Sol_A15PS00316.pdf

PDF 104 KB Posted Mar 31, 2015

Attached to: Plumbing Components Federal contract opportunity
Solicitation number: A15PS00316
Issued by: Department of the Interior Bureau of Indian Affairs Central Office

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A15PS00316

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Certification_Letter.pdf	PDF	Mar 31, 2015
Combined_Synopsis_Solicitation_A15PS00316.pdf	PDF	Mar 31, 2015
A15PS00316.pdf	PDF	Mar 31, 2015

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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

A04

DOI Building Contracting Office 2021 4tTH AVENUE NORTH

BIA RMRO 00004

0009061982 CODE 16. ADMINISTERED BYCODE

333911

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED ORA04

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

04/13/2015 1200 MT

03/31/2015

208-387-5566Michelle Cruzsalum (No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

A15PS00316

5. SOLICITATION NUMBER

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

1 4 0040200696OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

BILLINGS MT 59101-1461

TELEPHONE NO.

17a. CONTRACTOR/

MISSOULA MT 59808

5785 Highway 10 West BIA NIFC: Chester Gladstone

15. DELIVER TO

BILLINGS MT 59101-1461

DOI Building Contracting Office 2021 4tTH AVENUE NORTH

9. ISSUED BY

2. CONTRACT NO.

EFFECTIVE DATE

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 SCHEDULE

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)

BIA RMRO 00004

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.

**100% Small Business Buy Indian Set Aside Buy**

The Bureau of Indian Affairs, National Interagency Fire Center intends to purchase plumbing components. Contractor shall furnish all materials and transportation.

Vendor DUNS Number:___________________________

This Purchase Request is for FY2015 funded Model (Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

Alvin Windyboy

. 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

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.

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.

52 plumbing components. These parts will be used in the production of Model 52 pump packages which are used in the suppression of wildland fire on trust land.

Suggested COR: SSMART

Buyer requires seller to deliver on or before delivery date.

All part numbers are Wildfire numbers.

00010 Part No. 12-16S, 4 Stage Pump End 13 EA

Delivery: 07/31/2015

00020 Part No. HAN-9917.0022 20 EA

Delivery: 07/31/2015

00030 Part No. ADP-A-DM15PN-HX 130 EA

Delivery: 07/31/2015

00040 Part No. ADP-A-DM20PS-HX 130 EA

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)

A15PS00316

Delivery: 07/31/2015

00050 Part No. ADP-A-DM10PS-HX 40 EA

Delivery: 07/31/2015

00060 Part No. ADP-A-C10S 20 EA

Delivery: 07/31/2015

00070 Part No. ADP-A-C15N 60 EA

Delivery: 07/31/2015

00080 Part No. COR-HX-66151153 20 EA

Delivery: 07/31/2015

00090 Part No. B-5258, 2" FOOTVALVE 20 EA

Delivery: 07/31/2015

00100 Part No. ADP-A-DFS20S 40 EA

Delivery: 07/31/2015

00110 Part No. ADP-A-FM20S15N 20 EA

Delivery: 07/31/2015

Continued ...

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