USPS IMM. The contractor 

may use a rubber stamp to meet these requirements. 

International Mail return addresses must show in the last line of the address UNITED STATES OF AMERICA or 

USA, all in upper case letters. 

NOTE: The contractor is cautioned that files listed may contain mail addressed to United States territories and 

possessions (American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, 

Palua, Puerto Rico, U.S. Virgin Islands and Wake Island). This mail is considered Domestic Mail by the USPS, 

NOT International Mail. 

All copies mailed must conform to the appropriate regulations in the USPS manuals for "Domestic Mail" or 

"International Mail" as applicable. 

Contractor will be reimbursed for postage by submitting a properly completed Postal Service form (or equivalent) 

with the voucher for billing. 

Undeliverable Mail - Contractor is to use the following RETURN ADDRESS on all mailing packages: 

SOCIAL SECURITY ADMINISTRATION 

ATTENTION: WAREHOUSE SUPERVISOR / SMT TEAM LEADER 

SUPPLY BUILDING WAREHOUSE 

6301 SECURITY BLVD 

BALTIMORE MD 21235-6301 
SSA Form Booklets Page 14 of 21 

411-S (11/13) 

Small Package Common Carrier (3rd Party Billing) - 

Packages up to 499 lbs are to be made by SPCC except those destined for Post Office Boxes, APO/FPO and United 

States Possessions and Territories. 

The contractor will be responsible for providing the carrier the following: 

1. All packages addressed and sorted to meet the requirements of the small package common carrier. 

 NOTE: Contractor may be required to apply special SPCC Bar Code labels. 

2. Separate common carrier pickup records for each print order. The contractor must annotate the pickup 

 records with the requisition number and the print order number. 

3. A shipping manifest which includes: 

a. The name of the contractor, the requisition number, the print order number, the common carrier 

account/shipper number. 

b. A listing which includes each addressee’s account number or office code (when provided on 

SSA supplied address labels), address, city, state, zip code, common carrier delivery zone, 

weight, and package identification number (if applicable) of each package shipped to each 

addressee. 

c. The listing must be grouped by pickup, and each group must be identified with the pickup 

record number. This number must correspond to the number on the form(s) which the contractor 

is required to obtain from the carrier for compliance purposes. The listing must be in either 

account number or ZIP code order within each group. 

d. The summary information for each group must include the total number of packages, the total 

weight, and the total shipping cost. 

The contractor will be required to ship via SPCC charging the cost to SSA's 3rd Party account number which will be 

provided. 

NOTE: Information regarding the Small Package Common Carrier will be provided at the Post-Award 

Conference 

Reimbursable Freight - 

Truck shipments for a single shipment or several shipments totaling 500 pounds or more are to be shipped by 

reimbursable freight (excluding bulk and internal bulk shipments) 

The contractor will be responsible for selection of carrier and must ship by the most reasonable method to insure 

prompt delivery and safe arrival at all destinations for shipments requiring Commercial Bills of Lading. 

All costs are to be billed on the contractor’s vouchers at the actual cost which the contractor paid for these services. 

Shipments must be made direct to the destination(s) stated on the Print Order. 

NOTE: Unless otherwise indicated, truck deliveries must be made at the point of destination between the hours of 

8:30 a.m. and 2:30 p.m. local prevailing time, on normal Government workdays. Shipments must be delivered as 

specified. 
SSA Form Booklets Page 15 of 21 

411-S (11/13) 

MAILING / SHIPPING DOCUMENTATION: As soon as the mailing/shipping operation is STARTED, the 

contractor must send 10 file copies of each order along with all Government furnished materials, by next day 

delivery service (at contractor’s expense) to: 

Social Security Administration 

Forms Management Team 

Room 1300 Annex Building 

6401 Security Boulevard 

Baltimore, MD 21235 

These copies will be considered as "sample copies" and cannot be deducted from the total quantity ordered. 

The package or envelope containing the samples must be identified by the GPO jacket number, program 

number, print order, title, and include a facsimile of the print order on which they were ordered. The contractor 

will comply with the shipping schedule regardless of this requirement. 

 Within 72 hours of completion of the order, all supporting delivery documentation (i.e. shipping receipts and / 

mailing documentation) for each print order is required to be scanned and e- mailed as a PDF to: 

Cheryl.Tarver@ssa.gov and Jamey.Cunningham@ssa.gov. NOTE: Contractor must identify the Print Order 

number in the subject line of all emails. 

 Within 10 working days of the completion of the order, one copy of the GPO billing invoice is to be scanned 

and e- mailed as a PDF to: Cheryl.Tarver@ssa.gov and Jamey.Cunningham@ssa.gov. 

All expenses incidental to picking up and/ or returning Government Furnished Materials, submitting proofs, and 

furnishing sample copies must be borne by the contractor. 

PAYMENTS ON PURCHASE ORDER: 

Processing vouchers for payment, FAX the completed invoice to us by utilizing the GPO barcode coversheet program 

application. Access the following hyperlink and follow the instructions as indicated: 

http://winapps.access.gpo.gov/fms/vouchers/barcode/instructions.html. 

Facsimile transmission should only be used when no samples are required with your invoice, otherwise payment will be 

held up while the invoice is returned to you for the required sample(s). 

If mailed, all voucher packages and envelopes MUST be mailed to: COMPTROLLER-FMCE, Office of Financial 

Management, U.S. Government Printing Office, Washington, DC 20401 

Note: Do not mail your invoice to any other GPO Procurement Office as this will delay payment. 

SCHEDULE: Adherence to this schedule must be maintained. Contractor must not start production of any job prior to 

receipt of the individual print order (GPO Form 2511). 

No definite schedule for pickup of material can be predetermined. 

Furnished material and proofs must be picked up from and delivered to: Social Security Administration, Printing 

Management Branch, Attn: Cheryl Tarver, 1353 ANNEX Bldg., 6401 Security Boulevard, Baltimore, MD., 21235-6401. 

Government Furnished material must be returned to the Social Security Administration, Forms Management Team, 1300 

ANNEX Bldg., 6401 Security Boulevard, Baltimore, MD 21235-6401, within 6 days after the production and 

distribution are completed. 

The following schedule begins the workday after notification of the availability of print order and furnished material; the 

workday after notification will be the first workday of the schedule. 
SSA Form Booklets Page 16 of 21 

411-S (11/13) 

Proofs Schedule (As required) 

Submit all proofs within two (2) workdays after receipt of furnished materials. Manuscript and camera copy must be 

returned with proofs. 

The Government will approve, conditionally approve, or disapprove these proofs within four (4) workdays of the 

receipt thereof. (Note: The first workday after receipt of proofs at SSA is day one (1) of the hold time.) 

All transit time is included in the schedule. Schedule applies to each order separately. 

Submit revised proofs, if necessary due to author's alterations, within one (1) workday after receipt of furnished 

material. 

Revised proofs will be available for pickup within one (1) workday. 

Regular Schedule

Orders of up to 300,000 copies, must be completed and delivered within seven (7) workdays (after proofs are approved, 

when applicable). 

1 additional workday will be allowed for each additional 100,000 copies or a portion thereof. 

The ship/deliver date indicated on the print order is the date products ordered for delivery f.o.b. destination must be 

delivered to the destination(s) specified and all f.o.b. contractors’ city must be delivered to the USPS or picked up 

by the carrier. 

Unscheduled material such as shipping documents, receipts or instructions, delivery lists, labels, etc., will be furnished 

with each order or shortly thereafter. In the event such information is not received in due time, the contractor will not be 

relieved of any responsibility in meeting the shipping schedule because of failure to request such information. 

Upon completion of each order, the contractor is to notify the Government Printing Office of the date of shipment (or 

delivery, if applicable). Call (202) 512-0516 or 0517; callers outside the Washington, DC area may call toll free 1-800-

424-9470 or 9471. 
SSA Form Booklets Page 17 of 21 

411-S (11/13) 

SECTION 3 - DETERMINATION OF AWARD 

The Government will determine the lowest bid by applying the prices offered in the "Schedule of Prices" to the following 

units of production which are the estimated requirements to produce one year's production under this contract. These 

units do not constitute, nor are they to be construed as, a guarantee of the volume of work which may be ordered for a 

like period of time. 

The following item designations correspond to those listed in the "Schedule of Prices". 

I. (a) 24 

 (b) 144 

 (c) 558 

 (d) 312 

II. (a) (1) 744 

 (2) 55,577 

III. (a) 8,762 

 (b) 17,898 

 (c) 2,089 

IV. (a) 43,229 

 (b) (1) 48 

 (2) 5,785 

 (c) 27,288 

 

V. (a) (1) 14,481 

 (b) (1) 63 

 (2) 60 

 (3) 6 

 
SSA Form Booklets Page 18 of 21 

411-S (11/13) 

 

THIS PAGE IS INTENTIONALLY BLANK.
SSA Form Booklets Page 19 of 21 

411-S (11/13) 

SECTION 4 - SCHEDULE OF PRICES 

Bids offered are f.o.b. Destination for addresses located within a 75-mile radius of the Social Security Administration, 

6401 Security Blvd., Baltimore, MD and f.o.b. Contractor's City for all other destinations. 

Bids for each item listed in its respective format group, as defined in Section 2 - Specifications, must include the cost of 

all required materials and operations in accordance with these specifications. 

Bidder must make an entry in each of the spaces provided. Bids submitted with blanks, or with any obliteration, 

revision, or alteration of the order and manner of submitting bids, may be declared non-responsive. 

An entry of NC (No Charge) shall be entered if bidder intends to furnish individual items at no charge to the 

Government. 

Bids submitted with NB (No Bid) or blank spaces for an item may be declared non-responsive. 

The Contracting Officer reserves the right to reject any offer that contains prices for individual items of production 

(whether or not such items are included in the Determination of Award) that are inconsistent or unrealistic in regard to 

other prices in the same offer or to GPO prices for the same operation if such action would be in the best interest of the 

Government. 

All vouchers submitted to the GPO shall be based on the most economical method of production. 

Cost of all required paper must be charged under Item III. 

Fractional parts of 100 or 1,000 will be prorated at the per 100 or per 1,000 rate. 

I. PREPRESS: One basic charge will be allowed on each printed page or side (face and back) of the product. 

(a) Trim/Page-size unit from film .................................per page................................................$ ___________ 

(b) Trim/Page-size unit from camera copy....................per page................................................$ ___________ 

(c) Trim/Page-size unit from electronic file..................per page................................................$ ___________ 

(d) Digital Content Proofs.............................................per set required.....................................$ ___________ 

II. PRINTING AND BINDING: 

 Makeready Running Per 

 and/or Setup 1,000 Copies

(1) (2) 

(a) Paste on fold or saddle-stitch: Printing 

 in a single ink color, including binding...................per page............$ _________ $ __________ 

` 

 _________________ 

 (Initials) 
SSA Form Booklets Page 20 of 21 

411-S (11/13) 

III. PAPER: Payment for all paper supplied by the contractor under the terms of these specifications, as ordered on 

the individual print orders, will be based on the net number of leaves furnished for the product(s) ordered. 

 The cost of any paper required for make-ready or running spoilage must be included in the prices offered. 

 Computation of the net number of leaves will be based on the following: 

 Each page-size leaf (8-1/2 x 11) 

 

Per 1,000 Leaves

(a) White Writing 20-lbs or Offset Book 50-lbs.........................................................................$ ___________ 

(b) Colored Writing 20-lbs or Offset Book 50-lbs......................................................................$ ___________ 

(c) White 100% recycled Offset Book 50-lbs.............................................................................$ ___________

IV. ADDITIONAL OPERATIONS: 

(a) Banding or Shrink-film packaging ..........................per package ..........................................$ ___________ 

(b) Perforating or scoring: 

 

(1) Makeready ....................................................per order...............................................$ ___________ 

(2) Running (maximum of 3 lines per run) .........per 1,000 booklets................................$ ___________ 

(c) Drilling...................................................................per 1,000 booklets................................$ ___________ 

NOTE: An additional charge will be allowed when both horizontal and vertical drilling is required on an 

order. 

V. PACKING: 

(a) Bulk shipments (other than by mail): 

(1) Packing and sealing shipping containers ..........per container.........................................$______________ 

(b) Creating/Affixing labels, Mailing, and Internal Distribution: 

(1) Single or multiple copies in kraft envelope 

 (up to 200 leaves)..............................................per envelope.........................................$______________ 

(2) Quantities over 200 leaves, up to 12 lbs., 

 in cushioned shipping bags or bundles, 

 (maximum gross weight 14 lbs)........................per bundle or container ........................$______________ 

(3) Quantities over 12 lbs., up to 

 36 lbs., packed in shipping containers 

 (maximum gross weight 40 lbs)........................per container.........................................$______________ 

 _________________

 (Initials) 
SSA Form Booklets Page 21 of 21 

411-S (11/13) 

LOCATION OF POST OFFICE: All mailing will be made from the __________________________________ 

Post Office located at Street Address____________________________________________________________, 

City__________________________, State________________________, ZIP Code_______________________. 

INSTRUCTIONS FOR BID SUBMISSION: Fill out "Section 4 - Schedule of Prices", initialing or signing each page 

in the space(s) provided. Submit two copies (original and one exact duplicate) of the "Schedule of Prices" with two 

copies of the GPO Form 910, "Bid" form. Do not enter bid prices on GPO Form 910; prices entered in the "Schedule of 

Prices" will prevail. 

Bidder_____________________________________________________________________________________ 

___________________________________________________________________________________________ 

 (City - State) 

By_________________________________________________________________________________________ 

 (Signature and title of person authorized to sign this bid) 

___________________________________________________________________________________________ 

 (Person to be contacted) (Telephone Number) 
Exhibit A

 March 2011 

Social Security Administration

Office of Publications Management

Publications and Distribution Management Team

AUTOMATED DISTRIBUTION MANAGEMENT SYSTEM (ADMS)

This FIXED LENGTH RECORD LAYOUT will be used to create mailing labels from the ADMS for 

SSA print jobs. The distribution data (on disk or transmitted electronically) must be imported, using the 

layout below, into any label making program and/or software. For example, the data can be imported 

into Microsoft Word, Excel, and Access. 

FIELD POSITIONS LENGTH FORMAT

Label-Line-1 1 - 30 30

 Acct Number 1 - 5 5 character

 Not Used 6 - 7 2 spaces

 First Class Ind 8 - 12 5 character

 Not used 13 - 14 2 spaces

 Dist. List Number 15 - 18 4 character

Not used 19 – 20 2 spaces

Slash 21 - 1 character

 Quantity 22 - 26 5 character

Not Used 27 - 1 spaces

 Location 28 - 30 3 character

Label-line-2 (1st address line) 31 - 60 30 character

Label-line-3 (2nd address line) 61 - 90 30 character

Label-line-4 (opt address line) 91 - 120 30 character

 Label-line-5 (opt address line) 121 - 150 30 character

 Label-line-6 (opt address line) 151 - 180 30 character

 City 151 - 168 18 character

 State 169 - 170 2 character 

 ZIPcode 171 - 180 10 character

Label-line-7 (opt *********) 181 - 210 30

 Postal-Net-Code 181 - 194 14 character

 Not used 195 - 210 16 spaces

Summary Record 1 - 210 210 

 Summary Data 1 - 132 132 character

 Not Used 133 - 210 78 spaces

Last record 1 - 210 210

EOF Indicator 1 - 3 3 character

Not Used 4 - 210 207 spaces

********************************************************************************************

 

Record-Length = 210 characters

Block-Size = 8400 characters

********************************************************************************************

For further information contact:

 Justin Sirois 410-965-4155 (Justin.Sirois@ssa.gov)

 


DISTRIBUTION AND PACKAGING TRANSMITTAL

PREPARED BY

07/20/2011

DATE REVIEWED BY

SOCIAL SECURITY ADMINISTRATION

FORM/PUBLICATION NO.

TITLE OR DESCRIPTION

CAT A

DELIVER NO OF

LABELS QUANTITY

1st Class (outside) 48 Continuous States Non-Contiguous States

1st Class (inside) 48 Continuous States

1st Class

(less than 4 oz.)

International Mail

Foreign, Overseas

Self-Mailer

Class

Standard Class B

(formerly 4th)

Small Package

Common Carrier

Bill of Lading

EDITION DATE TRANSMITTAL NO. INT. REQ. NO.

MAIL LISTS IDENTIFICATION TOTAL QUANTITY

DELIVER NO OF

LABELS QUANTITY

METHOD OF

DELIVERY

INTERNAL

BULK

PACKING

INSTRUCTION

CAT C

CAT D

CAT E

NUMBER OF LABELS

Using Address Labels Provided, Package According To Quantity Indicated On Each Label, Carton Per Contract.

Ship On Furnished Red/Green/Black/Blue Labels.

QUANTITY

A. INTERNAL PACKAGING B. EXTERNAL PACKAGING

BAND WITH INCH BAND

WRAP TO PKG.

SHRINK FILM TO PKG.

BOX OF

INVENTORY CONTROL NUMBER (ICN) UNIT OF ISSUE

SUITABLE CARTONS

CARTONS OF

MFG. STANDARD METHOD

OTHER

Shipments must be made in suitable cartons.

All cartons to be tightly packed and in

accordance with Federal Specifications

PPP-B-636.

Social Security Adm.

Receiving Clerk

6401 Security Blvd.

Baltimore, MD 21235

Redeliver To:

Social Security Adm.

Receiving Clerk

Nat’l. Computer Cetner

6201 Security Blvd.

Baltimore, MD 21235

Redeliver To:

Social Security Adm.

Receiving Clerk

Metro-West Bldg.

300 N. Greene St.

Baltimore, MD 21201

Redeliver To:

Social Security Adm. Receiving Clerk Supply Bldg. 6301 Security Blvd. Baltimore, MD 21235

MAX. LOAD. CL. (13’3”) MAX. LOAD. CL. (13’3”) MAX. LOAD. CL. (13’3”) MAX. LOAD. CL. (13’3”)

Social Security Adm.

Receiving Clerk

6401 Security Blvd.

Baltimore, MD 21235

Redeliver To:

MAX. LOAD. CL. (13’3”)

QTY. QTY. QTY.

QTY.

QTY. Social Security Adm.

ODAR

Receiving Clerk

5107 Leesburg Pike

Falls Church, VA 22041

Redeliver To:

Social Security Adm.

QTY. QTY. QTY.

Social Security Adm.

Receiving Clerk, ODO

Security West

1500 Woodlawn Drive

Baltimore, MD 21241

Redeliver To:

MAX. LOAD. CL. (13’3”)

QTY.

WAREHOUSE/BULK

SHIPMENTS

Each Package And Carton Must Show Inventory Control Number, SSA Requisition Number, Form/Publication Number,

Edition Date, Unit of Issue, and Title or Description of Item.

SEE ATTACHED SHEETS FOR DETAILED DELIVERY INSTRUCTIONS

RETURN

MATERIAL

OVERNIGHT

SERVICE

Social Security Administration

ATTENTION:

1300-ANX.

6401 Security Blvd.

Baltimore, MD 21235

Publications Forms Return Camera

Copy and/or

Negatives with

Samples

Samples of Finished Product

DATE

PRINT ORDER NO.

CAT B

Form SSA-813-U5 (2-2001) Destroy Prior Editions (EF-FF (2-2001)

Preston Gateway Corp. Pkwy 1415 Magellan Dr. Bldg. B.

Hanover, MD 21076

Social Security Adm.

SSA Receiving Clerk