75H71125P00117 Signed.pdf
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- Solicitation number
- 75H71125P00117
About this file
This is a federal Order for Supplies or Services issued by the Indian Health Service Oklahoma City Area Office to Palmerton & Parrish, Inc. The contract, numbered 75H71125P00117, awards $6,085.00 for geotechnical services to support a new water storage tank project in Wyandotte, Ottawa County, Oklahoma. The period of performance is from 04/03/2025 to 06/03/2025, with delivery and invoicing to be completed at the Oklahoma City Area IHS office located at 701 Market Drive, Oklahoma City, OK 73114. The contract includes a Statement of Work, associated drawing, and Davis Bacon General Wage Decision, with oversight by Environmental Engineer Steven Boyd and Contract Specialist Jeffrey Earnest.
The order specifies detailed invoicing requirements, including electronic submission to okcapinvoices@ihs.gov or postal mail to the Finance Department, with copies sent to the Contract Specialist and Oversight Monitor. Accounting information indicates the funding is from the 2025 fiscal year, with a Funding Code of 2025.J5002ED.25235. The contractor, Palmerton & Parrish, Inc., is classified as a small business with a Unique Entity Identifier (UEI) of PJN2KR34L6G7, located in Springfield, Missouri.
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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)
04/03/2025
75H71125P00117 IHS1507750
Oklahoma City Area IHS
701 Market Drive
Oklahoma City OK 73114
RACHEL
PALMERTON & PARRISH, INC. 1270264
PALMERTON & PARRISH, INC. 4168
4168 W KEARNEY ST
SPRINGFIELD MO 65803
See Schedule
12. F.O.B. POINT
06/03/2025
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: PJN2KR34L6G7
Contractor shall provide Geotechnical Services for a new water storage tank in Ottawa Co, Oklahoma.
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
$6,085.00
22. UNITED STATES OF
AMERICA BY (Signature)
23. NAME (Typed)
TITLE: CONTRACTING/ORDERING OFFICER
EDSON W. YELLOWFISH
$6,085.00
OPTIONAL FORM 347 (Rev. 2/2012)
Prescribed by GSA/FAR 48 CFR 53.213(f)
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE
04/06/2025
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
04/03/2025 75H71125P00117
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: 04/03/2025 to
06/03/2025
1 Contractor shall provide Geotechnical 6085 J3 1.00 6,085.00
Services for a new water storage tank in
Wyandotte, OK, Ottawa Co in accordance with the Statement of Work and information provided.
Project Data:
136215.4.HGFK0000000-OKLAHOMA AREA
IHS.25235-ALL OTR SVCS.01/14/2025
Accounting Info:
2025.J5002ED.25235 Appr. Yr.: 2025
CAN: J5002ED Object Class: 25235
Funded: $6,085.00
Additional Provisions and Conditions (10 pages; 4-13 are attached hereto)
Scope of Work includes: Statement of Work
(3pages), drawing (1 page) (attached).
Davis Bacon General Wage Decision
OK20250033 Dated 01/02/2025 is hereby incorporated, (attached)
FAR Clause 52.213-4 attached FAR Clause
52.204-7 applies
Oversite Monitor: Steven Boyd, Environmental Engineer
Office Phone: 918-542-6637 Ext. 21605
Cell: 918-961-2915
Email: steven.boyd2@ihs.gov
Contract Specialist (C): Jeffrey Earnest, (IHS/OKC) 405-951-3740
E-mail jeffrey.earnest@ihs.gov
Complete invoices and supporting documentation shall be sent either electronically via e-mail or by regular
Continued ...
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)) $6,085.00
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
04/03/2025 75H71125P00117
PAGE NO
(a) (b) (c) (d) (e) (f) (g) postal mail to the paying office (Bill To) below:
Bill To:
E-mail Invoice to: okcapinvoices@ihs.gov
Or mail invoices to:
Oklahoma City Area Indian Health Service
Attention Finance Department
701 Market Drive
Oklahoma City, OK 73114
Accounts Payable POC is Alicia Kinney
Phone 405-951-3924
E-mail alicia.kenney@ihs.gov
Please Note: Email a copy of the invoice to the Contract Specialist and Oversite
Monitor so that they can verify work is complete and make sure it is received in the system.
The total amount of award: $6,085.00. 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)) $0.00
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