SF 1449.pdf

SOUCITATIONICONTRACTIORDER FOR COIIIIERCIAL ITEMS 11. REQUISITION NUMBER I~ OF

OFFERORTOCOIII'I.ETE BLOCKS 12, 17,23, 24, & 30 1104057 I 6

2. CONTRACT NO. r·AWARCW r ORDER NUNIIER r SOlICITATIONNUMBER ~ SOlICrrATIONEFFECTIVE DATE 1240BK23QOO91 SSUEDATE 07/25/2023

7. FOR SOLICITA11ON

~ ~CHAPMAN

I~'TElEPHONE NUMBER

(No_calls) rOFFERDUE DATEn..OCAlTIME

INFORMATION CALL: 541-613-8959 8/07/2023 1400 PT

9. ISSUED BY COOEI40BK 10. THIS ACQUISITIONIS D UNRESTRICTEDOR [jgSET ASIDE: 100.00 % FOR:

USDA-FS CSA NORTHWEST 1 IKI SMALL BUSINESS WOMEN-OWNEDSMALL NOR1li AMERICAN INDUSTRYo BUSINESS(WOSB) ClASSIACATION STANDARD

1220 SW 3RD AVE D HUBZONESMALL D ECONOMICALLYDISADVANTAGED (NAICS~

STE 310 BUSINESS WOMEN-OWNED SMALL

PORTLAND OR 97204-2829 D SERIIICE-DISABLED BUSINESS (EDWOSB) 332999

VETERAN-OWNED

SMALLBUSINESS o 8(A) SIZE STANDARD: 750

(SDVOSB)

11. DELIVERYFOR FREEON BOARD

2. DISCOUNTTERMS 13b. RATING

(FOB) DESTliATION UNlESS 3a. THIS CONTRACT ISA RATED

BLOCK IS MARKED o ORDER UNDERTHE DEFENSE 14. METHODOFSOlICITATION REQUESTFOR PRIORITIESAND ALLOCATIONS REQUESTFOR 0 INVITATION 0 PROPOSALIX! SEE SCHEDULE SYSTEM- DPJI\S (15CFR 700) KlQUOTE (RFQ) FOR BID (IFB) (RFP)

15. DELIVERTO COOEI04TO 16. ADMINISTEREDBY CODEI40BK

USDA FOREST SERVICE USDA-FS CSA NORTHWEST 1

SIUSLAW NATIONAL FOREST 1220 SW 3RD AVE

3200 SW JEFFERSON WAY STE 310

CORVALLIS OR 97331 PORTLAND OR 97204-2829

17LCONTRACTOR!

CODE I IFA~I 18a. ""'YMENT WIll BE MADE BY CODE IOFFEROR

TELEPHONENO.

Dl7b. CHECK IF REMrrTANCE IS DIFFERENTAND PUT SUCHADDRESS IN OFFER 181>.SUBMITINVOICESTO~ SHOWN IN BLOCK 18a UNLESSBLOCK BELOW

IS CHECKED SEEADDENDUM

19. 20. 21. 22. 23. 24.

ITEMNO. SCHEDULEOFSUPPUESISERVICES QUANTrrY UNIT UNITPRICE AMOUNT

Delivery: 12/30/2023

0001 "GAOA"

Supply and Deliver FOB Destination Fire Rings

Siuslaw National Forest, CCRD, Oregon Dunes NRA POC: Elizabeth Kuplent -elizabeth.kuplent@usda.gov

NOTE:

Delivery is required and should be figured into

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA r'TOTAL AWARD AMOUNT (For GovernmentUse Only)

D 27b_ CONTRACTlPURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA D ARE DARE NOT ATTACHED.

[gI27S. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1,52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

D!I ARE D ARE NOT ATTACHED.

DATED • YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANYADDmONS OR CHANGES WHICH ARE SET FORTH

HEREIN. IS ACCEPTED AS TO ITEMS;

IKl 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _-=.1 _ COPIES 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.

D 29. AWARD OFCONTRACT; REFERENCE __________ OFFER

3Gb. NAME AND TITLE OF SIGNER (Typeor print) 13Oc. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Typeorprint) 131C.DATE SIGNED

~Y R. CHAPMAN I

3Oa.SIGNATUREOFOFFERORICONTRACTOR 318. UNITEDSTATESOFAMERICA (SIGNATURE OF CONTRACTING OFFICER)

AUTHORIZED FOR lOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARDFORIII1448 (REV. 1112021)

'"-crIbedby GSA • FAR (48 CFR) 53.212

19. 20. 21. 22. 23. 24.ITEM NO. SCHEDULE OF SUPPUESISERVICES QUANTITY UNIT UNIT PRICE AMOUNT the final cost. The address is 10 Airport Way, Lakeside, OR 97449, which is the USFS Eel Creek Work Center. It is secured by a FS gate which can be opened with prior notice.

Liftgate service is required.

328.QUANTITYINCOLUMN21 HASBEEN

o RECEIVED o INSPECTED o ACCEPTED ANDCONFORMSTOTHE CONTRACT EXCEPTAS NOTED:

32b. SIGNATUREOFAUTHORIZEDGOVERNMENTREPRESENTATIVE 132c. DATE 32d. PRINTEDNAMEAND rms OFAUTHORIZEDGOVERNMENTREPRESENTATIVE

32e. MAILINGADDRESSOFAUTHORIZEDGOVERNMENTREPRESENTATIVE 321.TELEPHONENUMBEROFAUTHORIZEDGOVERNMENTREPRESENTATIVE

32g. E-MAILOFAUTHORIZEDGOVERNMENTREPRESENTATIVE

33. SHIP NUMBER fw. VOUCHERNUMBER 35.AMOUNTVERIFIED 36. PAYMENT 37. CHECKNUMBER

CORRECTFOR

o COMPLETE o PARTIAl. o FINAl.o PARTIAl. o FINAl.

38. SIRACCOUNTNUMBER 39. SIRVOUCHERNUMBER 40. PAIDBY

41a.1CERTIFYTHISACCOUNTISCORRECTAND PROPERFORPAYMENT 428. RECEIVEDBY (Print) 41b. SIGNATUREANDTITLEOFCERTIFYINGOFFICER 41c.DATE

42b. RECEIVEDAT (Location)

~2c. DATEREC'D (YYIMM/DD) 142d.TOTAl CONTAINERS

STANDARD FORIIl44t (REV. 1112021)BACK