HSFE08-12-R-1029.docx

HSFE08-12-R-1029 Section E

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL BUSINESS

(EDWOSB)

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION 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

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

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

(Use Reverse and/or Attach Additional Sheets as Necessary)

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 _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE.

CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________.

YOUR

OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

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

(REV. 5/2011)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

HSFE08-12-R-1029

01-20-2012 BRYAN BOLAND bryan.boland@dhs.gov 701-221-5126 02-21-2012

DHS/FEMA

JOINT FIELD OFFICE

ATTN: CONTRACTING OFFICER

600 S. 2ND ST.

BISMARCK ND 58504

X X 238990 $14 Million N/A X

SEE BLOCK 9

DHS/FEMA

FEMA FINANCE CENTER

PO BOX 9001

WINCHESTER VA 22064

See CONTINUATION Page

PLEASE REFER TO THE PERFORMANCE WORK STATEMENT (PWS)

See CONTINUATION Page X X X

BRYAN BOLAND

SECTION B - CONTINUATION BLOCK

B.1 PRICE/COST SCHEDULE

ITEM DESCRIPTION OF QTY UNIT UNIT AMOUNT

NO. SUPPLIES/SVCS PRICE

0001 1.00 EA ___________________ ____________________

Transition (CLIN 0001) – PHASE-IN:

(Please refer to PWS for more detail) The contractor shall perform any and all efforts necessary during the phase-in period to ensure the ability to successfully perform the tasks and activities associated with this contract. This task shall be completed within 60 days from the start of the period of performance or from the effective date of of contract award.

0002 12.00 EA ___________________ ____________________

Preventative Monthly Inspection (PMI)Maintenance Inspection and Repairs: MH/PM/THU Monthly Preventative Maintenance Inspection and Repairs (Includes Minor repair materials). Unit of Issue (U/I) "EA"means one MH/PM/THU.

0003 1.00 EA ___________________ ____________________

Emergency Maintenance Service/Call

0004 1.00 EA ___________________ ____________________

Routine Unit Deactivation: (Covers up to first 150 miles for towing) MH/PM/THU Basic Deactivation. The Contractor has seven (7) days to complete the deactivation of the unit, at which time the unit must be removed from the site, and seven (7) days to haul and deliver the unit. Unit of Issue (U/I) Ea means 1 unit.

0005 1.00 EA ___________________ ____________________

Emergency Unit Deactivation: (covers up to 150 miles for towing) MH/PM/THU Emergency Deactivation. The Contractor shall initiate emergency deactivation within six (6) hours of receipt (24 hours-a-day, seven (7) days per week) of an emergency deactivation work order and complete the work within 48 hours of the work order.

0006 1.00 MILE___________________ ____________________

Additional Mileage for Unit Deactivation & Relocation over 150 miles: Ground Mileage for Towing of MH/PM/THU, mileage 150 miles or greater.

0007 1.00 LOT ___________________ ____________________

Miscellaneous: Covers Major Repairs Items (to Include Routine and Emergency Major Repairs) above $250.

Reimbursement based on pre-approved cost for labor hours and materials.

MH/PM/THU Major Repairs Items.

Requires COR approval in writing prior to any work being done. This is defined as a single item (Major Item) including parts, supplies, and materials (individually or collectively) costing more than $250.00 of materials

0008 1.00 EA ___________________ ____________________

Haul & Install at Community or Commercial Site: Haul and Install at Community Site or Commercial Site - Mobile Home/Park Model/THU Complete Installation. Includes all utilities connections up to 50 feet (excavation down to 48 inches), steps and basic site preparation.

0009 1.00 EA ___________________ ____________________

Unit Reposition: MH/PM/THU Reposition.

Reposition is to move the installed unit to a different position on the same site. Note: The Contractor must utilize the same material used in the original installation to reposition the temporary housing unit, as long as the material is still in good condition.

0010 1.00 EA ___________________ ____________________

Unit Relocation: MH/PM/THU Relocation.

Relocation is to move the installed unit from one site to another. Unit of Issue (U/I) Ea means 1 unit.

0011 1.00 EA ___________________ ____________________

Heavy Tow - Includes hauling to site, and equipment.

0012 365.00 DAYS___________________ ____________________

Maintenance Hotline - Establish and staff the Maintenance Hotline Services no later than 24 hours from the time of issue of the first installation work order.

0013 1.00 EA ___________________ ____________________

Unit Refurbishment: COR approval in writing required. Unit shall be made Safe, Sanitary, Functional, and Secured. The contractor shall refurbish units for re-occupancy.

“Refurbishment” means restoration of the unit to a "like new" condition, with the exception of reasonable wear and tear.

0014 1.00 EA ___________________ ____________________

Clean and Make Ready for Occupancy

0015 1.00 EA ___________________ ____________________

Installation of Platform Steps - Platform steps, walker accessible. All Steps defined as “Platform Steps” shall be constructed of treated outdoor building material. 5/4” decking material shall be used for all steps and platform surfaces. Two inches (2”) treated material.

0016 1.00 EA ___________________ ____________________

UFAS Ramp (up to or at 30 feet)

0017 1.00 EA ___________________ ____________________

UFAS Ramp (greater than 30 feet). Cost is based on each additional foot.

0018 1.00 LOT ___________________ ____________________

Maintenance and Repair of Lift Stations at Community Sites: Reimbursement based on pre-approved cost for labor hours and materials.

1001 1.00 EA ___________________ ____________________

OPTION YEAR 1: Transition (CLIN 1001)

– PHASE-IN: (Please refer to PWS for more detail) The contractor shall perform any and all efforts necessary during the phase-in period to ensure the ability to successfully perform the tasks and activities associated with this contract. This task shall be completed within 60 days from the start of the period of performance or from the effective date of of contract award.

1002 12.00 EA ___________________ ____________________

OPTION YEAR 1: Preventative Monthly Inspection (PMI)Maintenance Inspection and Repairs: MH/PM/THU Monthly Preventative Maintenance Inspection and Repairs (Includes Minor repair materials). Unit of Issue (U/I) "EA"means one MH/PM/THU.

1003 1.00 EA ___________________ ____________________

OPTION YEAR 1: Emergency Maintenance Service/Call

1004 1.00 EA ___________________ ____________________

OPTION YEAR 1: Routine Unit Deactivation: (Covers up to first 150 miles for towing) MH/PM/THU Basic Deactivation. The Contractor has seven

(7) days to complete the deactivation of the unit, at which time the unit must be removed from the site, and seven (7) days to haul and deliver the unit. Unit of Issue (U/I) Ea means 1 unit.

1005 1.00 EA ___________________ ____________________

OPTION YEAR 1: Emergency Unit Deactivation: (covers up to 150 miles for towing) MH/PM/THU Emergency Deactivation. The Contractor shall initiate emergency deactivation within six (6) hours of receipt (24 hours-a-day, seven (7) days per week) of an emergency deactivation work order and complete the work within 48 hours of the work order.

1006 1.00 MILE___________________ ____________________

OPTION YEAR 1: Additional Mileage for Unit Deactivation & Relocation over 150 miles: Ground Mileage for Towing of MH/PM/THU, mileage 150 miles or greater.

1007 1.00 LOT ___________________ ____________________

OPTION YEAR 1: Miscellaneous: Covers Major Repairs Items (to Include Routine and Emergency Major Repairs) above $250. Reimbursement based on pre-approved cost for labor hours and materials. MH/PM/THU Major Repairs Items.

Requires COR approval in writing prior to any work being done. This is defined as a single item (Major Item) including parts, supplies, and materials (individually or collectively) costing more than $250.00 of materials

1008 1.00 EA ___________________ ____________________

OPTION YEAR 1: Haul & Install at Community or Commercial Site: Haul and Install at Community Site or Commercial Site - Mobile Home/Park Model/THU Complete Installation.

Includes all utilities connections up to 50 feet (excavation down to 48 inches), steps and basic site preparation.

1009 1.00 EA ___________________ ____________________

OPTION YEAR 1: Unit Reposition:

MH/PM/THU Reposition. Reposition is to move the installed unit to a different position on the same site. Note: The Contractor must utilize the same material used in the original installation to reposition the temporary housing unit, as long as the material is still in good condition.

1010 1.00 EA ___________________ ____________________

OPTION YEAR 1: Unit Relocation:

MH/PM/THU Relocation. Relocation is to move the installed unit from one site to another. Unit of Issue (U/I) Ea means 1 unit.

1011 1.00 EA ___________________ ____________________

OPTION YEAR 1: Heavy Tow - Includes hauling to site, and equipment.

1012 365.00 DAYS___________________ ____________________

OPTION YEAR 1: Maintenance Hotline - Establish and staff the Maintenance Hotline Services no later than 24 hours from the time of issue of the first installation work order.

1013 1.00 EA ___________________ ____________________

OPTION YEAR 1: Unit Refurbishment:

COR approval in writing required. Unit shall be made Safe, Sanitary, Functional, and Secured. The contractor shall refurbish units for re-occupancy.

“Refurbishment” means restoration of the unit to a "like new" condition, with the exception of reasonable wear and tear.

1014 1.00 EA ___________________ ____________________

OPTION YEAR 1: Clean and Make Ready for Occupancy

1015 1.00 EA ___________________ ____________________

OPTION YEAR 1: Installation of Platform Steps - Platform steps, walker accessible. All Steps defined as “Platform Steps” shall be constructed of treated outdoor building material.

5/4” decking material shall be used for all steps and platform surfaces. Two inches (2”) treated material.

1016 1.00 EA ___________________ ____________________

OPTION YEAR 1: UFAS Ramp (up to or at 30 feet)

1017 1.00 EA ___________________ ____________________

OPTION YEAR 1: UFAS Ramp (greater than 30 feet). Cost is based on each additional foot.

1018 1.00 LOT ___________________ ____________________

OPTION YEAR 1: Maintenance and Repair of Lift Stations at Community Sites:

Reimbursement based on pre-approved cost for labor hours and materials.

2001 1.00 EA ___________________ ____________________

OPTION YEAR 2: Transition (CLIN 2001)

– PHASE-IN: (Please refer to PWS for more detail) The contractor shall perform any and all efforts necessary during the phase-in period to ensure the ability to successfully perform the tasks and activities associated with this contract. This task shall be completed within 60 days from the start of the period of performance or from the effective date of of contract award.

2002 12.00 EA ___________________ ____________________

OPTION YEAR 2: Preventative Monthly Inspection (PMI)Maintenance Inspection and Repairs: MH/PM/THU Monthly Preventative Maintenance Inspection and Repairs (Includes Minor repair materials). Unit of Issue (U/I) "EA"means one MH/PM/THU.

2003 1.00 EA ___________________ ____________________

OPTION YEAR 2: Emergency Maintenance Service/Call

2004 1.00 EA ___________________ ____________________

OPTION YEAR 2: Routine Unit Deactivation: (Covers up to first 150 miles for towing) MH/PM/THU Basic Deactivation. The Contractor has seven

(7) days to complete the deactivation of the unit, at which time the unit must be removed from the site, and seven (7) days to haul and deliver the unit. Unit of Issue (U/I) Ea means 1 unit.

2005 1.00 EA ___________________ ____________________

OPTION YEAR 2: Emergency Unit Deactivation: (covers up to 150 miles for towing) MH/PM/THU Emergency Deactivation. The Contractor shall initiate emergency deactivation within six (6) hours of receipt (24 hours-a-day, seven (7) days per week) of an emergency deactivation work order and complete the work within 48 hours of the work order.

2006 1.00 MILE___________________ ____________________

OPTION YEAR 2: Additional Mileage for Unit Deactivation & Relocation over 150 miles: Ground Mileage for Towing of MH/PM/THU, mileage 150 miles or greater.

2007 1.00 LOT ___________________ ____________________

OPTION YEAR 2: Miscellaneous: Covers Major Repairs Items (to Include Routine and Emergency Major Repairs) above $250. Reimbursement based on pre-approved cost for labor hours and materials. MH/PM/THU Major Repairs Items.

Requires COR approval in writing prior to any work being done. This is defined as a single item (Major Item) including parts, supplies, and materials (individually or collectively) costing more than $250.00 of materials

2008 1.00 EA ___________________ ____________________

OPTION YEAR 2: Haul & Install at Community or Commercial Site: Haul and Install at Community Site or Commercial Site - Mobile Home/Park Model/THU Complete Installation.

Includes all utilities connections up to 50 feet (excavation down to 48 inches), steps and basic site preparation.

2009 1.00 EA ___________________ ____________________

OPTION YEAR 2: Unit Reposition:

MH/PM/THU Reposition. Reposition is to move the installed unit to a different position on the same site. Note: The Contractor must utilize the same material used in the original installation to reposition the temporary housing unit, as long as the material is still in good condition.

2010 1.00 EA ___________________ ____________________

OPTION YEAR 2: Unit Relocation:

MH/PM/THU Relocation. Relocation is to move the installed unit from one site to another. Unit of Issue (U/I) Ea means 1 unit.

2011 1.00 EA ___________________ ____________________

OPTION YEAR 2: Heavy Tow - Includes hauling to site, and equipment.

2012 365.00 DAYS___________________ ____________________

OPTION YEAR 2: Maintenance Hotline - Establish and staff the Maintenance Hotline Services no later than 24 hours from the time of issue of the first installation work order.

2013 1.00 EA ___________________ ____________________

OPTION YEAR 2: Unit Refurbishment:

COR approval in writing required. Unit shall be made Safe, Sanitary, Functional, and Secured. The contractor shall refurbish units for re-occupancy.

“Refurbishment” means restoration of the unit to a "like new" condition, with the exception of reasonable wear and tear.

2014 1.00 EA ___________________ ____________________

OPTION YEAR 2: Clean and Make Ready for Occupancy

2015 1.00 EA ___________________ ____________________

OPTION YEAR 2: Installation of Platform Steps - Platform steps, walker accessible. All Steps defined as “Platform Steps” shall be constructed of treated outdoor building material.

5/4” decking material shall be used for all steps and platform surfaces. Two inches (2”) treated material.

2016 1.00 EA ___________________ ____________________

OPTION YEAR 2: UFAS Ramp (up to or at 30 feet)

2017 1.00 EA ___________________ ____________________

OPTION YEAR 2: UFAS Ramp (greater than 30 feet). Cost is based on each additional foot.

2018 1.00 LOT ___________________ ____________________

OPTION YEAR 2: Maintenance and Repair of Lift Stations at Community Sites:

Reimbursement based on pre-approved cost for labor hours and materials.

3001 1.00 EA ___________________ ____________________

OPTION YEAR 3: Transition (CLIN 3001)

– PHASE-IN: (Please refer to PWS for more detail) The contractor shall perform any and all efforts necessary during the phase-in period to ensure the ability to successfully perform the tasks and activities associated with this contract. This task shall be completed within 60 days from the start of the period of performance or from the effective date of of contract award.

3002 12.00 EA ___________________ ____________________

OPTION YEAR 3: Preventative Monthly Inspection (PMI)Maintenance Inspection and Repairs: MH/PM/THU Monthly Preventative Maintenance Inspection and Repairs (Includes Minor repair materials). Unit of Issue (U/I) "EA"means one MH/PM/THU.

3003 1.00 EA ___________________ ____________________

OPTION YEAR 3: Emergency Maintenance Service/Call

3004 1.00 EA ___________________ ____________________

OPTION YEAR 3: Routine Unit Deactivation: (Covers up to first 150 miles for towing) MH/PM/THU Basic Deactivation. The Contractor has seven

(7) days to complete the deactivation of the unit, at which time the unit must be removed from the site, and seven (7) days to haul and deliver the unit. Unit of Issue (U/I) Ea means 1 unit.

3005 1.00 EA ___________________ ____________________

OPTION YEAR 3: Emergency Unit Deactivation: (covers up to 150 miles for towing) MH/PM/THU Emergency Deactivation. The Contractor shall initiate emergency deactivation within six (6) hours of receipt (24 hours-a-day, seven (7) days per week) of an emergency deactivation work order and complete the work within 48 hours of the work order.

3006 1.00 MILE___________________ ____________________

OPTION YEAR 3: Additional Mileage for Unit Deactivation & Relocation over 150 miles: Ground Mileage for Towing of MH/PM/THU, mileage 150 miles or greater.

3007 1.00 LOT ___________________ ____________________

OPTION YEAR 3: Miscellaneous: Covers Major Repairs Items (to Include Routine and Emergency Major Repairs) above $250. Reimbursement based on pre-approved cost for labor hours and materials. MH/PM/THU Major Repairs Items.

Requires COR approval in writing prior to any work being done. This is defined as a single item (Major Item) including parts, supplies, and materials (individually or collectively) costing more than $250.00 of materials

3008 1.00 EA ___________________ ____________________

OPTION YEAR 3: Haul & Install at Community or Commercial Site: Haul and Install at Community Site or Commercial Site - Mobile Home/Park Model/THU Complete Installation.

Includes all utilities connections up to 50 feet (excavation down to 48 inches), steps and basic site preparation.

3009 1.00 EA ___________________ ____________________

OPTION YEAR 3: Unit Reposition:

MH/PM/THU Reposition. Reposition is to move the installed unit to a different position on the same site. Note: The Contractor must utilize the same material used in the original installation to reposition the temporary housing unit, as long as the material is still in good condition.

3010 1.00 EA ___________________ ____________________

OPTION YEAR 3: Unit Relocation:

MH/PM/THU Relocation. Relocation is to move the installed unit from one site to another. Unit of Issue (U/I) Ea means 1 unit.

3011 1.00 EA ___________________ ____________________

OPTION YEAR 3: Heavy Tow - Includes hauling to site, and equipment.

3012 365.00 DAYS___________________ ____________________

OPTION YEAR 3: Maintenance Hotline - Establish and staff the Maintenance Hotline Services no later than 24 hours from the time of issue of the first installation work order.

3013 1.00 EA ___________________ ____________________

OPTION YEAR 3: Unit Refurbishment:

COR approval in writing required. Unit shall be made Safe, Sanitary, Functional, and Secured. The contractor shall refurbish units for re-occupancy.

“Refurbishment” means restoration of the unit to a "like new" condition, with the exception of reasonable wear and tear.

3014 1.00 EA ___________________ ____________________

OPTION YEAR 3: Clean and Make Ready for Occupancy

3015 1.00 EA ___________________ ____________________

OPTION YEAR 3: Installation of Platform Steps - Platform steps, walker accessible. All Steps defined as “Platform Steps” shall be constructed of treated outdoor building material.

5/4” decking material shall be used for all steps and platform surfaces. Two inches (2”) treated material.

3016 1.00 EA ___________________ ____________________

OPTION YEAR 3: UFAS Ramp (up to or at 30 feet)

3017 1.00 EA ___________________ ____________________

OPTION YEAR 3: UFAS Ramp (greater than 30 feet). Cost is based on each additional foot.

3018 1.00 LOT ___________________ ____________________

OPTION YEAR 3: Maintenance and Repair of Lift Stations at Community Sites:

Reimbursement based on pre-approved cost for labor hours and materials.

4001 1.00 EA ___________________ ____________________

OPTION YEAR 4: Transition (CLIN 4001)

– PHASE-IN: (Please refer to PWS for more detail) The contractor shall perform any and all efforts necessary during the phase-in period to ensure the ability to successfully perform the tasks and activities associated with this contract. This task shall be completed within 60 days from the start of the period of performance or from the effective date of of contract award.

4002 12.00 EA ___________________ ____________________

OPTION YEAR 4: Preventative Monthly Inspection (PMI)Maintenance Inspection and Repairs: MH/PM/THU Monthly Preventative Maintenance Inspection and Repairs (Includes Minor repair materials). Unit of Issue (U/I) "EA"means one MH/PM/THU.

4003 1.00 EA ___________________ ____________________

OPTION YEAR 4: Emergency Maintenance Service/Call

4004 1.00 EA ___________________ ____________________

OPTION YEAR 4: Routine Unit Deactivation: (Covers up to first 150 miles for towing) MH/PM/THU Basic Deactivation. The Contractor has seven

(7) days to complete the deactivation of the unit, at which time the unit must be removed from the site, and seven (7) days to haul and deliver the unit. Unit of Issue (U/I) Ea means 1 unit.

4005 1.00 EA ___________________ ____________________

OPTION YEAR 4: Emergency Unit Deactivation: (covers up to 150 miles for towing) MH/PM/THU Emergency Deactivation. The Contractor shall initiate emergency deactivation within six (6) hours of receipt (24 hours-a-day, seven (7) days per week) of an emergency deactivation work order and complete the work within 48 hours of the work order.

4006 1.00 MILE___________________ ____________________

OPTION YEAR 4: Additional Mileage for Unit Deactivation & Relocation over 150 miles: Ground Mileage for Towing of MH/PM/THU, mileage 150 miles or greater.

4007 1.00 LOT ___________________ ____________________

OPTION YEAR 4: Miscellaneous: Covers Major Repairs Items (to Include Routine and Emergency Major Repairs) above $250. Reimbursement based on pre-approved cost for labor hours and materials. MH/PM/THU Major Repairs Items.

Requires COR approval in writing prior to any work being done. This is defined as a single item (Major Item) including parts, supplies, and materials (individually or collectively) costing more than $250.00 of materials

4008 1.00 EA ___________________ ____________________

OPTION YEAR 4: Haul & Install at Community or Commercial Site: Haul and Install at Community Site or Commercial Site - Mobile Home/Park Model/THU Complete Installation.

Includes all utilities connections up to 50 feet (excavation down to 48 inches), steps and basic site preparation.

4009 1.00 EA ___________________ ____________________

OPTION YEAR 4: Unit Reposition:

MH/PM/THU Reposition. Reposition is to move the installed unit to a different position on the same site. Note: The Contractor must utilize the same material used in the original installation to reposition the temporary housing unit, as long as the material is still in good condition.

4010 1.00 EA ___________________ ____________________

OPTION YEAR 4: Unit Relocation:

MH/PM/THU Relocation. Relocation is to move the installed unit from one site to another. Unit of Issue (U/I) Ea means 1 unit.

4011 1.00 EA ___________________ ____________________

OPTION YEAR 4: Heavy Tow - Includes hauling to site, and equipment.

4012 365.00 DAYS___________________ ____________________

OPTION YEAR 4: Maintenance Hotline - Establish and staff the Maintenance Hotline Services no later than 24 hours from the time of issue of the first installation work order.

4013 1.00 EA ___________________ ____________________

OPTION YEAR 4: Unit Refurbishment:

COR approval in writing required. Unit shall be made Safe, Sanitary, Functional, and Secured. The contractor shall refurbish units for re-occupancy.

“Refurbishment” means restoration of the unit to a "like new" condition, with the exception of reasonable wear and tear.

4014 1.00 EA ___________________ ____________________

OPTION YEAR 4: Clean and Make Ready for Occupancy

4015 1.00 EA ___________________ ____________________

OPTION YEAR 4: Installation of Platform Steps - Platform steps, walker accessible. All Steps defined as “Platform Steps” shall be constructed of treated outdoor building material.

5/4” decking material shall be used for all steps and platform surfaces. Two inches (2”) treated material.

4016 1.00 EA ___________________ ____________________

OPTION YEAR 4: UFAS Ramp (up to or at 30 feet)

4017 1.00 EA ___________________ ____________________

OPTION YEAR 4: UFAS Ramp (greater than 30 feet). Cost is based on each additional foot.

4018 1.00 LOT ___________________ ____________________

OPTION YEAR 4: Maintenance and Repair of Lift Stations at Community Sites:

Reimbursement based on pre-approved cost for labor hours and materials.

GRAND TOTAL ---

B.2 PRICE/COST SCHEDULE

PLEASE REFER TO THE PERFORMANCE WORK STATEMENT (PWS)

Total for Base Period

B.3 PRICE/COST SCHEDULE (OPTION PERIOD I)

Total for Option Period I

B.4 PRICE/COST SCHEDULE (OPTION PERIOD II)

Total for Option Period II

B.5 PRICE/COST SCHEDULE (OPTION PERIOD III)

Total for Option Period III

B.6 PRICE/COST SCHEDULE (OPTION PERIOD IV)

B-1

SECTION C - CONTRACT CLAUSES

C.1 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS-- COMMERCIAL ITEMS (MAY 2011)

An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual representations and certifications electronically at http://orca.bpn.gov. If an offeror has not completed the annual representations and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (c) through (o) of this provision.

(a) Definitions. As used in this provision--

"Economically disadvantaged women-owned small business (EDWOSB) concern" means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

"Forced or indentured child labor" means all work or service--

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

"Inverted domestic corporation", as used in this section, means a foreign incorporated entity which is treated as an inverted domestic corporation under 6 U.S.C. 395(b), i.e., a corporation that used to be incorporated in the United States, or used to be a partnership in the United States, but now is incorporated in a foreign country, or is a subsidiary whose parent corporation is incorporated in a foreign country, that meets the criteria specified in 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c). An inverted domestic corporation as herein defined does not meet the definition of an inverted domestic corporation as defined by the Internal Revenue Code at 26 U.S.C. 7874.

"Manufactured end product" means any end product in Federal Supply Classes (FSC) 1000-9999, except--

(1) FSC 5510, Lumber and Related Basic Wood Materials;

(2) Federal Supply Group (FSG) 87, Agricultural Supplies;

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

(5) FSC 9410, Crude Grades of Plant Materials;

(6) FSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) FSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) FSC 9610, Ores;

(9) FSC 9620, Minerals, Natural and Synthetic; and

(10) FSC 9630, Additive Metal Materials.

"Place of manufacture" means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

"Restricted business operations" means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate-

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

"Service-disabled veteran-owned small business concern"--

(1) Means a small business concern--

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

"Small business concern" means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.

"Subsidiary" means an entity in which more than 50 percent of the entity is owned--

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

"Veteran-owned small business concern" means a small business concern--

(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

"Women-owned business concern" means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

"Women-owned small business concern" means a small business concern--

(1) That is at least 51 percent owned by one or more women; or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and

(2) Whose management and daily business operations are controlled by one or more women.

"Women-owned small business (WOSB) concern eligible under the WOSB Program" (in accordance with 13 CFR part 127), means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States.

(b)(1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the Online Representations and Certifications Application (ORCA) website.

(2) The offeror has completed the annual representations and certifications electronically via the ORCA website at http://orca.bpn.gov. After reviewing the ORCA database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs .

(c) Offerors must complete the following representations when the resulting contract will be performed in the United States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it [ ] is, [ ] is not a small business concern.

(2) Veteran-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it [ ] is, [ ] is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that it [ ] is, [ ] is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, for general statistical purposes, that it [ ] is, [ ] is not a small disadvantaged business concern as defined in 13 CFR 124.1002.

(5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [ ] is, [ ] is not a women-owned small business concern.

Note: Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold.

(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that--

(i) It [ ] is, [ ] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate in reference to the WOSB concern or concerns that are participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern or concerns that are participating in the joint venture:______________.] Each WOSB concern participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(7) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.] The offeror represents that--

(i) It [ ] is, [ ] is not an EDWOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate in reference to the EDWOSB concern or concerns that are participating in the joint venture. The offeror shall enter the name or names of the EDWOSB concern or concerns that are participating in the joint venture:_______________. Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

Note to paragraphs (c)(8) and (9): Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold.

(8) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [ ] is a women-owned business concern.

(9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price:

(10) [Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns, or FAR 52.219-25, Small Disadvantaged Business Participation Program--Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.]

(i) General. The offeror represents that either--

(A) It [ ] is, [ ] is not certified by the Small Business Administration as a small disadvantaged business concern and identified, on the date of this representation, as a certified small disadvantaged business concern in the CCR Dynamic Small Business Search database maintained by the Small Business Administration, and that no material change in disadvantaged ownership and control has occurred since its certification, and, where the concern is owned by one or more individuals claiming disadvantaged status, the net worth of each individual upon whom the certification is based does not exceed $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); or

(B) It [ ] has, [ ] has not submitted a completed application to the Small Business Administration or a Private Certifier to be certified as a small disadvantaged business concern in accordance with 13 CFR 124, Subpart B, and a decision on that application is pending, and that no material change in disadvantaged ownership and control has occurred since its application was submitted.

(ii) [ ] Joint Ventures under the Price Evaluation Adjustment for Small Disadvantaged Business Concerns. The offeror represents, as part of its offer, that it is a joint venture that complies with the requirements in 13 CFR 124.1002(f) and that the representation in paragraph (c)(10)(i) of this provision is accurate for the small disadvantaged business concern that is participating in the joint venture. [The offeror shall enter the name of the small disadvantaged business concern that is participating in the joint venture: ___________________.]

(11) HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that--

(i) It [ ] is, [ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material change in ownership and control, principal office, or HUBZone employee percentage has occurred since it was certified by the Small Business Administration in accordance with 13 CFR Part 126; and

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR Part 126, and the representation in paragraph (c)(11)(i) of this provision is accurate for the HUBZone small business concern or concerns that are participating in the joint venture. [The offeror shall enter the name or names of the HUBZone small business concern or concerns that are participating in the joint venture:____________.] Each HUBZone small business concern participating in the joint venture shall submit a separate signed copy of the HUBZone representation.

(d) Representations required to implement provisions of Executive Order 11246--

(1) Previous contracts and compliance. The offeror represents that--

(i) It [ ] has, [ ] has not participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and

(ii) It [ ] has, [ ] has not filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that--

(i) It [ ] has developed and has on file, [ ] has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR parts 60-1 and 60-2), or

(ii) It [ ] has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Act Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American Act--Supplies, is included in this solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of "domestic end product." The terms "commercially available off-the-shelf (COTS) item," "component," "domestic end product," "end product," "foreign end product," and "United States" are defined in the clause of this solicitation entitled "Buy American Act--Supplies."

(2) Foreign End Products:

Line Item No Country of Origin

[List as necessary]

(3) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(g)(1) Buy American Act--Free Trade Agreements--Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American Act--Free Trade Agreements--Israeli Trade Act, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The terms "Bahrainian, Moroccan, Omani, or Peruvian end product," "commercially available off-the-shelf (COTS) item," "component," "domestic end product," "end product," "foreign end product," "Free Trade Agreement country," "Free Trade Agreement country end product," "Israeli end product," and "United States" are defined in the clause of this solicitation entitled "Buy American Act-Free Trade Agreements-Israeli Trade Act."

(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Moroccan, Omani, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled "Buy American Act--Free Trade Agreements--Israeli Trade Act":

Free Trade Agreement Country End Products (Other than Bahrainian, Moroccan, Omani, or Peruvian End Products) or Israeli End Products:

Line Item No. Country of Origin

[List as necessary]

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) of this provision) as defined in the clause of this solicitation entitled "Buy American Act--Free Trade Agreements--Israeli Trade Act." The offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS…