DWP-MT-2024-64_(Fort Belknap)_6-20 MRP Requisition.pdf
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- Solicitation number
- 12639524Q0220
About this file
This document is an MRP Requisition Checklist for a federal contract opportunity related to Grasshopper Suppression services in Montana. The contract is for the application of diflubenzuron over a specific area on the Fort Belknap Reservation. The contractor will be required to provide all labor, equipment, supervision, transportation, operating supplies, and incidentals necessary for the aerial application. The estimated cost is $171,875 for an estimated 171.875 gallons of diflubenzuron at $800 per gallon. The solicitation number is 12639524Q0220, and the contracting agency is the USDA Animal and Plant Health Inspection Service Marketing and Regulatory Programs Business Services. The requisition checklist includes details on the technical contact, program office, and approver, as well as a request for various attachments such as a Statement of Work and Inherently Governmental and Service Contract Approval Memorandum.
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MRP Requisition Checklist *Questions may be submitted to acquisition.help@usda.gov
To avoid having your request returned for missing or incomplete information, please complete all applicable fields. Download the form to your desktop before filling out to ensure all fields are functional.
TECHNICAL CONTACT:
SHORT DESCRIPTION / TITLE:
PROGRAM OFFICE:
I P P APPROVER: DATE SERVICES/SUPPLIES NEEDED:
ESTIMATED COST:
*Including option years:
TYPE OF ACTION REQUESTED (Select from dropdown after downloading form):
USDA PROCUREMENT FORECAST ID NUMBER:
(If Applicable):*Mandatory for new acquisitions valued over $100K (all years) Not required for modifications or orders/calls against USDA contracts/BPAs.
IS THERE A PREVIOUS IF YES, ENTER PREVIOUS
OR EXISTING CONTRACT? OR EXISTING CONTRACT #
IS THIS ACQUISITION FOR IT PRODUCTS OR SERVICES?
*All procurements for IT Products or Services >$25K require an AAR prior to award
IF YES, PROVIDE THE INVESTMENT ID#, AAR# and AAR SUBMISSION ID#:
*If AAR is not yet approved, only include the Investment ID# and AAR submission ID
ATTACHMENTS (Check documents submitted as applicable):
*You may find templates of these documents at the Acquisition Workforce Share Point and the AAMD Intranet Site.
Specifications/Performance Work Statement/Statement of Work/Statement of Objectives (Always required for new procurements, not required for funding mods or option exercise)
Inherently Governmental and Service Contract Approval Memorandum (Required for new services contracts including purchase orders and BPAs)
Comments (i.e. Acquisition history, market research/prospective sources, suggested contract to use (GSA/SEWP), potential risks, and other helpful notes for the contracting officer):
*The list of USDA-wide contracts can be found at USDA Procurement.
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Untitled
| Text1: Grasshopper Suppression, Montana: DWP-MT-2024-64_(Fort Belknap)_6-20 |
| Text2: PPQ Montana |
| Text3: Gary Adams |
| Text4: Amber Skillman, OM |
| Date5_af_date: 06/26/2024 |
| Dropdown6: [New contract] |
| Text7: |
| Dropdown8: [No] |
| Check Box12: Yes |
| Check Box14: Off |
| Text17: DWP-MT-2024-64_(Fort Belknap)_6-20 |
171.875 Gallons estimated bid at $800/gallon.
| Button18: |
| Text5: 137500 |
| Text6: |
| Dropdown7: [NO] |
| Text8: |
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