ATVs_UTV_Coversheet_SF-1449_Schedule of Items.docx

DOCX document 31 KB Posted Aug 9, 2011

Attached to: ATV's and UTV
Solicitation number: AG-84N8-S-11-0135
Issued by: Department of Agriculture Forest Service R4-Intermountain Region

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Coversheet SF-1449 form and Schedule of items

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COVER SHEET

**ATTENTION ALL BIDDERS**

In order to be awarded a Federal Government Contract, you must register annually in Central Contractor Registration.

See http://www.ccr.gov/handbook.cfm for a template of information necessary for registration. (Please notify us if there are any changes ie: banking information, address changes, etc)

As of January 1, 2005 every contractor is required to complete the annual Representations and Certifications electronically. See http://orca.bpn.gov for a template of information necessary to comply with this mandate.

RFQ # AG-84N8-S-11-0135

ATVS & UTV

FISHLAKE NATIONAL FOREST

in UTAH

Please return: 1) SF-1449 (completed and signed)

2) Schedule of Items

3) 52-212-3,Offeror Representations & Certifications that you are a small business

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

PAGE 1 OF

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NUMBER

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

AG-84N8-S-11-0135

August 9, 2011

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

b. TELEPHONE NUMBER (No collect

8. OFFER DUE DATE/LOCAL

Debbie (Dara) Lucero

calls)

(801) 975-3496

TIME

8/26/2011 by 4:30 p.m.

9. ISSUED BY:

CODE

10. THIS ACQUISITION IS

11. DELIVERY FOR

FOB DESTINATION

UNLESS BLOCK IS

MARKED

|_| SEE SCHEDULE

12. DISCOUNT TERMS

USDA - FOREST SERVICE

UTAH PROCUREMENT CENTER - 2nd FLOOR

2222 WEST 2300 SOUTH

SALT LAKE CITY, UT 84119

( ) UNRESTRICTED

( x ) SET AIDE: 100 % FOR

( X) SMALL BUSINESS

( ) SMALL DISAV. BUSINESS

( ) 8(A)

|_| 13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700)

NAIC: 441221

13b. RATING

SIZE STANDARD: $30 m

14. METHOD OF SOLICITATION

|_| RFQ |_| IFB |_| RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

Fillmor Ranger District

17a. CONTRACTOR/ OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS#

FAX NO.

VXP#

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

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK IS CHECKED |_| SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

See schedule of items

(Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

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

|_| 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE REFERENCED. ADDENDA |_| ARE |_| ARE NOT ATTACHED |_| 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCES FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA |_| ARE |_| ARE NOT ATTACHED

28. 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 ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

29. AWARD OF CONTRACT: REFERENCE ___________________ OFFER

|_| DATED ______________________. YOUR OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

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

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

30c. DATE SIGNED

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

31c. DATE SIGNED

32a. QUANTITY IN COLUMN 21 HAS BEEN

|_| RECEIVED |_| INSPECTED |_| ACCEPTED, AND CONFORMS TO

THE CONTRACT, EXCEPT AS NOTED

33. SHIP NUMBER

34. VOUCHER NUMBER

35. AMOUNT VERIFIED CORRECT FOR

|_| PARTIAL |_| FINAL

36. PAYMENT

37. CHECK NUMBER

32b. SIGNATURE OF AUTHORIZED GOVT.

32c. DATE

|_| COMPLETE |_| PARTIAL |_| FINAL

38. S/R ACCOUNT NUMBER

39. S/R VOUCHER NUMBER

40. PAID BY

42a. RECEIVED BY (Print)

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

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41c. DATE

42b. RECEIVED AT (Location)

42c. DATE REC’D (YY/MM/DD)

42d. TOTAL CONTAINERS

AUTHORIZED FOR LOCAL REPRODUCTION

STANDARD FORM 1449 (10-95)

Prescribed by GSA – FAR (48 CFR) 53.212

SCHEDULE OF ITEMS

Line Item

Description

Unit of Issue

Quantity

Unit Price

Total

Honda Foreman Rubicon, 500 (any color)

$______

$ ________

Polaris Ranger HD 800

(any color)

$______

$_________

Warn winch for Polaris

$______

$________

Pro Steel Cab for Polaris

$______

$________

Delivery, if applicable

This line item is subject to change. The agency may decide to make arrangements to pick up the items

job

$______

$________

For Technical Clarification, contact:

Bryce Monroe, Fillmore Ranger District Phone: 801-367-1034

Total Price

$ ___________

File details come from the government source that posted it. Updated Nov 14, 2017.