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Refuse Collection and Disposal
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RETURN PACKET

AG-04T1-S-11-0008

North Umpqua and Diamond Lake Ranger District

Refuse Collection and Disposal

RETURN PACKET

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
1. REQUISITION NUMBER
PAGE 1 OF 11
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
494091

APP# 06S0151148993

2. CONTRACT NO.
3. AWARD/EFFECTIVE
4. ORDER NUMBER
5. SOLICITATION NUMBER
6. SOLICITATION ISSUE

DATE

AG-04T1-S-11-0008
DATE

03//03/2011

a. NAME
b. TELEPHONE NUMBER(No collect
8. OFFER DUE DATE/
7. FOR SOLICITATION
Linda Harmon – Contracting Officer
calls) (541) 618-2021
LOCAL TIME

INFORMATION CALL:

or (541) 957-3233
04/04/2011
9. ISSUED BY CODE
10. THIS ACQUISITON IS

Umpqua National Forest

2900 NW Stewart Parkway, Roseburg, OR 97471

FORMCHECKBOX

UNRESTRICTED OR FORMCHECKBOX

SET ASIDE: 100% FOR

FORMCHECKBOX

SMALL BUSINESS FORMCHECKBOX

EMERGING SMALL

BUSINESS

FORMCHECKBOX

HUBZONE SMALL

NAICS: 561720 BUSINESS

FORMCHECKBOX

SERVICE-DISABLED VETERAN- FORMCHECKBOX

8(A)

SIZE STANDARD: $16.5 OWNED SMALL BUSINESS

11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED

FORMCHECKBOX

SEE SCHEDULE

12. DISCOUNT TERMS
FORMCHECKBOX

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

14. METHOD OF SOLICITATION

FORMCHECKBOX

RFQ FORMCHECKBOX

IFB FORMCHECKBOX

RFP

15. DELIVER TO CODE

Umpqua National Forest

North Umpqua and Diamond Lake Ranger District

Douglas County, Oregon

16. ADMINISTERED BY CODE

Umpqua National Forest

Roseburg, OR 97470

17a. CONTRACTOR/ CODE FACILITY

OFFEROR CODE

18a. PAYMENT WILL BE MADE BY CODE

Umpqua National Forest

Roseburg, OR 97470

TELEPHONE N0.

FORMCHECKBOX

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

OFFER
IS CHECKED

FORMCHECKBOX

SEE ADDENDUM

19.
20.
21.
22.
23.
24.
ITEM N0.
SCHEDULE OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
Refuse Collection and Disposal

Umpqua National Forest

North Umpqua and Diamond Lake Ranger District Douglas County, Oregon

(See: Section B - Continuation of SF-1449 – Schedule of Items on Page 3)

25. ACCOUNTING AND APPROPRIATION DATA

FORMCHECKBOX

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
FORMCHECKBOX
ARE
FORMCHECKBOX

ARE NOT ATTACHED

FORMCHECKBOX

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
FORMCHECKBOX
ARE
FORMCHECKBOX

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________
FORMCHECKBOX

29. AWARD OF CONTRACT: REF. OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY
DATED .. YOUR OFFER ON SOLICITATION
ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED
(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

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

NOTE: Offerors MUST register in the Central Contractor Registration (CCR) data base – See FAR 52.204-7 and Online Representations and Certifications Applications (ORCA) – See FAR clause 52.204-8.

This solicitation is Set Aside for

Service-Disabled Veteran-Owned Small Businesses Quoters are requested to place their offers on the Schedule of Items in Section B.

Resulting contract will be a Firm-Fixed Price Type Contract

TIN:_____________________________

DUNS:___________________________

EMAIL:___________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

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

33. SHIP NUMBER
34. VOUCHER NUMBER
35. AMOUNT VERIFIED

CORRECT FOR

36. PAYMENT
37. CHECK NUMBER

|PARTIAL | |FINAL

FORMCHECKBOX

COMPLETE FORMCHECKBOX

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 RECD (YY/MM/DD)
42d. TOTAL CONTAINERS

See Continuation of SF1449 - THE SCHEDULE

SECTION B--SUPPLIES OR SERVICES AND PRICES/COSTS

SCHEDULE OF ITEMS

Refuse Collection and Disposal Services North Umpqua and Diamond Lake Ranger Districts

Umpqua National Forest Contract time is estimated to be: Mid April 2011 through October 2011 with 2 (two) one-year options.

Item
Description
Est.Qty
Unit
Price
Amount

BASE YEAR

Mid April 2011– October 2011

Diamond Lake Ranger District

45 containers at 15 Rec and Admin Sites

1382
ST
$________
$________
02
North Umpqua Ranger District

12 containers at 7 Rec Sites

305
ST
$________
$________
03
North Umpqua Ranger District

1 container at Steamboat Work Center

22
ST
$________
$________

Total Quote - Base year

04
ITEMS 04-05 OPTIONAL ITEMS – BASE YEAR

Diamond Lake Ranger District

a. Mt. Thielsen View Point - 1 container

b. Lake Creek - 1 container

c. Toketee Lake Campground - 2 containers

d. Watson Falls Picnic Ground - 1 container

e. Clearwater Falls Picnic Group - 1 container

Total Option line 04

ST

ST

ST

ST

ST

05
North Umpqua Ranger District

a. Apple Creek Campground - 1 container

b. Island Campground - 1 container

Total Option line 05

ST

ST

Total Quote

(Base year & Optional Items, (lines 4 & 5)

OPTION YEAR 1

Mid April 2012– October 2012

Diamond Lake Ranger District

45 containers at 15 Rec and Admin Sites

1382
ST
$________
$________
07
North Umpqua Ranger District

12 containers at 7 Rec Sites

305
ST
$________
$________
08
North Umpqua Ranger District

1 container at Steamboat Work Center

22
ST
$________
$________

Total Quote - Option Year 1

ITEMS 09-10 ARE OPTIONAL ITEMS FOR OPTION YEAR 1

09
Diamond Lake Ranger District

a. Mt. Thielsen View Point - 1 container

b. Lake Creek - 1 container

c. Toketee Lake Campground - 2 containers

d. Watson Falls Picnic Ground - 1 container

e. Clearwater Falls Picnic Group - 1 container

ST

ST

ST

ST

ST

10
North Umpqua Ranger District

a. Apple Creek Campground - 1 container

b. Island Campground - 1 container

ST

Total Quote

(Option Year 1 & Optional Items, (lines 9 &10)

OPTION YEAR 2

Mid April 2013– October 2013 Diamond Lake Ranger District

45 containers at 15 Rec and Admin Sites

1382
ST
$________
$________
12
North Umpqua Ranger District

12 containers at 7 Rec Sites

305
ST
$________
$________
13
North Umpqua Ranger District

1 container at Steamboat Work Center

22
ST
$________
$________

Total Quote - Option Year 2

ITEMS 14-15 ARE OPTIONAL ITEMS FOR OPTION YEAR 2

14
Diamond Lake Ranger District

a. Mt. Thielsen View Point - 1 container

b. Lake Creek - 1 container

c. Toketee Lake Campground - 2 containers

d. Watson Falls Picnic Ground - 1 container

e. Clearwater Falls Picnic Group - 1 container

ST

ST

ST

ST

ST

15
OPTIONAL ITEMS FOR

OPTION YEAR 2

North Umpqua Ranger District

a. Apple Creek Campground - 1 container

b. Island Campground - 1 container

ST

Total Quote

(Option Year 2 & Optional Items, (lines 14 &15)

TOTAL QUOTE

(ALL LINES 01-15)

ST= Service Trip - The term “Service Trip” is defined as disposal of one container per day.

Period of performance: Base year is from date of award, approximately: mid April 2011 to October 31, 2011 with two Option Years.

Estimated Start work date is April 15, 2011.

Services are required throughout the heavy-use recreation season. Normal recreational season is late April through October of each year. Actual performance period will depend on weather conditions at the site for opening of the sites for the recreational season.

There are two Option Years that, if exercised, will have a performance period of one season each. The Government will give 60 days notice prior to exercising options. However, Notice of Intent does not obligate the government to exercise Option Years. See 52.217-9 - Option to Extend the Term of the Contract and FAR Clause 52.217-5 – Evaluation of Options.

Optional items will be awarded based on availability of funding at time of award for base item, and if options are exercised, at award of each Option Year.

NOTE: Quoters shall complete Section E including the Questionnaire in Section E to receive full consideration for award – See 52.212-1, Instructions to Offerors - Commercial Items and 52.212-2 Evaluation - Commercial Items item C for complete package list.

This solicitation is set aside for Service Disabled Veteran Owned Businesses.

Evaluation for award – The Government will make award on an all-or-none basis in accordance with Section E - Instructions, Conditions and Notices to Offeror, Provision 52.212-1, Instructions to Offerors - Commercial Items and 52.212-2 Evaluation - Commercial Items.

No award will be made to a Contractor who is not registered in the Central Contractor Registration (CCR) database. Contractors should provide Representations and Certifications electronically at the ORCA website, http://orca.bpn.gov.

DUNS Number:______________________________________

TIN: _______________________________________________

Email:______________________________________________

52.212-3 Offeror Representations and Certifications - Commercial Items (June 2009) An offeror shall complete only paragraphs (b) of this provision if the offeror has completed the annual representations and certificates electronically at http://orca.bpn.gov. If an offeror has not completed the annual representations and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (c) through (m) of this provision.

(a) Definitions. As used in this provision--

“Emerging small business” means a small business concern whose size is no greater than 50 percent of the numerical size standard for the NAICS code designated.

“Forced or indentured child labor” means all work or service—

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

“Manufactured end product” means any end product in Federal Supply Classes (FSC) 1000-9999, except—

(1) FSC 5510, Lumber and Related Basic Wood Materials;

(2) Federal Supply Group (FSG) 87, Agricultural Supplies;

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

(5) FSC 9410, Crude Grades of Plant Materials;

(6) FSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) FSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) FSC 9610, Ores;

(9) FSC 9620, Minerals, Natural and Synthetic; and

(10) FSC 9630, Additive Metal Materials.

“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person conducting the business can demonstrate—

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

“Service-disabled veteran-owned small business concern”—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

“Small business concern” means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.

“Veteran-owned small business concern” means a small business concern—

(1) Not less than 51 percent of which is owned by one or more veterans(as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

“Women-owned business concern” means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

“Women-owned small business concern” means a small business concern --

(1) That is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and

(2) Whose management and daily business operations are controlled by one or more women.

(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 Online Representations and Certifications Application (ORCA) website.

(2) The offeror has completed the annual representations and certifications electronically via the ORCA website at http://orca.bpn.gov .After reviewing the ORCA database information, the offeror verifies by submission of this offer that the representation 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 ____________. [Offeror to identify the applicable paragraphs at (c) through (m) of this provision that the offeror has completed for the purposes of this solicitation only, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on ORCA.]

To be considered for award: Offerors MUST register Online Representations and Certifications Applications (ORCA)

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 or retiree.

(c) It ( ) is, ( ) is not related by blood or marriage to a current or former Forest Service employee on the Rogue River-Siskiyou National Forest. If so, list current or former employee's name and location:

(d) The firm ( ) is, ( ) is not substantially owned or controlled by a former USDA employee or retiree.

52.222-22 -- Contracts and Compliance Reports (Feb 1999)

The offeror represents that –

(a) It [ ] has, [ ] has not participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation;

(b) It [ ] has, [ ] has not filed all required compliance reports; and

(c) Representations indicating submission of required compliance reports, signed by proposed subcontractors, will be obtained before subcontract awards.

EXPERIENCE QUESTIONNAIRE

Quoters must respond to the following to receive full consideration for award. Complete this Questionnaire in entirety or include other information that addresses these questions. You may attach your response to the questions on a separate sheet.

1.

Contractor’s Technical Capability – Demonstrate firm’s understanding and ability to:

A. Discuss briefly your work force – who will be actually performing the work.

B. Perform disposal of garbage and public refuse from garbage containers located on Federal land, include details of your coordination with Douglas County public Works.

C. Explain how you plan to provide the required containers (rent, lease or owned).

D. List the equipment you plan to use to handle and load/unload the containers. Do you have backup equipment?

E. Describe how you will comply with the cleaning/disinfecting of the containers as required.

F. Describe how you plan to make needed repairs to equipment.

G. Discuss your procedures for quality control.

H. Have you completed an on-site review of all facilities?

2.

Contractor’s Past Performance History – Provide a listing of your work for the past three years which are most closely related to this project. Include the dates of performance, who you worked for, the name of their contact person and their phone number.

3.

Project Administration – Complications in completing work are a normal part of business. Please identify some project difficulties you have experienced and explain how you dealt with these problems. Examples might be low productivity, severe weather impacts, equipment failures, illness or injury. If possible include project names, dates and references that were aware of the problem and the steps you took to improve the situation. It is preferable if the information is from projects cited under the item above.

CERTIFICATION: I certify that the above statements are accurate and complete to the best of my knowledge.

Signature & typed/printed name and title Company Name

File details come from the government source that posted it. Updated .