75H71125P00070 signed po.pdf
PDF 214 KB Posted
- Solicitation number
- 75H71125P0070
About this file
This document is a Purchase Order (Standard Form 347) issued by the Indian Health Service (IHS) Oklahoma City Area Office to Lyday Construction LLC for a water line extension project. The contract (Order No. 75H71125P00070) is valued at $147,815.00 and covers the installation of a water line extension to serve 4 homes in Canadian County, Oklahoma. The period of performance is from 02/21/2025 to 05/31/2025, with two separate funding lines of $124,585.68 and $23,229.32.
Key details include delivery to the Oklahoma City Area Office, F.O.B. destination, and HHS NET 30 payment terms. The contractor (Lyday Construction LLC) is classified as a small business, and the work includes a Statement of Work (77 pages), drawings (8 pages), and is subject to Davis Bacon wage requirements. Invoices should be submitted electronically to okcapinvoices@ihs.gov or mailed to the Oklahoma City Area Indian Health Service, with copies sent to the Contract Specialist Jeffrey Earnest and Oversight Monitor Drew Kay.
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)
02/21/2025
75H71125P00070 IHS1507192
Oklahoma City Area IHS
701 Market Drive
Oklahoma City OK 73114
SHAWN D LYDAY
SHAWN LYDAY 1627606
LYDAY CONSTRUCTION LLC 3209 BE
3209 BENNETT ROAD
HOWE TX 75459
See Schedule
12. F.O.B. POINT
05/31/2025
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)
X
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: HFMWKRHX16D3
Contractor to install a water line extension to serve 4 homes in Canadian County in accordance with the drawing and the statement of work/specification.
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
$147,815.00
22. UNITED STATES OF
AMERICA BY (Signature)
23. NAME (Typed)
TITLE: CONTRACTING/ORDERING OFFICER
EDSON W. YELLOWFISH
$147,815.00
OPTIONAL FORM 347 (Rev. 2/2012)
Prescribed by GSA/FAR 48 CFR 53.213(f)
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE
02/21/2025
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
02/21/2025 75H71125P00070
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: 02/21/2025 to
05/31/2025
1 Contractor shall install a water line 124,585.68 extension in accordance with the statement of work/specification and drawing.
Note: price is spread over two-line items due to types of funding available.
Project Data:
131015.5.EMJK0000000-OKLAHOMA AREA
IHS.25235-ALL OTR SVCS.12/30/2024
Accounting Info:
2025.J5003ZH.25235 Appr. Yr.: 2025
CAN: J5003ZH Object Class: 25235
Funded: $124,585.68
2 Contractor shall install a water line 23,229.32 extension in accordance with the statement of work/specification and drawing.
Project Data:
131015.3.HGFK0000000-OKLAHOMA AREA
IHS.25235-ALL OTR SVCS.12/30/2024
Accounting Info:
2025.J5002IH.25235 Appr. Yr.: 2025
CAN: J5002IH Object Class: 25235
Funded: $23,229.32
Period of Performance: 02/21/2025 to
05/23/2025
Additional Provisions and Conditions (10 pages; 4-13 are attached hereto)
Scope of Work includes: SPEC
Sheet/Statement of Work (77 pages), drawing
(8 pages) (attached).
Davis Bacon General Wage Decision
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)) $147,815.00
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
02/21/2025 75H71125P00070
PAGE NO
(a) (b) (c) (d) (e) (f) (g)
OK20250049 Dated 01/02/2025 is hereby incorporated, (attached)
FAR Clause 52.213-4 attached FAR Clause
52.204-7 applies
Oversite Monitor: Drew Kay 580-331-3492
Environmental Engineer e-mail drew.kay@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 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: $147,815.00. 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
File details come from the government source that posted it. Updated .