Amend1_AG-64R4-S-15-0017_BID_copy.pdf

SOLICITATION NO. AG-64R4-S-15-0017

ROAD IMPROVEMENTS

BID COPY – RETURN THIS COPY WITH BID GUARANTEE MARK TWAIN NATIONAL FOREST

SOLICITATION, OFFER,

AND AWARD

(Construction, Alteration, or Repair)

1. SOLICITATION NO.

AG-64R4-S-15-0017

2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED

06/30/2015

PAGE OF PAGES

IMPORTANT - The “offer” section on the reverse must be fully completed by offeror.

4. CONTRACT NO.

5. REQUISITION/PURCHASE

REQUEST NO.

749999

6. PROJECT NO.

7. ISSUED BY CODE 3445 8. ADDRESS OFFER TO

Carrie L. Edwards, Contracting Officer USDA Forest Service Monongahela National Forest 410 East Main Street White Sulphur Springs, WV 24986

USDA Forest Service Monongahela National Forest Attn: Carrie L. Edwards, Contracting Officer 410 East Main Street White Sulphur Springs, WV 24986

9. FOR INFORMATION CALL: A. NAME (NO COLLECT CALLS)

Carrie Edwards, Contract Specialist, 304-536-2144 Michael Pomeroy, Contracting Officer’s Representative, 573-785-1475

SOLICITATION

NOTE: In sealed bid solicitations “offer” and “offeror” mean “bid” and “bidder.”

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title, identifying no., date):

ROAD IMPROVEMENTS

MARK TWAIN NATIONAL FOREST

ELEVEN POINT RANGER DISTRICT

Price Range: The Government's estimated price range for the total of all items combined is between $250,000 and $500,000.

Bid Guarantee: A bid guarantee in the amount of 20% of the total bid price is required. A copy of Standard Form (SF) 24, Bid Bond, can be downloaded from the following website:

http://www.gsa.gov/portal/forms/download/115982

(Note: Faxed copies of Bids, Bid Guarantees or Bonds are not acceptable.)

11. The Contractor shall begin performance within 10 calendar days and complete it within (**see Section F) calendar days after receiving award, notice to proceed. This performance period is mandatory, negotiable.

12A. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?

(If “YES,” indicate within how many calendar days after award in Item 12B.)

YES NO

12B. CALENDAR DAYS

13. ADDITIONAL SOLICITATION REQUIREMENTS:

A. Sealed offers in original and 0 copies to perform the work required are due at the place specified in Item 8 by 3:00 p.m.

Eastern Time (hour) JULY 30, 2015 (date). If this is a sealed bid solicitation, offers must be publicly opened at that time.

Sealed envelopes containing offers shall be marked to show the offeror’s name and address, the solicitation number, and the date and time offers are due.

B. An offer guarantee is required is not required.

C. All offers are subject to the (1) work requirements, and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

D. Offers providing less than 60 calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.

http://www.gsa.gov/portal/forms/download/115982

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30a. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED TO SIGN (Type or print)

31a. NAME OF CONTRACTING OFFICER (Type or print)

30b. SIGNATURE 30c. DATE 31b. UNITED STATES OF AMERICA

BY

31c. DATE

STANDARD FORM 1442 (REV. 4-85) BACK

OFFER (Must be fully completed by offeror)

14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code)

15. TELEPHONE NO. (Include area code) & EMAIL

16. REMITTANCE ADDRESS (Include only if different than

Item 14)

CODE FACILITY CODE

17. The offeror agrees to perform the work at the prices specified below in strict accordance with the terms of this solicitation, if this offer is accepted by the Government within calendar days after the date offers are due. (Insert any number equal to or greater than the minimum requirement stated in Item 13D. Failure to insert any number means the offeror accepts the minimum in Item 13D.

AMOUNTS

18. The offeror agrees to furnish any required performance and payment bonds.

19. ACKNOWLEDGMENT OF AMENDMENTS

The offeror acknowledges receipt of amendments to the solicitation -- give number and date of each

AMENDMENT NO.

DATE

20A. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN

OFFER (Type or print)

20B. SIGNATURE

20C.

OFFER

DATE

AWARD (To be completed by Government)

21. ITEMS ACCEPTED:

22. AMOUNT

23. ACCOUNTING AND APPROPRIATION DATA

24. INVOICES WILL BE SUBMITTED TO THE CONTRACTING

OFFICER’S REPRESENTATIVE

(1 copy unless otherwise specified)

25. OTHER THAN FULL AND OPEN COMPETITION

PURSUANT TO

10 U.S.C. 2304(c)( ) 41 U.S.C. 253(c)( )

26. ADMINISTERED BY

3445 27. PAYMENT WILL BE MADE BY

USDA FOREST SERVICE

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

28. NEGOTIATED AGREEMENT (Contractor is required to sign this document and return ____ copies to issuing office.) Contractor agrees to furnish and deliver all items or perform all work, requirements identified on this form and any continuation sheets for the consideration stated in this contract. The rights and obligations of the parties to this contract shall be governed by (a) this contract award,

(b) the solicitation, and (c) the clauses, representations, certifications, and specifications or incorporated by reference in or attached to this contract.

29. AWARD (Contractor is not required to sign this document.)

Your offer on this solicitation is hereby accepted as to the items listed.

This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award.

No further contractual document is necessary.

BID COPY – RETURN THIS COPY WITH BID GUARANTEE MARK TWAIN NATIONAL FOREST

PART I – THE SCHEDULE

SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS

The contractor shall furnish all transportation, material, labor, supervision, equipment, operators, tools, supplies, licenses, permits and other incidentals necessary for to perform road improvements on the Eleven Point Ranger District of the Mark Twain National Forest. All work shall be performed in accordance with terms, conditions, specifications and drawings of this Invitation for Bids (IFB) and any resultant contract.

BIDDER INFORMATION:

All bidders must submit the following information:

OFFICE PHONE: _______________________________ CELL PHONE____________________________

HOME PHONE: ________________________________________________________________________

E-MAIL ADDRESS:______________________________________________________________________

DATA UNIVERSAL NUMBERING SYSTEM (DUNS) NUMBER: ___________________________________

FEDERAL TAX IDENTIFICATION NUMBER: _________________________________________________

ARE YOU REGISTERED IN THE SYSTEM FOR AWARD MANAGEMENT (SAM) AND IS YOUR

INFORMATION CURRENT? [ ] YES [ ] NO

NON DISCRIMINATION STATEMENT: The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means of communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

BID COPY – RETURN THIS COPY WITH BID GUARANTEE MARK TWAIN NATIONAL FOREST

B-1 SCHEDULE OF ITEMS

BID ITEM 1 – RED WITCH

Pay Item Title Estimated

Quantity Unit Unit Price Total Price

Forest Road 4822A – War Wagon Reconstruction 20101 Clearing and Grubbing 1.13 Acre $ $

20402 Roadway Excavation, Compaction Method (a), Finishing Method (a) 0.46 Mile $ $

20420 Drainage Excavation, Type: A-A Outlet 10 Each $ $ 20420 Drainage Excavation, Type: B-B Outlet 6 Each $ $

30802 Crushed Aggregate Grading 1” Clean, Compaction Method 1 200 Ton $ $

Total Price for FR 4822A – War Wagon Reconstruction: $

Forest Road 4822B – Red Witch Reconstruction 20101 Clearing and Grubbing 1.73 Acre $ $

20402 Roadway Excavation, Compaction Method (a), Finishing Method (a) 0.70 Mile $ $

20420 Drainage Excavation, Type: A-A Outlet 22 Each $ $ 20420 Drainage Excavation, Type: B-B Outlet 1 Each $ $ 20420 Drainage Excavation, Type: B Dip 1 Each $ $

30802 Crushed Aggregate Grading 1” Clean, Compaction Method 1 285 Ton $ $

30802 Crushed Aggregate Grading 4” – 6” Clean, Compaction Method 1 35 Ton $ $

Total Price for FR 4822B – Red Witch Reconstruction: $

Forest Road 4846 – Jackleg Reconstruction 20101 Clearing and Grubbing 1.14 Acre $ $

20402 Roadway Excavation, Compaction Method (a), Finishing Method (a) 0.70 Mile $ $

20420 Drainage Excavation, Type: A-A Outlet 6 Each $ $ 20420 Drainage Excavation, Type: B-B Outlet 4 Each $ $ 20420 Drainage Excavation, Type: B Dip 3 Each $ $

30802 Crushed Aggregate Grading 1” Clean, Compaction Method 1 295 Ton $ $

30802 Crushed Aggregate Grading 4” – 6” Clean, Compaction Method 1 30 Ton $ $

Total Price for FR 4846 – Jackleg Reconstruction: $

TOTAL PRICE FOR BID ITEM 1 – RED WITCH

(FR 4822A + FR 4822B + FR 4846):

BID COPY – RETURN THIS COPY WITH BID GUARANTEE MARK TWAIN NATIONAL FOREST

BID ITEM 2 – STAGECOACH

Quantity Unit Unit Price Total Price

Forest Road 3952 – Gatlin Gun Reconstruction

20101 Clearing and Grubbing 3.22 Acre $ $

20402 Roadway Excavation, Compaction Method (a), Finishing Method (a) 1.4 Mile $ $

20420 Drainage Excavation, Type: A-A Outlet 12 Each $ $

20420 Drainage Excavation, Type: B-B Outlet 13 Each $ $

20420 Drainage Excavation, Type: A Dip 2 Each $ $

20420 Drainage Excavation, Type: B Dip 7 Each $ $

30802 Crushed Aggregate Grading 1” Clean, Compaction Method 1 566 Ton $ $

30802 Crushed Aggregate Grading 4” – 6” Clean, Compaction Method 1 100 Ton $ $

Total Price for FR 3952 Gatlin Gun Reconstruction: $

Forest Road 3958 – North Prong Cedar Bluff Reconstruction 20101 Clearing and Grubbing 1.43 Acre $ $

20402 Roadway Excavation, Compaction Method (a), Finishing Method (a) 0.60 Mile $ $

20420 Drainage Excavation, Type: A-A Outlet 16 Each $ $ 20420 Drainage Excavation, Type: B-B Outlet 7 Each $ $ 20420 Drainage Excavation, Type: B Dip 3 Each $ $

30802 Crushed Aggregate Grading 1” Clean, Compaction Method 1 251 Ton $ $

30802 Crushed Aggregate Grading 4” – 6” Clean, Compaction Method 1 30 Ton $ $

Total Price for FR 3958 – North Prong Cedar Bluff Reconstruction: $

Forest Road 3959 – Cedar Bluff North Reconstruction 20101 Clearing and Grubbing 2.19 Acre $ $

20402 Roadway Excavation, Compaction Method (a), Finishing Method (a) 1.00 Mile $ $

20420 Drainage Excavation, Type: A-A Outlet 14 Each $ $ 20420 Drainage Excavation, Type: B-B Outlet 9 Each $ $ 20420 Drainage Excavation, Type: B Dip 3 Each $ $

30802 Crushed Aggregate Grading 1” Clean, Compaction Method 1 410 Ton $ $

30802 Crushed Aggregate Grading 4” – 6” Clean, Compaction Method 1 30 Ton $ $

Total Price for FR 3959 – Cedar Bluff North Reconstruction: $

TOTAL PRICE FOR BID ITEM 2 – STAGECOACH

(FR 3952 + FR 3958 + FR 3959):

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BID ITEM 3 - BENNETT

Pay Item Title Estimated

Quantity Unit Unit Price Total Price

Forest Road 3145 – Bennett Reconditioning

30321 Roadway Reconditioning, Compaction Method A 10.0 Mile $ $

30802 Crushed Aggregate Grading 1” Minus, Compaction Method 1 2,607 Ton $ $

60201 Corrugated Metal Pipe: 18” Diameter 218 LF $ $

Total Price for FR 3145 – Bennett Reconditioning: $

Forest Road 3222 – McFarland Pond Reconditioning

30321 Roadway Reconditioning, Compaction Method A 3.03 Mile $ $

30802 Crushed Aggregate Grading 1” Minus, Compaction Method 1 790 Ton $ $

60201 Corrugated Metal Pipe: 18” Diameter 24 LF $ $

Total Price for FR 3222 – McFarland Pond Reconditioning: $

Forest Road 3224 – Section Six Reconditioning

30321 Roadway Reconditioning, Compaction Method A 3.39 Mile $ $

30802 Crushed Aggregate Grading 1” Clean, Compaction Method 1 884 Ton $ $

Total Price for FR 3224 – Section Six Reconditioning: $

Forest Road 4868 – Lost Woman Reconditioning

30321 Roadway Reconditioning, Compaction Method A 0.51 Mile $ $

30802 Crushed Aggregate Grading 1” Clean, Compaction Method 1 206 Ton $ $

Total Price for FR 4868 – Lost Woman Reconditioning: $

TOTAL PRICE FOR BID ITEM 3 – BENNETT

(FR 3145 + FR 3222 + FR 3224 + FR 4868): $$

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OPTION ITEM A – WAR WAGON

Quantity Unit Unit Price Total Price

Forest Road 4822 – Stillhouse Hollow Reconditioning

30321 Roadway Reconditioning, Compaction Method A 3.3 Mile $ $

30802 Crushed Aggregate Grading 1” Clean, Compaction Method 1 741 Ton $ $

Total Price for FR 4822 – Stillhouse Reconditioning: $

TOTAL PRICE FOR OPTION ITEM A – WAR WAGON

(FR 4822):

Note: Option Item A will only be awarded if the funds are available.

Quantity Unit Unit Price Total Price

15101 Mobilization1 1 Lump Sum XXXXXXXXXX $

1Mobilization costs will only be allowed one time per contract award. Contractors bidding on more than one line item will only be awarded one mobilization cost.

Contractor Acceptance Statement: By signing the offer, the Contractor agrees to all terms, conditions, and provisions included in the solicitation and agrees to furnish any awarded items at the price set in the schedule unless otherwise excepted as follows:

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B-2 CONSTRUCTION NOTES:

Reimbursement for bond premiums, in accordance with FAR 52.232-5, Payments Under Fixed-Price Construction Contracts, shall not be in addition to the contract price. Include payment for bond premiums under Pay Item 15101 - Mobilization.

Payment will be made on actual work performed as described in FP-03 109.01 unless otherwise noted.

Reconstruction Work: mowing and limbing as well as seeding shall be considered incidental to pay item 20101, Clearing and Grubbing.

Reconditioning Work: mowing and limbing as well as seeding shall be considered incidental to pay item 30321, Roadway Reconditioning.

Surface course blading may be required to mix with subgrade and/or smooth surface course. Surface blading will be considered incidental to Pay Item 20402, Roadway Excavation or Pay Item 30321, Roadway Reconditioning, respectively.

Compaction Method 1 shall be for aggregate placement compaction according to FS Supplemental Specification 308.05(a).

Item 60201, Corrugated Metal Pipes include placement of pipe and the removal of the old pipe from Forest Service property.

All items are contract quantities; no payment will be made for variations within +/- 15% of the contract quantity, without a Contracting Officer approved modification.

Weight tickets for aggregate shall be provided to the COR for each load of aggregate delivered.

B-3 SYSTEM FOR AWARD MANAGEMENT (SAM) REGISTRATION:

In order to be eligible for an award, potential contractors must comply with all requirements of FAR Clause 52.204-7--System for Award Management. Bidders may register in SAM at www.sam.gov. There is no charge to register when registration is done at the official SAM website shown here.

B-4 PRE-BID MEETING AND TOUR:

A pre-bid meeting and tour will be held on Tuesday, July 14, 2015 at 10:00 a.m. Interested bidders should plan to meet at the Doniphan Ranger Station, 4 Confederate Ridge Road, Doniphan, Missouri 63935. All interested bidders are encouraged to attend the pre-bid meeting and tour. For more information, contact Michael Pomeroy at 573-785- 1475 or by e-mail mdpomeroy@fs.fed.us.

B-5 BONDING REQUIREMENTS

This is a construction project which has the following bonding requirements: A bid guarantee in an amount equal to 20 percent of the bid price or $100,000, whichever is less, is required by the time set for submission of bids. The successful offeror will be required to furnish a Performance Bond (SF-25) and Payment Bond (SF-25A) within 10 calendar days of the date they receive notice of award, the penal amount of each shall be 100 percent of the original contract price.

B-6 BASIS OF AWARD

Award will be made to the low responsive, responsible bidder for each bid item (see Section M).

http://www.sam.gov/ mailto:mdpomeroy@fs.fed.us

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PART IV – REPRESENTATIONS AND INSTRUCTIONS

SECTION K - REPRESENTATIONS, CERTIFICATIONS,

AND OTHER STATEMENTS OF BIDDERS

K-1 52.252-2 Clauses Incorporated by Reference. (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.acquisition.gov/far

FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES

52.223-1 Biobased Product Certification (MAY 2012)

K-2 FAR 52.204-8 Annual Representations and Certifications. (JAN 2014)

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

(2) The small business size standard is $36.5 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 provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the provision at 52.204-7 is not included in this solicitation, and the offeror is currently registered in the System for Award Management (SAM), and has completed the Representations and Certifications section of SAM electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications 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 SAM are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $150,000.

(iii) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.

(iv) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(v) 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations—Representation.

(vi) 52.209-5, Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

http://www.acquisition.gov/far https://acquisition.gov/far/current/html/52_200_206.html%23wp1137850 https://acquisition.gov/far/current/html/52_200_206.html%23wp1137850 https://acquisition.gov/far/current/html/52_200_206.html%23wp1137583 https://acquisition.gov/far/current/html/FARTOCP13.html%23wp271421 https://acquisition.gov/far/current/html/52_200_206.html%23wp1137684 https://acquisition.gov/far/current/html/52_200_206.html%23wp1137777 https://acquisition.gov/far/current/html/52_200_206.html%23wp1137850 https://acquisition.gov/far/current/html/52_200_206.html%23wp1149919 https://acquisition.gov/far/current/html/52_207_211.html%23wp1144766 https://acquisition.gov/far/current/html/52_207_211.html%23wp1144909

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(vii) 52.214-14, Place of Performance—Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(viii) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(ix) 52.219-1, Small Business Program Representations (Basic & Alternate I). This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(x) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(xi) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xii) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xiii) 52.222-38, Compliance with Veterans’ Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xiv) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA–designated items; or include the clause at 52.223-2, Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

(xv) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA–designated items.

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

(xvii) 52.225-4, Buy American—Free Trade Agreements—Israeli Trade Act Certificate. (Basic, Alternates I, II, and III.) This provision applies to solicitations containing the clause at 52.225-3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $79,507, the provision with its Alternate

II applies.

(D) If the acquisition value is $79,507 or more but is less than $100,000, the provision with its Alternate

III applies.

(xviii) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xix) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan—Certification. This provision applies to all solicitations.

(xx) 52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions

Relating to Iran-Representation and Certifications. This provision applies to all solicitations.

(xxi) 52.226-2, Historically Black College or University and Minority Institution Representation. This provision applies to solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions.

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

X (i) 52.204-17, Ownership or Control of Offeror.

__ (ii) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.

__ (iii) 52.222-48, Exemption from Application of the Service Contract Labor Standards to Contracts for

Maintenance, Calibration, or Repair of Certain Equipment- Certification.

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__ (iv) 52.222-52, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services-Certification.

__ (v) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material Content for EPA– Designated Products (Alternate I only).

__ (vi) 52.227-6, Royalty Information.

__ (A) Basic.

__(B) Alternate I.

__ (vii) 52.227-15, Representation of Limited Rights Data and Restricted Computer Software.

(d) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM 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 SAM.

K-3 AGAR 452.209-70 REPRESENTATION BY CORPORATIONS REGARDING UNPAID DELINQUENT TAX

LIABILITY OR A FELONY CONVICTION ALT 1 (DEVIATION 2012-01) (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 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.

https://acquisition.gov/far/current/html/52_222.html%23wp1162560 https://acquisition.gov/far/current/html/52_223_226.html%23wp1168892 https://acquisition.gov/far/current/html/52_227.html%23wp1139116 https://acquisition.gov/far/current/html/52_227.html%23wp1145584 https://www.acquisition.gov/ https://acquisition.gov/far/current/html/Subpart%204_12.html%23wp1073667

BID COPY – RETURN THIS COPY WITH BID GUARANTEE MARK TWAIN NATIONAL FOREST

ATTACHMENT C - CONTRACTOR INFORMATION SHEET

SECTION 1 – GENERAL INFORMATION

1A.NAME

2. TYPE OF ORGANIZATION (CHECK ONE)

A. Sole Proprietorship F. LLC

1B. STREET ADDRESS

B. General Partnership G. Joint Venture C. Limited Partnership H. Non-Profit/Education

1C. CITY

1D. STATE 1E. ZIP/POSTAL D. Corporation i. Other: Specify E. Subchapter S.

3. TAXPAYER ID NUMBER :

6. DUNS NUMBER

7. VENDOR EXPRESS NUMBER: (FS VENDORS)

8. KIND OF PRODUCT OR SERVICE PROVIDED:

10. KIND OF BUSINESS- Specify one block (plus “J” if applicable)

A. LARGE BUSINESS E. WOMAN OWNED SDB I. INDIAN SDB

B. SMALL BUSINESS F. VETERN SMALL BUSINESS J. HUB ZONE - Also C. SMALL DISADVANTAGED BUSINESS G. VETERAN SDB K. Other: Please Specify

D. WOMAN OWNED SMALL BUSINESS H. INDIAN SMALL BUSINESS

11. OWNERSHIP INFORMATION – PARTNERS – PRINCIPALS - OTHERS

NAME TITLE

13.

14.

15.

16. Questions. If “Yes” to any below, provide detailed information in section vii, remarks. Yes No A. Have you/your affiliates ever filed for bankruptcy?

B. Do you have any judgments, liens, pending suits?

C. Do you have any contingent liabilities?

D. Have you/your affiliates discontinued business operations with outstanding debts

SECTION II. GOVERNMENT FINANCIAL AID AND INDEBTNESS

If “Yes” provide detailed information in Section VII, remarks.

Yes No

17. Are you delinquent on any Federal Debt (OMB Circular 129)

18. Do you owe the Government for any contract or other claims?

19. Are you currently receiving Government Financing? (Bonds, Loans, Advanced Payments, Progress Payments, Other)

19a. Are you now in or pending Default on ANY Obligations (i.e. Banks, Financial Institutions, Suppliers, Other)? IF yes please provide detailed information.

BID COPY – RETURN THIS COPY WITH BID GUARANTEE MARK TWAIN NATIONAL FOREST

ATTACHMENT D - EXPERIENCE/PAST PERFORMANCE QUESTIONNAIRE

EXPERIENCE/PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS: If extra space is needed use the reverse. Mark "X" in appropriate boxes.

CONTRACTOR NAME, ADDRESS & TELEPHONE

How many years do you or your firm have in the line of work contemplated by this solicitation ______? How many years experience in contracting have you or your business had as a (a) prime contractor _____ and/or (b) sub-contractor _____?

List below the projects your business has completed within the last 3 years:

Contract Amount Type of Project Date Completed Name Address & Telephone No. of Person to Contact for Project

Info.

DESCRIBE IN DETAIL HOW YOU PLAN TO ACCOMPLISH THE SPECIFIC TASKS IDENTIFIED IN THIS

SOLICITATION:

Have you ever failed to complete any work awarded to you? Yes ( ) No ( ) Has work ever been completed by performance bond? Yes ( ) No ( ) If "Yes" to either item above specify location(s) and reason(s) why:

Organization and work that will be available for this project:

a. Minimum number of employees: ( ) and a Maximum number of employees: ( )

b. Are employees regularly on your payroll: Yes ( ) No ( )

c. Specify equipment available for this contract:________________________________________

d. Estimate rate of progress below (such as 2.0 acres/man/day):

Minimum progress rate: __________ Maximum progress rate: _____________

List below the experience of the principal individuals of your business:

Individual's Name Present Position Years of Experience Magnitude and Type of Work

CERTIFICATION

I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.

Certifying Official's Name and Title Signature (In Ink) Date