ReturnPackage.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

801945

PAGE 1 OF

2. CONTRACT NO.

3.AWARD/EFFECTIVE DATE 4. ORDER NUMBER 5. SOLICITATION NUMBER

RFQ AG-04P5-S-16-0007

6. SOLICITATION ISSUE

DATE

June 22, 2016

7. FOR SOLICITATION

INFORMATION CALL :

a. NAME Deanna Vest

Contracting Officer

b. TELEPHONE NUMBER (No collect calls)

541-883-6737

8. OFFER DUE DATE/

LOCAL TIME

July 6, 2016 4 pm

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED SET ASIDE 100 % FOR

USDA Forest Service

Klamath Ranger District

2819 Dahlia St.

Klamath Falls, OR 97601

SMALL BUSINESS WOMAN –OWNED SMALL BUSINESS (WOSB)

HUBZONE SMALL BUSINESS ELIGIBLE UNDER THE WOMEN OWNED SMALL

BUSINESS PROGRAM

SERVICE DISABLE VETERAN- EDWOSB-

VETERAN-OWNED SMALL

BUSINESS 8(

NAICS Code _541620____ Size Standard $ 15.0__ million

11. DELIVERY FOR FOB

DESTINATION UNLESS

BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13A. THIS CONTRACT IS RATED

ORDER UNDER DPAS (15 CFR 700

13B. RATING

14. METHOD OF SOLICATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

Lakeview Ranger District 18049 Hwy. 395 Lakeview, OR 97630

See Block 9

17a. CONTRACTOR/ OFFERER

TELEPHONE NO. DUNS #____________________

FAX NO.

E-Mail Address: ________________________

18a. PAYMENT WILL BE MADE BY

USDA, OCFO, COD, APB

PO Box 60075

New Orleans, LA 70160

17b CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH

ADDRESS IN OFFER

18b. SUMBIT INVOICES TO ADDRESS SHOWN IN BLOCK 18A UNLESS

BLOCK BELOW IS CHECKED SEE ADDENDUM

19.

ITEM NO

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Groundwater Monitoring and Remediation, Lakeview Ranger District, Fremont-Winema National Forest

25. ACCOUNTING AND APPROPRIATION DATA

JOB CODE

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

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5. ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN ONE

COPY 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

HEREIN

29. AWARD OF CONTRACT: REFERENCE RFQ AG-05G1-S-12-00XX

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

31a. UNITED STATES OF AMERICA (Signature Of Contracting Officer)

30b. NAME AND TITLE OF SIGNER (Type or Print)

30c. DATE SIGNED 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 (48CFR 53.212

Groundwater Monitoring and Remediation, Lakeview Ranger District

SCHEDULE OF ITEMS

Lakeview RD – Multi-year Groundwater Monitoring and Remediation – 2016-2019

Base Year – July 15 through December 31, 2016

ITEM METHOD OF

NO. SUPPLIES/SERVICES MEASUREMENT UNIT QUANTITY AMOUNT

1.a. Mobilization, Project Planning, LSQ LS 1 $________

Research and Management

2.a. Investigation, Sampling & Testing LSQ LS 1 $________

3.a. Oxygen Releasing Compound (ORC) LSQ LS 1 $________

Management & Replacement

4.a. Oregon DEQ – Correspondence LSQ LS 1 $________

& Reporting

Total Bid – Base Year - 2016 $__________

Option Year I – January 1 through December 31, 2017

1.b. Mobilization, Project Planning, LSQ LS 1 $________

2.b. Investigation, Sampling & Testing LSQ LS 1 $________

3.b. Oxygen Releasing Compound (ORC) LSQ LS 1 $________

4.b. Oregon DEQ – Correspondence LSQ LS 1 $________

Total Bid Option Year I - 2017 $__________

Groundwater Monitoring and Remediation AG-04P5-S-16-0007

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Option Year II –January 1 through December 31, 2018

1.c. Mobilization, Project Planning, LSQ LS 1 $________

2.c. Investigation, Sampling & Testing LSQ LS 1 $________

3.c. Oxygen Releasing Compound (ORC) LSQ LS 1 $________

4.c. Oregon DEQ – Correspondence LSQ LS 1 $________

Total Bid Option Year II - 2018 $__________

Option Year III – January 1 through December 31, 2019

1.d. Mobilization, Project Planning, LSQ LS 1 $________

2.d. Investigation, Sampling & Testing LSQ LS 1 $________

3.d. Oxygen Releasing Compound (ORC) LSQ LS 1 $________

4.d. Oregon DEQ – Correspondence LSQ LS 1 $________

Total Bid Option Year III - 2019 $__________

GRAND TOTAL BASE AND ALL OPTION YEARS 2016-2019 $___________

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Must be registered in SAM.gov to be considered for this award.

Duns Number ____________________________

Name and Address: _______________________________________________

Email Address __________________________________

Phone Number _________________________________

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INSTRUCTIONS, CONDITIONS, AND NOTICES TO QUOTERS OR RESPONDENTS

The provision “52.212-2, Evaluation-Commercial Items”, applies to this acquisition and the specific evaluation criteria to be included in paragraph (a) of that provision, are as follows:

Offers shall provide technical and business information to include the elements cited in this section.

The Contractor shall address, in narrative form, the elements listed below. Copies of company literature, brochures, or other information may be attached to the questionnaire, if appropriate. Extensive, elaborate and specially prepared attachments are neither required nor desired. The Government is not obligated to request additional information and, in the absence of appropriate information, the Government may rely on personal knowledge of the firm.

1. Past Performance

Subfactors:

Quality of workmanship

Customer Satisfaction

Timeliness of Performance

References

2. Contractor’s Experience

Subfactors:

Professional Licenses

Prior experience of the Contractor

Key personnel qualifications and experience (identify numbers and types of personnel to be used).

Identify other concurrent commitments.

How this service will be delivered.

3. Quality Control Plan

A. Quality Control Plan. The Contractor shall provide a Quality Control

Plan (QCP) as part of this Technical Proposal. The Plan must demonstrate how the

Contractor will assure that quality of performance meets the objectives and requirements of the contract. The QCP shall specify:

1. How quality will be monitored to assure performance standards are met.

2. How the work will be supervised.

3. How results of the monitoring will result in quality performance.

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4. Identify the personnel responsible for performing quality control.

4. SAFETY PLAN

Prior to allowing any work to commence on the project, the Contractor shall submit a Safety Plan to the Contracting Officer that is in accordance with OSHA

Regulations. Such safety plan shall include all tasks and related activities anticipated to successfully complete the work. The safety plan shall include the Personal Protective

Equipment (PPE) that the Contractor provides for his/her employees at no cost to them.

It shall include how often the PPE is inspected to insure that it is not defective or damaged. It shall include steps the Contractor takes to insure that his/her workers are using the PPE on the worksite and what steps the Contractor uses if an employee is found to be working without the required PPE. The Contractor shall include any safety training he/she provides to his/her employees.

5. Price – Price Reasonableness (Use “Schedule of Items”)

Past performance, experience, quality control plan, and safety plan when combined, are more important than price.

Prior to the award of any contract subject to the Oregon Worker’s Compensation Law, the

Contractor must provide (1)evidence that the Contractor (including subcontractors) has the required workers compensation coverage; or (2) certification that the Contractor has no employees, or are otherwise exempt.

ADDENDUM TO FAR 52.212-3

AGAR 452.209-70 REPRESENTATION BY CORPORATIONS REGARDING UNPAID

DELINQUENT TAX LIABILITY OR A FELONY CONVICTION (FEB 2012)

ALTERNATE I (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

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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.

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.

Data Universal Numbering System (DUNS) Number

Reference Clause 52.212-1, Instructions to Offerors – Commercial Items, paragraph (j). Quoter shall inset their DUNS number: ________________________________________

END of ADDENDUM TO FAR 52.212-3