Attachment 6 - Response Form.pdf
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- BLM-CO - San Luis Valley Portal Sign Bases
- Solicitation number
- 140L4221R0003
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SOLICITATION, OFFER,
AND AWARD
2. TYPE OF SOLICITATION
6. PROJECT NO. 4. CONTRACT NO. 5. REQUISITION/PURCHASE REQUEST NO.
PAGE OF PAGES
7. ISSUED BY CODE 8. ADDRESS OFFER TO
SOLICITATION
(Construction, Alteration, or Repair)
1. SOLICITATION NO. 3. DATE ISSUED
IMPORTANT -- The "offer" section on the reverse must be fully completed by offeror.
9.
INFORMATION
a. NAME b. TELEPHONE NO. (Include area code) (NO COLLECT CALLS)
NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder."
CALL:
FOR
SEALED BID (IFB)
NEGOTIATED (RFP)
0040528502
NORTHWEST DISTRICT OFFICE
2815 H. ROAD
GRAND JUNCTION CO 81506
LRL
CO Robert Hall - rhall@blm.gov
Email only.
Robert Hall 9708769038
1x 04/02/2021
140L4221R0003
10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title, identifying no., date)
The Bureau of Land Management (BLM) plans to install portal signs at various locations throughout the San Luis Valley Field Office (SLVFO). Portal signs serve to identify entry into public lands for visitors, and at Recreation Areas. All sign locations are within 50-miles of the San Luis Valley Field Office in Monte Vista.
Contractor work includes: Construction of the portal sign bases and installation of the Government furnished signs. Note, this procurement is currently unfunded. The
Government bears no responsibility for costs you may incur prior to award and reserves the right to cancel this solicitation at any time if funding is not made available. The Government estimates the rough order of magnitude for this project to be from $25,000 - $100,000.
11. The Contractor shall begin performance
12a. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?
award, notice to proceed. The performance period is mandatory negotiable. (See ________________________________________________.)
13. ADDITIONAL SOLICITATION REQUIREMENTS:
a. Sealed offers in original and is not required.is, b. An offer guarantee
c. All offers are subject to the (1) work requirements, and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.
(date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes containing offers shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.
d. Offers providing less than
12b. CALENDAR DAYSYES NO
(If "YES", indicate within how many calendar days after award in Item 12b.)
10 90 calendar days and complete it within ________________ ________________ calendar days after receiving
06/07/2021
NSN 7540-01-155-3212
x x x x copies to perform the work required are due at the place specified in Item 8 by _____________ ___________________ (hour) local time calendar days for Government acceptance after the date offers are due will not be considered and will be rejected . _________________
STANDARD FORM 1442 (Rev. 4-85)
Prescribed by GSA
FAR(48 CFR) 53.236-1(d) rhall Highlight rhall Highlight
17. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of this solicitation, if this offer is accepted by the Government in writing within ____________________ calendar days after the date offers are due. (Insert any number equal to or greater than the minimum requirement stated in item 13d. Failure to insert any number means the offeror accepts the minimum in item 13d.)
14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code) 15. TELEPHONE NO. (Include area code)
16. REMITTANCE ADDRESS (Include only if different than item 14.)
CODE FACILITY CODE
AMOUNTS
18. The offeror agrees to furnish any required performance and payment bonds.
19. ACKNOWLEDGEMENT OF AMENDMENTS
OFFER (Must be fully completed by offeror)
(The offeror acknowledges receipt of amendments to the solicitation -- give number and date of each)
AMENDMENT NO.
DATE.
20a. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER (Type or print) 20b. SIGNATURE 20c. OFFER DATE
AWARD (To be completed by Government)
21. ITEMS ACCEPTED:
22. AMOUNT 23. ACCOUNTING AND APPROPRIATION DATA
24. SUBMIT INVOICES TO ADDRESS SHOWN IN
(4 copies unless otherwise specified)
ITEM 25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO
26. ADMINISTERED BY CODE 27. PAYMENT WILL BE MADE BY
CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE
(Contractor is required to sign this document and return (Contractor is not required to sign this document.)
Your offer on this solicitation is hereby accepted as to the items listed. This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award.
No further contractual document is necessary.
30a. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED TO SIGN (Type or print) 31a. NAME OF CONTRACTING OFFICER (Type or print)
30b. SIGNATURE 30c. DATE 31b. UNITED STATES OF AMERICA 31c. DATE
BY
2PAGE OF
NORTHWEST DISTRICT OFFICE
2815 H. ROAD
GRAND JUNCTION CO 81506
LRL
Robert Hall
28. NEGOTIATED AGREEMENT 29. AWARD
Contractor agrees to furnish and deliver all items or perform all work requirements identified on this form and any continuation sheets for the consideration stated in this contract. The rights and obligations of the parties to this contract shall be governed by (a) this contract award, (b) the solicitation, and (c) the clauses, representations, copies to issuing office.)
10 U.S.C. 2304(c) 41 U.S.C. 253(c)
STANDARD FORM 1442 (REV. 4-85) BACK
Continued...
ITEM NO.
(A)
SUPPLIES/SERVICES
(B)
QUANTITY
(C)
UNIT
(D)
UNIT PRICE
(E)
AMOUNT
(F)
NAME OF OFFEROR OR CONTRACTOR
3 30
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
140L4221R0003
BLM-CO - San Luis Valley Portal Sign Bases
This is a solicitation for proposals for construction of portal sign bases and installation of Government supplied signs at 13 locations around the San Luis Valley in accordance with the attachments. Due to the scattered nature of the work and low complexity, there will be no hosted site visit. Please use your discretion and check out existing signs for yourself if you are interested.
Basic Contracting Requirements:
1. Active Registration - www.sam.gov at the time of solicitation close
2. Invoicing and Payment - www.ipp.gov - 14 day prompt pay
3. FAR Part 13 - Simplified Acquisition
Procedures
4. FAR Part 36 - Construction
5. Davis Bacon Wages for Saguache/Rio Grande
Counties
6. Bid, Performance and Payment Bonding
7. Total Small Business Set-Aside for NAICS
238110 - Size Std - $16.SM
8. Award Basis - Best Value with Trade-offs - May not be the lowest price
Minimum Requirements for Responsive Bid:
1. Volume I - Business Proposal - Signed SF-1442, schedule B, Bid Bond
2. Volume II - Technical Proposal
3. Section 889 Representations if not updated in
SAM
4. Email above items to the POC no later than closing date and time.
POC: Contracting Officer Robert Hall -rhall@blm.gov - 970-876-9038
Delivery: 09/30/2025
Delivery Location Code: 0010344507
BLM-CO SAN LUIS VALLEY FIELD OFC
1313 US HWY 160 EAST
Monte Vista CO 81144 US
Period of Performance: 07/01/2021 to 09/30/2021
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
rhall Highlight rhall Highlight rhall Highlight
ITEM NO.
(A)
SUPPLIES/SERVICES
(B)
QUANTITY
(C)
UNIT
(D)
UNIT PRICE
(E)
AMOUNT
(F)
NAME OF OFFEROR OR CONTRACTOR
4 30
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
140L4221R0003
00010 Mobilization
Product/Service Code: Y1PZ
Product/Service Description: CONSTRUCTION OF
OTHER NON-BUILDING FACILITIES
00020 BLM Portal Sign Bases 13 EA
Product/Service Code: Y1PZ
Product/Service Description: CONSTRUCTION OF
OTHER NON-BUILDING FACILITIES
00030 BLM Portal Sign Installation 13 EA
Product/Service Code: N093
Product/Service Description: INSTALLATION OF
EQUIPMENT- NONMETALLIC FABRICATED MATERIALS
REMINDER: All invoices must be submitted directly to www.ipp.gov and include an itemized matching attachment
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
1 LS
Contents
B - SCHEDULE OF ITEMS
C-- STATEMENT OF WORK/DESCRIPTION/SPECIFICATIONS
E - Inspection and Acceptance J - List of Documents, Exhibits, and Other Attachments
L – INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS OR RESPONDENTS
M - EVALUATION FACTORS FOR AWARD
B - SCHEDULE OF ITEMS
B-1. Schedule of Items
CLIN Description Quantity UoM Unit Price Price
010 Mobilization
1 LS
020 Sign Base Construction
13 EA
030 Sign Installation – Government Supplied
13 EA
Total
The Government intends to evaluate bids and award contract without discussions with offerors.
To be eligible for award, contractors MUST be registered in the System for Award Management (SAM), https://www.sam.gov/SAM/
B-2 NOTE: Payment for bond premiums in accordance with Clause 52.232-5, Payments under Fixed-
Price Construction Contracts, shall not be in addition to the contract price. Include your costs for bond payments in the Mobilization line.
https://www.sam.gov/SAM/
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