75H71124P00285 signed PO.pdf
PDF 211 KB Posted
- Attached to
- Phase I Cultural Resources Survey and produce a phase I Cultural Resources Survey Report
- Solicitation number
- 246-24-Q-0121
About this file
This document is an Order for Supplies or Services for a Phase I Cultural Resources Survey and Report. The contract was awarded to EASTERN SHAWNEE PROFESSIONAL SERVICES, LLC by the Department of Health and Human Services Indian Health Service on June 10, 2024 for $9,842.79. The Period of Performance is from June 10, 2024 to August 16, 2024. The contractor shall perform the Phase I cultural resources survey and produce the report for the City of Barnsdall in Osage County, Oklahoma in accordance with the Statement of Work, drawings, and exhibits. The contract is a fixed-price competitive award.
View the file
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ORDER FOR SUPPLIES OR SERVICES
3. ORDER NO. 4. REQUISITION/REFERENCE NO.
PAGE OF PAGES
5. ISSUING OFFICE (Address correspondence to) b. STREET ADDRESS
IMPORTANT: Mark all packages and papers with contract and/or order numbers. 1
1. DATE OF ORDER 2. CONTRACT NO. (If any) 6. SHIP TO:
a. NAME OF CONSIGNEE
c. CITY d. STATE e. ZIP CODE
7. TO:
a. NAME OF CONTRACTOR
f. SHIP VIA
8. TYPE OF ORDER
b. COMPANY NAME
c. STREET ADDRESS
d. CITY e. STATE f. ZIP CODE
9. ACCOUNTING AND APPROPRIATION DATA
a. PURCHASE b. DELIVERY
REFERENCE YOUR:
Please furnish the following on the terms and conditions specified on both sides of this order and on the attached sheet, if any, including delivery as indicated.
Except for billing instructions on the reverse, this delivery order is subject to instructions contained on this side only of this form and is issued subject to the terms and conditions of the above-numbered contract.
10. REQUISITIONING OFFICE
11. BUSINESS CLASSIFICATION (Check appropriate box(es))
a. SMALL b. OTHER THAN SMALL c. DISADVANTAGED d. WOMEN-OWNED
13. PLACE OF
a. INSPECTION b. ACCEPTANCE
14. GOVERNMENT B/L NO. 15. DELIVER TO F.O.B. POINT
ON OR BEFORE (Date)
16. DISCOUNT TERMS
17. SCHEDULE (See reverse for Rejections)
06/10/2024
75H71124P00285 IHS1495717
Oklahoma City Area IHS
701 Market Drive
Oklahoma City OK 73114
JUDY REAGAN
EASTERN SHAWNEE PROFESSIONAL SERVICES LLC 1652710
EASTERN SHAWNEE PROFESSIONAL SERVIC
6400 GLENWOOD ST STE 320
MISSION KS 66202
See Schedule
12. F.O.B. POINT
08/16/2024
OKLAHOMA CITY AREA OFFICE
701 MARKET DRIVE
OKLAHOMA CITY OK 73114
OKLAHOMA CITY OK 73114
ORACLE
ITEM NO.
(a)
SUPPLIES OR SERVICES
(b)
QUANTITY
ORDERED
(c)
UNIT
(d)
UNIT
PRICE
(e)
AMOUNT
(f)
QUANTITY
ACCEPTED
(g)
XX
X
Destination Destination HHS NET 30P
f. SERVICE-DISABLED
VETERAN-OWNED
e. HUBZone
g. WOMEN-OWNED SMALL BUSINESS (WOSB)
ELIGIBLE UNDER THE WOSB PROGRAM
h. EDWOSB
UEI: QVE4KUVM3XS1
Contractor shall perform a Phase l cultural Resources Survey and produce a Phase l Cultural Resources Survey Report for The City of Barnsdall in Osage County.
Continued ...
19. GROSS SHIPPING WEIGHT18. SHIPPING POINT 20. INVOICE NO.
21. MAIL INVOICE TO:
a. NAME
b. STREET ADDRESS
(or P.O. Box)
c. CITY d. STATE e. ZIP CODE
SEE BILLING
INSTRUCTIONS
ON REVERSE
17(h)
TOTAL
(Cont.
pages)
17(i)
GRAND
TOTAL
$9,842.79
22. UNITED STATES OF
AMERICA BY (Signature)
23. NAME (Typed)
TITLE: CONTRACTING/ORDERING OFFICER
EDSON W. YELLOWFISH
$9,842.79
OPTIONAL FORM 347 (Rev. 2/2012)
Prescribed by GSA/FAR 48 CFR 53.213(f)
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE
06/11/2024
Oklahoma City Area IHS
701 Market Drive
Oklahoma City OK 73114
Oklahoma City OK 73114
DATE OF ORDER
ORDER FOR SUPPLIES OR SERVICES
SCHEDULE - CONTINUATION
CONTRACT NO.
AMOUNTUNIT
PRICE
UNITQUANTITY
ORDERED
SUPPLIES/SERVICESITEM NO.
IMPORTANT: Mark all packages and papers with contract and/or order numbers.
ORDER NO.
QUANTITY
ACCEPTED
06/10/2024 75H71124P00285
PAGE NO
(a) (b) (c) (d) (e) (f) (g)
Admin Office:
Oklahoma City Area IHS
701 Market Drive
Oklahoma City OK 73114
Period of Performance: 06/10/2024 to
08/16/2024
1 Contractor shall perform a Phase l 9842.79 EA 1.00 9,842.79 cultural Resources Survey and produce a
Phase l Cultural Resources Survey Report for The City of Barnsdall, OK in accordance with the Statement of Work, drawing and
Exhibits.
Project Data:
136107.4.HGFK0000000-OKLAHOMA AREA
IHS.25235-ALL OTR SVCS.05/13/2024
Accounting Info:
2024.J5002EC.25235 Appr. Yr.: 2024
CAN: J5002EC Object Class: 25235
Funded: $9,842.79
Additional Provisions and Conditions (10 pages; 3-12 are attached hereto)
Scope of Work includes Statement of Work 3 pages, drawing 1 page, exhibit 2, 3, & 4, Attachment A. 4 pages, and attachment B 11 pages, Aerial drawing (1 page) (attached).
Davis Bacon General Wage Decision
OK20240030 Dated 04/05/2024 is hereby incorporated, (attached)
FAR Clause 52.213-4 attached FAR Clause
52.204-7 applies
Oversite Monitor: Patty Thompson, Project
Engineer 918-762-6588
Contract Specialist (C): Jeffrey Earnest, (IHS/OKC) 405-951-3740
The total amount of award: $9,842.79. The obligation for this award is shown in box
17(i).
Prescribed by GSA FAR (48 CFR) 53.213(f)
OPTIONAL FORM 348 (Rev. 4/2006)AUTHORIZED FOR LOCAL REPODUCTION
PREVIOUS EDITION NOT USABLE
TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17(H)) $9,842.79
File details come from the government source that posted it. Updated .