Vendor_Response_Packet.doc
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- Solicitation number
- AG-9AC7-S-15-0055
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ADDENDA SHEET – Project Name
| REFERENCE NO OF DOCUMENT BEING CONTINUED |
| PAGE |
| OF |
| Spring Tree Planting - SMMU |
| AG-9A28-S-06-0016 |
| 3 |
| 38 |
SF 1449
AG-9AC7-S-15-0055
| SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS |
| 1. REQUISITION NUMBER |
| QUOTER TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 |
| 732543 |
| 2. CONTRACT NO. |
| 3. AWARD/ EFFECTIVE DATE |
| 4. ORDER NUMBER |
| 5. SOLICITATION NUMBER |
AG-9AC7-S-15-0055
6. SOLICITATION ISSUE DATE
02/06/2015
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
SANDRA VINCENT
Email: svincent02@fs.fed.us
b. TELEPHONE NUMBER
530-226-2408 Office
530-226-2474 Fax
8. QUOTE DUE DATE/
02/20/2015 4:30PM Local Time
| 9. ISSUED BY |
| 10. THIS ACQUISITON IS |
USDA FOREST SERVICE
N. CALIFORNIA ACQUISITION SVC AREA
3644 AVTECH PARKWAY
REDDING, CA 96002
FAX 530-226-2474
SET ASIDE: 100% FOR
UNRESTRICTED OR
SMALL BUSINESS
NAICS: 561720 EMERGING SMALL BUSINESS
HUBZONE SMALL BUSINESS
SIZE STANDARD SERVICE-DISABLED VETERAN-
$18.0 million 8(A) OWNED SMALL BUSINESS
11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED
SEE SCHEDULE
12. DISCOUNT TERMS
| 13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700) |
| 13b. RATING |
14. METHOD OF SOLICITATION
RFP IFB RFQ
15. PLACE OF PERFORMANCE
DOUBLEHEAD RANGER STATION OFFICES
49870 HWY 139 TULELAKE, CA 96134
16. ADMINISTERED BY CODE
SEE BLOCK 9
17a. CONTRACTOR/ QUOTER
NAME:
18a. PAYMENT WILL BE MADE BY:
ALL INVOICES MUST BE SUBMITTED VIA THE INVOICE PROCESSING PLATFORM AT WWW.IPP.GOV.
PAYMENT WILL BE MADE BY EFT (ELECTRONIC FUNDS TRANSFER).
ADDRESS:
PHONE:
DUNS #:
EMAIL:
| 17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN QUOTE |
| 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED |
SEE ADDENDUM
| 19. |
| 20. |
| 21. |
| 22. |
| 23. |
| 24. |
| ITEM N0. |
| SCHEDULE OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT (21. x 23.) |
Doublehead RD Janitorial Services
BASE YEAR: March 2015 – February 2016
SERVICES 2X PER WEEK
OPTION YEAR 1: March 2016 – February 2017
SERVICES 2X PER WEEK
OPTION YEAR 2: March 2017 – February 2018
SERVICES 2X PER WEEK
MO
MO
MO
| 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 ATTACHED. ADDENDA
ARE
ARE NOT ATTACHED
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE 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 ONE (1) 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 |
| 29. AWARD OF CONTRACT: REF. 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 QUOTER/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 |
AUTHORIZED FOR LOCAL REPRODUCTION
STANDARD FORM 1449 (REV.3/2005)
PREVIOUS EDITION IS NOT USABLE
Prescribed by GSA ‑ FAR (48 CFR) 53.212
AG-9AC7-S-15-0055
CONTINUATION OF SF1449
Submission of Quotes There is no need to return any portion of the solicitation that is not part of an quote.
Email submission of quotes is preferred, to svincent02@fs.fed.us. Quotes by fax of up to 20 pages are acceptable to 530-226-2474. Quotes may be mailed/delivered to USDA FS NCASA | 3644 Avtech Parkway | Redding, CA 96002.
Response Required to be Considered for Award SAM (System for Award Management) Entity
SAM replaces and consolidates CCR (Central Contractor Registration), ORCA (Online Representations and Certifications) and other systems. Quoters must have a DUNS Number and an Active SAM Entity to receive award.
1. Quoters with an Active SAM Entity shall provide their DUNS Number.
2. Quoters without an Active SAM Entity shall:
a. Complete and return as part of a quote FAR Provision 52.212-3, Offeror Representations and Certifications – Commercial Items. The Provision is provided in the Solicitation Provisions section.
b. Quoters may submit quotes before SAM Entity Registration/Activation is complete, but are advised that Activation can take 10+ days to process after Registering and that award may follow as soon as one day after the Solicitation closes. Quoters without an Active SAM Entity cannot receive award.
There is no cost to obtain a DUNS Number or SAM Entity or to contact the FSD through official sources.
To obtain a DUNS Number: http://fedgov.dnb.com/webform To Register or Renew a SAM Entity: www.sam.gov To contact the SAM Helpdesk (The Federal Service Desk, or FSD): www.fsd.gov AGAR Provision 452.209-70 (Provided at end of Solicitation)
All Quoters shall fill out AGAR Provision 452.209-70 (Representation by Corporations Regarding an Unpaid Delinquent Tax Liability or a Felony Conviction, Deviation 2012-01, Alternate 1) and return it as a part of the quote.
Response to Evaluation Factors (Technical and Price Criteria)
All Quoters must respond to all Evaluation Factors as described in the Evaluation Factors section. An Optional Response form may be provided. Use of the form is optional, but response to the Evaluation Factors in written format is required! Incomplete quotes may not be considered.
Site Visit (Pre-Quote)
No Site Visit is scheduled, but Quoters are encouraged to visit the site to satisfy themselves as to the conditions of the work and provide informed quotes, work statements and schedules. To schedule a site visit, contact Steve Knutson at 530-667-8659 (primary POC) or Christina Leventon at 530-677-2246 (Secondary POC).
32a. QUANTITY IN COLUMN 21 HAS BEEN
ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ________________________________________
INSPECTED
RECEIVED
32b. SIGNATURE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32c. DATE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
| 33. SHIP NUMBER |
| 34. VOUCHER NUMBER |
| 35. AMOUNT VERIFIED |
CORRECTFOR
| 36. PAYMENT |
| 37. CHECK NUMBER |
|PARTIAL | |FINAL
FINAL PARTIAL COMPLETE
| 38. S/R ACCOUNT NUMBER |
| 39. S/R VOUCHER NUMBER |
| 40. PAID BY |
| 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER |
| FOR PAYMENT |
| 42a. RECEIVED BY (Print) |
| 41 b. SIGNATURE AND TITLE OF CERTIFYING OFFICER |
| 41 c. DATE |
42b. RECEIVED AT (Location)
| 42c. DATE RECD (YY/MM/DD) |
| 42d. TOTAL CONTAINERS |
STANDARD FORM 1449 (REV.4/2002) BACK
AGAR Provision 452.209-70
AGAR 452.209-70 Representation by Corporations Regarding an Unpaid Delinquent Tax Liability or a Felony Conviction (FEB 2012) -- Alternate I (FEB 2012) (DEVIATION) (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 (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.)
, is not 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 (check one) been convicted of a felony criminal violation under Federal or State law in the 24 months preceding the date of offer.
, has not
(ii) Offeror has (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.
, has not
(3) The Offeror does (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.
, does not Name of Company:
Name of Company Representative:
Signature of Representative:
Date:
EXPERIENCE AND PAST PERFORMANCE QUESTIONNAIRE
Instructions: See Box 10, REMARKS, if extra space is needed to answer any items below. Mark "X" in the appropriate spaces. Please list N/A for inapplicable items.
| 1. Quoter's Name, Address, Email, Telephone Number & DUNS Number |
| 2. Type of Business |
| Name: |
| ____ Company |
____ Corporation ____ Non-profit Organization ____ Co-partner ____ Individual
Address:
Email:
Telephone:
DUNS #:
3. How many years of experience do you have in this line of work? ___________________
4. How many years of experience as a prime contractor? _________ Subcontractor? ________
5. List relevant contracts your business has performed with at least one performed in the last three years.
| Contract Name |
| Facility Type/Size |
| Service Dates |
| Description of Services |
6a. Have you ever failed to complete any work awarded to you? ____ YES ____ NO 6b. Has work ever been completed by performance bond? ____ YES ____ NO 6c. If "yes" to either Question 7a. or 7b., please specify location(s) and reason(s):
7. List up to three references for whom your business has performed relevant work:
| Contact Name(s) |
| Company Name |
| Project Performed |
| Contact Phone Number(s) |
EXPERIENCE AND PAST PERFORMANCE QUESTIONNAIRE
8. Organization that will be available for this project:
a.
Minimum No. of employees: _______________ Maximum No. of employees: ________________ b.
Are proposed employees regularly on your payroll? ____ YES ____ NO c.
If applicable, specify equipment/supplies available for this contract:
9. List the name(s) of the individual(s) who would perform janitorial services. Identify each individual’s primary function under the contract, such as ‘all contract functions’, ‘primary janitor’, ‘assistant/back up janitor’, ‘supervisor’, etcetera as applies to your organization. Multiple personnel are NOT required so long as the contract terms are met.
| Individual's Name |
| Primary Function |
10. Remarks:
CERTIFICATION: I certify that all of the statements made above 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.
Signature Title Date
| PERFORMANCE OBJECTIVE AREA |
| QUALITY CONTROL MEASURES |
RESTROOMS
OFFICE SPACE
(INCLUDING MAIN OFFICE AND CONFERENCE ROOM)
MAIN LOBBY, ENTRANCEWAYS AND HALLWAYS
DRINKING FOUNTAIN
HIGH CLEANING SURFACES (ABOVE 70 INCHES)
“KITCHEN” AREA IN THE MAIN OFFICE BUILDING
CARPET CLEANING IN DISTRICT OFFICE
Plan to address deficiencies, notify employees of deficiencies in their area of responsibility (if applicable), and ensure corrective action:
Plan to ensure that all issued keys, access cards or identification items are not lost, misplaced, or used by unauthorized persons:
Other Quality Control Program notes, as desired:
Doublehead RD Janitorial Services Optional Use Forms Page 1 of 7
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