SF 1449 Form - 12443921Q0003 - Modification 0001- EASTERN DIVIDE RD.pdf

PDF 277 KB Posted Feb 1, 2021

Attached to: Perform janitorial services at the Eastern Divide Ranger District office in Blacksburg, VA and Work Center in New Castle, Va on the George Washington & Jefferson NFs.
Solicitation number: 12443921Q0003
Issued by: Department of Agriculture Forest Service

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Other files

File	Type	Posted
WD 2015-4315 Rev. 14 12-21-2020 Craig County VA.docx	DOCX document	Jan 29, 2021
12443921Q0003 - Request for Quotation-Eastern Divide Janitorial .pdf	PDF	Jan 29, 2021
WD 2015-4299 Rev 11 12-21-2020 Montgomery County VA.docx	DOCX document	Jan 29, 2021
SF 1449 Form - 12443921Q0003 - EASTERN DIVIDE RD.pdf	PDF	Jan 29, 2021

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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

ATLANTA GA 30309-2449

STE 876S

1720 PEACHTREE ST NW

USDA-FS CSA EAST 1

3396 CODE 16. ADMINISTERED BYCODE

561720

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR4439

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

01/29/2021

859-745-3128KELLY FORD

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIME

02/13/2021 @ 11:00 EST

b. TELEPHONE NUMBERa. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION 5. SOLICITATION NUMBER

12443921Q0003/0001

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 6 1023350OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

BLACKSBURG VA 24060

110 SOUTHPARK DRIVE

EASTERN DIVIDE RANGER DISTRICT

USDA FOREST SERVICE

15. DELIVER TO

ATLANTA GA 30309-2449

STE 876S

1720 PEACHTREE ST NW

9. ISSUED BY

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 SCHEDULEX

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)

USDA-FS CSA EAST 1

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.

THE PURPOSE OF THIS MODIFICATION 0001 IS TO CORRECT THE

RESPONSE DATE TO REFLECT 2/13/2021 @ 11:00 AM EST. ALL

OTHER SPECIFICATIONS, TERMS, CONDITIONS AND CLAUSES AS

SHOWN IN THIS SOLICITATION 12443921Q0003 REMAIN THE SAME.

Contractor shall furnish all labor, supervision, transportation, equipment and supplies as required to perform janitorial services on the Eastern Divide Ranger District on the George Washington & Jefferson NFs as shown below in accordance with the specifications, terms and conditions of this solicitation.

Period of Performance: 04/01/2021 to 03/31/2026 Continued ...

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

KELLY D. FORD

. 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

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.

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.

SUBMIT PRICING ON

ATTACHED

SCHEDULE OF ITEMS

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.

0001 BASE YEAR: 04/01/2021 - 03/31/2022

Eastern Divide Ranger District Office located at

110 Southpark Drive, Blacksburg VA

a. Clean Blacksburg Office once/week x 52 weeks

b. Clean refrigerator four times/year (February, April, July & October)

c. Clean interior and exterior windows two times/year (April & October)

Product/Service Code: S201

Product/Service Description: HOUSEKEEPING-

CUSTODIAL JANITORIAL

Delivery: 03/31/2022

Period of Performance: 04/01/2021 to 03/31/2022

BASE YEAR: 04/01/2021 - 03/31/2022

Eastern Divide Ranger District Work Center located at 24838 Craig Creek Road, New Castle VA

a. Clean Work Center at New Castle once/week x 52 weeks

b. Clean refrigerator & oven four times/year

(February, April, July & October)

c. Clean interior and exterior windows two times/year (April & October)

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

6 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 6

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

12443921Q0003

Product/Service Code: S201

Product/Service Description: HOUSEKEEPING-

CUSTODIAL JANITORIAL

Delivery: 03/31/2022

Period of Performance: 04/01/2021 to 03/31/2022

OPTION YEAR 1: 04/01/2022 - 03/31/2023

Eastern Divide Ranger District Office located at

110 Southpark Drive, Blacksburg VA

a. Clean Blacksburg Office once/week x 52 weeks

b. Clean refrigerator four times/year (February, April, July & October)

c. Clean interior and exterior windows two times/year (April & October)

(Option Line Item)

Product/Service Code: S201

Product/Service Description: HOUSEKEEPING-

CUSTODIAL JANITORIAL

Delivery: 03/23/2023

Period of Performance: 04/01/2022 to 03/31/2023

OPTION YEAR 1: 04/01/2022 - 03/31/2023

Eastern Divide Ranger District Work Center located at 24838 Craig Creek Road, New Castle VA

a. Clean Work Center at New Castle once/week x 52 weeks

b. Clean refrigerator & oven four times/year

(February, April, July & October)

c. Clean interior and exterior windows two times/year (April & October)

(Option Line Item)

Product/Service Code: S201

Product/Service Description: HOUSEKEEPING-

CUSTODIAL JANITORIAL

Delivery: 03/31/2023

Period of Performance: 04/01/2022 to 03/31/2023

OPTION YEAR 2: 04/01/2023 - 03/31/2024

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)