SF1449.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 11. REQUISITIONNUMBER IPAG~ OF 1

OFFEROR TO COMPLETE BLOCKS 12,17,23, 24,& 30 828011 87

2.CONTRACTNO 13.AWARD/ 14.ORDERNUMBER r. SOLICITATIONNUMBER fa SOLICITAT:ON

EFFECTIVEDATE AG-04P5-S-17-0004 SUEDATE

1/17/2017

7. FOR SOLICITATION

r NAME lb. TELEPHONENUMBER (No co/lect calls) r OFFERDUEDATE/LOCALTIME

INFORMATION CALL: LINDA WATSON 541-885-3408 02/15/2017 1500 PT

9. ISSUEDBY CODE 104U3 10.THISACQUISITIONIS UNRESTRICTEDOR )( SETASIDE: % FOR:

USDA FOREST SERVICE x SMALLBUSINESS

WOMEN-OWNEDSMALLBUSINESS

(WOSB)ELIGIBLEUNDERTHEWOMEN-OWNED

FREMONT-WINEMA NF KLAMATH FALLS HUBZONESMALL ~MAII RIIRINFRRPRnnRAM NAICS:5 61 7 3 0

2819 DAHLIA STREET BUSINESS EDWOSB

KLAMATH FALLS OR 97601 SERVICE·DISABLED 8(A) $7.50VETERAN·OWNED SIZESTANDARD:

SMALLBUSINESS

11. DELIVERYFORFOBDESTINA· 12.DISCOUNTTERMS 13b.RATING TIONUNLESSBLOCKIS 13a THISCONTRACTISA

MARKED RATEDORDERUNDER 14.METHODOFSOLICITATION

SEESCHEDULE DPAS(15CFR700)

XRFQ ~~IFB -_ RFP

15.DELIVERTO CODE 1 16.ADMINISTEREDBY CODE 104U3

LAKEVIEW RANGER DISTRICT USDA FOREST SERVICE

18049 HIGHWAY 395 FREMONT-WINEMA NF KLAMATH FALLS

LAKEVIEW OR 97630 2819 DAHLIA STREET

KLAMATH FALLS OR 97601

17a.CONTRACTOR/ CODE I FACILITYI 18a.PAYMENTWILLBEMADEBY CODEI

OFFEROR CODE

TELEPHONENO

17b.CHECKIFREMITTANCEISDIFFERENTANDPUTSUCHADDRESSINOFFER 18b.SUBMITINVOICESTOADDRESSSHOWNINBLOCK18aUNLESSBLOCKBELOW

ISCHECKED SEEADDENDUM

19. 20. 21. 22. 23. 24.

ITEMNO. SCHEDULEOFSUPPLIES/SERVICES QUANTITY UNIT UNITPRICE AMOUNT

Please use Schedule of Items page to quote on a1l items/option years and return with SF1449.

Delivery: 09/28/2016

Period of Performance: 05/15/2017 to 10/15/2017

001 Lakeview Ranger District Grounds maintenance FY17

(Use Reverse andlor Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 126.TOTAL AWARD AMOUNT (For Govt. Use Only)

X . . , :27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212 1.52.212·4. FAR 52.2123 AND 52.212 5 ARE ATTACHED. ADDENDA 27b CONTRACTIPURCHASE ORDER INCORPORATES BY REFERENCE FAR 52212·4 FAR 52.212·5 IS ATTACHED. ADDENDA

Xj ARE ARE NOT ATTACHED.

ARE -- ARE NOT ATTACHED

X 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 29. AWARD OF CONTRACT: OFFER

DATED . YOUR OFFER ON SOLICITATION (BLOCK 5).

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

HEREIN. IS ACCEPTED AS TO ITEMS:

COPIES 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.

30b. NAME AND TITLE OF SIGNER (Type or print) roc. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type orprinQ 131C.DATE SIGNED

LINDA C. WATSON

30a.SIGNATUREOFOFFEROR/CONTRACTOR 31a.UNITEDSTATESOFAMERICA(SIGNATURE OF CONTRACTING OFFICER)

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 212012)

Prescribed by GSA· FAR (48 CFR) 53.212

19 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED AND CONFORMS TO THE CONTRACT EXCEPT AS NOTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE I32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED 36. PAYMENT 37. CHECK NUMBER

CORRECT FOR

COMPLETE PARTIAL

FINAL

PARTIAL FINAL

38. SIR ACCOUNT NUMBER 39. SIR VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42b. RECEIVED AT (Location)

42c. DATE REC'D (YVIMMIDD) 142d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 212012)BACK