AG-82A7-S-17-0003.pdf

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Pest Control Services
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AG-82A7-S-17-0003
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SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

82A7

GOLDEN CO 80401

740 SIMMS STREET

USDA FOREST SERVICE

JOB CORPS AQM

4763 CODE 16. ADMINISTERED BYCODE

X

X

561710

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR82A7

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

11/28/2016 1400 MS

11/01/2016

303-275-5393JENNIFER MCCORD

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

AG-82A7-S-17-0003

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 7 817033OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

BRISTOL TN 37620

984 DENTON VALLEY RD

JACOBS CREEK JCC

15. DELIVER TO

GOLDEN CO 80401

740 SIMMS STREET

USDA FOREST SERVICE

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$11.00

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

JOB CORPS AQM

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

New Pest Control Contract at Jacobs Creek Job Corps; Base year.

Period of Performance: 12/01/2016 to 11/30/2021

001 New Pest Control Contract at Jacobs Creek Job 12 MO Corps; Base Year 12/01/2016-11/30/2017 - Spray following buildings once a month, inside and outside - Administration, Supply, Academics, Independent Living, CPP, Gymnasium

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

JENNIFER L. MCCORD

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Delivery: 11/30/2017

Period of Performance: 12/01/2016 to 11/30/2017

002 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the following buildings twice a month, inside and out - Dining Facility and

Wellness Center - Base year 12/01/2016 -

11/30/2017

Delivery: 11/30/2017

Period of Performance: 12/01/2016 to 11/30/2017

003 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the following buildings every other month and on call as needed, inside and out -

Dormitories (Martin Luther, Abraham Lincoln, and

Mary Collins)- Base year 12/01/2016 - 11/30/2017

Product/Service Code: 6840

Product/Service Description: PEST CONTROL AGENTS

AND DISINFECTANTS

Delivery: 11/30/2017

004 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the housing area quarterly beginning at award of contract(Buildings 1002, 1004, 1006

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

7 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

AG-82A7-S-17-0003

and 1012 Denton Valley Road)- Base year

12/01/2016 - 11/30/2017

Product/Service Code: 6840

Product/Service Description: PEST CONTROL AGENTS

AND DISINFECTANTS

Delivery: 11/30/2017

101 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Option Year One - 12/01/2017-11/30/2018

- Spray following buildings once a month, inside and outside - Administration, Supply, Academics, Independent Living, CPP, Gymnasium

(Option Line Item)

Delivery: 11/30/2018

Period of Performance: 12/01/2017 to 11/30/2018

102 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the following buildings twice a month, inside and out - Dining Facility and

Wellness Center - Option Year One 12/01/2017 -

11/30/2018

(Option Line Item)

Delivery: 11/30/2018

Period of Performance: 12/01/2017 to 11/30/2018

103 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the following buildings every other month and on call as needed, inside and out -

Dormitories (Martin Luther, Abraham Lincoln, and

Mary Collins)- Option Year One 12/01/2017 -

11/30/2018

(Option Line Item)

Product/Service Code: 6840

Product/Service Description: PEST CONTROL AGENTS

AND DISINFECTANTS

Delivery: 11/30/2018

Period of Performance: 12/01/2017 to 11/30/2018

104 New Pest Control Contract at Jacobs Creek Job 12 MO

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

4 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

AG-82A7-S-17-0003

Corps; Spray the housing area quarterly beginning at award of contract(Buildings 1002, 1004, 1006 and 1012 Denton Valley Road)- Option Year One

12/01/2017 - 11/30/2018

(Option Line Item)

Product/Service Code: 6840

Product/Service Description: PEST CONTROL AGENTS

AND DISINFECTANTS

Delivery: 11/30/2018

Period of Performance: 12/01/2017 to 11/30/2018

201 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Option Year Two - 12/01/2018-11/30/2019

- Spray following buildings once a month, inside and outside - Administration, Supply, Academics, Independent Living, CPP, Gymnasium

(Option Line Item)

Delivery: 11/30/2019

Period of Performance: 12/01/2018 to 11/30/2019

202 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the following buildings twice a month, inside and out - Dining Facility and

Wellness Center - Option Year Two 12/01/2018 -

11/30/2019

(Option Line Item)

Delivery: 11/30/2019

Period of Performance: 12/01/2018 to 11/30/2019

203 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the following buildings every other month and on call as needed, inside and out -

Dormitories (Martin Luther, Abraham Lincoln, and

Mary Collins)- Option Year Two 12/01/2018 -

11/30/2019

(Option Line Item)

Product/Service Code: 6840

Product/Service Description: PEST CONTROL AGENTS

AND DISINFECTANTS

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

5 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

AG-82A7-S-17-0003

Delivery: 11/30/2019

Period of Performance: 12/01/2018 to 11/30/2019

204 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the housing area quarterly beginning at award of contract(Buildings 1002, 1004, 1006 and 1012 Denton Valley Road)- Option Year Two

12/01/2018 - 11/30/2019

(Option Line Item)

Product/Service Code: 6840

Product/Service Description: PEST CONTROL AGENTS

AND DISINFECTANTS

Delivery: 11/30/2019

Period of Performance: 12/01/2018 to 11/30/2019

301 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Option Year Three -

12/01/2019-11/30/2020 - Spray following buildings once a month, inside and outside -

Administration, Supply, Academics, Independent

Living, CPP, Gymnasium

(Option Line Item)

Delivery: 11/30/2020

Period of Performance: 12/01/2019 to 11/30/2020

302 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the following buildings twice a month, inside and out - Dining Facility and

Wellness Center - Option Year Three 12/01/2019 -

11/30/2020

(Option Line Item)

Delivery: 11/30/2020

Period of Performance: 12/01/2019 to 11/30/2020

303 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the following buildings every other month and on call as needed, inside and out -

Dormitories (Martin Luther, Abraham Lincoln, and

Mary Collins)- Option Year Three 12/01/2019 -

11/30/2020

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

6 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

AG-82A7-S-17-0003

(Option Line Item)

Product/Service Code: 6840

Product/Service Description: PEST CONTROL AGENTS

AND DISINFECTANTS

Delivery: 11/30/2020

Period of Performance: 12/01/2019 to 11/30/2020

304 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the housing area quarterly beginning at award of contract(Buildings 1002, 1004, 1006 and 1012 Denton Valley Road)- Option Year Three

12/01/2019 - 11/30/2020

(Option Line Item)

Product/Service Code: 6840

Product/Service Description: PEST CONTROL AGENTS

AND DISINFECTANTS

Delivery: 11/30/2020

Period of Performance: 12/01/2019 to 11/30/2020

401 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Option Year Four - 12/01/2020-11/30/2021

- Spray following buildings once a month, inside and outside - Administration, Supply, Academics, Independent Living, CPP, Gymnasium

(Option Line Item)

Delivery: 11/30/2021

Period of Performance: 12/01/2020 to 11/30/2021

402 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the following buildings twice a month, inside and out - Dining Facility and

Wellness Center - Option Year Four 12/01/2020 -

11/30/2021

(Option Line Item)

Delivery: 11/30/2021

Period of Performance: 12/01/2020 to 11/30/2021

403 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the following buildings every other

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

7 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

AG-82A7-S-17-0003

month and on call as needed, inside and out -

Dormitories (Martin Luther, Abraham Lincoln, and

Mary Collins)- Option Year Four 12/01/2020 -

11/30/2021

(Option Line Item)

Product/Service Code: 6840

Product/Service Description: PEST CONTROL AGENTS

AND DISINFECTANTS

Delivery: 11/30/2021

Period of Performance: 12/01/2020 to 11/30/2021

404 New Pest Control Contract at Jacobs Creek Job 12 MO

Corps; Spray the housing area quarterly beginning at award of contract(Buildings 1002, 1004, 1006 and 1012 Denton Valley Road)- Option Year Four

12/01/2020 - 11/30/2021

(Option Line Item)

Product/Service Code: 6840

Product/Service Description: PEST CONTROL AGENTS

AND DISINFECTANTS

Delivery: 11/30/2021

Period of Performance: 12/01/2020 to 11/30/2021

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

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