Copy-To-Submit-AG-05M6-S-09-0036.pdf

REQUEST FOR QUOTATION PAGE OF PAGES

(THIS IS NOT AN ORDER) THIS RFQ IS IS NOT A SMALL BUSINESS SET- ASIDE 1

1. REQUEST NO. 2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT.DEF. RATING

AG-05M6-S-09-0036 05/18/2009

UNDER BDSA REG. 2 �

AND/OR DMS REG. 1

5a. ISSUED BY 6. DELIVER BY (Date)

MT. BAKER-SNOQUALMIE NATIONAL FOREST

2930 WETMORE ANUE, STE 3A

EVERETT, WA 98201

60 Calendar days from date of issuance of the Notice to Proceed Estimated Start Work: June 22, 2009

5b. FOR INFORMATION CALL (NO COLLECT CALLS) 7. DELIVERY FOB DESTINATION NAME TELEPHONE NUMBER OTHER (See Schedule)

AREA CODE NUMBER 9. DESTINATION

BONNIE CHILDS (425) 446-2743 a. NAME OF CONSIGNEE

8. TO:

a. NAME b. COMPANY b. STREET ADDRESS

c. STREET ADDRESS c. CITY

d. CITY e. STATE f. ZIP CODE d. STATE e. ZIP CODE

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5A ON OR

BEFORE CLOSE OF BUSINESS

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in BLOCK 5a. This request does not commit the Government to pay any costs incurred in the preparation of the

June 12, 2009 submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(a) (b) (c) (d) (e) (f)

TENAS CREEKERFO ROAD REPAIR

Darrington Ranger District

MAIL Quote To:

Mt. Baker Snoqualmie National Forest

DO NOT

ENTER

ENTER

ON THE

ATTN: Acquisition 2930 Wetmore Avenue, Suite 3A

PRICES HERE ATTACHED

SCHEDULE

Everett, WA 98201 OF ITEMS

Or FAX Quote To: (425) 783-0129

TECHNICAL CONTACT:

JIM MITCHELL (360) 856-5700 Ext: 316

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

12. DISCOUNT FOR PROMPT PAYMENT � NUMBER PERCENTAGE

NOTE: Additional provisions and representations are are not attached.

13. NAME AND ADDRESS OF QUOTER 14. SIGNATURE OF PERSON AUTHORIZED TO 15. DATE OF

a. NAME OF QUOTER SIGN QUOTATION QUOTATION

b. STREET ADDRESS 16. SIGNER

a. NAME (Type or print) b. TELEPHONE

c. COUNTY AREA CODE

d. CITY e. STATE f. ZIP CODE c. TITLE (Type or Print) NUMBER

NSN 7540-01-152-8084

Previous edition not usable

18-121 STANDARD FORM 18 (Rev. 6-95) Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

Part I – The Schedule

SECTION B SUPPLIES OR SERVICES AND PRICES/COSTS

SCHEDULE OF ITEMS

TENAS CREEK ERFO ROAD REPAIR

Skagit County, Washington

METHOD PAY ESTIMATED UNIT AMOUNT

PAY ITEM DESCRIPTION OF MEAS. UNIT QUANTITY PRICE BID

202(02) Removal of Culverts A.Q. Each 1 $__________ $ __________

203(08) Borrow Excavation, L.S. L.S. 1 $ __ $ __________ Placement Method 2

203(16) Drainage Excavation, type L.S. L.S. 1 $ __ $ __________ Inlet Basin

204(07) Silt Fence A.Q. L.F. 100 $ __________ $__________

221(01) Earthwork Geotextiles, D.Q. S.Y. 30 $ __ $ __________ type II

251(01)A Placed Riprap, Class 4, A.Q. Ton 16 $ __ $ __________ Method A

251(01)B Placed Riprap, Class 7, A.Q. Ton 48 $__________ $ __________ Method A

304(11) Crushed Aggregate, Type A.Q. Ton 320 $ __ $ __________ Base, Grading D, Compaction A(Commercial Source)

306(01) Reconditioning of roadbed, D.Q. L.F. 500 $__________ $ __________ Compaction A

556(01)A W-Beam Bridge Railing A.Q. L.F. 69 $ __ $ __________

556(01)B W-Beam Bridge Railing A.Q. L.F. 69 $ __ $ __________ w/pedestrian rail

601(01) Mobilization L.S. LSQ 1 $ __ $ __________

SCHEDULE OF ITEMS

TENAS CREEK ERFO ROAD REPAIR

METHOD PAY ESTIMATED UNIT AMOUNT

PAY ITEM DESCRIPTION OF MEAS. UNIT QUANTITY PRICE BID

603B(03)A 18-Inch, Corrugated A.Q. L.F. 40 $ __ $ __________

Polyethylene Pipe, Backfill Method C

603B(03)B 24-Inch, Corrugated A.Q. L.F. 36 $ __ $ __________

Polyethylene Pipe, Backfill Method C

625(02) Seeding, Dry Method D.Q. Sq.Yd. 200 $ __ $ __________ (With Mulch)

633(01) Wood Posts A.Q. L.F. 64 $__________ $ __________

633(06)A Aluminum Sign Panels A.Q, Each 2 $__________ $ __________ Type W5-3, 36”x36”

633(06)B Aluminum Sign Panels A.Q. Each 2 $__________ $ __________ Type OM-3L

633(06)C Aluminum Sign Panels A.Q. Each 2 $__________ $ __________ Type OM-3R

637(01)A Medium size excavator D.Q. Hour 32 $ __ $ __________ w/thumb, Hitachi 150 or equivalent

637(01)B Medium size Grader, D.Q. Hour 32 $ __ $ __________ Cat 14 or equivalent or equivalent

TOTAL PRICE ----> $____________

Note:

Designed Method of Measurement: DQ – Designed Quantities, AQ – Actual Quantities LSQ – Lump Sum Quantities Pay Units: L.S. = Lump Sum, C.Y. = cubic yards, L.F. = lineal feet, S.F. = square feet, Hr. = hour

PART IV--REPRESENTATIONS AND INSTRUCTIONS

SECTION K--REPRESENTATIONS, CERTIFICATIONS, AND

OTHER STATEMENTS OF OFFERORS OR RESPONDENTS

NOTE: Offerors should address questions concerning VETS-100 reporting and reporting requirements to the Office of Veterans Employment and Training Services offices at the following address:

U. S. Department of Labor VETS-100 Reporting 4200 Forbes Blvd., Suite 202 Lanham, MD 20703

Telephone: (301) 306-6752 Website: www.vets100.cudenver.edu

Reporting Questions: HelpDesk@vets100.com Reporting Verification: Verify@vets100.com

K.1 AGAR 452.219-70 SIZE STANDARD AND NAICS CODE INFORMATION (JAN 2005)

The North American Industrial classification System Code(s) and business size standard(s) describing the products and/or services to be acquired under this solicitation are listed below:

Contract line item(s): ALL --NAICS Code 237310 --Size Standard $33.5 million

The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

K.2 52.219-19 SMALL BUSINESS CONCERN REPRESENTATION FOR THE SMALL BUSINESS

COMPETITIVENESS DEMOSTRATION PROGRAM (OCT 2000)

(a) Definitions

Emerging small business as used in this solicitation, means a small business concern whose size is no greater than 50 percent of the numerical size standard applicable to the North American Industrial Classification System (NAICS) code assigned to a contracting opportunity.

(b) (Complete only if the Offeror has represented itself under the provision at 52.219-1 as a small business concern under the size standards of this solicitation).

The Offeror [ ] is, { ] is not an emerging small business.

(c) (Complete only if the Offeror is a small business or an emerging small business, indicating its size range)

Offeror’s number of employees for the past 12 months (check the column is size standard stated in solicitation is expressed in terms in number of employees) or Offeror’s average annual gross revenue for the last 3 fiscal years (check the column is size standard stated in solicitation is expressed in terms in annual receipts). Check one of the following:

Number of Employees Average Annual Gross Revenue

_____ 50 or fewer _____ $1,000,000 or less

_____ 51-100 _____ $1,000,001 - $2,000,000

_____ 101-250 _____ $2,000,001 - $3,500,000

_____ 251-500 _____ $3,500,001 - $5,000,000

_____ 501-750 _____ $5,000,001 - $10,000,000

_____ 751-1000 _____ $10,000,001 - $17,000,000

_____ Over 1000 _____ Over $17,000,000

K.3 52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (FEB 2009)

(a)

(1) The North American Industry classification System (NAICS) code for this acquisition is 237310.

(2) The small business size standard is $33.5 million.

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)

(1) If the clause at 52.204-7, Central Contractor Registration, is included in this solicitation, paragraph

(d) of this provision applies.

(2) If the clause at 52.204-7 is not included in this solicitation, and the offeror is currently registered in CCR, and has completed the ORCA electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certification in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

[ ] (i) Paragraph (d) applies.

[ ] (ii) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c)

(1) The following representations or certifications in ORCA are applicable to this solicitation as indicated:

(viii) 52.219-1, Small Business Program Representations

(x) 52.222-22, Previous Contracts and Compliance Reports.

(xi) 52.222-25, Affirmative Action Compliance.

(xv) 52.225-2, Buy American Act Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(2) The following certifications are applicable as indicated by the Contracting Officer:

x (i) 52.219-19, Small Business Concern Representation for the Small Business Competitiveness Demonstration Program.

(d) The offeror has completed the annual representations and certifications electronically via the Online Representations and Certifications Application (ORCA) website at http://orca.bpn.gov . After reviewing the ORCA database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in paragraph (c) of this provision have been entered or updated within 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 the changes identified below [offeror to insert changes, identifying change by clause number, title, date]. 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.

FAR Clause Title Date Change

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.

K.4 FAR 52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (June 2007)

(a) Definitions. As used in this clause— Long-term contract means a contract of more than five years in duration, including options. However, the term does not include contracts that exceed five years in duration because the period of performance has been extended for a cumulative period not to exceed six months under the clause at 52.217-8, Option to Extend Services, or other appropriate authority.

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 the size standard in paragraph (c) of this clause.

(b) If the Contractor represented that it was a small business concern prior to award of this contract, the Contractor shall rerepresent its size status according to paragraph (e) of this clause or, if applicable, paragraph (g) of this clause, upon the occurrence of any of the following:

(1) Within 30 days after execution of a novation agreement or within 30 days after modification of the contract to include this clause, if the novation agreement was executed prior to inclusion of this clause in the contract.

(2) Within 30 days after a merger or acquisition that does not require a novation or within 30 days after modification of the contract to include this clause, if the merger or acquisition occurred prior to inclusion of this clause in the contract.

(3) For long-term contracts—

(i) Within 60 to 120 days prior to the end of the fifth year of the contract; and

(ii) Within 60 to 120 days prior to the exercise date specified in the contract for any option thereafter.

(c) The Contractor shall rerepresent its size status in accordance with the size standard in effect at the time of this rerepresentation that corresponds to the North American Industry Classification System (NAICS) code assigned to this contract. The small business size standard corresponding to this NAICS code can be found at http://www.sba.gov/services/contractingopportunities/sizestandardstopics/.

(d) The small business size standard for a Contractor providing a product which it does not manufacture itself, for a contract other than a construction or service contract, is 500 employees.

(e) Except as provided in paragraph (g) of this clause, the Contractor shall make the rerepresentation required by paragraph (b) of this clause by validating or updating all its representations in the Online Representations and Certifications Application and its data in the Central Contractor Registration, as necessary, to ensure they reflect current status. The Contractor shall notify the contracting office by e-mail, or otherwise in writing, that the data have been validated or updated, and provide the date of the validation or update.

(f) If the Contractor represented that it was other than a small business concern prior to award of this contract, the Contractor may, but is not required to, take the actions required by paragraphs (e) or (g) of this clause.

(g) If the Contractor does not have representations and certifications in ORCA, or does not have a representation in ORCA for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

The Contractor represents that it ( ) is, ( ) is not a small business concern under NAICS Code ______________ assigned to contract number ______________.

[Contractor to sign and date and insert authorized signer’s name and title].

K.5 SMALL BUSINESS PROGRAM REPRESENTATIONS

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 237310

(2) The small business size standard is $33.5.0 million. ].

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b) Representations. (1) The offeror represents as part of its offer that it [ ] is, [ ] is not a small business concern.

(2) [Complete only if the offeror represented itself as a small business concern in paragraph

(b)(1) of this provision.] The offeror represents, for general statistical purposes, that it [ ] is, [ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(3) [Complete only if the offeror represented itself as a small business concern in paragraph

(b)(1) of this provision.] The offeror represents as part of its offer that it [ ] is, [ ] is not a women owned small business concern.

(4) [Complete only if the offeror represented itself as a small business concern in paragraph

(b)(1) of this provision.] The offeror represents as part of its offer that it [ ] is, [ ] is not a veteran owned small business concern.

(5) [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (b)(4) of this provision.]

The offeror represents as part of its offer that it [ ] is, [ ] is not a service-disabled veteran-owned small business concern.

(6) [Complete only if the offeror represented itself as a small business concern in paragraph (b)(1) of this provision.]

The offeror represents, as part of its offer, that – (i) It [ ] is, [ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material change in ownership and control, principal office, or HUBZone employee percentage has occurred since it was certified by the Small Business Administration in accordance with 13 CFR part 126; and

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (b)(6)(i) of this provision is accurate for the HUBZone small business concern or concerns that are participating in the joint venture. [The offeror shall enter the name or names of the HUBZone small business concern or concerns that are participating in the jointventure:________].

Each HUBZone small business concern participating in the joint venture shall submit a response signed copy of the HUBZone representation.

(c) Definitions. As used in this provision—

"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 the size standard in paragraph

(a) of this provision.

"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 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.

(d) Notice. (1) If this solicitation is for supplies and has been set aside, in whole or in part, for small business concerns, then the clause in this solicitation providing notice of the set-aside contains restrictions on the source of the end items to be furnished.

(2) Under 15 U.S.C. 645(d), any person who misrepresents a firm's status as a small, HUBZone small, small disadvantaged, or women-owned small business concern in order to obtain a contract to be awarded under the preference programs established pursuant to section 8(a), 8(d), 9, or 15 of the Small Business Act or any other provision of Federal law that specifically references section 8(d) for a definition of program eligibility, shall—

(i) Be punished by imposition of fine, imprisonment, or both;

(ii) Be subject to administrative remedies, including suspension and debarment; and

(iii) Be ineligible for participation in programs conducted under the authority of the Act.

TAXPAYER ID Number (TIN): _____________________________

DUNS Number: ________________________________

Contractors must have a DUNS number. If the offeror does not, one may be obtained by calling Dun and Bradstreet at 1-866-705-5711 or visit their website at http://www.dnb.com

NOTE: If you use this form, you need to submit enough pages to cover all the information specified in Section L. Unless you have very little experience, you will need more than one sheet to cover all the work to be reported.

PAST AND CURRENT CONTRACT INFORMATION Page _____ of _____ Pages (For the past two years)

OFFEROR'S NAME

CUSTOMER NAME CONTRACT NO. BRIEF DESCRIPTION PRIMARY CONTACT INFORMATION

NAME:

VOICE PHONE #:

CUSTOMER ADDRESS

FAX PHONE #:

CONTRACT VALUE COMPLETION DATE OR SECONDARY CONTACT INFO.

% COMPLETE IF

ONGOING

CUSTOMER NAME CONTRACT NO. BRIEF DESCRIPTION PRIMARY CONTACT INFORMATION

CUSTOMER ADDRESS

CONTRACT VALUE COMPLETION DATE OR SECONDARY CONTACT INFO.

% COMPLETE IF

ONGOING