Response_Forms.pdf

Response Forms - Solicitation No. AG-9AC7-S-16-0125 Page 1 of 6

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

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 809547

2. CONTRACT NO. 3. AWARD/

EFFECTIVE DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER

AG-9AC7-S-16-0125

6. SOLICITATION ISSUE DATE

07 / 01 / 2016

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. OFFER DUE DATE/

07 / 18 / 2016

12:00 Noon 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

UNRESTRICTED OR SET ASIDE: 100% FOR

SMALL BUSINESS

NAICS: 115310 EMERGING SMALL BUSINESS

(Standard) HUBZONE SMALL BUSINESS

SIZE STANDARD SERVICE-DISABLED VETERAN-

$7.5 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

RFQ IFB RFP

15. DELIVER TO

16. ADMINISTERED BY CODE

SEE BLOCK 9

17a. CONTRACTOR/ OFFEROR

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 OFFER

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.)

http://www.ipp.gov/

Response Forms - Solicitation No. AG-9AC7-S-16-0125 Page 2 of 6

PROJECT NAME: SIMS Plantation Thin & Release – Shasta-Trinity National Forest

Site Preparation

Fireline Construction

135.4

15,800

AC

LF

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 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

Response Forms - Solicitation No. AG-9AC7-S-16-0125 Page 3 of 6

CONTINUATION OF SF1449

SUBMISSION OF QUOTES

There is no need to return any portion of the solicitation that is not part of a 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. Quoters should email Sandra Vincent to confirm the fax or delivery was received.

RESPONSE REQUIRED TO BE CONSIDERED FOR AWARD

I. SAM (System for Award Management) Entity

SAM is a government database for Contractor business and payment information. 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 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. Award cannot be made without an Active SAM

Entity and the Government may not delay award while an Entity becomes Active.

It is 100% FREE to obtain a DUNS No. 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 Register Quick Start Guide: https://www.sam.gov/sam/transcript/Quick_Guide_for_Contract_Registrations.pdf

Renew Quick Start Guide: https://www.sam.gov/sam/transcript/Quick_Guide_for_Updating_or_Renewing_CCR-SAM_Registrations.pdf

To contact the SAM Helpdesk (The Federal Service Desk, or FSD): www.fsd.gov

II. AGAR Provision 452.209-70 (Provided)

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 provide it with the quote.

III. Response to Evaluation Factors (Technical and Price Criteria)

All quoters must respond to all Evaluation Factors as described in the Evaluation Factors section and include all specifically requested information. Incomplete responses may not be considered.

IV. Optional Response Forms are provided as a courtesy for responding to non-price criteria. Quoters are responsible to submit sufficient information for the Contracting Officer to evaluate the quoter’s qualifications in accordance with evaluation criteria provided. Quoters are not limited to use of the Optional Response Forms and may use other means instead of, or in addition to, the optional forms.

V. Site Visit (Pre-Quote)

A site visit is scheduled for July 12, 2016 at 9:00AM at Hayfork Ranger Station, 111 Trinity St, Hayfork, CA

96041. Interested parties are urged and expected, prior to submitting a quote, to inspect the site where services are to be performed and to satisfy themselves regarding all general and local conditions that may affect the cost of contract performance, to the extent that the information is reasonably obtainable. In no event shall failure to inspect the site constitute grounds for a claim or contract price adjustment after award. See Gov’t Points of

Contact to confirm attendance at the scheduled visit or to schedule an alternative visit time.

mailto:svincent02@fs.fed.us http://fedgov.dnb.com/webform http://www.sam.gov/ https://www.sam.gov/sam/transcript/Quick_Guide_for_Contract_Registrations.pdf https://www.sam.gov/sam/transcript/Quick_Guide_for_Updating_or_Renewing_CCR-SAM_Registrations.pdf http://www.fsd.gov/

Response Forms - Solicitation No. AG-9AC7-S-16-0125 Page 4 of 6

Response to Technical Criteria Note: The use of this form is NOT required. Quoters may respond to the Evaluation Criteria using any format they desire, so long as it addresses all of the evaluation criteria. This format is provided as a convenience for Quoters to organize their response to the technical requirements.

I) Relevant Past Performance (Relevant Experience)

(Please list 3 – 5.)

Project 1

Name Dates Reference Name, Phone, Email

Description of Work/ Summary

Project 2

Project 3

Response Forms - Solicitation No. AG-9AC7-S-16-0125 Page 5 of 6

Project 4

Project 5

(II) Technical Approach

1. Work Plan/ Operation Plan and Schedule of Work

Response Forms - Solicitation No. AG-9AC7-S-16-0125 Page 6 of 6

2. Safety Plan

3. Quality Control Plan

Other Notes, if any:

Response Forms - Solicitation No. AG-9AC7-S-16-0125 Page 7 of 6

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:

Signature of Representative:

Date:

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