Modoc_Lookouts_Response_Packet.pdf

AG-9AC7-S-16-0040 Modoc Lookout Services 2016-2017 Response Packet Page 1 of 5

Standard Form 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER

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

2. CONTRACT NO. 3 AWARD/ EFFECTIVE 4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

DATE AG-9AC7-S-16-0040 3 / 02 / 2016

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

9. ISSUED BY

CODE

10. THIS ACQUISITON IS

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

13a. THIS CONTRACT IS A

RATED ORDER UNDER DPAS

(15 CFR 700)

13b. RATING

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.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS

BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND

RETURN ONE (1) COPY 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 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

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV.3/2005)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212 https://acquisition.gov/far/current/html/52_212_213.html#wp1179124 https://acquisition.gov/far/current/html/52_212_213.html#wp1179465

AG-9AC7-S-16-0040 Modoc Lookout Services 2016-2017 Response Packet Page 2 of 5

Continuation of 1449 QUOTE (Enter Unit and Total prices for each Tower for which the Quoter would provide services.)

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

(Estimated)

UNIT

UNIT PRICE

(Price Per Day)

AMOUNT

(Quantity x Unit Price)

1A

1B

Manzanita Tower Base Year (2016)

Regular Days (0930 – 1800)

Extended Days (Sunrise – Sunset)

DY

1C

1D

Manzanita Tower Option Year (2017)

2A

2B

Round Mountain Tower Base Year (2016)

2C

2D

Round Mountain Tower Option Year (2017)

3A

3B

Timber Mountain Tower Base Year (2016)

3C

3D

Timber Mountain Tower Option Year (2017)

4A

4B

Blue Mountain Tower Base Year (2016)

4C

4D

Blue Mountain Tower Option Year (2017)

5A

5B

Happy Camp Tower Base Year (2016)

5C

5D

Happy Camp Tower Option Year (2017)

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

AG-9AC7-S-16-0040 Modoc Lookout Services 2016-2017 Response Packet Page 3 of 5

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 http://www.dm.usda.gov/procurement/policy/docs/USDAFARDeviation03-22-2012Solicitation.pdf

AG-9AC7-S-16-0040 Modoc Lookout Services 2016-2017 Response Packet Page 4 of 5

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

1. Offeror's Name, Contact Information & DUNS Number 2. Type of Business

Name: ____ Company

____ 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

Service Location(s) Service Dates Description of Services

Performed

AG-9AC7-S-16-0040 Modoc Lookout Services 2016-2017 Response Packet Page 5 of 5

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:

Contact Person’s

Name

Contact Person’s

Business Name

Project or Contract

Name

Contact Phone Number(s)

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.