Sol_140S0120Q0001.pdf

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

S40

Washington DC 20240

Main Interior Building Acquisition Management Branch DOI, Office of Surface Mining & Rec OSMRE - HDQRTS Washington, DC

0003820475 CODE 16. ADMINISTERED BYCODE

X

X

721110

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORS40

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

02/19/2020 1000 ET

02/14/2020

202-208-0614Richard Skinner (No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

140S0120Q0001

5. SOLICITATION NUMBER

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

1 4 0040474102OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1849 C St, NW

TELEPHONE NO.

17a. CONTRACTOR/

Washington DC 20240

1849 C. STREET, NW

OSM, RECLAMATION AND ENFORCEMENT

15. DELIVER TO

Washington DC 20240 1849 C Street, NW Main Interior Building Acquisition Management Branch DOI, Office of Surface Mining & Rec

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$35.00

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)

OSMRE - HDQRTS Washington, DC

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.

FORENSIC HYDROLOGIC INVESTIGATION (FHI-202001) -

Cincinnati, OH

2 MARCH 2020 - 6 MARCH 2020

COALFIELD COMMUNICATIONS (CC0M 2020001)

9 MARCH 2020 - 13 MARCH 2020

Legacy Doc #: OSM Period of Performance: 03/02/2020 to 03/13/2020

Continued ...

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

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

Richard Skinner

. 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.

00010 Forensic Hydrologic Investigation- Cincinnati

Check in - 2 Mar 20

Check out - 6 Mar 20

Total personnel charged against the PO

15 x 4 nights

3 via Government purchase card

Product/Service Code: X1FZ

Product/Service Description: LEASE/RENTAL OF

OTHER RESIDENTIAL BUILDINGS

Delivery: 03/06/2020

Period of Performance: 03/02/2020 to 03/06/2020

00020 Forensic Hydrologic Investigation- Conference room

1200 sq. ft. Meeting Room - Rental /Fee - 3 days

- Conference area - U-Shaped configuration

- Flipcharts, easels, pads, and markers - 2 each x 3 days =

8' x 8' Projection Screen - Includes A/V Cart =

Service fees -

Miscellaneous charges

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

4 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

140S0120Q0001

Product/Service Code: X1AB

Product/Service Description: LEASE/RENTAL OF

CONFERENCE SPACE AND FACILITIES

Delivery: 07/17/2020

Period of Performance: 03/02/2020 to 03/06/2020

00030 COALFIELD COMMUNICATIONS- Cincinnati

Check in - 9 Mar 20

Check out - 13 Mar 20

Total personnel charged against the PO

17 x 4 nights

4 via Government purchase card

Product/Service Code: X1FZ

Product/Service Description: LEASE/RENTAL OF

OTHER RESIDENTIAL BUILDINGS

Delivery: 03/13/2020

Period of Performance: 03/09/2020 to 03/13/2020

00040 COALFIELD COMMUNICATIONS - Conference room

1400 sq. ft. Meeting Room - Rental /Fee - 3 days

- Conference room in configuration per attachment

Flipcharts, easels, pads, and markers - 5 each x

3 days =

10' x 10' Projection Screen - Includes A/V Cart

Service fees -

Miscellaneous charges

Product/Service Code: X1AB

Product/Service Description: LEASE/RENTAL OF

CONFERENCE SPACE AND FACILITIES

Delivery: 03/13/2020

Period of Performance: 03/09/2020 to 03/13/2020

The contractor agrees to invoice only for those rooms utilized by the Government at the agreed total room rate of $94.00 for all periods of performance. The Government may cancel a training

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

4 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

140S0120Q0001 course(s) where there is an expectedly low registration rate.

The Government reserves the right to cancel the room block at no penalty charge, provided the cancellation notice is provided 14 days prior to the scheduled course date. The Government will deobligate excess funds from the room cancellation by modifying the purchase order.

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

Sponsored by GSA

FAR (48 CFR) 53.110