Attachment A Schedule of Items 1205M620Q0002.pdf

RFQ No. 1205M620Q0002

Janitorial Services, North Bend Compound Snoqualmie Ranger District, Mt. Baker‐Snoqualmie NF

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER

2. CONTRACT NO.

3.AWARD/EFFECTIVE DATE 4. ORDER NUMBER 5. SOLICITATION NUMBER

1205M620Q0002

6. SOLICITATION ISSUE

DATE

12/30/2019

7. FOR SOLICITATION INFORMAT

CALL�:

a. NAME Janet Hada, Contracting Officer

b. TELEPHONE NUMBER (No collect calls)

(425) 783‐6052

8. OFFER DUE DATE/

LOCAL TIME

1/21/2020 @ 2:30pm

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED SET ASIDE 100 % FOR

USDA Forest Service R6 Contracting North Mt. Baker‐Snoqualmie National Forest 2930 Wetmore Avenue, Ste 3A Everett, WA 98201

SMALL BUSINESS WOMAN –OWNED SMALL BUSINESS (WOSB)

HUBZONE SMALL BUSINESS ELIGIBLE UNDER THE WOMEN OWNED SMALL

BUSINESS PROGRAM

SERVICE DISABLE VETERAN‐ EDWOSB‐

VETERAN‐OWNED SMALL

BUSINESS 8(A)

NAICS Code 561720 Size Standard $19.5 million

11. DELIVERY FOR FOB

DESTINATION UNLESS

BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13A. THIS CONTRACT IS RATED

ORDER UNDER DPAS (15 CFR 700

13B. RATING

14. METHOD OF SOLICATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

Snoqualmie Ranger District North Bend Compound 902 S.E. North Bend Way, Bldg. #1 North Bend, WA 98045

SEE BLOCK 9

17a. CONTRACTOR/ OFFERER

TELEPHONE NO. DUNS #____________________

FAX NO. TIN #_____________________

E‐Mail Address: ________________________

18a. PAYMENT WILL BE MADE BY

Invoice Processing Platform (IPP) http://www.ipp.gov

17b CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH

ADDRESS IN OFFER

18b. SUMBIT 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

JANITORIAL SERVICES, NORTH BEND COMPOUND,

BASE PLUS OPTIONS YEARS, SNOQUALMIE RANGER DISTRICT

ENTER PRICING ON

PAGE 3 AND 4

25. ACCOUNTING AND APPROPRIATION DATA

JOB CODE

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 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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN ONE

COPY 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: REFERENCE RFQ AG‐05G1‐S‐12‐00XX 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) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (Rev. 2/2012) Prescribed by GSA‐FAR (48CFR 53.212

Snoqualmie Ranger District, Mt. Baker‐Snoqualmie NF

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Do Not Enter Prices here, enter prices on the attached Schedule of Items, pages 3 and 4

Quotes may be mailed to:

Mt. Baker‐Snoqualmie National Forest Attn: Contracting Officer 2930 Wetmore Avenue, Ste 3A Everett, WA 98201

Faxed to (425) 783‐0129

Emailed to jhada@fs.fed.us

Quotations submitted are considered to be confidential. The name of the Contractor and the amount of the contract will be disclosed only after an award is made

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ________________________________________

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. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E‐MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER

34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECTFOR

36. PAYMENT

COMPLETE PARTIAL

FINAL

37. CHECK NUMBER

PARTIAL

FINAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER

FOR PAYMENT

42a. RECEIVED BY (Print)

41 b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41 c. DATE

42b. RECEIVED AT (Location)

42c. DATE RECD (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV.2/2012) BACK

Snoqualmie Ranger District, Mt. Baker-Snoqualmie NF

PART I—THE SCHEDULE

SECTION B‐‐SUPPLIES OR SERVICES AND PRICES/COSTS

ITEM 1 ‐ BASE YEAR (February 1, 2020 – December 31, 2020)

DESCRIPTION PAY UNIT EST. QTY UNIT PRICE AMOUNT

1.1

Janitorial Service, Peak Months (June – September)

Month

1.2

Janitorial Service, Off‐ Peak Months (October – May)

1.3

Quarterly Janitorial Services

Each

1.4 Conference Room with Kitchen

Area Janitorial Services Monthly and Additional When Needed)

Each 11 $____________

TOTAL BASE

ITEM 2 ‐ OPTION YEAR ONE (January 1, 2021 –December 31, 2021)

2.1

2.2

2.3

Quarterly Janitorialand Services

2.4 Conference Room with Kitchen

Each 12 $____________

TOTAL OPTION ONE

ITEM 3 ‐ OPTION YEAR TWO (January 1, 2022 –December 31, 2022)

3.1

3.2

3.3

3.4

Conference Room with Kitchen

TOTAL OPTION TWO

Snoqualmie Ranger District, Mt. Baker-Snoqualmie NF

ITEM 4 ‐ OPTION YEAR TWO (January 1, 2023 –December 31, 2023)

4.1

4.2

4.3

4.4

TOTAL OPTION

THREE

ITEM 5 ‐ OPTION YEAR FOUR (January 1, 2024 –December 31, 2024)

5.1

5.2

5.3

5.4

TOTAL OPTION FOUR

TOTAL PRICE BASE YEAR, $__________________

TOTAL PRICE OPTION YEAR ONE $__________________

TOTAL PRICE OPTION YEAR TWO $__________________

TOTAL PRICE OPTION YEAR THREE $__________________

TOTAL PRICE OPTION YEAR FOUR $__________________

TOTAL PRICE BASE AND OPTIONS $__________________