Amd1SF1449.doc
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- Solicitation number
- AG-04R3-S-17-0006
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Amendment 1 Form SF 1449
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|---|---|---|
| Amd1.pdf | ||
| Final_Solicitation.doc | DOC document |
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Text version
Solicitation No.
| SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS |
| 1. REQUISITION NUMBER |
| PAGE 1 OF |
| Offeror to complete blocks 12, 17, 23, 24, & 30 |
| 849310 |
| 38 |
| 2. CONTRACT NO. |
| 3. AWARD/EFFECTIVE DATE |
| 4. ORDER NUMBER |
| 5. SOLICITATION NUMBER |
| 6. SOLICITATION ISSUE DATE |
| AG-04R3-S-17-0006 |
| April 26, 2017 |
| 7. FOR SOLICITATION |
| a. NAME |
| b. TELEPHONE (No Collect Calls) |
| 8. OFFER DUE DATE/ |
LOCAL TIME 4:30 PM PST
INFORMATION CALL
Breanne Parker, Administrative
Zane Murray, Technical 541-278-3944
541-620-1055 May 11, 2017
| 9. ISSUED BY (MAIL OFFERS TO) |
| CODE |
10. THIS ACQUISITION IS
FORMCHECKBOX
UNRESTRICTED
| 11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED. |
| 12. DISCOUNT TERMS |
| USDA FOREST SERVICE |
| FORMCHECKBOX |
SET-ASIDE. 100% FOR
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SEE SCHEDULE
| UMATILLA NATIONAL FOREST |
| FORMCHECKBOX |
SMALL BUSINESS,
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HUBZONE SMALL BUSINESS
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13a. THIS CONTRACT IS A RATED ORDER
| 72510 COYOTE RD |
| FORMCHECKBOX |
8(A)
UNDER DPAS (15 CFR 700)
| PENDLETON, OR 97801 |
| FORMCHECKBOX |
SOLE SOURCE
13b. RATING
| NAICS: 331110 |
| 14. METHOD OF SOLICITATION |
| brparker@fs.fed.us |
| SIZE STANDARD 1,500 Employees |
| FORMCHECKBOX |
RFQ
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IFB
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RFP
| 15. DELIVER TO: |
| CODE |
| 16. ADMINISTERED BY |
| CODE |
Blue Mountain Compound
150 Government Rd
John Day, OR 97835
Deliver By May 26th, 2017 Same as Block 9
| 17a. CONTRACTOR/OFFEROR |
| CAGE |
FACILITY CODE
| 18a. PAYMENT WILL BE MADE BY |
| CODE |
| DUNS #____________________________ |
| CSC-FS, USDA, OCFO, COD, APB |
PO Box 66527
St. Louis, MO 63133
| TELEPHONE: |
| TIN: |
| 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK |
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17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER
IS CHECKED: FORMCHECKBOX
SEE ADDENDA
19.
ITEM NO,
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
Butte Pasture Fencing Materials, Blue Mountain Ranger District, Malheur National Forest. ) See Schedule of Items on page 2.
COMPLETED QUOTES SHALL BE SUBMITTED VIA EMAIL FAX, OR MAIL ADDRESS INFORMATION IS PROVIDED IN BLOCK 9 OF THIS FORM.
(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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27a. solicitation incorporates by reference FAR 52.212-1, 52.212-4. FAR 52.212-3 and 52.212-5 and Addenda FORMCHECKBOX are FORMCHECKBOX are not attached.
FORMCHECKBOX
27b. contract/purchase order incorporates by reference FAR 52.212-4. FAR 52.212-5 AND Addenda FORMCHECKBOX are FORMCHECKBOX are not attached.
28.
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| CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN ORIGINAL 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. |
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AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION (BLOCK 5), DATED (BLOCK 30c) 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 |
| 31c. DATE SIGNED |
Breanne Parker, CO
AUTHORIZED FOR LOCAL REPRODUCTION
STANDARD FORM 1449 (Rev. 4/2002)
PREVIOUS EDITION IS NOT USABLE
Prescribed by GSA ( FAR (48 CFR) 53.212
| CONTINUATION SHEET |
| Solicitation No. AG-04R3-S-17-0006 |
Name of Offeror or Contractor
| ITEM NO. |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT |
PRICE
AMOUNT
SCHEDULE OF ITEMS
SUPPLIES OR SERVICES
AND PRICES/COSTS
Butte Pasture Fencing Materials, Blue Mountain Ranger District, Malheur National Forest
| 1 |
| 5.5 ft. T-1.33 Steel Posts (Green with white top) |
| 3330 |
| Posts |
| $ |
| $ |
| 2 |
| 12.5 Ga. Barbed Wire (1320 ft.) |
| 160 |
| Rolls |
| $ |
| $ |
| 3 |
| 4 ft. Wooden Stays (No Metal or Juniper) |
| 3750 |
| Stays |
| $ |
| $ |
| 4 |
| 6 ft. x 3.5”-5” Wooden Rock Jack Material |
| 600 |
| Qty. |
| $ |
| 5 |
| 50D Nails (50# box) |
| 5 |
| Box |
| $ |
| $ |
| 6 |
| 1.5 Galvanized Fence Staples (50#) |
| 8 |
| Box |
| $ |
| $ |
| Total for 1-6 |
| xxx |
| xx |
| xxxxxxx |
| $ |
Items should be delivered by May 26th, 2017
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 GOVT. REPRESENTATIVE |
| 32c. DATE |
| 32.d PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE |
| 32.e MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE |
| 32.f TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE |
32.g E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
| 33. SHIP NUMBER |
| 34. VOUCHER NUMBER |
| 35. AMOUNT VERIFIED CORRECT FOR |
| 36. PAYMENT |
| 37. CHECK NUMBER |
FORMCHECKBOX
COMPLETE FORMCHECKBOX
PARTIAL FORMCHECKBOX
FINAL
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PARTIAL FORMCHECKBOX
FINAL
| 38. S/R ACCOUNT NUMBER |
| 39. S/R 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 (YY/MM/DD) |
| 42d. TOTAL CONTAINERS |
STANDARD FORM 1449 (REV. 4/2002) BACK
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