Return_Documents-AG04N7170023.doc

COMMERCIAL ITEMS

Cultural Resource Surveys and Know Cultural Site Condition Assessments

East Side EIS Phase III, Bly Ranger District, Fremont-Winema National Forest

RETURN DOCUMENTS

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DATE

INFORMATION CALL:

4:00 PM

Rogue River-Siskiyou National Forest

3040 Biddle Road

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UNRESTRICTED OR FORMCHECKBOX

SET ASIDE: 100 % FOR

SMALL BUSINESS FORMCHECKBOX

EMERGING SMALL

BUSINESS

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HUBZONE SMALL

NAICS: 541720 BUSINESS

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SERVICE-DISABLED VETERAN- FORMCHECKBOX

8(A)

SIZE STANDARD: $20.5 Million OWNED SMALL BUSINESS

11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED

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SEE SCHEDULE

13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700) 13b. RATING

14. METHOD OF SOLICITATION

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RFQ FORMCHECKBOX

IFB FORMCHECKBOX

RFP

15. DELIVER TO CODE

16. ADMINISTERED BY CODE

17a. CONTRACTOR/ CODE FACILITY

OFFEROR CODE

18a. PAYMENT WILL BE MADE BY CODE

Invoice Processing Platform (IPP)

DUNS_________________

TELEPHONE N0.__________________ Email ___________________

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17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

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SEE ADDENDUM

Cultural Resource Surveys and Known Cultural Site Condition Assessments Bly and Chiloquin Ranger District, Fremont-Winema National Forest

Klamath County, Oregon in accordance with the attached.

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

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

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ARE NOT ATTACHED

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ARE NOT ATTACHED

29. AWARD OF CONTRACT: REF. OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS: ____________________

Linda C. Harmon 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

STANDARD FORM 1449 (REV.3/2005)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA ‑ FAR (48 CFR) 53.212

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Insert your pricing in the attached schedule of items When submitting your offer, see Section E – 52.212-1 addendum for instructions. Return to the address in block 9. On your sealed envelope, please write

RFQ AG-04N7-S-17-0023

Quotes submitted are considered to be confidential. The name of the Contractor and the amount of the contract will be disclosed only after an award is made.

Quotes may be faxed to: 541-618-2148.

This project is 100% set aside for small business concerns

32a. QUANTITY IN COLUMN 21 HAS BEEN

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RECEIVED

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INSPECTED

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ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ________________________________________

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

CORRECT FOR

|PARTIAL | |FINAL

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COMPLETE FORMCHECKBOX

PARTIAL FORMCHECKBOX

FINAL

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER

FOR PAYMENT

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

STANDARD FORM 1449 (REV.3/2005) BACK

PART I—THE SCHEDULE

SECTION B--SUPPLIES OR SERVICES AND PRICES/COSTS

Cultural Resource Surveys and Know Cultural Site condition Assessments

East Side EIS Phase III Contract Cultural Survey Bly Ranger District

Fremont-Winema National Forest

QTY.

UNIT

PRICE

TOTAL

AMOUNT

(5,164 Acres Total – Informational purpose, Not for Cost/Payment)

MANDATORY

Total Mandatory for Items 1.1-1.6

OPTIONAL

Total Option Items for Item 1.7-1.15

MANDATORY

QTY.

UNIT

PRICE

TOTAL

AMOUNT

Total Mandatory for Items 2.1-2.25

OPTIONAL

Total Optional Items for Item 2.26-2.32

Grand Total Mandatory and Optional items for Bid Item 2

GRAND TOTAL ALL ITEMS AND ALL OPTIONS

Estimated start work: June 1, 2017 Only one Contractor shall be awarded this contract.

Offerors must respond to the other factors as described under FAR 52.212-2 Evaluation – Commercial Items.

The Government will award a contract resulting from this solicitation to the responsible quoter whose quote, conforming to the solicitation will be the most advantageous to the Government based on the Evaluation Criteria. Optional items may be awarded anytime during contract performance.

For technical information contact: Michelle Durant at 541-353-2755, mdurant@fs.fed.us For contractual information contact: Linda Harmon at 541-618-2021, lharmon02@fs.fed.us

DUNS NUMBER: ________________________________________________________

EMAIL ADDRESS: ______________________________________________________

CONTACT NAME: __________________________________________________________

PHONE NO: ______________________________________________________________

NOTES:

1) Offerors are urged to inspect work site before submitting quote. No Prequote Conference is scheduled. Contact Michelle Durant for more information.

2) All prospective awardee shall be registered in the System for Awards Management (SAM) data base prior to award. Information on registration may be obtained via the internet at: https://www.sam.gov/portal/public/SAM/ 3) 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.

4) RETURN PACKAGE: To be considered for award the offeror must complete and return the following documents to this office on or before the date and time specified for receipt of offers:

· Completed Standard Form 1449

· Schedule of Items/Bid Schedule

· Notes to Contractor – (DUNS, E-mail address, Contact name, Phone)

· Section E – Representations, Certifications and Other Statements of Offerors

· Response to Evaluation Criteria – See Section E FAR Clause 212-2 Evaluation Commercial Items

RETURN DOCUMENTS TO:

Rogue River-Siskiyou NF

Attn: Contracting – Linda Harmon

3040 Biddle Road

Medford, OR 97504 Put Solicitation Number AG-04N7-S-17-0023 and Project Title on outside of envelope.

Or email to: lharmon02@fs.fed.us, FAX: 541-618-2148

FAR 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (JULY 2013)

(a) Definitions. As used in this provision—

“Administrative proceeding” means a non-judicial process that is adjudicatory in nature in order to make a determination of fault or liability (e.g., Securities and Exchange Commission Administrative Proceedings, Civilian Board of Contract Appeals Proceedings, and Armed Services Board of Contract Appeals Proceedings). This includes administrative proceedings at the Federal and State level but only in connection with performance of a Federal contract or grant. It does not include agency actions such as contract audits, site visits, corrective plans, or inspection of deliverables.

“Federal contracts and grants with total value greater than $10,000,000” means—

(1) The total value of all current, active contracts and grants, including all priced options; and

(2) The total value of all current, active orders including all priced options under indefinite-delivery, indefinite-quantity, 8(a), or requirements contracts (including task and delivery and multiple-award Schedules).

“Principal” means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

(b) The offeror [ ] has [ ] does not have current active Federal contracts and grants with total value greater than $10,000,000.

(c) If the offeror checked “has” in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information:

(1) Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the Federal or State level that resulted in any of the following dispositions:

(i) In a criminal proceeding, a conviction.

(ii) In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more.

(iii) In an administrative proceeding, a finding of fault and liability that results in—

(A) The payment of a monetary fine or penalty of $5,000 or more; or

(B) The payment of a reimbursement, restitution, or damages in excess of $100,000.

(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision.

(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence.

(d) The offeror shall post the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in FAPIIS as required through maintaining an active registration in the System for Award Management database via https://www.acquisition.gov (see 52.204-7).

FAR 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS -- COMMERCIAL ITEMS. (JAN 2017) The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) website located at https://www.sam.gov/portal. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (u) of this provision.

Section (b):

(b)(1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the SAM website.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through http://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ______________.

SYSTEM FOR AWARD MANAGEMENT (SAM)

Please Complete --- Is the Offeror currently registered in SAM (Yes / No): ___________

DUNS # _________________________

Prior to submitting a quote, contractors will be registered and have an active account with the System for Award Management (SAM) pursuant to FAR 4.1102 and other applicable regulations and guidelines Any quote received from vendors not registered in SAM will be considered Non-Responsive and they will not be evaluated or considered for award.

The System for Award Management (SAM) is a Federal Government owned and operated FREE website that consolidates the capabilities in CCR/FedReg, Online Representations and Certifications Application (ORCA) and the Excluded Parties List System (EPLS).

FAR 52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that—

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that—

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

GOVERNMENT EMPLOYEES, FORMER USDA EMPLOYEES, AND USDA RETIREES

The offeror/quoter represents and certifies that --

A.

It [ ] is, [ ] is not a current Federal Government employee.

B.

It [ ] is, [ ] is not a former USDA employee.

C.

It [ ] is, [ ] is not a retired USDA employee. If retired, give date of retirement:_________.

D.

It [ ] is, [ ] is not related by blood or marriage to a current Forest Service employee on the ______ National Forest. If so, list employee's name and location:______________________________.

E.

It [ ] is, [ ] is not substantially owned or controlled by a former USDA employee or retiree.