AG-046W-S-17-0045.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

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

OFFER

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

BELOW IS CHECKED

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

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

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

AG-046W-S-17-0045

Holly Hanson, Contracting Officer 503-668-1601 046W 100

Mt. Hood National Forest 16400 Champion Way, Sandy, OR 97055

Mt. Hood National Forest 16400 Champion Way, Sandy, OR 97055

IPP

Invoice Processing Platform www.ipp.gov

2017-2018 R6 Collection Officer Audits

Contractor MUST be registered in the System for Award Management, www.sam.gov, upon submittal of quote.

DUNS #: _____________________________

Email: _______________________________

See Attached Schedule of Items

541211

05/04/2017

05/22/2017 4pm PST

046W

Mt. Hood National Forest 16400 Champion Way Sandy, OR 97055

R6 Collection Officer Audits AG-046W-S-17-0045 1 of 18

SCHEDULE OF ITEMS

The Contractor shall furnish the necessary personnel, material, equipment, services and facilities, to perform required audits of collection officers and imprest fund cashiers within the Region. See specifications below.

Base Year June 1, 2017 thru May 31, 2018 Item

# Description Est.

QTY Unit

Price Per Unit

Total Price (Qty x Unit Price)

001 0601 Deschutes NF - Collection Officer Audits 37 Each $_______ $_____________ 002 0601 Deschutes NF - Travel * 1 Lump Sum XXXXX $_____________ 003 0602 Fremont-Winema NF - Collection Officer Audits 18 Each $_______ $_____________ 004 0602 Fremont-Winema NF - Travel * 1 Lump Sum XXXXX $_____________ 005 0603 Gifford Pinchot NF - Collection Officer Audits 22 Each $_______ $_____________ 006 0603 Gifford Pinchot NF - Travel * 1 Lump Sum XXXXX $_____________ 007 0604 Malheur NF - Collection Officer Audits 8 Each $_______ $_____________ 008 0604 Malheur NF - Travel * 1 Lump Sum XXXXX $_____________ 009 0605 Mt Baker-Snoqualmie NF - Collection Officer Audits 23 Each $_______ $_____________ 010 0605 Mt Baker-Snoqualmie NF - Travel * 1 Lump Sum XXXXX $_____________ 011 0606 Mt Hood NF - Collection Officer Audits 15 Each $_______ $_____________ 012 0606 Mt Hood NF - Travel * 1 Lump Sum XXXXX $_____________ 013 0607 Ochoco NF - Collection Officer Audits 12 Each $_______ $_____________ 014 0607 Ochoco NF - Travel * 1 Lump Sum XXXXX $_____________ 015 0609 Olympic NF - Collection Officer Audits 12 Each $_______ $_____________ 016 0609 Olympic NF - Travel * 1 Lump Sum XXXXX $_____________ 017 0610 Rogue River-Siskiyou NF - Collection Officer Audits 27 Each $_______ $_____________ 018 0610 Rogue River-Siskiyou NF - Travel * 1 Lump Sum XXXXX $_____________ 019 0612 Siuslaw NF - Collection Officer Audits 28 Each $_______ $_____________ 020 0612 Siuslaw NF - Travel * 1 Lump Sum XXXXX $_____________ 021 0614 Umatilla NF - Collection Officer Audits 23 Each $_______ $_____________ 022 0614 Umatilla NF - Travel * 1 Lump Sum XXXXX $_____________ 023 0615 Umpqua NF - Collection Officer Audits 25 Each $_______ $_____________ 024 0615 Umpqua NF - Travel * 1 Lump Sum XXXXX $_____________ 025 0616 Wallowa-Whitman NF - Collection Officer Audits 21 Each $_______ $_____________ 026 0616 Wallowa-Whitman NF - Travel * 1 Lump Sum XXXXX $_____________ 027 0617 Okanogan-Wenatchee NF - Collection Officer Audits 65 Each $_______ $_____________ 028 0617 Okanogan-Wenatchee NF - Travel * 1 Lump Sum XXXXX $_____________ 029 0618 Willamette NF - Collection Officer Audits 37 Each $_______ $_____________ 030 0618 Willamette NF - Travel * 1 Lump Sum XXXXX $_____________ 031 0621 Colville NF - Collection Officer Audits 12 Each $_______ $_____________ 032 0621 Colville NF - Travel * 1 Lump Sum XXXXX $_____________ 033 0622 Columbia River Gorge NSA - Collection Officer Audits 11 Each $_______ $_____________ 034 0622 Columbia River Gorge NSA - Travel * 1 Lump Sum XXXXX $_____________ 035 0627 Regional Office - Collection Officer Audits 2 Each $_______ $_____________ 036 0627 Regional Office - Travel * 1 Lump Sum XXXXX $_____________ *No modifications will be allowed to adjust the initial lump sum price on the travel line item. As of January 1, 2017 if use of privately owned automobile is authorized or if no Government-furnished automobile is available then the rate per mile is $0.535. For outlying years or more information see: https://www.gsa.gov/portal/content/100715

TOTAL $_____________

R6 Collection Officer Audits AG-046W-S-17-0045 2 of 18 https://www.gsa.gov/portal/content/100715

Option Year 1: June 1, 2018 thru May 30, 2019

Item # Description

Est.

QTY Unit

Price Per Unit

Total Price (Qty x Unit Price)

001 0601 Deschutes NF - Collection Officer Audits 37 Each $_______ $_____________ 002 0601 Deschutes NF - Travel * 1 Lump Sum XXXXX $_____________ 003 0602 Fremont-Winema NF - Collection Officer Audits 18 Each $_______ $_____________ 004 0602 Fremont-Winema NF - Travel * 1 Lump Sum XXXXX $_____________ 005 0603 Gifford Pinchot NF - Collection Officer Audits 22 Each $_______ $_____________ 006 0603 Gifford Pinchot NF - Travel * 1 Lump Sum XXXXX $_____________ 007 0604 Malheur NF - Collection Officer Audits 8 Each $_______ $_____________ 008 0604 Malheur NF - Travel * 1 Lump Sum XXXXX $_____________ 009 0605 Mt Baker-Snoqualmie NF - Collection Officer Audits 23 Each $_______ $_____________ 010 0605 Mt Baker-Snoqualmie NF - Travel * 1 Lump Sum XXXXX $_____________ 011 0606 Mt Hood NF - Collection Officer Audits 15 Each $_______ $_____________ 012 0606 Mt Hood NF - Travel * 1 Lump Sum XXXXX $_____________ 013 0607 Ochoco NF - Collection Officer Audits 12 Each $_______ $_____________ 014 0607 Ochoco NF - Travel * 1 Lump Sum XXXXX $_____________ 015 0609 Olympic NF - Collection Officer Audits 12 Each $_______ $_____________ 016 0609 Olympic NF - Travel * 1 Lump Sum XXXXX $_____________ 017 0610 Rogue River-Siskiyou NF - Collection Officer Audits 27 Each $_______ $_____________ 018 0610 Rogue River-Siskiyou NF - Travel * 1 Lump Sum XXXXX $_____________ 019 0612 Siuslaw NF - Collection Officer Audits 28 Each $_______ $_____________ 020 0612 Siuslaw NF - Travel * 1 Lump Sum XXXXX $_____________ 021 0614 Umatilla NF - Collection Officer Audits 23 Each $_______ $_____________ 022 0614 Umatilla NF - Travel * 1 Lump Sum XXXXX $_____________ 023 0615 Umpqua NF - Collection Officer Audits 25 Each $_______ $_____________ 024 0615 Umpqua NF - Travel * 1 Lump Sum XXXXX $_____________ 025 0616 Wallowa-Whitman NF - Collection Officer Audits 21 Each $_______ $_____________ 026 0616 Wallowa-Whitman NF - Travel * 1 Lump Sum XXXXX $_____________ 027 0617 Okanogan-Wenatchee NF - Collection Officer Audits 65 Each $_______ $_____________ 028 0617 Okanogan-Wenatchee NF - Travel * 1 Lump Sum XXXXX $_____________ 029 0618 Willamette NF - Collection Officer Audits 37 Each $_______ $_____________ 030 0618 Willamette NF - Travel * 1 Lump Sum XXXXX $_____________ 031 0621 Colville NF - Collection Officer Audits 12 Each $_______ $_____________ 032 0621 Colville NF - Travel * 1 Lump Sum XXXXX $_____________ 033 0622 Columbia River Gorge NSA - Collection Officer Audits 11 Each $_______ $_____________ 034 0622 Columbia River Gorge NSA - Travel * 1 Lump Sum XXXXX $_____________ 035 0627 Regional Office - Collection Officer Audits 2 Each $_______ $_____________ 036 0627 Regional Office - Travel * 1 Lump Sum XXXXX $_____________ *No modifications will be allowed to adjust the initial lump sum price on the travel line item. As of January 1, 2017 if use of privately owned automobile is authorized or if no Government-furnished automobile is available then the rate per mile is $0.535. For outlying years or more information see: https://www.gsa.gov/portal/content/100715

TOTAL $_____________

R6 Collection Officer Audits AG-046W-S-17-0045 3 of 18

Option Year 2: June 1, 2019 thru May 30, 2020

# Description

Est.

QTY Unit

Price Per Unit

Total Price (Qty x Unit Price)

001 0601 Deschutes NF - Collection Officer Audits 37 Each $_______ $_____________ 002 0601 Deschutes NF - Travel * 1 Lump Sum XXXXX $_____________ 003 0602 Fremont-Winema NF - Collection Officer Audits 18 Each $_______ $_____________ 004 0602 Fremont-Winema NF - Travel * 1 Lump Sum XXXXX $_____________ 005 0603 Gifford Pinchot NF - Collection Officer Audits 22 Each $_______ $_____________ 006 0603 Gifford Pinchot NF - Travel * 1 Lump Sum XXXXX $_____________ 007 0604 Malheur NF - Collection Officer Audits 8 Each $_______ $_____________ 008 0604 Malheur NF - Travel * 1 Lump Sum XXXXX $_____________ 009 0605 Mt Baker-Snoqualmie NF - Collection Officer Audits 23 Each $_______ $_____________ 010 0605 Mt Baker-Snoqualmie NF - Travel * 1 Lump Sum XXXXX $_____________ 011 0606 Mt Hood NF - Collection Officer Audits 15 Each $_______ $_____________ 012 0606 Mt Hood NF - Travel * 1 Lump Sum XXXXX $_____________ 013 0607 Ochoco NF - Collection Officer Audits 12 Each $_______ $_____________ 014 0607 Ochoco NF - Travel * 1 Lump Sum XXXXX $_____________ 015 0609 Olympic NF - Collection Officer Audits 12 Each $_______ $_____________ 016 0609 Olympic NF - Travel * 1 Lump Sum XXXXX $_____________ 017 0610 Rogue River-Siskiyou NF - Collection Officer Audits 27 Each $_______ $_____________ 018 0610 Rogue River-Siskiyou NF - Travel * 1 Lump Sum XXXXX $_____________ 019 0612 Siuslaw NF - Collection Officer Audits 28 Each $_______ $_____________ 020 0612 Siuslaw NF - Travel * 1 Lump Sum XXXXX $_____________ 021 0614 Umatilla NF - Collection Officer Audits 23 Each $_______ $_____________ 022 0614 Umatilla NF - Travel * 1 Lump Sum XXXXX $_____________ 023 0615 Umpqua NF - Collection Officer Audits 25 Each $_______ $_____________ 024 0615 Umpqua NF - Travel * 1 Lump Sum XXXXX $_____________ 025 0616 Wallowa-Whitman NF - Collection Officer Audits 21 Each $_______ $_____________ 026 0616 Wallowa-Whitman NF - Travel * 1 Lump Sum XXXXX $_____________ 027 0617 Okanogan-Wenatchee NF - Collection Officer Audits 65 Each $_______ $_____________ 028 0617 Okanogan-Wenatchee NF - Travel * 1 Lump Sum XXXXX $_____________ 029 0618 Willamette NF - Collection Officer Audits 37 Each $_______ $_____________ 030 0618 Willamette NF - Travel * 1 Lump Sum XXXXX $_____________ 031 0621 Colville NF - Collection Officer Audits 12 Each $_______ $_____________ 032 0621 Colville NF - Travel * 1 Lump Sum XXXXX $_____________ 033 0622 Columbia River Gorge NSA - Collection Officer Audits 11 Each $_______ $_____________ 034 0622 Columbia River Gorge NSA - Travel * 1 Lump Sum XXXXX $_____________ 035 0627 Regional Office - Collection Officer Audits 2 Each $_______ $_____________ 036 0627 Regional Office - Travel * 1 Lump Sum XXXXX $_____________ *No modifications will be allowed to adjust the initial lump sum price on the travel line item. As of January 1, 2017 if use of privately owned automobile is authorized or if no Government-furnished automobile is available then the rate per mile is $0.535. For outlying years or more information see: https://www.gsa.gov/portal/content/100715

TOTAL $_____________

R6 Collection Officer Audits AG-046W-S-17-0045 4 of 18

Option Year 3: June 1, 2020 thru May 30, 2021

# Description

Est.

QTY Unit

Price Per Unit

Total Price (Qty x Unit Price)

001 0601 Deschutes NF - Collection Officer Audits 37 Each $_______ $_____________ 002 0601 Deschutes NF - Travel * 1 Lump Sum XXXXX $_____________ 003 0602 Fremont-Winema NF - Collection Officer Audits 18 Each $_______ $_____________ 004 0602 Fremont-Winema NF - Travel * 1 Lump Sum XXXXX $_____________ 005 0603 Gifford Pinchot NF - Collection Officer Audits 22 Each $_______ $_____________ 006 0603 Gifford Pinchot NF - Travel * 1 Lump Sum XXXXX $_____________ 007 0604 Malheur NF - Collection Officer Audits 8 Each $_______ $_____________ 008 0604 Malheur NF - Travel * 1 Lump Sum XXXXX $_____________ 009 0605 Mt Baker-Snoqualmie NF - Collection Officer Audits 23 Each $_______ $_____________ 010 0605 Mt Baker-Snoqualmie NF - Travel * 1 Lump Sum XXXXX $_____________ 011 0606 Mt Hood NF - Collection Officer Audits 15 Each $_______ $_____________ 012 0606 Mt Hood NF - Travel * 1 Lump Sum XXXXX $_____________ 013 0607 Ochoco NF - Collection Officer Audits 12 Each $_______ $_____________ 014 0607 Ochoco NF - Travel * 1 Lump Sum XXXXX $_____________ 015 0609 Olympic NF - Collection Officer Audits 12 Each $_______ $_____________ 016 0609 Olympic NF - Travel * 1 Lump Sum XXXXX $_____________ 017 0610 Rogue River-Siskiyou NF - Collection Officer Audits 27 Each $_______ $_____________ 018 0610 Rogue River-Siskiyou NF - Travel * 1 Lump Sum XXXXX $_____________ 019 0612 Siuslaw NF - Collection Officer Audits 28 Each $_______ $_____________ 020 0612 Siuslaw NF - Travel * 1 Lump Sum XXXXX $_____________ 021 0614 Umatilla NF - Collection Officer Audits 23 Each $_______ $_____________ 022 0614 Umatilla NF - Travel * 1 Lump Sum XXXXX $_____________ 023 0615 Umpqua NF - Collection Officer Audits 25 Each $_______ $_____________ 024 0615 Umpqua NF - Travel * 1 Lump Sum XXXXX $_____________ 025 0616 Wallowa-Whitman NF - Collection Officer Audits 21 Each $_______ $_____________ 026 0616 Wallowa-Whitman NF - Travel * 1 Lump Sum XXXXX $_____________ 027 0617 Okanogan-Wenatchee NF - Collection Officer Audits 65 Each $_______ $_____________ 028 0617 Okanogan-Wenatchee NF - Travel * 1 Lump Sum XXXXX $_____________ 029 0618 Willamette NF - Collection Officer Audits 37 Each $_______ $_____________ 030 0618 Willamette NF - Travel * 1 Lump Sum XXXXX $_____________ 031 0621 Colville NF - Collection Officer Audits 12 Each $_______ $_____________ 032 0621 Colville NF - Travel * 1 Lump Sum XXXXX $_____________ 033 0622 Columbia River Gorge NSA - Collection Officer Audits 11 Each $_______ $_____________ 034 0622 Columbia River Gorge NSA - Travel * 1 Lump Sum XXXXX $_____________ 035 0627 Regional Office - Collection Officer Audits 2 Each $_______ $_____________ 036 0627 Regional Office - Travel * 1 Lump Sum XXXXX $_____________ *No modifications will be allowed to adjust the initial lump sum price on the travel line item. As of January 1, 2017 if use of privately owned automobile is authorized or if no Government-furnished automobile is available then the rate per mile is $0.535. For outlying years or more information see: https://www.gsa.gov/portal/content/100715

TOTAL $_____________

AG-046W-S-17-0045 5 of 18

Option Year 4: June 1, 2021 thru May 30, 2022

# Description Est.

QTY Unit

Price Per Unit

Total Price (Qty x Unit Price)

001 0601 Deschutes NF - Collection Officer Audits 37 Each $_______ $_____________ 002 0601 Deschutes NF - Travel * 1 Lump Sum XXXXX $_____________ 003 0602 Fremont-Winema NF - Collection Officer Audits 18 Each $_______ $_____________ 004 0602 Fremont-Winema NF - Travel * 1 Lump Sum XXXXX $_____________ 005 0603 Gifford Pinchot NF - Collection Officer Audits 22 Each $_______ $_____________ 006 0603 Gifford Pinchot NF - Travel * 1 Lump Sum XXXXX $_____________ 007 0604 Malheur NF - Collection Officer Audits 8 Each $_______ $_____________ 008 0604 Malheur NF - Travel * 1 Lump Sum XXXXX $_____________ 009 0605 Mt Baker-Snoqualmie NF - Collection Officer Audits 23 Each $_______ $_____________ 010 0605 Mt Baker-Snoqualmie NF - Travel * 1 Lump Sum XXXXX $_____________ 011 0606 Mt Hood NF - Collection Officer Audits 15 Each $_______ $_____________ 012 0606 Mt Hood NF - Travel * 1 Lump Sum XXXXX $_____________ 013 0607 Ochoco NF - Collection Officer Audits 12 Each $_______ $_____________ 014 0607 Ochoco NF - Travel * 1 Lump Sum XXXXX $_____________ 015 0609 Olympic NF - Collection Officer Audits 12 Each $_______ $_____________ 016 0609 Olympic NF - Travel * 1 Lump Sum XXXXX $_____________ 017 0610 Rogue River-Siskiyou NF - Collection Officer Audits 27 Each $_______ $_____________ 018 0610 Rogue River-Siskiyou NF - Travel * 1 Lump Sum XXXXX $_____________ 019 0612 Siuslaw NF - Collection Officer Audits 28 Each $_______ $_____________ 020 0612 Siuslaw NF - Travel * 1 Lump Sum XXXXX $_____________ 021 0614 Umatilla NF - Collection Officer Audits 23 Each $_______ $_____________ 022 0614 Umatilla NF - Travel * 1 Lump Sum XXXXX $_____________ 023 0615 Umpqua NF - Collection Officer Audits 25 Each $_______ $_____________ 024 0615 Umpqua NF - Travel * 1 Lump Sum XXXXX $_____________ 025 0616 Wallowa-Whitman NF - Collection Officer Audits 21 Each $_______ $_____________ 026 0616 Wallowa-Whitman NF - Travel * 1 Lump Sum XXXXX $_____________ 027 0617 Okanogan-Wenatchee NF - Collection Officer Audits 65 Each $_______ $_____________ 028 0617 Okanogan-Wenatchee NF - Travel * 1 Lump Sum XXXXX $_____________ 029 0618 Willamette NF - Collection Officer Audits 37 Each $_______ $_____________ 030 0618 Willamette NF - Travel * 1 Lump Sum XXXXX $_____________ 031 0621 Colville NF - Collection Officer Audits 12 Each $_______ $_____________ 032 0621 Colville NF - Travel * 1 Lump Sum XXXXX $_____________ 033 0622 Columbia River Gorge NSA - Collection Officer Audits 11 Each $_______ $_____________ 034 0622 Columbia River Gorge NSA - Travel * 1 Lump Sum XXXXX $_____________ 035 0627 Regional Office - Collection Officer Audits 2 Each $_______ $_____________ 036 0627 Regional Office - Travel * 1 Lump Sum XXXXX $_____________ *No modifications will be allowed to adjust the initial lump sum price on the travel line item. As of January 1, 2017 if use of privately owned automobile is authorized or if no Government-furnished automobile is available then the rate per mile is $0.535. For outlying years or more information see: https://www.gsa.gov/portal/content/100715

TOTAL $_____________

AG-046W-S-17-0045 6 of 18

The Period of Performance will be:

Base Year: June 1, 2017 thru May 31, 2018 Option Year 1: June 1, 2018 thru May 30, 2019 Option Year 2: June 1, 2019 thru May 30, 2020 Option Year 3: June 1, 2020 thru May 30, 2021 Option Year 4: June 1, 2021 thru May 30, 2022

This number of audits is a best estimate of the work required for this contract. If the number of audits is less than this estimate, the contractor shall only be paid for actual audits/training performed. If the number is more than this estimate, then the contractor shall notify the Technical Contact and Contracting Officer as soon as possible. The contractor shall suspend work until a contract modification is processed by the Government that increases the amount of the contract.

No modifications will be allowed to adjust the initial lump sum price on the travel line item. As of January 1, 2017 if use of privately owned automobile is authorized or if no Government-furnished automobile is available then the rate per mile is $0.535. For outlying years or more information see:

https://www.gsa.gov/portal/content/100715

All items will be performed in accordance with the Statement of Objectives listed below.

-Invoices shall not exceed bi-weekly invoicing for completed services.

-Invoices will be approved upon receiving a complete audit package, outlined in the attachments (all sections accounted for, appropriate documentation to support findings, no missing signatures, etc.). This is subject to change, via a modification, if the agency issues new direction on collection officer policy, audit requirements or forms.

-Contractor shall return with the quote, a Proposed Schedule of when the audits will be done on each forest/location so that we can notify our offices in advance. This schedule is dependent on weather and is subject to change. If there a change to the schedule we ask that you notify the technical contact below of the change as soon as possible.

-The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

• Lowest Price Technically Acceptable

• Past Performance/Experience Questionnaire

Technical Contact: Mindy McConnell, Financial Analyst

Phone: 425-783-6065 E-mail: mindymcconnell@fs.fed.us.

AG-046W-S-17-0045 7 of 18

STATEMENT OF OBJECTIVES

Background:

This contract will provide for the required annual audits for collection officers and imprest fund cashiers located within Region 6.

Purpose/Scope of the Contract:

The purpose of this Contract is to perform required audits of collection officers and imprest fund cashiers (accountable officers) within Region 6.

The contractor will be required to travel to the worksite of the accountable officer. The locations of the accountable officers is shown in Exhibit B.

The schedule of audits will be further defined by the contractor in their Performance Work Statement.

Performance Objectives/Technical Requirements:

All accountable officers shall be audited on an annual basis

Audits conducted in accordance with the following FS policy:

FSM 6530 Collections Chapter of FS Manual (web link) FSH 6509-11K – Service-wide Finance and Accounting Handbook (Ch 30, Collections) FSH 6509.14 – Collections Officer Handbook

FSH 6509.13b – Impest fund Handbook FSH 1409.11 – Fiscal Review and Analysis Handbook

The above references may be obtained by following the attached links.

The offeror will provide, as a part of the Performance Work Statement, their process of ensuring their employees are oriented and retain the level of expertise to perform the requirements of the contract.

The end result of this contract is to have ensured that all accountable officers have received an annual audit.

Maintain list of accountable officers and their annual audit status Update list of accountable officers as needed 30 day audit of new accountable officer Audit at termination of AA (permanent employees only)

The contractor shall meet w/AA & their supervisor to provide the results of the audit. The final report will contain the signatures of the AA and auditor.

The contractor shall provide the results of the audits to the COR on a quarterly basis at a minimum.

Explain how this will occur in the PWS.

Contact COR immediately when cash shortage or appearance of fraudulent behaviors are discovered.

Special Audits: Special audits are additional audits that are more detailed or unusual compared to what is anticipated during the standard audit process. The audits could be required in instances where theft, fraud, or other unusual circumstances are discovered. In addition to the unusual circumstances of the audits themselves, additional coordination may be required of the contractor to brief audit results to Law Enforcement Officials and/or other interested parties.

AG-046W-S-17-0045 8 of 18

Forest Service, Region 6 - Audit Locations

0601 Deschutes NF Bend-Fort Rock Ranger District (Bend, OR) Crescent Ranger District (Crescent, OR) Redmond Air Center (Redmond, OR) Sisters Ranger District (Sisters, OR) Supervisor's Office (Bend, OR)

0602 Fremont-Winema NF Bly Ranger District (Bly, OR) Chemult Ranger District (Chemult, OR) Chiloquin Ranger District (Chiloquin, OR) Klamath Ranger District (Klamath Falls, OR) Lakeview Ranger District (Lakeview, OR) Paisley Ranger District (Paisley, OR) Silver Lake Ranger District (Silver Lake, OR) Supervisor's Office (Lakeview, OR)

0603 Gifford Pinchot NF Cowlitz Valley Ranger District (Randle, WA) Mount St Helens Nat Volcanic Monument (Amboy, WA) Mt Adams Ranger District (Trout Lake, WA) Supervisor's Office (Vancouver, WA)

0604 Malheur NF Emigrant Creek Ranger District (Hines, OR) Prairie City Ranger District (Prairie City, OR) Supervisor's Office/Blue Mountain Ranger District (John Day, OR)

0605 Mt Baker-Snoqualmie NF Darrington Ranger District (Darrington, WA) Mt Baker Ranger District (Sedro-Woolley, WA) Skykomish Ranger District (Skykomish, WA) Snoqualmie Ranger District (Enumclaw, WA) Snoqualmie Ranger District (North Bend, WA) Verlot Public Service Center (Granite Falls, WA) Supervisor’s Office (Everett, WA)

0606 Mt Hood NF Barlow Ranger District (Dufur, OR) Clackamas River Ranger District (Estacada, OR) Hood River Ranger District (Parkdale, OR) Zigzag Ranger District (Zigzag, OR) Supervisor’s Office (Sandy, OR)

0607 Ochoco NF Crooked River National Grassland (Madras, OR) Lookout Mountain Ranger District (Prineville, OR)

AG-046W-S-17-0045 9 of 18

Paulina Ranger District (Paulina, OR) Supervisor's Office (Prineville, OR)

0609 Olympic NF Hood Canal Ranger District (Quilcene, WA) Pacific Ranger District (Forks, WA) Pacific Ranger District (Quinault, WA) Supervisor's Office (Olympia, WA)

0610 Rogue River-Siskiyou NF Gold Beach Ranger District (Gold Beach, OR) High Cascades Ranger District (Prospect, OR) J. Herbert Stone Nursery (Central Point, OR) Powers Ranger District (Powers, OR) Siskiyou Mountains Ranger District (Jacksonville, OR) Supervisor's Office (Medford, OR) Wild Rivers Ranger District (Cave Junction, OR) Wild Rivers Ranger District (Grants Pass, OR)

0612 Siuslaw NF Cape Perpetua Visitor Center (Yachats, OR) Central Coast Ranger District (Waldport, OR) Hebo Ranger District (Hebo, OR) Oregon Dunes Visitor Center (Reedsport, OR) Supervisor's Office (Corvallis, OR)

0614 Umatilla NF Heppner Ranger District (Heppner, OR) North Fork John Day Ranger District (Ukiah, OR) Pomeroy Ranger District (Pomeroy, WA) Supervisor's Office (Pendleton, OR) Walla Walla Ranger District (Walla Walla, WA)

0615 Umpqua NF Cottage Grove Ranger District (Cottage Grove, OR) Diamond Lake Ranger District (Idleyld Park, OR) North Umpqua Ranger District (Glide, OR) Supervisor's Office (Roseburg, OR) Tiller Ranger District (Tiller, OR)

0616 Wallowa-Whitman NF Hells Canyon National Recreation Area (Clarkston, WA) Hells Canyon National Recreation Area (Riggins, ID) La Grande Ranger District (La Grande, OR) Wallowa Mountains Office (Joseph, OR) Whitman Ranger District (Baker City, OR) Whitman Ranger District (Halfway, OR) Supervisor’s Office (Baker City, OR)

0617 Okanogan-Wenatchee NF Chelan Ranger District (Chelan, WA)

AG-046W-S-17-0045 10 of 18

Cle Elum Ranger District (Cle Elum, WA) Entiat Ranger District (Entiat, WA) Methow Valley Ranger District (Winthrop, WA) Naches Ranger District (Naches, WA) Omak Visitor Center (Omak, WA) Supervisor's Office (Wenatchee, WA) Tonasket Ranger District (Tonasket, WA) Wenatchee River Ranger District (Leavenworth, WA)

0618 Willamette NF Detroit Ranger District (Detroit, OR) McKenzie River Ranger District (McKenzie Bridge, OR) Middle Fork Ranger District (Westfir, OR) Supervisor's Office (Springfield, OR) Sweet Home Ranger District (Sweet Home, OR)

0621 Colville NF Newport Ranger District (Newport, WA) Republic Ranger District (Republic, WA) Sullivan Lake Ranger District (Metaline Falls, WA) Supervisor's Office (Colville, WA) Three Rivers Ranger District (Kettle Falls, WA)

0622 Columbia River Gorge NSA Columbia River Gorge National Scenic Area (Hood River, OR)

0627 Regional Office Regional Office (Portland, OR)

AG-046W-S-17-0045 11 of 18

CONTRACT CLAUSES

FAR 52.212-4 Contract Terms and Conditions--Commercial Items (Jan 2017) Alternate I (Jan 2017).

FAR 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders -- Commercial Items (Jan 2017)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015).

(2) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(3) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004)(Public Laws 108-77 and 108-

78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[Contracting Officer check as appropriate.]

__ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

__ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509)).

__ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of

2009 (June 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

X (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2016) (Pub. L. 109-282) (31 U.S.C. 6101 note).

__ (5) [Reserved].

__ (6) 52.204-14, Service Contract Reporting Requirements (Oct 2016) (Pub. L. 111-117, section 743 of Div. C).

__ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (Oct

2016) (Pub. L. 111-117, section 743 of Div. C).

X (8) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Oct 2015) (31 U.S.C. 6101 note).

__ (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Jul

2013) (41 U.S.C. 2313).

__ (10) [Reserved].

__ (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Nov 2011) (15 U.S.C.

657a).

__ (ii) Alternate I (Nov 2011) of 52.219-3.

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__ (12)(i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (OCT 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

__ (ii) Alternate I (JAN 2011) of 52.219-4.

__ (13) [Reserved] X (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (Nov 2011) (15 U.S.C. 644).

__ (ii) Alternate I (Nov 2011).

__ (iii) Alternate II (Nov 2011).

__ (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).

__ (ii) Alternate I (Oct 1995) of 52.219-7.

__ (iii) Alternate II (Mar 2004) of 52.219-7.

__ (16) 52.219-8, Utilization of Small Business Concerns (Nov 2016) (15 U.S.C. 637(d)(2) and (3)).

__ (17)(i) 52.219-9, Small Business Subcontracting Plan (Nov 2016) (15 U.S.C. 637(d)(4)).

__ (ii) Alternate I (Nov 2016) of 52.219-9.

__ (iii) Alternate II (Nov 2016) of 52.219-9.

__ (iv) Alternate III (Nov 2016) of 52.219-9.

__ (v) Alternate IV (Nov 2016) of 52.219-9.

X (18) 52.219-13, Notice of Set-Aside of Orders (Nov 2011) (15 U.S.C. 644(r)).

__ (19) 52.219-14, Limitations on Subcontracting (Jan 2017) (15 U.S.C. 637(a)(14)).

__ (20) 52.219-16, Liquidated Damages—Subcon-tracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

__ (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (Nov 2011)

(15 U.S.C. 657 f).

X (22) 52.219-28, Post Award Small Business Program Rerepresentation (Jul 2013) (15 U.S.C.

632(a)(2)).

__ (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged

Women-Owned Small Business Concerns (Dec 2015) (15 U.S.C. 637(m)).

__ (24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business

Concerns Eligible Under the Women-Owned Small Business Program (Dec 2015) (15 U.S.C. 637(m)).

X (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

X (26) 52.222-19, Child Labor—Cooperation with Authorities and Remedies (Oct 2016) (E.O. 13126).

X (27) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

X (28) 52.222-26, Equal Opportunity (Sept 2016) (E.O. 11246).

__ (29) 52.222-35, Equal Opportunity for Veterans (Oct 2015)(38 U.S.C. 4212).

X (30) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29 U.S.C. 793).

__ (31) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212).

__ (32) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec

2010) (E.O. 13496).

X (33)(i) 52.222-50, Combating Trafficking in Persons (Mar 2015) (22 U.S.C. chapter 78 and E.O.

13627).

__ (ii) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

__ (34) 52.222-54, Employment Eligibility Verification (OCT 2015). (Executive Order 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

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__ (35) 52.222-59, Compliance with Labor Laws (Executive Order 13673) (OCT 2016). (Applies at $50 million for solicitations and resultant contracts issued from October 25, 2016 through April 24, 2017; applies at $500,000 for solicitations and resultant contracts issued after April 24, 2017).

Note to paragraph (b)(35): By a court order issued on October 24, 2016, 52.222-59 is enjoined indefinitely as of the date of the order. The enjoined paragraph will become effective immediately if the court terminates the injunction. At that time, GSA, DoD and NASA will publish a document in the Federal Register advising the public of the termination of the injunction.

__ (36) 52.222-60, Paycheck Transparency (Executive Order 13673) (OCT 2016).

__ (37)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA–Designated Items

(May 2008) (42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ (38) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (JUN 2016) (E.O. 13693).

__ (39) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners (JUN 2016) (E.O. 13693).

__ (40)(i) 52.223-13, Acquisition of EPEAT®-Registered Imaging Equipment (JUN 2014) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Oct 2015) of 52.223-13.

__ (41)(i) 52.223-14, Acquisition of EPEAT®-Registered Televisions (JUN 2014) (E.O.s 13423 and

13514).

__ (ii) Alternate I (Jun 2014) of 52.223-14.

__ (42) 52.223-15, Energy Efficiency in Energy-Consuming Products (DEC 2007) (42 U.S.C. 8259b).

__ (43)(i) 52.223-16, Acquisition of EPEAT®-Registered Personal Computer Products (OCT 2015)

(E.O.s 13423 and 13514).

__ (ii) Alternate I (Jun 2014) of 52.223-16.

X (44) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (AUG 2011) (E.O. 13513).

__ (45) 52.223-20, Aerosols (JUN 2016) (E.O. 13693).

__ (46) 52.223-21, Foams (JUN 2016) (E.O. 13693).

X (47) 52.225-1, Buy American—Supplies (May 2014) (41 U.S.C. chapter 83).

X (48)(i) 52.225-3, Buy American—Free Trade Agreements—Israeli Trade Act (May 2014) (41 U.S.C.

chapter 83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L.

103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112- 43.

__ (ii) Alternate I (May 2014) of 52.225-3.

__ (iii) Alternate II (May 2014) of 52.225-3.

__ (iv) Alternate III (May 2014) of 52.225-3.

__ (49) 52.225-5, Trade Agreements (OCT 2016) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

X (50) 52.225-13, Restrictions on Certain Foreign Purchases (June 2008) (E.O.’s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

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__ (51) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Oct 2016) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C.

2302 Note).

__ (52) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) (42 U.S.C. 5150).

__ (53) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007) (42

U.S.C. 5150).

__ (54) 52.232-29, Terms for Financing of Purchases of Commercial Items (Feb 2002) (41 U.S.C. 4505, 10 U.S.C. 2307(f)).

__ (55) 52.232-30, Installment Payments for Commercial Items (Jan 2017) (41 U.S.C. 4505, 10 U.S.C.

2307(f)).

X (56) 52.232-33, Payment by Electronic Funds Transfer—System for Award Management (Jul 2013)

(31 U.S.C. 3332).

__ (57) 52.232-34, Payment by Electronic Funds Transfer—Other than System for Award Management

(Jul 2013) (31 U.S.C. 3332).

__ (58) 52.232-36, Payment by Third Party (May 2014) (31 U.S.C. 3332).

__ (59) 52.239-1, Privacy or Security Safeguards (Aug 1996) (5 U.S.C. 552a).

__ (60)(i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006) (46

U.S.C. Appx. 1241(b) and 10 U.S.C. 2631).

__ (ii) Alternate I (Apr 2003) of 52.247-64.

(c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[Contracting Officer check as appropriate.] __ (1) 52.222-17, Nondisplacement of Qualified Workers (May 2014)(E.O. 13495).

__ (2) 52.222-41, Service Contract Labor Standards (May 2014) (41 U.S.C. chapter 67).

X (3) 52.222-42, Statement of Equivalent Rates for Federal Hires (May 2014) (29 U.S.C. 206 and 41

U.S.C. chapter 67).

*Fringe Benefits: Life, Accident and Health insurance and Sick Leave Program-5.1 percent of basic hourly rate. Paid Holidays- 10 days per year. Vacation- 13 days paid vacation per year up to 3 years of service, 20 days after 3 years of service, and 26 days after 15 years of service. Retirement- 7 percent of basic hourly rate

__ (4) 52.222-43, Fair Labor Standards Act and Service Contract Labor Standards-Price Adjustment (Multiple Year and Option Contracts) (May 2014) (29 U.S.C. 206 and 41 U.S.C. chapter 67).

__ (5) 52.222-44, Fair Labor Standards Act and Service Contract Labor Standards—Price Adjustment (May 2014) (29 U.S.C. 206 and 41 U.S.C. chapter 67).

__ (6) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment—Requirements (May 2014) (41 U.S.C. chapter 67).

__ (7) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services—Requirements (May 2014) (41 U.S.C. chapter 67).

X (8) 52.222-55, Minimum Wages Under Executive Order 13658 (Dec 2015).

X (9) 52.222-62, Paid Sick Leave Under Executive Order 13706 (JAN 2017) (E.O. 13706).

__ (10) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (May 2014) (42 U.S.C.

1792).

__ (11) 52.237-11, Accepting and Dispensing of $1 Coin (Sept 2008) (31 U.S.C. 5112(p)(1)).

R6 Collection Officer Audits AG-046W-S-17-0045 15 of 18…