1205G120Q0007_SF-1449.pdf
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- 1205G120Q0007
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SEE ADDENDUMIS CHECKED
CODE 18a. PAYMENT WILL BE MADE BY
CODE
FACILITYCODE
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER
OFFEROR
05G1
COLVILLE WA 99114
765 SOUTH MAIN STREET
COLVILLE NATIONAL FOREST
CODE 16. ADMINISTERED BYCODE
X
X
X
561720
SIZE STANDARD:
100.00 % FOR:SET ASIDE:UNRESTRICTED OR05G1
RFPIFB
10. THIS ACQUISITION ISCODE
RFQ
14. METHOD OF SOLICITATION
13b. RATING
NAICS:
SMALL BUSINESS
01/03/2020 1200 PT
12/19/2019
509-684-7134AARON KRETZER
(No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
1205G120Q0007
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 66 974007OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
TELEPHONE NO.
17a. CONTRACTOR/
Multiple Destinations
15. DELIVER TO
COLVILLE WA 99114
765 SOUTH MAIN STREET
9. ISSUED BY
7.
2. CONTRACT NO.
EFFECTIVE DATE
$19.50
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW
ISSUE DATE
DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
11.
SEE SCHEDULE
12. DISCOUNT TERMS
THIS CONTRACT IS A
RATED ORDER UNDER
DPAS (15 CFR 700)
13a.
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
8(A)
COLVILLE NATIONAL FOREST
WOMEN-OWNED SMALL BUSINESS
(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
Janitorial Services Newport and Sullivan Lake Ranger Stations Colville National Forest
SUBMISSION OF QUOTES
Submit Quotes Electronically to Aaron Kretzer at Aaron.Kretzer@usda.gov
Submit at a minimum, the following:
-Form SF-1449 (Complete Schedule of Items pricing, Quoter Information, signed and dated)
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
X
XX
DATED
AARON C. KRETZER
. YOUR OFFER ON SOLICITATION (BLOCK 5),
INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER
ARE
ARE
31c. DATE SIGNED
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)
ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL
SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.
27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
OFFER
STANDARD FORM 1449 (REV. 2/2012)
Prescribed by GSA - FAR (48 CFR) 53.212
ARE NOT ATTACHED.
ARE NOT ATTACHED.
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
30b. NAME AND TITLE OF SIGNER (Type or print)
30a. SIGNATURE OF OFFEROR/CONTRACTOR
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
25. ACCOUNTING AND APPROPRIATION DATA
29. AWARD OF CONTRACT:
REF.
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED
40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER
37. CHECK NUMBER
FINALPARTIAL
36. PAYMENT
FINALPARTIAL
35. AMOUNT VERIFIED
CORRECT FOR
34. VOUCHER NUMBER33. SHIP NUMBER
COMPLETE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)
42b. RECEIVED AT (Location)
42a. RECEIVED BY (Print)
41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT
STANDARD FORM 1449 (REV. 2/2012) BACK
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
-Response to Evaluation Criteria (See FAR
52.212-2)
-Attachment D4 - Representations, certification and other statements of offerors (Complete as applicable)
- QUOTER INFORMATION -
Company Name:_______________________________
Address:_______________________________
City, State, Zip:_______________________________
Phone #:_______________________________
Email Address:_______________________________
DUNS #:_______________________________
ENTER YOUR PRICES FOR THE FOLLOWING SCHEDULE OF
ITEMS:
0001 "Daily" services (Statement of Work Section 4.A.) 6 MO delivered once each week for Newport Ranger
District buildings
Performance Period: January 10, 2020 through
April 30, 2020 and November 01, 2020 through
December 31, 2020
0002 "Daily" services (Statement of Work Section 4.A.) 6 MO
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
66 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 66
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1205G120Q0007 delivered twice each week for Newport Ranger
District buildings
Performance Period: May 01, 2020 through October
31, 2020
0003 "Biannual" services (Statement of Work Section 2 EA
4.B) delivered twice each year for Newport Ranger
District buildings
Performance Period: January 10, 2020 through
December 31, 2020
0004 "Annual" services (Statement of Work Section 1 EA
4.C.) delivered once each year for Newport Ranger
District buildings
Performance Period: January 10, 2020 through
December 31, 2020
0005 "Daily" services (Statement of Work Section 4.A.) 12 MO delivered once each week for Sullivan Lake Ranger
District building
Performance Period: January 10, 2020 through
December 31, 2020
0006 "Biannual" services (Statement of Work Section 2 EA
4.B) delivered twice each year for Sullivan Lake
Ranger District building
Performance Period: January 10, 2020 through
December 31, 2020
0007 "Annual" services (Statement of Work Section 1 EA
4.C.) delivered once each year for Sullivan Lake
Ranger District building
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
4 66
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1205G120Q0007
Performance Period: January 10, 2020 through
December 31, 2020
1001 "Daily" services (Statement of Work Section 4.A.) 6 MO delivered once each week for Newport Ranger
District buildings
Option YR 1 Performance Period: January 01, 2021 through April 30, 2021 and November 01, 2021 through December 31, 2021
(Option Line Item)
1002 "Daily" services (Statement of Work Section 4.A.) 6 MO delivered twice each week for Newport Ranger
District buildings
Option YR 1 Performance Period: May 01, 2021 through October 31, 2021
(Option Line Item)
1003 "Biannual" services (Statement of Work Section 2 EA
4.B) delivered twice each year for Newport Ranger
District buildings
Option YR 1 Performance Period: January 01, 2021 through December 31, 2021
(Option Line Item)
1004 "Annual" services (Statement of Work Section 1 EA
4.C.) delivered once each year for Newport Ranger
District buildings
Option YR 1 Performance Period: January 01, 2021 through December 31, 2021
(Option Line Item)
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
5 66
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1205G120Q0007
1005 "Daily" services (Statement of Work Section 4.A.) 12 MO delivered once each week for Sullivan Lake Ranger
District building
Option YR 1 Performance Period: January 01, 2021 through December 31, 2021
(Option Line Item)
1006 "Biannual" services (Statement of Work Section 2 EA
4.B) delivered twice each year for Sullivan Lake
Ranger District building
Option YR 1 Performance Period: January 01, 2021 through December 31, 2021
(Option Line Item)
1007 "Annual" services (Statement of Work Section 1 EA
4.C.) delivered once each year for Sullivan Lake
Ranger District building
Option YR 1 Performance Period: January 01, 2021 through December 31, 2021
(Option Line Item)
2001 "Daily" services (Statement of Work Section 4.A.) 6 MO delivered once each week for Newport Ranger
District buildings
Option YR 2 Performance Period: January 01, 2022 through April 30, 2022 and November 01, 2022 through December 31, 2022
(Option Line Item)
2002 "Daily" services (Statement of Work Section 4.A.) 6 MO delivered twice each week for Newport Ranger
District buildings
Option YR 2 Performance Period: May 01, 2022 through October 31, 2022
(Option Line Item)
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
6 66
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1205G120Q0007
2003 "Biannual" services (Statement of Work Section 2 EA
4.B) delivered twice each year for Newport Ranger
District buildings
Option YR 2 Performance Period: January 01, 2022 through December 31, 2022
(Option Line Item)
2004 "Annual" services (Statement of Work Section 1 EA
4.C.) delivered once each year for Newport Ranger
District buildings
Option YR 2 Performance Period: January 01, 2022 through December 31, 2022
(Option Line Item)
2005 "Daily" services (Statement of Work Section 4.A.) 12 MO delivered once each week for Sullivan Lake Ranger
District building
Option YR 2 Performance Period: January 01, 2022 through December 31, 2022
(Option Line Item)
2006 "Biannual" services (Statement of Work Section 2 EA
4.B) delivered twice each year for Sullivan Lake
Ranger District building
Option YR 2 Performance Period: January 01, 2022 through December 31, 2022
(Option Line Item)
2007 "Annual" services (Statement of Work Section 1 EA
4.C.) delivered once each year for Sullivan Lake
Ranger District building
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
7 66
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1205G120Q0007
Option YR 2 Performance Period: January 01, 2022 through December 31, 2022
(Option Line Item)
3001 "Daily" services (Statement of Work Section 4.A.) 6 MO delivered once each week for Newport Ranger
District buildings
Option YR 3 Performance Period: January 01, 2023 through April 30, 2023 and November 01, 2023 through December 31, 2023
(Option Line Item)
3002 "Daily" services (Statement of Work Section 4.A.) 6 MO delivered twice each week for Newport Ranger
District buildings
Option YR 3 Performance Period: May 01, 2023 through October 31, 2023
(Option Line Item)
3003 "Biannual" services (Statement of Work Section 2 EA
4.B) delivered twice each year for Newport Ranger
District buildings
Option YR 3 Performance Period: January 01, 2023 through December 31, 2023
(Option Line Item)
3004 "Annual" services (Statement of Work Section 1 EA
4.C.) delivered once each year for Newport Ranger
District buildings
Option YR 3 Performance Period: January 01, 2023 through December 31, 2023
(Option Line Item)
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
8 66
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1205G120Q0007
3005 "Daily" services (Statement of Work Section 4.A.) 12 MO delivered once each week for Sullivan Lake Ranger
District building
Option YR 3 Performance Period: January 01, 2023 through December 31, 2023
(Option Line Item)
3006 "Biannual" services (Statement of Work Section 2 EA
4.B) delivered twice each year for Sullivan Lake
Ranger District building
Option YR 3 Performance Period: January 01, 2023 through December 31, 2023
(Option Line Item)
3007 "Annual" services (Statement of Work Section 1 EA
4.C.) delivered once each year for Sullivan Lake
Ranger District building
Option YR 3 Performance Period: January 01, 2023 through December 31, 2023
(Option Line Item)
4001 "Daily" services (Statement of Work Section 4.A.) 6 MO delivered once each week for Newport Ranger
District buildings
Option YR 4 Performance Period: January 01, 2024 through April 30, 2024 and November 01, 2024 through December 31, 2024
(Option Line Item)
4002 "Daily" services (Statement of Work Section 4.A.) 6 MO delivered twice each week for Newport Ranger
District buildings
Option YR 4 Performance Period: May 01, 2024 through October 31, 2024
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
9 66
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1205G120Q0007
(Option Line Item)
4003 "Biannual" services (Statement of Work Section 2 EA
4.B) delivered twice each year for Newport Ranger
District buildings
Option YR 4 Performance Period: January 01, 2024 through December 31, 2024
(Option Line Item)
4004 "Annual" services (Statement of Work Section 1 EA
4.C.) delivered once each year for Newport Ranger
District buildings
Option YR 4 Performance Period: January 01, 2024 through December 31, 2024
(Option Line Item)
4005 "Daily" services (Statement of Work Section 4.A.) 12 MO delivered once each week for Sullivan Lake Ranger
District building
Option YR 4 Performance Period: January 01, 2024 through December 31, 2024
(Option Line Item)
4006 "Biannual" services (Statement of Work Section 2 EA
4.B) delivered twice each year for Sullivan Lake
Ranger District building
Option YR 4 Performance Period: January 01, 2024 through December 31, 2024
(Option Line Item)
4007 "Annual" services (Statement of Work Section 1 EA
4.C.) delivered once each year for Sullivan Lake
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
10 66
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1205G120Q0007
Ranger District building
Option YR 4 Performance Period: January 01, 2024 through December 31, 2024
(Option Line Item)
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
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