SF 1447(3_2005).pdf

SOLICITATION/CONTRACT 1. THIS CONTRACT IS A RATED

5. SOLICITATION TYPE2. CONTRACT NO. 4. SOLICITATION NUMBER

PAGE OF PAGES

7. ISSUED BY CODE 8. THIS ACQUISITION IS

BIDDER/OFFEROR TO COMPLETE BLOCKS 11, 13, 15, 21, 22, & 27

RATING

ORDER UNDER DPAS (15 CFR 350)

3. AWARD/

EFFECTIVE DATE ISSUE DATE

6. SOLICITATION

UNRESTRICTED OR SET ASIDE:

SMALL BUSINESS

SIZE STANDARD:

9. (AGENCY USE)

NO COLLECT CALLS

10. ITEMS TO BE PURCHASED (BRIEF DESCRIPTION)

SUPPLIES SERVICES

11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN

DAYS (60 CALENDAR DAYS UNLESS OFFEROR INSERTS A DIFFERENT

PERIOD) FROM THE DATE SET FORTH IN BLK 9 ABOVE, THE CONTRACTOR

AGREES TO HOLD ITS OFFERED PRICES FIRM FOR THE ITEMS SOLICITED

HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO THE

TERMS AND CONDITIONS STATED HEREIN.

CODE 12. ADMINISTERED BY

13. CONTRACTOR FACILITY 14. PAYMENT WILL BE MADE BY CODE CODE

OFFEROR CODE

TELEPHONE NO.

DUNS NO.

CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK:

15. PROMPT PAYMENT DISCOUNT 16. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION

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

NEGOTIATED (RFP)

SEALED BIDS (IFB)

1 38

07/30/2010

US FOREST SERVICE

EROC INTERMOUNTAIN

740 SIMMS STREET

GOLDEN CO 80401-4720

US FOREST SERVICE

82B1

US FOREST SERVICE

LEAVCO INC

PO BOX 683

201398159 A

KAMAS UT 84036

201398159

Not Available

82B1

AG-82B1-C-10-0305

237310

% FOR:

CALENDAR

x x x

82B1

$33.5

NAICS:

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS

EMERGING SMALL

BUSINESS

8(A)

Sole Source

17.

ITEM NO.

18.

SCHEDULE OF SUPPLIES/SERVICES

19.

QUANTITY

20.

UNIT

21.

UNIT PRICE

22.

AMOUNT

ARRA / KNF / Cabinet RD Road Decommissioning /

CIM-0100-21R

Delivery: 08/21/2010

Delivery Location Code: 03J1

USDA FOREST SERVICE

KOOTENAI NATIONAL FOREST

31374 US HIGHWAY 2

LIBBY MT 59923 US

Continued ...

27. SIGNATURE OF OFFEROR/CONTACTOR 28. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

NAME AND TITLE OF SIGNER (TYPE OR PRINT) DATE SIGNED NAME OF CONTRACTING OFFICER DATE SIGNED

25. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION

NUMBER SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR

CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS

TO ITEMS: ALL

23. ACCOUNTING AND APPROPRIATION DATA 24. TOTAL AWARD AMOUNT (FOR GOVT. USE ONLY)

See Schedule

JAN D. BLACK

x

$113,668.22

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION NOT USABLE

STANDARD FORM 1447 (REV. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.214(d)

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include ZIP Code)

WE DO NOT, DESIRE TO BE RETAINED ON THE MAILING LIST FOR FUTURE PROCUREMENT OF THE TYPE OF ITEM(S) INVOLVEDWE DO

DO NOT REGULARLY MANUFACTURE OR SELL THE TYPE OF ITEMS INVOLVED

CANNOT MEET DELIVERY REQUIREMENT

OTHER (Specify)

UNABLE TO IDENTIFY THE ITEM(S)

CANNOT COMPLY WITH SPECIFICATIONS

PAGE

NO RESPONSE FOR REASONS CHECKED

38 2 OF

DATE AND LOCAL TIME

AFFIX

STAMP

HERE

TO:

FROM:

SOLICITATION NO.

US FOREST SERVICE

EROC INTERMOUNTAIN

740 SIMMS STREET

GOLDEN CO 80401-4720

82B1

STANDARD FORM1447 (REV. 3/2005) BACK

(A)

ITEM NO.

(B)

SUPPLIES/SERVICES

(C)

QUANTITY

(D)

UNIT

(E)

UNIT PRICE

(F)

AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 38

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

LEAVCO INC

AG-82B1-C-10-0305

Accounting Info:

11.ZZ.ZZ.ZZZZZZ.0114.ZZ.ZZZZZZZ.ZZ.ZZZZZZZZZ.2540.

ZZ.CRRD1610.ZZZZ Agency Code (4): 11 Program Code (25): ZZZZZZZZZ BOC: 2540 Sub BOC (2): ZZ Cost Org (7): ZZZZZZZ Job Code (8): CRRD1610 Sub Cost Org (2): ZZ Budget Yr Start (2): ZZ Budget Yr End (2): ZZ Fund (6): ZZZZZZ Budget Org (7): 0114 Sub Budget Org (2): ZZ Report Category (4): ZZZZ FOB: Unknown

001 ARRA / KNF / Cabinet RD Road Decommissioning 113668.22 DO 1.00 113,668.22

/ CIM-0100-21R

Obligated Amount: $113,668.22 Product/Service Code: F099 Product/Service Description: OTHER NATURAL

RESOURCES EXIT;

Requisition No: 390695

The total amount of award: $113,668.22. The obligation for this award is shown in box 24.

NSN 7540-01-218-4386 STANDARD FORM 1447 (REV. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.214(d)