J-6 Meta Lake Bid Package Fill-In.doc

AG-0489-S-10-0432

Bid for Meta Lake Well Deepening Project

PART I—THE SCHEDULE

SECTION B--SUPPLIES OR SERVICES AND PRICES

SCHEDULE OF ITEMS

NOTE:

Before preparing your quote, read instructions and review the attachments carefully.

Insert a Unit Price and Total for each item. The offeror must offer on all items.

Item

No.

Measure-ment

Quantity

Mobilization

Site clearing and grubbing

Remove hand pump

Remove existing steel well casing, cement seal, and liner

Drill minimum 10” borehole from 24 feet to minimum 50 feet Drive Shoes

Annular cement grout seal

Drilling to accommodate well casing and liner

Casing-In-Place 6-inch

Casing liner with perforations

Well Development

4-Hour Pump Test

Remove existing Concrete Slab

Install Concrete Slab

Furnish and Install Hand Pump

Water Quality Testing

Well Abandonment

FBO/destination Base Bid

LSQ

LSQ

LSQ

AQ

AQ

AQ

AQ

AQ

AQ

AQ

AQ

AQ

LSQ

LSQ

LSQ

LSQ

AQ

LS

LS

LS

LF

LF

EA

LF

LF

LF

LF

HR

HR

LS

LS

LS

LS

EA

TOTAL

The Contractor shall furnish all labor, materials, equipment, tools, transportation, and supplies required to perform all work required to complete the project in accordance with plans, specifications, and provisions in the Statement of Work as specified in the solicitation. Payment for contract work will be made only for and under those pay items included in the Schedule of Items above. Notice to Proceed with work is estimated to begin on or about June 9, 2010.

Please complete the following:

Name of Contractor:

E-mail Address

Phone Number Print name and title of person authorized to sign offer:

Signature: ____________________________________________ Date: ________________________

Check completed: Registered in ORCA and CCR.

TIN: __________________________ DUNS: ________________________

Name of Contractor:

CONTRACTOR PAST PERFORMANCE DATA SHEET FOR SIMILAR SIZE WORK

(Complete for three References)

REFERENCE #1 - CONTRACT PERFORMANCE INFORMATION

Contract Number:

Date Completed:

Brief Item/Service Description:

Project Location

Project Size/Period of Performance:

Customer POC (Person who can verify data):

Address:

Telephone:

Fax:

REFERENCE #2 - CONTRACT PERFORMANCE INFORMATION

Contract Number:

Date Completed:

Brief Item/Service Description:

Project Location

Project Size/Period of Performance:

Customer POC (Person who can verify data):

Address:

Telephone:

REFERENCE #3 - CONTRACT PERFORMANCE INFORMATION

Contract Number:

Date Completed:

Brief Item/Service Description:

Project Location

Project Size/Period of Performance:

Customer POC (Person who can verify data):

Address:

Telephone:

USDA Forest Service, EROC-NW Contracting

16400 Champion Way, Sandy, OR 97055

Attn: Amy Wong, Contract Specialist E-mail: aawong@fs.fed.us