SolicitationPackageRFQWell_Install.pdf

REQUEST FOR QUOTATION PAGE OF PAGES

(THIS IS NOT AN ORDER) THIS RFQ X IS IS NOT A SMALL BUSINESS SET- ASIDE 1 56

1. REQUEST NO. 2. DATE ISSUED REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT.DEF. RATING

AG-04N7-S-13-0055 08/23/2013 Req # 656562

AAP # 06SO151357144

UNDER BDSA REG. 2

AND/OR DMS REG. 1

5a. ISSUED BY 6. DELIVER BY (Date) USDA Forest Service Rogue River-Siskiyou National Forest 3040 Biddle Road Medford, OR 97504-4119

See Schedule

5b. FOR INFORMATION CALL (NO COLLECT CALLS) 7. DELIVERY FOB DESTINATION NAME TELEPHONE NUMBER X OTHER (See Schedule)

AREA CODE NUMBER 9. DESTINATION

Linda Harmon – Contracting Michelle Bernard - Engineering

618-2021 957-3401

a. NAME OF CONSIGNEE

8. TO:

a. NAME b. COMPANY b. STREET ADDRESS

c. STREET ADDRESS c. CITY

d. CITY e. STATE f. ZIP CODE d. STATE e. ZIP CODE

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5A ON OR BEFORE

CLOSE OF BUSINESS @ 4:30 p.m.

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in BLOCK 5A. This request does not commit the Government to pay any costs incurred in the preparation of the

September 16, 2013 This is not a public opening.

submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT

PRICE

AMOUNT

(a) (b) (c) (d) (e) (f)

TOKETEE CAMPGROUND

WELL INSTALLATION

UMPQUA NATIONAL FOREST

DOUGLAS COUNTY, OREGON

SEE SECTION B –

SCHEDULE OF ITEMS

Price Range: less than $25,000

This procurement is total Small Business Set-Aside

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

12. DISCOUNT FOR PROMPT PAYMENT NUMBER PERCENTAGE

NOTE: Additional provisions and representations x are are not attached.

13. NAME AND ADDRESS OF QUOTER 14. SIGNATURE OF PERSON AUTHORIZED TO 15. DATE OF

a. NAME OF QUOTER SIGN QUOTATION QUOTATION

b. STREET ADDRESS 16. SIGNER

a. NAME (Type or print) b. TELEPHONE

c. COUNTY AREA CODE

d. CITY e. STATE f. ZIP CODE c. TITLE (Type or Print) NUMBER

NSN 7540-01-152-8084

Previous edition not usable

18-121 STANDARD FORM 18 (Rev. 6-95) Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

AG-04N7-S-13-0055

Toketee Campground Well Installation

Umpqua National Forest

TABLE OF CONTENTS

Request for Quotation – Standard Form 18 1

Table of Contents 2

Schedule of Items 3-4

Section C – Description/Specification/Work Statement 5-6

Section D – Packaging and Marking 6

Section E – Inspection and Acceptance 7

Section F – Deliveries and Performance 8-9

Section G – Contract Administration Data 10

Section H – Special Contract Requirements 11-19

Section I – Contract Clauses 20-30

Section J – List of Attachments 31

See Separate Document titled attachments

Department of Labor Wage Determination 32-40

Fire Protection and Suppression (R6-FS-6300-52) 41-46

Technical Questionnaire 47-48

Section K – Representations, Certifications and Other Statements of Offerors 49-51

Section L – Instructions, Conditions, and Notices to Offerors 52-55

Section M – Evaluation Factors for Award 56

PART I—THE SCHEDULE

SECTION B--SUPPLIES OR SERVICES AND PRICES/COSTS

TOKETEE CAMPGROUND WELL INSTALLATION

Douglas County

B.1 SCHEDULE OF ITEMS:

ITEM NO. DESCRIPTION

UNIT

OF

ISSUE

EST.

QTY.

UNIT

PRICE

TOTAL

AMOUNT

BASE ITEMS

01200-1 Mobilization LS 1 $ XXX $_________ 02520-1 Surface Seal (includes drilling)

LS 1

$ XXX

02520-2 Drilling to Accommodate Casing 6” inch (0-100 feet)

LF 100

02520-3 Drive Shoe LS 1 $ XXX $_________ 02520-4 Casing in Place 6” inch LF 100 $______ $_________ 02520-5 Well Screen 4” inch LF 8 $______ $_________ 02520-6 Well Development HR 3 $______ $_________ 02520-7 Test Pumping HR 4 $______ $_________

TOTAL BASE ITEMS $_________

OPTION ITEMS

Option Items (to be used if well is abandoned) O-02520-8 Remove Casing HR 1.5 $______ $_________ O-02520-9 Plugging Well LF 100 $______ $_________ O-02520-10 Grouting Sacks 25 $______ $_________

TOTAL OF OPTION ITEMS $_________

TOTAL OF BASE AND OPTION ITEMS $_________

Exercise of Option Items will be made by the Government if well is abandoned. See Section I, 52.217-7, Option for Increased Quantity – Separately Priced Line item and Section M – 52-217-5, Evaluation of Options.

The estimated start work date is: September 23, 2013.

All work shall be completed 30 calendar days after issuance of Notice to Proceed.

Quotes shall be submitted for the total items. Quotes for less than the total items will not be considered.

Umpqua National Forest

DUNS NUMBER: ______________________________________________________________

EMAIL ADDRESS: ____________________________________________________________

Quoters are urged to inspect work site before submitting quote.

The estimated start work date is: September 23, 2013.

All work shall be completed 30 calendar days after issuance of Notice to Proceed.

Quotes shall be submitted for the total items. Quotes for less than the total items will not be considered.

Facsimile offers are authorized. The number of facsimile equipment is: 541.618.2148

ELECTRONIC OFFERS WILL NOT BE ACCEPTED. An offer that is emailed to government account will be rejected.

Offerors must respond to the other factors (Evaluation Criteria) as described in Sections L and M. Award will be made on the best value for the Government.

NOTE: Prospective awardees MUST be registered in the System for Award Management (SAM) to be awarded a Federal Government contract.

If you are not registered, please register at the following site:

https://www.sam.gov/portal/public/SAM/

This is not a public bid opening. All offers submitted are considered confidential. The name of the contractor and the amount of the contract will be disclosed only after an award has been made.

https://www.sam.gov/portal/public/SAM/

SECTION C--DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

C-1 DESCRIPTION OF WORK

This project consists of drilling a 6” diameter water well to a depth of approximately 100 feet below the ground surface at Toketee Campground, in the Umpqua National Forest.

Work under this contract shall include (but is not limited to):

• Drilling of 6” inch potable water well

• Installing Casing

• Developing and Testing Well

• Capping Finished Well

All work must meet Forest Service specifications and drawings included in this contract, Oregon Drinking Water Program Standards, and Oregon Water Resources Department Standards. The most stringent standard will take precedence. This work also includes any applicable permits/start card required.

C-2 PROJECT LOCATION

Toketee Campground on Diamond Lake Ranger District of the Umpqua National Forest: Located 60 miles east of Roseburg on Highway 138, turn north onto road 34, the west access to Toketee Ranger Station (Diamond Lake District office). Turn left at the bottom of the hill and cross a concrete bridge, proceed 1.5 miles to the campground entrance on the right.

C-3 PRICE RANGE

The Government’s estimate is:

less than $25,000

C-4 APPLICABLE SPECIFICATIONS (CSI PROJECTS)

The specifications shown in the specification listing contained in the attachments are applicable to this contract. All specifications not included in the specification listing but referenced by listed specifications, are applicable. The specifications shown on the specification list are physically attached.

01200 Mobilization Payment Procedures 02520 Wells

Umpqua National Forest

C-5 FAR 52.211-3 AVAILABILITY OF SPECIFICATIONS NOT LISTED IN THE

GSA INDEX OF FEDERAL SPECIFICATIONS, STANDARDS AND COMMERCIAL

ITEM DESCRIPTIONS FPMR PART 101-29 (JUN 1988)

(a) The specifications in this solicitation may be obtained from:

Specification Address

ASTM Standards American Society for Testing and Materials 100 Barr Harbor Drive West Conshohocken, PA 19428

(610) 832-9585 http://www.astm.org/

The request should identify the solicitation number and the specification requested by date, title, and number, as cited in the solicitation.

C-6 AGAR 452.211-73 ATTACHMENTS TO STATEMENT OF

WORK/SPECIFICATIONS (FEB 1988)

The attachments to the Statement of Work/Specifications listed in Section J are hereby made part of this solicitation and any resultant contract.

SECTION D--PACKAGING AND MARKING

{For this Solicitation, there are NO clauses in this Section} http://www.astm.org/

SECTION E--INSPECTION AND ACCEPTANCE

E-1 FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

www.arnet.gov/far/

FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES

52.246-1 Contractor Inspection Requirements (APR 1984)

E-2 INSPECTION AND ACCEPTANCE (AGAR 452.246-70) (FEB 1988)

(a) The Contracting Officer or the Contracting Officer's duly authorized representative will inspect and accept the supplies and/or services to be provided under this contract.

(b) Inspection and acceptance will be performed at the project site.

E-3 INSPECTION AND TESTING PERFORMED BY GOVERNMENT

The Government will perform sampling, testing and inspection of work in progress where these responsibilities are not expressly assigned to the Contractor by the Forest Service specifications or by the Supplemental Specifications.

E-4 CONFORMITY WITH PLANS AND SPECIFICATIONS

Unless working tolerances are specified, all work performed and materials furnished shall be in reasonably close conformity with lines, grades, cross sections, dimensions, and material requirements shown on the Drawings, indicated in the specifications, or designated on the ground. "Reasonably close conformity" is in compliance with reasonable and customary manufacturing and construction tolerances.

http://www.arnet.gov/far/

Umpqua National Forest

SECTION F--DELIVERIES OR PERFORMANCE

F-1 FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

www.arnet.gov/far/

F-2 52.242-14 SUSPENSION OF WORK (APR 1984)

F-3 FAR 52.211-10 COMMENCEMENT, PROSECUTION, AND COMPLETION OF

WORK (APR 1984)

The Contractor shall be required to (a) commence work under this contract within 10 calendar days after the date the Contractor receives the notice to proceed, (b) prosecute the work diligently, and (c) complete the entire work ready for use not later than 30 calendar days after the date the contractor receives the notice to proceed. The time stated for completion shall include final cleanup of the premises.

F-4 AGAR 452.236-75 MAXIMUM WORK WEEK – CONSTRUCTION

SCHEDULE (NOV 1996)

Within seven (7) calendar days after receipt of a written request from the Contracting Officer, Contractor must submit the following information in writing for approval:

(a) A schedule as required by FAR clause 52.236-15, Schedules for Construction Contracts, and

(b) The hours (including the daily starting and stopping times) and days of the week the Contractor proposed to carry out the work.

Work activity under this contract shall be limited to the hours between 7:00 am through 7:00 pm Monday through Thursday, excluding Federal Holidays, unless other hours are approved in writing by the COR. Work shall commence on a Monday and continue during allowed hours of operation until complete unless otherwise approved by COR.

Umpqua National Forest

F-5 SUSPENSIONS OF WORK FOR OTHER THAN GOVERNMENT'S

CONVENIENCE

The Contracting Officer may issue orders to suspend the work wholly or in part for such period of time as deemed necessary because of: (1) weather or ground conditions when further prosecution of the work might cause environmental or resource damage to the project, access roads to the project, or adjacent property. Such action would include but not be limited to instances such as siltation of streams, damage to access roads, rutting of project roads which causes otherwise suitable soils to be muddy or unsuitable; or (2) failure of the Contractor to comply with specifications such as but not limited to placement of frozen material in fills, placing of asphalts at temperatures lower than those specified, performing work prior to prerequisite approvals, operating equipment not meeting fire requirements, or when conditions exist which do not meet safety requirements. Whether or not a suspend work notice is issued, the Contractor shall be responsible for correcting any damage caused by its operation, whether inside or outside project limits, at no cost to the Government. Such suspensions shall not be considered as suspensions for the Convenience of the Government under FAR 52.242-14, Suspension of Work, and shall not qualify for an equitable adjustment.

Umpqua National Forest

SECTION G--CONTRACT ADMINISTRATION DATA

G-1 DESIGNATION OF CONTRACTING OFFICERS REPRESENTATIVE

The Contracting Officer will designate a Contracting Officer's Representative (COR) at the time of contract award.

The COR is responsible for administering the performance of work under this contract. In no event, however, will any understanding, agreement, modification, change order, or other matter deviating from the terms of this contract be effective or binding upon the Government unless formalized by proper contractual documents executed by the Contracting Officer prior to completion of the contract.

The Contracting Officer should be informed as soon as possible of any actions or inactions by the Contractor or the Government which will change the required delivery or completion times stated in the contract, and the contract will be modified accordingly. (This does not apply to individual task assignments which were issued by the COR provided they do not affect the delivery schedule or performance period stated in the contract).

On all matters that pertain to the contract terms the Contractor must communicate with the Contracting Officer. Whenever, in the opinion of the Contractor, the COR requests effort outside the scope of the contract, the Contractor should so advise the COR. If the COR persists and there still exists a disagreement as to proper contractual coverage, the Contracting Officer should be notified immediately, preferably in writing if time permits. Proceeding with work without proper contractual coverage could result in nonpayment or necessitate submittal of a contract claim.

G-2 AGAR 452.215-73 POST AWARD CONFERENCE (NOV 1996)

A post award conference with the successful offeror is required. It will be scheduled and held at the Umpqua National Forest, 2900 NW Stewart Parkway, Roseburg, OR, or at an agreed upon location after the date of contract award.

G-3 GOVERNMENT-FURNISHED PROPERTY

The Government will provide the following item(s) of Government property to the Contractor for use in the performance of this contract. This property shall be used and maintained by the Contractor in accordance with the provisions of the "Government Property" FAR clause contained elsewhere in the contract.

‘NONE’

SECTION H--SPECIAL CONTRACT REQUIREMENTS

H-1 PRODUCT SUBSTITUTION

Any modification of items, designs, materials, products or equipment (including property) made necessary because of a substitution, will be the responsibility of the Contractor without adjustment in contract price or time. Contracting Officer's approval of any substitute will not affect Contractor's responsibility for such modification. Any and all substitutions will be requested by the Contractor after award has been made. No approvals will be made prior to award. To be considered and in order to facilitate review of requests for approval of substitutions for specified products or materials, all such requests shall be made in writing.

In making request for substitution, Contractor represents:

1. Contractor has personally investigated proposed product or method, and determined that it is equal or superior in all respects to that specified.

2. Contractor will provide the same guarantee for substitution as for product or method specified.

3. Contractor will coordinate installation of accepted substitution into Work, making such changes as may be required for Work to be complete in all respects at no additional cost to Government.

4. Contractor waives all claims for additional costs or time extensions related to substitution which consequently becomes apparent.

5. Contractor will reimburse Government for review or redesign services associated with re-approval by authorities.

H-2 LANDSCAPE PRESERVATION AND HAZARDOUS MATERIALS

(a) Contractor shall confine operations to within the clearing limits or other areas designated in the contract documents and prevent the depositing of rocks, excavated materials, stumps or other debris outside of these limits. Material which falls outside of these limits shall be retrieved, disposed of or incorporated in the work as directed by the Contracting Officer. Contractor shall make all reasonable attempts to preserve the scenic and natural environment within and adjacent to this construction project.

(b) Operations shall be scheduled and conducted to minimize erosion of soils and to prevent silting and muddying of streams, rivers, irrigation systems, lakes, reservoirs and other surface waters.

Umpqua National Forest

(1) Wash water or waste from paint, concrete, aggregate or other operations shall not be allowed to enter live streams prior to treatment by filtration, settling or other means sufficient to reduce the sediment content to not more than that of the stream into which it is discharged.

(2) Mechanized equipment shall not be operated in live streams without written approval by the Contracting Officer.

(c) No petroleum products or other hazardous substances shall be released on or into land or rivers, streams, impoundments or other waters or into natural or manmade channels leading thereto or there from. Servicing of all equipment shall be done only in the areas approved by the Contracting Officer. Contractor shall transport off government lands all paint solvents, waste oil, vehicle oil filters (drained of free-flowing oil), and oily rags and shall dispose of such materials in accordance with applicable State and Federal regulations.

(1) If the total on-site oil or oil products storage exceeds 1,320 gallons or if any single container exceeds a capacity of 660 gallons, Contractor shall prepare and implement a Spill Prevention Control and Countermeasures (SPCC) Plan. Such plan shall meet applicable EPA requirements (40 CFR 112) including certification by a registered professional engineer. This plan shall include notification of appropriate state and local officials, the Contracting Officer and other appropriate agencies.

(2) At all on-site work areas (including Contractor storage, transfer, fueling, mixing sites, etc., for oil, oil products or any hazardous materials), Contractor shall take appropriate preventive measures to insure that any release of hazardous products does not enter any stream or other waters of the United States or any of the individual States and shall conform to the federal, state and local regulations. Any equipment fueling and oil products storage will take place at least 50 feet away from any flowing water and standing water. Planned spill containment locations in stream courses shall be established prior to commencement of work activities. These locations will be reviewed by the Contracting Officer or representative. When deemed appropriate;

additional planned preventive measures shall be established for review by the Contracting Officer or representative.

(3) Contractor, acting independently, shall immediately take action to notify the appropriate agencies including the Contracting Officer, and to contain and clean up, without expense to the Government, all petroleum products or other hazardous substance releases which are on or in the vicinity of the project and which are caused by the Contractor's employees, directly or indirectly.

Contractor shall have the necessary materials on site to contain a spill which may occur on land or within live streams as appropriate for any potential flow conditions likely to occur. This may require absorbent pads and/or booms or other containment devices. In the event the Government determines that additional resources beyond those of the Contractor's are required, Contractor may be held liable for all damages and costs including, but not limited to additional labor, subsistence, equipment, supplies and transportation deemed necessary by the Government for the containment and clean-up of petroleum products or other hazardous substance releases caused by Contractor's employees or resulting from or related to construction operations.

Umpqua National Forest

(4) Contractor shall notify the Contracting Officer of any hazardous materials to be used on the job and shall have Material Safety Data Sheets (MSDS) for those materials available on the job.

H-3 LOCAL DISPOSAL SITES

Man made debris encountered in the contract and other waste materials generated in the work (cartons, scrap, concrete, steel, treated wood, etc.) shall be removed and disposed off of National Forest Service Land and as required in the specifications. Clearing debris shall be disposed of as required by the specifications.

H-4 INDUSTRIAL CAMPS

Forest Service regulations for Use of Campgrounds prohibit occupancy of developed recreation sites for other than primarily recreation purposes. No industrial camping will be authorized at these sites. A special use permit is required on National Forest land for industrial camps. These permits are to be obtained by the Contractor through the Contracting Officer’s Representative.

Such permission, if granted, will be without charge to the Contractor but may include use restrictions.

Camping will be allowed at the currently closed Group Camp Site at Toketee CG for Contractor’s and subcontractor’s personnel working on-site during periods of active construction. No electricity or water is available at this site. Restrooms at the campground may be used by contractor.

H-5 TRAFFIC CONTROL, BARRICADES, WARNING SIGNS AND OTHER DEVICES

Contractor shall provide, erect and maintain all necessary barricades, construction area fencing, suitable and sufficient lights, danger signals, signs, flaggers and other traffic devices and shall take all necessary precautions for the protection of the work and safety of the public and government employees working or residing in the project area. Barricades and other obstructions shall be illuminated during the hours of darkness, unless otherwise approved by the COR.

Suitable warning signs shall be provided to properly control and direct foot and vehicular traffic.

All operations shall conform to the current requirements and guidelines of the Occupational Safety and Health Administration (OSHA) and the Manual of Uniform Traffic Control Devices

(MUTCD).

Contractor shall erect warning signs in advance to any place on the project where operations may interfere with the use of walkways, roads, parking areas or trails by foot or vehicular traffic and at all intermediate points where the new work crosses or coincides with an existing transportation and parking areas.

Prior to starting any work, Contractor shall submit a detailed Traffic Control Plan of proposed method for controlling traffic to the COR. Proposed Traffic Control Plan shall show and describe the proposed locations and time durations covering the following:

1. Vehicular traffic routing.

Umpqua National Forest

2. Traffic blockage anticipated to be caused by the work under this contract.

3. Any construction area fencing proposed.

For the duration of the contract, Contractor shall immediately repair or replace any and all traffic control devices damaged or destroyed.

Upon completion of the work, temporary traffic maintenance items furnished by Contractor shall be removed from the site by the Contractor.

H-6 EXCAVATION

All excavation is non-classified.

H-7 SUBMITTALS

Submit all plans, samples, schedules, certifications and product data/ literature as required by the contract to the COR. Submittals shall include the following unless otherwise required in the specification:

1. Date and revision dates.

2. Project name and contract number.

3. Names of contractor, subcontractor, supplier and manufacturer.

4. Specifications section number.

5. Field dimensions and relation to adjacent structures.

6. Applicable standards such as ASTM or Federal Specifications.

7. Contractor’s stamp, initial or signature, certifying the review of submittal, verification of field measurements and compliance with contract documents.

Product data and literature may include manufacturer's catalog sheets, brochures, diagrams, schedules, performance chart, illustrations and other standard descriptive data. All submitted product data and literature shall:

1. Clearly mark each copy and identify pertinent materials, products or models.

2. Show dimensions and clearances required.

3. Show performance characteristics and capacities.

4. Show wiring diagrams and controls.

Submit three (3) hard copies or one (1) electronic copy of all required product literature and data to the COR for the review and approval. Submit samples of size and quantity specified, or, if not specified, of sufficient size and quantity to illustrate functional and aesthetic characteristics of product, with integral parts and attachment devices. Coordinate sample submittals for interfacing work. Submit samples of finishes from full range of manufacturers' standard colors, or in specified custom colors, textures, and patterns, for Government’s selection. Take into account delivery time of all manufactured items when submitting samples.

Umpqua National Forest

Contractor's responsibility for deviations in submittals from requirements of contract documents are not relieved by the Government’s review of submittals. Begin no work, which requires approval or acceptance of submittals by the Government until return of one copy submittals with COR’s stamp and initials or signature indicating review approval or acceptance.

The following submittals, shop drawings, material certifications and/or testing reports are required:

Title Referenced by Contract clause or Specification No.

Time of Government Approval/

Acceptance After Submittal

Traffic Control Plan Clause H-5 7 days Hazardous Conditions Safety Plan, where applicable

Accident Prevention clause [FAR 52.236-13], clause 8

N/A

Fire Plan R6-FS-6300-55 and Certification that your Fire Tools and Equipment are in full compliance with the contract requirements

R6-FS-6300-52 part 2 in Section J N/A

Proposed Progress Schedule Schedules for Construction Contracts

[FAR 52.236-15]

N/A

Designation of Representative

R6-FS-6300-6

Superintendence By The Contractor

[FAR 52.236-6]

N/A

Drug Free Workplace Policy Drug Free Workplace [FAR 52.236-6] N/A SF1413 - Statement and Acknowledgement for each Subcontractor including Owner/Operators and other Sole Proprietorship Subcontractors [not required for material suppliers]

Subcontracts (Labor Standards)

[FAR 52.236-11]

N/A

Payroll Record WH347 Certified Payrolls submitted weekly

P.ayrolls and Basic Records

[FAR 52.222-8]

N/A

Umpqua National Forest

Product and Material Certifications, Samples and Literature

As required by Specifications:

Copy of Well Drilling Permit (start card) Well Installation Plan Steel Casing Well Screen Access Port Grout, Cement, Bentonite Drilling Fluids (if used) Drive Shoe Sanitary Well Seal/Cap Disinfection Solution Information

10 days

Items above shown with N/A do not required approval or acceptance by the Government, only submittal by Contractor.

H-8 HAZARDOUS CONDITIONS SAFETY PLAN

The following conditions have been identified as inherently hazardous to a degree that failure to take the proper precautions could lead to serious injury or loss of life. This listing shall not be construed as all inclusive. Contractor shall provide a written job-specific hazard analysis and safety plan that addresses and conforms to the requirements of 29 CFR 1910 and 1926 and the clause entitled Accident Prevention (FAR 52.236-13) included herein. Appropriate actions shall be taken by the Contractor to implement this plan during performance and to take any and all other necessary steps to mitigate the dangers from hazards.

• Temporary excavation/deep trenching/slope stability

• Heavy equipment operation

• Fire hazards

• Hydraulic and/or pneumatic and/or other high pressure hazards

• Mechanical hazards such as pulleys, springs, etc.

H-9 LEGAL RELATIONS AND RESPONSIBILITIES FOR UTILITIES

(a) Government's Responsibility for Utilities:

1. The Government will notify all utility companies or other parties affected and make arrangements for all necessary adjustments of the public or private utility fixtures, pipelines and other appurtenances affected by work under the contract.

2. The Government will identify known locations of underground installations other than culverts and drains the Contractor could encounter in the progress of work under the contract;

typically telephone cables, water supply pipes and induction loops within the pavement.

(b) Contractor's Responsibility for Utilities:

1. In the event of interruption to utility services because of accidental breakage, Contractor shall promptly notify the utility authority and shall cooperate with that authority in the restoration of service.

2. Any pipes or other utilities encountered in the excavation shall be shored up and cared for by Contractor as to leave them in a proper working condition until such times as the Government shall determine what shall be done with them.

3. No underground utility or structures shall be backfilled until they are inspected and approved by the COR. Contractor shall give the COR a minimum of forty-eight (48) hours notice of intention to backfill or cover work. Any work covered up without approval or proper required inspection shall, upon request of the COR, be uncovered for inspection at the expense of the Contractor.

H-10 USE OF EXISTING UTILITIES AND RESTROOMS

In accordance with the contract clause entitled “Availability and Use of Utility Services (FAR 52.236-14) ,” Contractor may use the existing utilities at the project site as follows, if they are existing and are in operation at the site:

Utility Rate to Be Charged Restrictions Restroom (CG Vault Toilet) None Reasonable Use

H-11 PROJECT SITE MAINTENANCE AND CLEANUP

Throughout the construction period, Contractor shall maintain the construction site in a neat, clean and orderly manner. Retain all stored items in an orderly arrangement allowing maximum access, not impeding drainage or traffic, and providing the required protection of materials. Do not allow the accumulation of scrap, debris, waste material and other items not required for construction of this work. Provide adequate storage for all items, awaiting removal from the job site, observing all requirements for fire prevention and protection of the environment.

Contractor shall remove and dispose of all of its own trash and refuse from the contract area.

Material to be removed includes, but is not limited to, camp refuse such as tin cans, aluminum foil, glass, paper, garbage, used engine oil, oil filters, oil cans, grease cartridges, etc. Contractor shall also remove and dispose of upon completion of the well, all stakes, flagging and similar debris within the project area. This cleanup is a subsidiary item for which no special payment will be made. All debris shall be disposed of off National Forest Land and in accordance with State and Local disposal requirements.

H-12 PROTECTION OF IMPROVEMENTS

Contractor shall protect from damage, unless designated for demolition or removal, signs, barriers, marking posts, buildings, fences, parking areas, roadways and other improvements

Umpqua National Forest within the work area. Improvements damaged will be repaired or replaced at the contractor’s expense.

H-13 PROTECTION OF CULTURAL RESOURCES

Location of known historic or prehistoric sites, buildings, objects and properties related to American history, architecture, archaeology and culture, such as settler or Indian artifacts, protected by American Antiquities Act of 1906 (16 U.S.C. 431-433), National Historic Preservation Act of 1966 (16 U.S.C. 470) and the Archaeological Resources Protection Act of 1969 (PL 96-95 and 36 CFR 261.9(e)) shall be identified on the ground by the Forest Service.

Forest Service may unilaterally modify, or cancel, this contract to protect an area, object of antiquity, artifact or similar object which is, or may be, entitled to protection under these Acts regardless of when the area, object or artifact is discovered or identified. Discovery of such areas or objects by either party shall be promptly reported to the other party.

Contractor shall protect all identified historic or prehistoric sites, buildings, objects and properties related to American history, architecture, archaeology and culture against destructions, obliteration, removal or damage during Contractor’s Operations. In accordance with 36 CFR 296.14(c), Contractor shall bear costs of restoration, provided that such payment shall not relieve the Contractor from civil or criminal remedies otherwise provided by law.

The Following Clauses Apply Only To Umpqua National Forest Projects As Indicated:

H-14 SPECIAL EARTH MOVING EQUIPMENT CLEANING REQUIREMENTS

All earth moving equipment (loaders, excavators, dump trucks, etc.) moved to the job site shall be cleaned of weeds and their seeds prior to each entrance onto the National Forest lands. This does not apply to cars, pickup trucks, and other vehicles that regularly travel between the construction site and areas outside of National Forest System lands. Cleaning of earth moving equipment shall consist of the removal of all dirt, grease, debris, and materials that may harbor noxious weeds and their seeds. This may require the use of a pressure hose.

Equipment shall be made available for visual inspection by the Forest Service prior to entering Forest Service lands. The Contractor shall advise of a proposed date for mobilization.

Inspections will take place at mutually agreeable en-route locations in advance of entry onto National Forest lands.

Special care shall be taken to assure removal of the following noxious weeds and their seeds:

Spotted knapweed (Centaurea maculosa) Diffuse knapweed (C. diffusa) Yellow star thistle (C. solstitialis) Gorse (Ulex europaeus) Rush skeletonweed (Chondrilla juncea) Tansy ragwort (Senecio jecobaea) Purple loosestrife (Lythrum salicaria) Distaff thistle (Carthamus lanatus) Scotch broom (Cytisus scoparius)

Umpqua National Forest

The Contractor shall take special care under this contract to prevent contamination of water at the work sites with any petroleum residues from mechanical equipment operations. This shall include daily inspection and cleaning as appropriate.

H-15 PAYMENTS FOR INCIDENTAL ITEMS

The intent of the contract is to provide for the complete construction of the project described in the contract. Unless otherwise provided, the Contractor shall furnish all labor, materials, equipment, tools, transportation, and supplies and perform all work required to complete the project in accordance with plans, specifications, and provisions of the contract. Payment for contract work will be made only for and under those pay items included in the Schedule of Items.

All other work and materials will be considered indirect to and included in the payment for items shown.

PART II--CONTRACT CLAUSES

SECTION I--CONTRACT CLAUSES

I-1 FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

www.arnet.gov/far/ www.usda.gov/procurement/policy/agar.html

52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards (JUL 2013) (Applicable if over $25,000 unless award is to an individual) Protecting the Government's Interest when Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (JUL 2013) (Applicable if contract exceeds $30,000) 52.211-18 Variation in Estimated Quantity (APR 1984) 52.217-7 Option for Increased Quantity – Separately Priced Line Item (MAR 1989) 52.219-6 Notice of Total Small Business Set-Aside (DEC 2010) 52.219-28 Post-Award Small Business Program Representation (JUL 2013) 52.222-3 Convict Labor (JUN 2003) 52.222-6 Davis-Bacon Act (JUL 2005) 52.222-7 Withholding of Funds (FEB 1988) 52.222-8 Payrolls and Basic Records (JUN 2010) 52.222-9 Apprentices and Trainees (JUL 2005) 52.222-10 Compliance with Copeland Act Requirements (FEB 1988) 52.222-11 Subcontracts (Labor Standards) (JUL 2005) 52.222-12 Contract Termination - Debarment (FEB 1988) 52.222-13 Compliance with Davis-Bacon and Related Act Regulations (FEB 1988) 52.222-14 Disputes Concerning Labor Standards (FEB 1988) 52.222-15 Certification of Eligibility (FEB 1988) 52.222-21 Prohibition of Segregated Facilities (Applicable if contract exceeds $10,000) 52.222-26 Equal Opportunity (MAR 2007) (Applicable if contract exceeds $10,000) 52.222-27 Affirmative Action Compliance Requirements for Construction (FEB 1999) (Applicable if FAR52.222-26 is included) 52.222-36 Affirmative Action for Workers with Disabilities (OCT 2010) (Applicable if contract exceeds $15,000) 52.222-50 Combating Trafficking in Persons (FEB 2009) 52.223-5 Pollution Prevention and Right-to-Know Information (MAY 2011) 52.223-6 Drug-Free Workplace (MAY 2001) (Applicable if contract is awarded to an individual) 52.223-18 Encouraging Contractor Policies to Ban Text Messaging While Driving http://www.usda.gov/procurement/policy/agar.html

Umpqua National Forest

(AUG 2011)

52.225-13 Restrictions on Certain Foreign Purchases (JUN 2008) 52.227-4 Patent Indemnity -- Construction Contracts (DEC 2007) 52.232-5 Payments Under Fixed-Price Construction Contracts (SEP 2002) 52.232-23 Assignment of Claims (JAN 1986) 52.232-27 Prompt Payment for Construction Contracts (JUL 2013) 52.232-33 Payment by Electronic Funds Transfer – Central Contractor Registration (JUL 2013) 52.233-1 Disputes (JUL 2002) 52.233-3 Protest After Award (AUG 1996) 52.233-4 Applicable Law for Breach of Contract Claim (OCT 2004) 52.236-2 Differing Site Conditions (APR 1984) 52.236-3 Site Investigation and Conditions Affecting the Work (APR 1984) 52.236-5 Material and Workmanship (APR 1984) 52.236-6 Superintendence by the Contractor (APR 1984) 52.236-7 Permits and Responsibilities (NOV 1991) 52.236-8 Other Contracts (APR 1984) 52.236-9 Protection of Existing Vegetation, Structures, Equipment, Utilities, and

Improvements (APR 1984) 52.236-10 Operations and Storage Areas (APR 1984) 52.236-11 Use and Possession Prior to Completion (APR 1984) 52.236-12 Cleaning Up (APR 1984) 52.236-13 Accident Prevention (NOV 1991) 52.236-14 Availability and Use of Utility Services (APR 1984) 52.236-15 Schedules for Construction Contracts (APR 1984) 52.236-17 Layout of Work (APR 1984) 52.236-21 Specifications and Drawings for Construction (FEB 1997) 52.243-5 Changes and Changed Conditions (APR 1984) 52.244-6 Subcontracts for Commercial Items (JUL 2013) 52.249-1 Termination for Convenience of the Government (Fixed-Price) (Short From)

(APR 1984)

52.249-10 Default (Fixed-Price Construction) (APR 1984) 52.253-1 Computer Generated Forms (JAN 1991)

AGRICULTURE ACQUISITION REGULATION (48 CFR CHAPTER 4) CLAUSES

452.236-71 Prohibition Against the Use of Lead-Paint (NOV 1996) 452.236-72 Use of Premises (NOV 1996) 452.236-73 Archeological or Historic Sites (FEB 1988) 452.236-74 Control of Erosion, Sedimentation and Pollution (NOV 1996) 452.236-76 Samples and Certificates (FEB 1988 I-2 52.204-7 System for Award Management (Jul 2013)

I-2 52.204-7 -- SYSTEM FOR AWARD MANAGEMENT. (Jul 2013)

(a) Definitions. As used in this provision— “Data Universal Numbering System (DUNS) number” means the 9-digit number assigned by Dun and Bradstreet, Inc. (D&B) to identify unique business entities.

“Data Universal Numbering System+4 (DUNS+4) number” means the DUNS number means the number assigned by D&B plus a 4-character suffix that may be assigned by a business concern. (D&B has no affiliation with this 4-character suffix.) This 4-character suffix may be assigned at the discretion of the business concern to establish additional System for Award Management records for identifying alternative Electronic Funds Transfer (EFT) accounts (see the FAR at Subpart 32.11) for the same concern.

“Registered in the System for Award Management (SAM) database” means that—

(1) The Offeror has entered all mandatory information, including the DUNS number or the DUNS+4 number, the Contractor and Government Entity (CAGE) code, as well as data required by the Federal Funding Accountability and Transparency Act of 2006 (see Subpart 4.14), into the SAM database; and

(2) The offeror has completed the Core, Assertions, and Representations and Certification, and Points of contact sections of the registration in the SAM database;

(3) The Government has validated all mandatory data fields, to include validation of the Taxpayer Identification Number (TIN) with the Internal Revenue Service (IRS). The Offeror will be required to provide consent for TIN validation to the Government as a part of the SAM registration process.

(4) The Government has marked the record “Active”.

(b)

(1) By submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the SAM database prior to award, during performance, and through final payment of any contract, basic agreement, basic ordering agreement, or blanket purchasing agreement resulting from this solicitation.

(2) The offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation “DUNS” or “DUNS+4” followed by the DUNS or DUNS+4 number that identifies the offeror’s name and address exactly as stated in the offer. The DUNS number will be used by the Contracting Officer to verify that the offeror is registered in the SAM database.

(c) If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one.

(1) An offeror may obtain a DUNS number—

(i) Via the internet at http://fedgov.dnb.com/webform or if the offeror does not have internet access, it may call Dun and Bradstreet at 1-866-705-5711 if located within the United States; or

(ii) If located outside the United States, by contacting the local Dun and Bradstreet office. The offeror should indicate that it is an offeror for a U.S.

Government contract when contacting the local Dun and Bradstreet office.

(2) The offeror should be prepared to provide the following information:

(i) Company legal business name.

http://fedgov.dnb.com/webform

Umpqua National Forest

(ii) Tradestyle, doing business, or other name by which your entity is commonly recognized.

(iii) Company physical street address, city, state and Zip Code.

(iv) Company mailing address, city, state and Zip Code (if separate from physical).

(v) Company telephone number.

(vi) Date the company was started.

(vii) Number of employees at your location.

(viii) Chief executive officer/key manager.

(ix) Line of business (industry).

(x) Company Headquarters name and address (reporting relationship within your entity).

(d) If the Offeror does not become registered in the SAM database in the time prescribed by the Contracting Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror.

(e) Processing time, which normally takes 48 hours, should be taken into consideration when registering. Offerors who are not registered should consider applying for registration immediately upon receipt of this solicitation.

(f) Offerors may obtain information on registration at https://www.acquisition.gov.

I-3 52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (JUL 2013)

(a) Definitions. As used in this clause— “Data Universal Numbering System (DUNS) number” means the 9-digit number assigned by

Dun and Bradstreet, Inc. (D&B) to identify unique business entities, which is used as the identification number for Federal contractors.

“Data Universal Numbering System+4 (DUNS+4) number” means the DUNS number assigned by D&B plus a 4-character suffix that may be assigned by a business concern. (D&B has no affiliation with this 4-character suffix.) This 4-character suffix may be assigned at the discretion of the business concern to establish additional SAM records for identifying alternative Electronic Funds Transfer (EFT) accounts (see the FAR at subpart 32.11) for the same concern.

“Registered in the System for Award Management (SAM) database” means that—

(1) The Contractor has entered all mandatory information, including the DUNS number or the DUNS+4 number, the Contractor and Government Entity (CAGE) code, as well as data required by the Federal Funding Accountability and Transparency Act of 2006 (see Subpart 4.14), into the SAM database;

(2) The Contractor has completed the Core, Assertions, Representations and Certifications, and Points of Contact sections of the registration in the SAM database;

(3) The Government has validated all mandatory data fields, to include validation of the Taxpayer Identification Number (TIN) with the Internal Revenue Service (IRS). The Contractor will be required to provide consent for TIN validation to the Government as a part of the SAM registration process; and https://www.acquisition.gov/ https://acquisition.gov/far/current/html/Subpart%2032_11.html#wp1043964 https://acquisition.gov/far/current/html/Subpart%204_14.html#wp1075239

Umpqua National Forest

(4) The Government has marked the record “Active”.

“System for Award Management (SAM)” means the primary Government repository for prospective Federal awardee and Federal awardee information and the centralized Government system for certain contracting, grants, and other assistance-related processes. It includes—

(1) Data collected from prospective Federal awardees required for the conduct of business with the Government;

(2) Prospective contractor-submitted annual representations and certifications in accordance with FAR Subpart 4.14; and

(3) Identification of those parties excluded from receiving Federal contracts, certain subcontracts, and certain types of Federal financial and non-financial assistance and benefits.

(b) The Contractor is responsible for the accuracy and completeness of the data within the SAM database, and for any liability resulting from the Government’s reliance on inaccurate or incomplete data. To remain registered in the SAM database after the initial registration, the Contractor is required to review and update on an annual basis, from the date of initial registration or subsequent updates, its information in the SAM database to ensure it is current, accurate and complete. Updating information in the SAM does not alter the terms and conditions of this contract and is not a substitute for a properly executed contractual document.

(c) (1)

(i) If a Contractor has legally changed its business name, doing business as name, or division name (whichever is shown on the contract), or has transferred the assets used in performing the contract, but has not completed the necessary requirements regarding novation and change-of-name agreements in subpart 42.12, the Contractor shall provide the responsible Contracting Officer a minimum of one business day's written notification of its intention to—

(A) Change the name in the SAM database;

(B) Comply with the requirements of subpart 42.12 of the FAR; and

(C) Agree in writing to the timeline and procedures specified by the responsible

Contracting Officer. The Contractor shall provide with the notification sufficient documentation to support the legally changed name.

(ii) If the Contractor fails to comply with the requirements of paragraph (c)(1)(i) of this clause, or fails to perform the agreement at paragraph (c)(1)(i)(C) of this clause, and, in the absence of a properly executed novation or change-of-name agreement, the SAM information that shows the Contractor to be other than the Contractor indicated in the contract will be considered to be incorrect information within the meaning of the “Suspension of Payment” paragraph of the electronic funds transfer (EFT) clause of this contract.

(2) The Contractor shall not change the name or address for EFT payments or manual payments, as appropriate, in the SAM record to reflect an assignee for the purpose of assignment of claims (see FAR subpart 32.8, Assignment of Claims). Assignees shall be separately https://acquisition.gov/far/current/html/Subpart%204_14.html#wp1075239 https://acquisition.gov/far/current/html/Subpart%2042_12.html#wp1084217 https://acquisition.gov/far/current/html/Subpart%2042_12.html#wp1084217 https://acquisition.gov/far/current/html/Subpart%2032_8.html#wp1029202

Umpqua National Forest registered in the SAM. Information provided to the Contractor’s SAM record that indicates payments, including those made by EFT, to an ultimate recipient other than that Contractor will be considered to be incorrect information within the meaning of the “Suspension of Payment” paragraph of the EFT clause of this contract.

(3) The Contractor shall ensure that the DUNS number is maintained with Dun & Bradstreet throughout the life of the contract. The Contractor shall communicate any change to the DUNS number to the Contracting Officer within 30 days after the change, so an appropriate modification can be issued to update the data on the contract.