36C78623Q50206 Price Schedule.pdf

Unclassified // Unclassified Document Number: 36C78623Q50206 Page 1 of 9

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

F367313-23-2000001

PAGE 1 OF

5. SOLICITATION NUMBER

36C78623Q50206

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME Brian Werner

b. TELEPHONE NUMBER (No collect calls) 303-000-0000

8. OFFER DUE DATE / LOCAL

TIME

06/30/2023 15:00

CODE 36C786

National Cemetery Administration Contracting Services 18434 Joplin Road Triangle, VA 22172

9. ISSUED BY UNRESTRICTED OR X SET ASIDE: 100.00 % FOR

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

X SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS: 562111

SIZE STANDARD: $47,000,000.00

10. THE ACQUISITION IS

SEE

SCHEDULE

11. DELIVERY FOR FOB DESTINATION

UNLESS BLOCK IS MARKED 0 Days: 0.00 %

0 Days: 0.00 % 0 Days: 0.00 % 0 Days: 0.00 %

12. DISCOUNT TERMS

13a. THIS CONTRACT IS

RATED ORDER UNDER DPAS

(15 CFR 700)

13b. RATING

X RFQ IFB RFP

14. METHOD OF SOLICITATION

367313CODE15. DELIVER TO

Fort Gibson National Cemetery 1423 Cemetery Road Fort Gibson, OK 74434

CODE 36C78616. ADMINISTERED BY

National Cemetery Administration Contracting Services 18434 Joplin Road Triangle, VA 22172

FACILITY

CODE

CODE

Telephone No.

17a. CONTRACTOR/

OFFEROR

36C786CODE18a. PAYMENT WILL BE MADE BY

TUNGSTEN

http://www.tungsten-network.com/customer-campaigns/ veterans-affairs/

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER SEE ADDENDUM

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS

CHECKED

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/SERVICES

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

21. QUANTITY 22. UNIT 23. UNIT PRICE 24. AMOUNT

Universal Waste Removal - Ft Gibson National Cemetery

25. ACCOUNTING AND APPROPRIATION DATA

NCA-2023-0129ADD-C0844000-C08440000-NCACEMOP-RPM017-254201-744348106-00-NCACO01A-C08440000-2023

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 ATTACHED. ADDENDA 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 ____ 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.

29. AWARD OF CONTRACT: REF. _____________________________ 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 THE CONTRACTING OFFICER (TYPE OR PRINT) Brian Werner

31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 02/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

Document Number: 36C78623Q50206 Page 2 of 9

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

PARTIAL FINAL

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

COMPLETE PARTIAL FINAL

36. PAYMENT 37. CHECK NUMBER

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)

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

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 02/2012) BACK

Document Number: 36C78623Q50206 Page 3 of 9

Table of Contents

Section Description Page Number

1 Continuation Sheet 3 Documents, Exhibits, or Attachments

Document Number: 36C78623Q50206 Page 4 of 9

Section 1 - Continuation Sheet

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

0001 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2023 - 07/31/2024

Description: CLIN 0001-Remove, collect and dispose of 60 gallons of used oil from a 65-chemical storage cabinet

Reference Line: F367313-23-2000001 - 0001

Pricing Options: Base

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

0002 Firm Fixed Price

PSC: S205

1.000000 JB

Period of Performance: 08/01/2023 - 07/31/2024

Description: CLIN 0002-Remove, collect and dispose of 30 gallons of used coolant from a 65-chemical storage cabinet

Reference Line: F367313-23-2000001 - 0002

Pricing Options: Base

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

0003 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2023 - 07/31/2024

Description: CLIN 0003-Remove, collect and dispose of 750 gallons oily water from a 1000 gallons oil/water separator tank

Reference Line: F367313-23-2000001 - 0003

Pricing Options: Base

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

0004 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2023 - 07/31/2024

Description: CLIN 0004-Clean the sand interceptor of the oil/water tank

Reference Line: F367313-23-2000001 - 0004

Pricing Options: Base

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

0005 Firm Fixed Price 2.000000 JB

Document Number: 36C78623Q50206 Page 5 of 9

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

PSC: S205

Period of Performance: 08/01/2023 - 07/31/2024

Description: CLIN 0005-Remove, collect and dispose of used oil filters from a 55-gallon container

Reference Line: F367313-23-2000001 - 0005

Pricing Options: Base

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

1001 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2024 - 07/31/2025

Description: CLIN 1001-Remove, collect and dispose of 60 gallons of used oil from a 65-chemical storage cabinet

Reference Line: F367313-23-2000001 - 1001

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

1002 Firm Fixed Price

PSC: S205

1.000000 JB

Period of Performance: 08/01/2024 - 07/31/2025

Description: CLIN 1002-Remove, collect and dispose of 30 gallons of used coolant from a 65-chemical storage cabinet

Reference Line: F367313-23-2000001 - 1002

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

1003 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2024 - 07/31/2025

Description: CLIN 1003-Remove, collect and dispose of 750 gallons oily water from a 1000 gallons oil/water separator tank

Reference Line: F367313-23-2000001 - 1003

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

1004 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2024 - 07/31/2025

Description: CLIN 1004-Clean the sand interceptor of the oil/water tank

Document Number: 36C78623Q50206 Page 6 of 9

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

Reference Line: F367313-23-2000001 - 1004

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

1005 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2024 - 07/31/2025

Description: CLIN 1005-Remove, collect and dispose of used oil filters from a 55-gallon container

Reference Line: F367313-23-2000001 - 1005

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

2001 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2025 - 07/31/2026

Description: CLIN 2001-Remove, collect and dispose of 60 gallons of used oil from a 65-chemical storage cabinet

Reference Line: F367313-23-2000001 - 2001

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

2002 Firm Fixed Price

PSC: S205

1.000000 JB

Period of Performance: 08/01/2025 - 07/31/2026

Description: CLIN 2002-Remove, collect and dispose of 30 gallons of used coolant from a 65-chemical storage cabinet

Reference Line: F367313-23-2000001 - 2002

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

2003 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2025 - 07/31/2026

Description: CLIN 2003-Remove, collect and dispose of 750 gallons oily water from a 1000 gallons oil/water separator tank

Reference Line: F367313-23-2000001 - 2003

Pricing Options:

Document Number: 36C78623Q50206 Page 7 of 9

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

2004 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2025 - 07/31/2026

Description: CLIN 2004-Clean the sand interceptor of the oil/water tank

Reference Line: F367313-23-2000001 - 2004

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

2005 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2025 - 07/31/2026

Description: CLIN 2005-Remove, collect and dispose of used oil filters from a 55-gallon container

Reference Line: F367313-23-2000001 - 2005

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

3001 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2026 - 07/31/2027

Description: CLIN 3001-Remove, collect and dispose of 60 gallons of used oil from a 65-chemical storage cabinet

Reference Line: F367313-23-2000001 - 3001

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

3002 Firm Fixed Price

PSC: S205

1.000000 JB

Period of Performance: 08/01/2026 - 07/31/2027

Description: CLIN 3002-Remove, collect and dispose of 30 gallons of used coolant from a 65-chemical storage cabinet

Reference Line: F367313-23-2000001 - 3002

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

3003 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2026 - 07/31/2027

Document Number: 36C78623Q50206 Page 8 of 9

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

Description: CLIN 3003-Remove, collect and dispose of 750 gallons oily water from a 1000 gallons oil/water separator tank

Reference Line: F367313-23-2000001 - 3003

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

3004 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2026 - 07/31/2027

Description: CLIN 3004-Clean the sand interceptor of the oil/water tank

Reference Line: F367313-23-2000001 - 3004

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

3005 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2026 - 07/31/2027

Description: CLIN 3005-Remove, collect and dispose of used oil filters from a 55-gallon container

Reference Line: F367313-23-2000001 - 3005

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

4001 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2027 - 07/31/2028

Description: CLIN 4001-Remove, collect and dispose of 60 gallons of used oil from a 65-chemical storage cabinet

Reference Line: F367313-23-2000001 - 4001

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

4002 Firm Fixed Price

PSC: S205

1.000000 JB

Period of Performance: 08/01/2027 - 07/31/2028

Description: CLIN 4002-Remove, collect and dispose of 30 gallons of used coolant from a 65-chemical storage cabinet

Reference Line: F367313-23-2000001 - 4002

Pricing Options:

Document Number: 36C78623Q50206 Page 9 of 9

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

4003 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2027 - 07/31/2028

Description: CLIN 4003-Remove, collect and dispose of 750 gallons oily water from a 1000 gallons oil/water separator tank

Reference Line: F367313-23-2000001 - 4003

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

4004 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2027 - 07/31/2028

Description: CLIN 4004-Clean the sand interceptor of the oil/water tank

Reference Line: F367313-23-2000001 - 4004

Pricing Options:

Number Supplies or Services Est. Qty Unit Unit Price Total (Inc. disc., tax, and fees)

4005 Firm Fixed Price

PSC: S205

2.000000 JB

Period of Performance: 08/01/2027 - 07/31/2028

Description: CLIN 4005-Remove, collect and dispose of used oil filters from a 55-gallon container

Reference Line: F367313-23-2000001 - 4005

Pricing Options:

Section 3 - Documents, Exhibits, or Attachments Identifier Title DateS Number of

Pages 1 6500.6 Signed locally.pdf 02/08/2023 2 Copy of IGE - waste 11Jan23.xls 02/08/2023 3 Copy of VIP Search 562112 OK AR.xls 02/08/2023 4 Universal waste SOW- Gibson 11Jan23.docx 02/08/2023