ReturnPackage.pdf

Fremont-Winema National Forest

Contract No.

Project Name: Upper Sycan Aquatic Habitat

Restoration Project: Equipment Rental with

Operator for Paisley Ranger Sistrict

Issue Date: May 11, 2016

Contractor:

Issuing and Billing Office:

2819 Dahlia St.

Klamath Falls, OR 97601

Attn: Deanna Vest

Item

No.

Description Quantity

Order

Unit

Unit

Price

Amount

BASE ITEM – 8/1/2016 – 9/30/2016

1.1 Mobilization – Includes moving of

equipment to/from project location.

1 Lump

Sum

1.2 1 Tracked Excavator. Service work activities (minimum of 100 hp (fly wheel power) and 35,000 lbs. operating weight with blade and bucket with thumb (36” minimum toothed bucket) for a total of

300 hours starting 08/01/2016.

Hours

TOTAL BASE ITEM

OPTION ITEM – 8/1/2017-9/30/2017

2.1 Mobilization – Includes moving of

equipment to/from project location.

1 Lump

Sum

2.2 1 Tracked Excavator. Service work activities (minimum of 100 hp (fly wheel power) and 35,000 lbs. operating weight with blade and bucket with thumb (36” minimum toothed bucket) for a total of

350 hours starting 8/1/2016.

2.3 Equipment rental with operator: 1

Ten yard dump truck for 40 hours, starting 8/1/17. Ideally operator of excavator also operates dump truck.

TOTAL OPTION ITEM $__________

GRAND TOTAL BASE AND

OPTION ITEMS

PROPOSALS MUST BE SUBMITTED

BY May 31, 2016 BY 8 A.M. May be emailed to dvest@fs.fed.us

Telephone # ____________________

E-Mail: _______________________

DUNS# _______________________

Parent FERM Contract Applies to this

Solicitation and Contract.

The Period of Performance for this Task Order is from the Date of

Award through September 30, 2016 for Base Item; and through

September 31, 2017 for Option Item.

Total Price:

Contractor: (Name and Signature)

Signature _________________________ Print Name_____________________ Date__________

Requested By: (Name and Signature)

COR:

Ordered By: (Name and Signature)

Contracting Officer: DEANNA L. VEST

Please submit your Quote in 2 parts, price quote and technical proposal.

Email: dvest@fs.fed.us Fax: 541-885-3452 Mail or Deliver: Klamath Ranger District 2819 Dahlia St.

Klamath Falls, OR 97601

Vendor is responsible to ensure quote received by the Government. By email to dvest@fs.fed.us or phone 541-883-6737.

mailto:dvest@fs.fed.us mailto:dvest@fs.fed.us

30. AGAR 452.209 – 70 REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID

DELINQUENT TAX LIABILITY OR A FELONY CONVICTION (DEVIATION 2012-01) Alternate 1 (Feb

2012).

(a.) Awards made under this solicitation are subject to the provisions contained in the Consolidated

Appropriations Act, 2012 (P.L. No. 112-74), Division E, Sections 433 and 434 regarding corporate felony convictions and corporate federal tax delinquencies. To comply with these provisions, all offerors must complete paragraph (1) of this representation, and all corporate offerors also must complete paragraphs (2) and (3) of this representation.

(b) The Offeror represents that –

(1) The Offeror is [ ], is not [ ] (check one) an entity that has filed articles of incorporation in one of the fifty states, the District of Columbia, or the various territories of the United States including American Samoa, Federated States of Micronesia, Guam, Midway Islands, Northern

Mariana Islands, Puerto Rico, Republic of Palau, Republic of the Marshall Islands, U.S. Virgin

Islands. (Note that this includes both for-profit and non-profit organizations.)

If the Offeror checked “is” above, the Offeror must complete paragraphs (2) and (3) of the representation. If Offeror checked “is not” above, Offeror may leave the remainder of the representation blank.

(2) (i) The Offeror has [ ], has not [ ] (check one) been convicted of a felony criminal violation under Federal or State law in the 24 months preceding the date of offer.

(ii) Offeror has [ ], has not [ ] (check one) had any officer or agent of Offeror convicted of a felony criminal violation for actions taken on behalf of Offeror under Federal law in the 24 months preceding the date of offer.

(3) The Offeror does [ ], does not [ ] (check one) have 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.

37. SUBMIT FOR EVALUATION

a) Past Performance: Provide a document of references in which you have performed similar work with the equipment specified in this solicitation, and which you have successfully completed. Include

Contract Number (IF APPLICABLE), Price, CO and COR names, type of work performed and current phone numbers, so past performance can be verified. "Successful Completion" will be based on the following factors:

Successful Completion, Timeliness: Past similar contracts were completed on schedule; if delays in contract work completion occurred, they were outside the controls of the Contractor.

Successful Completion, Work Quality: Past similar contracts were completed at minimum acceptable work quality or greater; rework or rejected work was considered minor.

Successful Completion, Customer Satisfaction: Past contracts were completed with a spirit of cooperation and a willingness to work out difficulties at the lowest administrative level.

b) Key Personnel

Provide names of operators and number of years experience for each piece of equipment offered.

The minimum experience required for this solicitation is 1 year performing work similar to that requested in this solicitation (stream restoration).

c) Equipment

Provide make, model and age of equipment and any auxiliary equipment to be used in the performance of this contract.

38. SUBMITTALS

1) Filled out and sign quote sheet

2) Past performance, key personnel and equipment information

3) #30 fill out and include with the quote