SF-1449.pdf

PDF 102 KB Posted Jul 9, 2009

Attached to: REFUSE COLLECTION BLACK HILLS NAT. FOREST
Solicitation number: AG-82X9-S-09-0188
Issued by: Department of Agriculture Forest Service R2-Rocky Mountain Region

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SF-1449

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File	Type	Posted
Amend.1.rtf	RTF text file	Jul 31, 2009
Attach.3_Appendix_A_Maps.pdf	PDF	Jul 9, 2009
Attach.6_Instructions_to_Offeror.doc	DOC document	Jul 9, 2009
Attach.5_Wage_Determination.doc	DOC document	Jul 9, 2009
Attach.4_Appendix_B_Weekly_Reports.doc	DOC document	Jul 9, 2009
Attach.2_Specifications.doc	DOC document	Jul 9, 2009
Clauses.doc	DOC document	Jul 9, 2009
Attach.1_Schedule_of_Items.doc	DOC document	Jul 9, 2009

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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

67T0

CUSTER SD 57730-8214

1019 N FIFTH ST

BLACK HILLS NATIONAL FOREST

67T0 CODE 16. ADMINISTERED BYCODE

562111

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR

67T0

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

08/10/2009 1600 MT

07/09/2009

605-673-9246WILLIAM HIGHLAND

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

AG-82X9-S-09-0188

5. SOLICITATION NUMBER

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

1 54278979OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

CUSTER SD 57730-8214

1019 N FIFTH ST

BLACK HILLS NATIONAL FOREST

15. DELIVER TO

CUSTER SD 57730-8214

1019 N FIFTH ST

9. ISSUED BY

2. CONTRACT NO.

EFFECTIVE DATE

$12.5

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

EMERGING SMALL

BUSINESS

8(A)

BLACK HILLS NATIONAL FOREST

Sole Source

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Refuse Collection Black Hills National Forest

DUNNS No. __________________________________

Tax ID No. _________________________________

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED . 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

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 HEREIN.

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

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

OFFER

STANDARD FORM 1449 (REV. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.212

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. 3/2005) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

001 Boxelder JCC Refuse Collection 1 LS

Product/Service Code: S205

Product/Service Description: TRASH COLL SER-INCL

PORTABLE SANITATION

002 Rest of the Forest Refuse Collection(GA) 1 LS

Product/Service Code: S205

Product/Service Description: TRASH COLL SER-INCL

PORTABLE SANITATION

003 Fire share of Refuse Collection 1 LS

Product/Service Code: S205

Product/Service Description: TRASH COLL SER-INCL

PORTABLE SANITATION

004 RMRS station share of Refuse Collection 1 LS

Product/Service Code: S205

Product/Service Description: TRASH COLL SER-INCL

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

542 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 54

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

AG-82X9-S-09-0188

PORTABLE SANITATION

005 BHNF Visitors Center Refuse Collection 1 LS

Product/Service Code: S205

Product/Service Description: TRASH COLL SER-INCL

PORTABLE SANITATION

006 Opt. Yr. 1 Boxelder JCC Refuse Collection

Product/Service Code: S205

Product/Service Description: TRASH COLL SER-INCL

PORTABLE SANITATION

007 Opt. Yr. 1 Rest of the Forest Refuse

Collection(GA)

Product/Service Code: S205

Product/Service Description: TRASH COLL SER-INCL

PORTABLE SANITATION

008 Opt.Yr 1 Fire share of Refuse Collection

Product/Service Code: S205

Product/Service Description: TRASH COLL SER-INCL

PORTABLE SANITATION

009 Opt. Yr. 1 RMRS station share of Refuse Collection

Product/Service Code: S205

Product/Service Description: TRASH COLL SER-INCL

PORTABLE SANITATION

010 Opt. Yr. 1 BHNF Visitors Center Refuse Collection

Product/Service Code: S205

Product/Service Description: TRASH COLL SER-INCL

PORTABLE SANITATION

011 Opt. Yr. 2 Boxelder JCC Refuse Collection

Product/Service Code: S205

Product/Service Description: TRASH COLL SER-INCL

PORTABLE SANITATION

012 Opt. Yr. 2 Rest of the Forest Refuse

Collection(GA)

Product/Service Code: S205

Product/Service Description: TRASH COLL SER-INCL

Continued ...

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