Modoc_Lookouts_Response_Packet.doc

AG-9AC7-S-16-0040 Modoc Lookout Services 2016-2017

Response Packet Page 1 of 5

Standard Form 1449

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

KATHERINE E. PASINI

Email: kepasini@fs.fed.us

b. TELEPHONE NUMBER

530-226-2305 Office

530-226-2474 Fax

8. OFFER DUE DATE

2:30 PM Local Time 3 / 23 / 2016

USDA FOREST SERVICE

NORTHERN CALIFORNIA ACQ SERVICE AREA

3644 AVTECH PARKWAY

REDDING, CA 96002

UNRESTRICTED OR SET ASIDE: 100% FOR

SMALL BUSINESS

EMERGING SMALL BUSINESS

HUBZONE SMALL BUSINESS

SERVICE-DISABLED VETERAN OWNED

8(A) OWNED SMALL BUSINESS

NAICS: 115310 (Forest Fire Suppression)

SIZE STANDARD: $19.0M

11. DELIVERY FOR FOB DESTINATION UNLESS /BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE

SEE BOX 9

16. ADMINISTERED BY CODE

SEE BOX 9

17a. CONTRACTOR/ OFFEROR

NAME:___________________________DUNS _________________________________

PHONE:__________________________EMAIL:________________________________

ADDRESS:_______________________________________________________________

18a. PAYMENT WILL BE MADE BY

INVOICES MUST BE SUBMITTED VIA THE INVOICE PROCESSING PLATFORM (IPP). PAYMENT WILL BE MADE BY EFT.

SEE ADDENDUM

ENTER QUOTE(S) AND CHECK BOXES ON THE FOLLOWING PAGE

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

AUTHORIZED FOR LOCAL REPRODUCTION

STANDARD FORM 1449 (REV.3/2005)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA ‑ FAR (48 CFR) 53.212

Continuation of 1449

QUOTE (Enter Unit and Total prices for each Tower for which the Quoter would provide services.)

(Estimated)

(Price Per Day)

AMOUNT

(Quantity x Unit Price)

1A

1B Manzanita Tower Base Year (2016) Regular Days (0930 – 1800)

Extended Days (Sunrise – Sunset)

DY

DY

1C

1D Manzanita Tower Option Year (2017) Regular Days (0930 – 1800)

Extended Days (Sunrise – Sunset)

DY

DY

2A

2B Round Mountain Tower Base Year (2016) Regular Days (0930 – 1800)

Extended Days (Sunrise – Sunset)

DY

DY

2C

2D Round Mountain Tower Option Year (2017) Regular Days (0930 – 1800)

Extended Days (Sunrise – Sunset)

DY

DY

3A

3B Timber Mountain Tower Base Year (2016) Regular Days (0930 – 1800)

Extended Days (Sunrise – Sunset)

DY

DY

3C

3D Timber Mountain Tower Option Year (2017) Regular Days (0930 – 1800)

Extended Days (Sunrise – Sunset)

DY

DY

4A

4B Blue Mountain Tower Base Year (2016) Regular Days (0930 – 1800)

Extended Days (Sunrise – Sunset)

DY

DY

4C

4D Blue Mountain Tower Option Year (2017) Regular Days (0930 – 1800)

Extended Days (Sunrise – Sunset)

DY

DY

5A

5B Happy Camp Tower Base Year (2016) Regular Days (0930 – 1800)

Extended Days (Sunrise – Sunset)

DY

DY

5C

5D Happy Camp Tower Option Year (2017) Regular Days (0930 – 1800)

Extended Days (Sunrise – Sunset)

DY

DY

CAPABILITY AND PREFERENCE (Check as appropriate.)

1. Quoter can provide up to 30 total additional service days (Regular or Extended) per Tower quoted, before and/ or after the Base Period for each 2016 and 2017. YES NO

2. Quoter can provide Lookouts for 1 2 3 4 5 Tower Locations simultaneously per contract requirements.

3. Quoter’s Location Preference(s): Manzanita Round Mntn Timber Mntn Blue Mntn Happy Camp Any

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 , is not (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.)

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 , has not (check one) been convicted of a felony criminal violation under Federal or State law in the 24 months preceding the date of offer.

(ii) Offeror has , has not (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.

(3) The Offeror does , does not (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.

Name of Company

Name of Company Representative

Date

EXPERIENCE AND PAST PERFORMANCE QUESTIONNAIRE

Instructions: Use Item 7 (Remarks), or attach pages if extra space is needed to answer any items below.

Contact Sandra Vincent with questions: Call: 530-226-2408 or Email: svincent02@fs.fed.us

____ Non-profit Organization ____ Partnership ____ Individual ____ Other_______________

Address:

Email:

Telephone:

DUNS #:

3. How many years of experience do you (the Quoter) have in providing Fire Lookout Services…

a. As the Lookout? ____________________________________________________________________

b. As the employer of other Lookout(s)?___________________________________________________

c. As the Prime Contractor of a Lookout Contract? __________________________________________

d. As the Subcontractor of a Lookout Contract? _____________________________________________

4. List relevant contracts or projects you or your business has performed. Recent contracts are preferred if possible.

Contract Name / # or Project Name

5. List up to three references for whom your business has performed relevant work. The references may be associated with the contracts/projects listed in Item 4, but one reference per project is preferred:

6. Available Personnel Also include a résumé for each Lookout listed which addresses requirements described in the Lookout Qualifications, Major Duties and Work Requirements sections of the solicitation.

a.

Names of Primary Lookouts available for this project: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ b.

Names of Alternate Lookouts available for this project (Primary Lookouts may also serve as Alternate Lookouts): ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Remarks:

CERTIFICATION: By submitting this form, the Quoter certifies that all of the statements made above are complete and correct to the best of the Quoter’s knowledge and that any persons named as references are authorized to furnish the Forest Service with any information needed to verify the Quoter’s capability to perform this project.