RFP_HSFE70-17-R-0019.pdf
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- Solicitation number
- HSFE70-17-R-0019
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Other files
| File | Type | Posted |
|---|---|---|
| Amended_Attachment_2_Statement_of_Work_-_Bottled_Water.docx | DOCX document | |
| RFP_HSFE70-R-0019_Amendment_0003.pdf | ||
| Amended_Attachment_3_Statemment_of_Work-_Extended_Shelf_Life_.docx | DOCX document | |
| Amended_Attachment_1-Price_Schedule_.xlsx | XLSX spreadsheet | |
| HSFE70-17-R-0019_Amend_00002.pdf | ||
| HSFE70-17-R-0019_Amend_00001.pdf | ||
| Attachment_6_PPQ.docx | DOCX document | |
| Questions_and_Responses.pdf | ||
| Attachment_3_Statemment_of_Work-_Extended_Shelf_Life_Water_5-26.docx | DOCX document | |
| Attachment_2_Statement_of_Work_-_Bottled_Water_5-26.docx | DOCX document | |
| Attachment_4_Delivery_Order_Instruction.docx | DOCX document | |
| Attachment_5_DHS_700-23_Subcontracting_Plan_Review_Checklist.pdf | ||
| Attachment_1_Price_Schedule_5-26.xlsx | XLSX spreadsheet |
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SEE ADDENDUMIS CHECKED
CODE 18a. PAYMENT WILL BE MADE BY
CODE
FACILITYCODE
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER
OFFEROR
FEMA
FEDERAL EMERGENCYMANAGEMENT AGENCY
500 C STREET SW
WASHINGTON DC 20472
CODE 16. ADMINISTERED BYCODE
X
X
312112
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED ORFEMA
RFPIFB
10. THIS ACQUISITION ISCODE
RFQ
14. METHOD OF SOLICITATION
13b. RATING
NAICS:
SMALL BUSINESS
06/30/2017 12PM EST
06/09/2017
2022122802Jonathan Igwebueze (No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBERa. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
HSFE70-17-R-0019
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 79 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
TELEPHONE NO.
17a. CONTRACTOR/
Multiple Destinations
15. DELIVER TO
FEDERAL EMERGENCYMANAGEMENT AGENCY
500 C STREET SW
WASHINGTON DC 20472
9. ISSUED BY
7.
2. CONTRACT NO.
EFFECTIVE DATE
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW
ISSUE DATE
DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
11.
SEE SCHEDULE
12. DISCOUNT TERMS
THIS CONTRACT IS A
RATED ORDER UNDER
DPAS (15 CFR 700)
13a.
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
8(A)
WOMEN-OWNED SMALL BUSINESS
(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
Period of Performance: 09/28/2017 to 09/27/2022
0001 Bottled Water 24 months shelf life for steady state Product/Service Code: 8945 Product/Service Description: FOODS, OILS, & FATS Period of Performance: 09/28/2017 to 09/27/2018
0001AA Bottled Water - Steady State Site 1 (DC Atlanta) LT Product/Service Code: 8945 Continued ...
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
XX
DATED
Monique Park
. YOUR OFFER ON SOLICITATION (BLOCK 5),
INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER
ARE
ARE
31c. DATE SIGNED
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)
ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL
SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.
27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
OFFER
STANDARD FORM 1449 (REV. 2/2012)
Prescribed by GSA - FAR (48 CFR) 53.212
ARE NOT ATTACHED.
ARE NOT ATTACHED.
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
30b. NAME AND TITLE OF SIGNER (Type or print)
30a. SIGNATURE OF OFFEROR/CONTRACTOR
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
25. ACCOUNTING AND APPROPRIATION DATA
29. AWARD OF CONTRACT:
REF.
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED
40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER
37. CHECK NUMBER
FINALPARTIAL
36. PAYMENT
FINALPARTIAL
35. AMOUNT VERIFIED
CORRECT FOR
34. VOUCHER NUMBER33. SHIP NUMBER
COMPLETE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)
42b. RECEIVED AT (Location)
42a. RECEIVED BY (Print)
41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT
STANDARD FORM 1449 (REV. 2/2012) BACK
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD GA
FEMA DC ATLANTA
3780 SOUTHSIDE INDUSTRIAL PARKWAY
ATLANTA GA 30354
Period of Performance: 09/28/2017 to 09/27/2018
0001AB Bottled Water - Steady State Site 2 (DC Ft Worth) LT
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD TX
FEMA DC FORT WORTH
DISTRO CENTER
501 W FELIX STREET
FORT WORTH TX 76115
Period of Performance: 09/28/2017 to 09/27/2018
0001AC Bottled Water - Steady State Site 3 (DC Frederick) LT
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD MD
FEMA DC FREDERICK
4420 BUCKEYSTOWN PIKE
FREDERICK MD 21704
Period of Performance: 09/28/2017 to 09/27/2018
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
79 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
0001AD Bottled Water - Steady State Site 4 (THU LT
Cumberland)
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: MD1055
FEMA CUMBERLAND
11601 PPG ROAD
CUMBERLAND MD
Period of Performance: 09/28/2017 to 09/27/2018
0001AE Bottled Water - Steady State Site 5 (DC Moffett) LT
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD CA
NASA AMES RESEARCH CENTER
BUILDING 144 DOOR 7
MOFFETT FIELD CA 94035
Period of Performance: 09/28/2017 to 09/27/2018
0002 Bottled Water 24 months- Emergency
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2017 to 09/27/2018
0002AA Bottled Water - Emergency Site Zone 1 LT
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2017 to 09/27/2018
0002AB Bottled Water - Emergency Site Zone 2 LT
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2017 to 09/27/2018
0002AC Bottled Water - Emergency Site Zone 3 LT
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
4 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2017 to 09/27/2018
0002AD Bottled Water - Emergency Site Zone 4 LT
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2017 to 09/27/2018
0003 Transportation
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2017 to 09/27/2018
0003AA Drop Trailer Rate (per day) DA
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2017 to 09/27/2018
0003AB Diversion Rate (per mile) DH
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2017 to 09/27/2018
0003AC Diversion Rate (labor rate per hour) HR
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2017 to 09/27/2018
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
5 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
0003AD Power only to Transport Loaded Trailer (per mile) DH
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2017 to 09/27/2018
0003AE Power and Trailer Transport (per mile) DH
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2017 to 09/27/2018
0004 (OPTIONAL) Extended Shelf Life Water (60 Months shelf Life)
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2017 to 09/27/2018
0004AA Extended Shelf Life Water - DC Caribbean LT
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: PR4022
FEMA WAREHOUSE
FEMA INDUSTRIAL PARK
PR-1 KM 251
FEDAAC 70F337
CAGUAS PR 00926
Period of Performance: 09/28/2017 to 09/27/2018
0004AB Extended Shelf Life Water - DC Guam LT
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: GU6934
FEMA
BLDG 100
FEDAAC 70X454
BARRIGADA GU 96913
Period of Performance: 09/28/2017 to 09/27/2018
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
6 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
0004AC Extended Shelf Life Water - DC Hawaii LT
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: HI6979
FEMA
99-1269 IWEANA STREET
FEDAAC 709242
AIEA HI 96701
Period of Performance: 09/28/2017 to 09/27/2018
0004AD Extended Shelf Life Water - DC Moffett LT
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD CA
NASA AMES RESEARCH CENTER
BUILDING 144 DOOR 7
MOFFETT FIELD CA 94035
Period of Performance: 09/28/2017 to 09/27/2018
0005 Restocking Fee LT
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2017 to 09/27/2018
0006 Training - Cost Reimbursable, Not-to-Exceed
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA
FEMA
FEDERAL EMERGENCY MANGEMENT AGENCY
500 C STREET SW
WASHINGTON DC 20472
Period of Performance: 09/28/2017 to 09/27/2018
1001 Option I -Bottled water 24 months Shelf Life
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2018 to 09/27/2019
1001AA Bottled Water - Steady State Site 1 (DC Atlanta) LT
(Option Line Item)
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
7 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD GA
FEMA DC ATLANTA
3780 SOUTHSIDE INDUSTRIAL PARKWAY
ATLANTA GA 30354
Period of Performance: 09/28/2018 to 09/27/2019
1001AB Bottled Water - Steady State Site 2 (DC Ft Worth) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD TX
FEMA DC FORT WORTH
DISTRO CENTER
501 W FELIX STREET
FORT WORTH TX 76115
Period of Performance: 09/28/2018 to 09/27/2019
1001AC Bottled Water - Steady State Site 3 (DC Frederick) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD MD
FEMA DC FREDERICK
4420 BUCKEYSTOWN PIKE
FREDERICK MD 21704
Period of Performance: 09/28/2018 to 09/27/2019
1001AD Bottled Water - Steady State Site 4 (THU LT
Cumberland)
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: MD1055
FEMA CUMBERLAND
11601 PPG ROAD
CUMBERLAND MD
Period of Performance: 09/28/2018 to 09/27/2019
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
8 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
1001AE Bottled Water - Steady State Site 5 (DC Moffett) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD CA
NASA AMES RESEARCH CENTER
BUILDING 144 DOOR 7
MOFFETT FIELD CA 94035
Period of Performance: 09/28/2018 to 09/27/2019
1002 Option I -Bottled water 24 months Shelf Life-
Emergency
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2018 to 09/27/2019
1002AA Bottled Water - Emergency Site Zone 1 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2018 to 09/27/2019
1002AB Bottled Water - Emergency Site Zone 2 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2018 to 09/27/2019
1002AC Bottled Water - Emergency Site Zone 3 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
9 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2018 to 09/27/2019
1002AD Bottled Water - Emergency Site Zone 4 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2018 to 09/27/2019
1003 Option I -Transportation
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2018 to 09/27/2019
1003AA Drop Trailer Rate (per day) DA
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2018 to 09/27/2019
1003AB Diversion Rate (per mile) DH
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2018 to 09/27/2019
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
10 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
1003AC Diversion Rate (labor rate per hour) HR
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2018 to 09/27/2019
1003AD Power only to Transport Loaded Trailer (per mile) DH
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2017 to 09/27/2018
1003AE Power and Trailer Transport (per mile) DH
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2017 to 09/27/2018
1004 (OPTIONAL) Option I -Extended Shelf Life Water
(60 Months shelf Life)
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2018 to 09/27/2019
1004AA Extended Shelf Life Water - DC Caribbean LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
11 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
Delivery Location Code: PR4022
FEMA WAREHOUSE
FEMA INDUSTRIAL PARK
PR-1 KM 251
FEDAAC 70F337
CAGUAS PR 00926
Period of Performance: 09/28/2018 to 09/27/2019
1004AB Extended Shelf Life Water - DC Guam LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: GU6934
BARRIGADA
BLDG 100
FEDAAC 70X454
BARRIGADA GU
Period of Performance: 09/28/2018 to 09/27/2019
1004AC Extended Shelf Life Water - DC Hawaii LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: HI6979
FEMA
99-1269 IWEANA STREET
FEDAAC 709242
AIEA HI
Period of Performance: 09/28/2018 to 09/27/2019
1004AD Extended Shelf Life Water - DC Moffett LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD CA
NASA AMES RESEARCH CENTER
BUILDING 144 DOOR 7
MOFFETT FIELD CA 94035
Period of Performance: 09/28/2018 to 09/27/2019
1005 Option year I: Restocking Fee LT
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
12 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2018 to 09/27/2019
2001 Option II -Bottled water 24 months Shelf Life
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2019 to 09/27/2020
2001AA Bottled Water - Steady State Site 1 (DC Atlanta) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD GA
FEMA DC ATLANTA
3780 SOUTHSIDE INDUSTRIAL PARKWAY
ATLANTA GA 30354
Period of Performance: 09/28/2019 to 09/27/2020
2001AB Bottled Water - Steady State Site 2 (DC Ft Worth) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD TX
FEMA DC FORT WORTH
DISTRO CENTER
501 W FELIX STREET
FORT WORTH TX 76115
Period of Performance: 09/28/2019 to 09/27/2020
2001AC Bottled Water - Steady State Site 3 (DC Frederick) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD MD
FEMA DC FREDERICK
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
13 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
4420 BUCKEYSTOWN PIKE
FREDERICK MD 21704
Period of Performance: 09/28/2019 to 09/27/2020
2001AD Bottled Water - Steady State Site 4 (THU LT
Cumberland)
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: MD1055
FEMA CUMBERLAND
11601 PPG ROAD
CUMBERLAND MD
Period of Performance: 09/28/2019 to 09/27/2020
2001AE Bottled Water - Steady State Site 5 (DC Moffett) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD CA
NASA AMES RESEARCH CENTER
BUILDING 144 DOOR 7
MOFFETT FIELD CA 94035
Period of Performance: 09/28/2019 to 09/27/2020
2002 Option II -Bottled water 24 months Shelf Life-
Emergency
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2019 to 09/27/2020
2002AA Bottled Water - Emergency Site Zone 1 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2019 to 09/27/2020
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
14 79
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REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
2002AB Bottled Water - Emergency Site Zone 2 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2019 to 09/27/2020
2002AC Bottled Water - Emergency Site Zone 3 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2019 to 09/27/2020
2002AD Bottled Water - Emergency Site Zone 4 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2019 to 09/27/2020
2003 Option II -Transportation
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2019 to 09/27/2020
2003AA Drop Trailer Rate (per day) DA
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
15 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2019 to 09/27/2020
2003AB Diversion Rate (per mile) DH
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2019 to 09/27/2020
2003AC Diversion Rate (labor rate per hour) HR
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2019 to 09/27/2020
2003AD Power only to Transport Loaded Trailer (per mile) DH
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2019 to 09/27/2020
2003AE Power and Trailer Transport (per mile) DH
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
16 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
Period of Performance: 09/28/2019 to 09/27/2020
2004 (OPTIONAL) Option II-Extended Shelf Life Water LT
(60 months)
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2019 to 09/27/2020
2004AA Extended Shelf Life Water - DC Caribbean LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: PR4022
FEMA WAREHOUSE
FEMA INDUSTRIAL PARK
PR-1 KM 251
FEDAAC 70F337
CAGUAS PR 00926
Period of Performance: 09/28/2019 to 09/27/2020
2004AB Extended Shelf Life Water - DC Guam LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: GU6934
BARRIGADA
BLDG 100
FEDAAC 70X454
BARRIGADA GU
Period of Performance: 09/28/2019 to 09/27/2020
2004AC Extended Shelf Life Water - DC Hawaii LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: HI6979
FEMA
99-1269 IWEANA STREET
FEDAAC 709242
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
17 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
AIEA HI
Period of Performance: 09/28/2019 to 09/27/2020
2004AD Extended Shelf Life Water - DC Moffett LT
(Option Line Item)
Date Option to be Exercised01/01/0001
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD CA
NASA AMES RESEARCH CENTER
BUILDING 144 DOOR 7
MOFFETT FIELD CA 94035
Period of Performance: 09/28/2019 to 09/27/2020
2005 OPTION II: Restocking Fee LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2019 to 09/27/2020
3001 Option III -Bottled water 24 months Shelf Life
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2020 to 09/27/2021
3001AA Bottled Water - Steady State Site 1 (DC Atlanta) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD GA
FEMA DC ATLANTA
3780 SOUTHSIDE INDUSTRIAL PARKWAY
ATLANTA GA 30354
Period of Performance: 09/28/2020 to 09/27/2021
3001AB Bottled Water - Steady State Site 2 (DC Ft Worth) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
18 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
Delivery Location Code: FEMA/LMD TX
FEMA DC FORT WORTH
DISTRO CENTER
501 W FELIX STREET
FORT WORTH TX 76115
Period of Performance: 09/28/2020 to 09/27/2021
3001AC Bottled Water - Steady State Site 3 (DC Frederick) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD MD
FEMA DC FREDERICK
4420 BUCKEYSTOWN PIKE
FREDERICK MD 21704
Period of Performance: 09/28/2020 to 09/27/2021
3001AD Bottled Water - Steady State Site 4 (THU LT
Cumberland)
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: MD1055
FEMA CUMBERLAND
11601 PPG ROAD
CUMBERLAND MD
Period of Performance: 09/28/2020 to 09/27/2021
3001AE Bottled Water - Steady State Site 5 (DC Moffett) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD CA
NASA AMES RESEARCH CENTER
BUILDING 144 DOOR 7
MOFFETT FIELD CA 94035
Period of Performance: 09/28/2020 to 09/27/2021
3002 Option III -Bottled water 24 months Shelf Life-
Emergency
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
19 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2020 to 09/27/2021
3002AA Bottled Water - Emergency Site Zone 1 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2020 to 09/27/2021
3002AB Bottled Water - Emergency Site Zone 2 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2020 to 09/27/2021
3002AC Bottled Water - Emergency Site Zone 3 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2020 to 09/27/2021
3002AD Bottled Water - Emergency Site Zone 4 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
20 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
Period of Performance: 09/28/2020 to 09/27/2021
3003 Option III -Transportation
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2020 to 09/27/2021
3003AA Drop Trailer Rate (per day) DA
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2020 to 09/27/2021
3003AB Diversion Rate (per mile) DH
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2020 to 09/27/2021
3003AC Diversion Rate (labor rate per hour) HR
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2020 to 09/27/2021
3003AD Power only to Transport Loaded Trailer (per mile) DH
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
21 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2020 to 09/27/2021
3003AE Power and Trailer Transport (per mile) DH
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2020 to 09/27/2021
3004 (OPTIONAL)Option III: Extended Shelf Life Water LT
(60 Months)
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2020 to 09/27/2021
3004AA Extended Shelf Life Water - DC Caribbean LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: PR4022
FEMA WAREHOUSE
FEMA INDUSTRIAL PARK
PR-1 KM 251
FEDAAC 70F337
CAGUAS PR 00926
Period of Performance: 09/28/2020 to 09/27/2021
3004AB Extended Shelf Life Water - DC Guam LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: GU6934
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
22 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
BARRIGADA
BLDG 100
FEDAAC 70X454
BARRIGADA GU
Period of Performance: 09/28/2020 to 09/27/2021
3004AC Extended Shelf Life Water - DC Guam LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: HI6979
FEMA
99-1269 IWEANA STREET
FEDAAC 709242
AIEA HI
Period of Performance: 09/28/2020 to 09/27/2021
3004AD Extended Shelf Life Water - DC Moffett LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD CA
NASA AMES RESEARCH CENTER
BUILDING 144 DOOR 7
MOFFETT FIELD CA 94035
Period of Performance: 09/28/2020 to 09/27/2021
3005 OPTION III: Restocking Fee LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2020 to 09/27/2021
4001 Option IV Bottled water 24 months Shelf Life
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2021 to 09/27/2022
4001AA Bottled Water - Steady State Site 1 (DC Atlanta) LT
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
23 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD GA
FEMA DC ATLANTA
3780 SOUTHSIDE INDUSTRIAL PARKWAY
ATLANTA GA 30354
Period of Performance: 09/28/2021 to 09/27/2022
4001AB Bottled Water - Steady State Site 2 (DC Ft Worth) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD TX
FEMA DC FORT WORTH
DISTRO CENTER
501 W FELIX STREET
FORT WORTH TX 76115
Period of Performance: 09/28/2021 to 09/27/2022
4001AC Bottled Water - Steady State Site 3 (DC Frederick) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD MD
FEMA DC FREDERICK
4420 BUCKEYSTOWN PIKE
FREDERICK MD 21704
Period of Performance: 09/28/2021 to 09/27/2022
4001AD Bottled Water - Steady State Site 4 (THU LT
Cumberland)
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: MD1055
FEMA CUMBERLAND
11601 PPG ROAD
CUMBERLAND MD
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
24 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
Period of Performance: 09/28/2021 to 09/27/2022
4001AE Bottled Water - Steady State Site 5 (DC Moffett) LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD CA
NASA AMES RESEARCH CENTER
BUILDING 144 DOOR 7
MOFFETT FIELD CA 94035
Period of Performance: 09/28/2021 to 09/27/2022
4002 Option IV Bottled water 24 months Shelf Life-
Emergency
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2021 to 09/27/2022
4002AA Bottled Water - Emergency Site Zone 1 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2021 to 09/27/2022
4002AB Bottled Water - Emergency Site Zone 2 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2021 to 09/27/2022
4002AC Bottled Water - Emergency Site Zone 3 LT
(Option Line Item)
Date Option to be Exercised
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
25 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2021 to 09/27/2022
4002AD Bottled Water - Emergency Site Zone 4 LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2021 to 09/27/2022
4003 Option IV Transportation
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2021 to 09/27/2022
4003AA Drop Trailer Rate (per day) DA
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2021 to 09/27/2022
4003AB Diversion Rate (per mile) DH
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2021 to 09/27/2022
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
26 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
4003AC Diversion Rate (labor rate per hour) HR
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2021 to 09/27/2022
4003AD Power only to Transport Loaded Trailer (per mile) DH
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2021 to 09/27/2022
4003AE Power and Trailer Transport (per mile) DH
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: 000000
VARIOUS LOCATIONS
Period of Performance: 09/28/2021 to 09/27/2022
4004 (OPTIONAL) Option IV: Extended Shelf Life Water
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2021 to 09/27/2022
4004AA Extended Shelf Life Water - DC Caribbean LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
27 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
Delivery Location Code: PR4022
FEMA WAREHOUSE
FEMA INDUSTRIAL PARK
PR-1 KM 251
FEDAAC 70F337
CAGUAS PR 00926
Period of Performance: 09/28/2021 to 09/27/2022
4004AB Extended Shelf Life Water - DC Guam LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: GU6934
BARRIGADA
BLDG 100
FEDAAC 70X454
BARRIGADA GU
Period of Performance: 09/28/2021 to 09/27/2022
4004AC Extended Shelf Life Water -DC Hawaii LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: HI6979
FEMA
99-1269 IWEANA STREET
FEDAAC 709242
AIEA HI
Period of Performance: 09/28/2021 to 09/27/2022
4004AD Extended Shelf Life Water -DC Moffett LT
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Delivery Location Code: FEMA/LMD CA
NASA AMES RESEARCH CENTER
BUILDING 144 DOOR 7
MOFFETT FIELD CA 94035
Period of Performance: 09/28/2021 to 09/27/2022
4005 OPTION IV: Restocking Fee LT
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
28 79
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
HSFE70-17-R-0019
(Option Line Item)
Date Option to be Exercised
Product/Service Code: 8945
Product/Service Description: FOODS, OILS, & FATS
Period of Performance: 09/28/2021 to 09/27/2022
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
SECTION B
SECTION B - CONTINUATION BLOCK
Block 17 a: Contractor shall include DUNS Number Block 17b: Remittance Address: Payment shall be made to the Financial Institution listed in System for Award Management (SAM).
Block 25: ACCOUNTING AND APPROPRIATION DATA: To be included on the Task Order
B.1 PRICE/COST SCHEDULE
See Attachment D.1: Price Schedule
B.2 PERIOD OF PERFORMANCE
The Period of Performance for CLIN 0001-0006 shall be from date of contract award through 12 months.
1. If Option 1 is exercised, the Period of Performance for CLIN 1001 -1005 shall be from the effective date of the option through 12 months.
2. If Option 2 is exercised, the Period of Performance for CLIN 2001 - 2005 shall be from the effective date of the option through 12 months.
3. If Option 3 is exercised, the Period of Performance for CLIN 3001 - 3005 shall be from the effective date of the option through 12 months.
4. If Option 4 is exercised, the Period of Performance for CLIN 4001 - 4005 shall be from the effective date of the option through 12 months.
B.3 DESCRIPTION OF WORK
See Attachments:
D.2 SOW Bottled Drinking Water D.3 SOW Extended Shelf Life Water
B.4 DELIVERABLES
See Attachments:
D.2 SOW Bottled Drinking Water D.3 Extended Shelf Life Water
B.5 DELIVERY LOCATIONS AND DELIVERY SCHEDULE
Distribution Centers (DCs) for Federal Emergency Management Agency:
See Attachments:
D.2 SOW Bottled Drinking Water D.3 Extended Shelf Life Water
B.5.1 DELIVERY SCHEDULE
Each contractor shall include a proposed delivery schedule for each delivery order issued. Please be aware the proposed delivery schedule provided by the contractor is subject to change due to a FEMA emergency response requirement or an unforeseen priority replenishment requirement. In the event of a change, the FEMA Contracting Officer will coordinate with the contractor and the delivery points of contact to redirect deliveries to the new destination. The contractor is responsible for complying with the delivery schedule and must immediately notify the contracting officer or their designated representative of any issues that may affect the contractor’s ability to meet the delivery. Contractors shall be able to track deliveries from point of shipment to point of receipt.
B.5.2 HOURS OF PERFORMANCE
Contractor(s) shall schedule all delivery activities with the appropriate delivery point of contact after award of the delivery order.
B.5.3 TASK ORDER INSTRUCTIONS
See Section D., Attachment 4, Task Order Instructions
B.6 MINIMUM AND MAXIMUM QUANTITIES FOR MULTIPLE AWARD CONTRACTS
B.6.1 As referred to in paragraph (b) of FAR Clause 52.216-22, “Indefinite Quantity” of this contract, the guaranteed contract minimum is 18,000 liters of Bottled Drinking Water or 18,000 liters of Extended Shelf Life
Drinking Water to include the base and option periods. The contract ceiling amount shall not exceed $40.6 million.
This maximum is based upon the average annual expenditure for readiness over the last 10 years. However, in the event of a Presidential Declaration for a disaster, the Government will utilize this contract to respond to disasters by increasing the ceiling of the contract to perform services in the specific state(s) and/or the affected areas. Due to the nature of disaster response and recovery, FEMA is unable to predict or estimate the maximum ceiling for disaster operations. However, in a disaster situation, contractors should expect to meet this increased ceiling amount.
B.7 INVOICE INSTRUCTIONS (JUN 2014)
Invoices shall be submitted as follows:
Contractors will use Standard Form 1034 (Public Voucher for Purchases and Services Other Than Personal) and SF 1035 Continuation sheet when requesting payment for supplies or services rendered. The voucher must provide a description of the supplies or services, by line item (if applicable), quantity, unit price, and total amount. The item description, unit of measure, and unit price must match those specified in the contract. Invoices that do not match the line item pricing in the contract will be considered improper and will be returned to the Contractor.
Contractors must submit vouchers electronically, via e-mail, in .pdf format, to the FEMA Finance Center, as stated at Block 20 of the Standard Form 1449 (SF 1449) herein: FEMA Finance: FEMA-Finance-Vendor- Payments@fema.dhs.gov.
A copy of the voucher must be submitted electronically, in .pdf format, via e-mail, to the Contract Specialist, to the Contracting Officer, and to the Contracting Officer Representative, also identified at Block 20 within the SF 1449.
Administrative Contracting Officer:
Name: Monique Park E-mail: Monique.park@fema.dhs.gov
Contract Specialist:
Name: Jonathan Igwebueze E-mail: jonathan.igwebueze@fema.dhs.gov
Contracting Officer’s Representative:
Name: Chris Ferguson E- mail: Chris.Ferguson@fema.dhs.gov
SF 1034 and 1035 instructions: SF 1034--Fixed Price
The information which a contractor is required to submit in its Standard Form 1034 is set forth as follows:
(1) U.S. Department, Bureau, or establishment and location insert the names and address of the servicing finance office unless the contract specifically provides otherwise.
(2) Date Voucher Prepared - insert date on which the public voucher is prepared and submitted.
(3) Contract/Delivery Order Number and Date - insert the number and date of the contract and delivery order, if applicable, under which reimbursement is claimed.
(4) Requisition Number and Date - leave blank.
(5) Voucher Number - insert the appropriate serial number of the voucher. A separate series of consecutive numbers, beginning with Number 1, shall be used by the contractor for each new contract. When an original voucher was submitted, but not paid in full because of suspended costs, resubmission vouchers should be submitted in a separate invoice showing the original voucher number and designated with the letter "R" as the last character of the number. If there is more than one resubmission, use the appropriate suffix (R2, R3, etc.) The last voucher of every contract or task order should be marked with the next sequential number, with the words "FINAL" (e.g. Invoice No.
1234-FINAL).
mailto:Monique.park@fema.dhs.gov mailto:jonathan.igwebueze@fema.dhs.gov
(6) Schedule Number; Paid By; Date Invoice Received - leave blank.
(7) Discount Terms - enter terms of discount, if applicable.
(8) Payee's Account Number - this space may be used by the contractor to record the account or job number(s) assigned to the contract or may be left blank.
(9) Payee's Name and Address - show the name of the contractor exactly as it appears in the contract and its correct address, except when an assignment has been made by the contractor, or the right to receive payment has been restricted, as in the case of an advance account. When the right to receive payment is restricted, the type of information to be shown in this space shall be furnished by the Contracting Officer.
(10) Shipped From; To; Weight Government B/L Number - insert for supply contracts.
(11) Date of Delivery or Service - show the month, day and year, beginning and ending dates of supplies or services delivered.
(12) Articles and Services - insert the following: "For detail, see Standard Form 1035 total amount claimed transferred from Page of Standard Form 1035." Type the following certification, signed by an authorized official, on the face of the Standard Form 1034.
"I certify that all payments requested are for appropriate purposes and in accordance with the agreements set forth in the contract."
(Name of Official) (Title)
(13) Quantity; Unit Price - insert for supply contracts.
(14) Amount - insert the amount claimed for the period indicated in (11) above. This amount should be transferred from the total per the SF 1035 Continuation Sheet.
INVOICE PREPARATION INSTRUCTIONS SF 1035
The SF 1035 will be used to identify the specific item description, quantities, unit of measure, and prices for each category of deliverable item or service. Suitable self-designed forms may be submitted instead of the SF 1035 as long as they contain the information required.
The information which a contractor is required to submit in its Standard Form 1035 is set forth as follows:
U.S. Department, Bureau, or Establishment - insert the name and address of the servicing finance office.
Voucher Number - insert the voucher number as shown on the Standard Form 1034.
Schedule Number - leave blank.
Sheet Number - insert the sheet number if more than one sheet is used in numerical sequence. Use as many sheets as necessary to show the information required.
Number and Date of Order - insert payee's name and address as in the Standard Form 1034.
Articles or Services - insert the contract number as in the Standard Form 1034.
Amount - insert the total quantities contract value, and amount and type of fee payable (as applicable).
A summary of claimed current and cumulative goods and services delivered and accepted to date. - Invoices shall include an itemization of all goods and services delivered and accepted for the period by item and by CLIN. Each invoice shall include sufficient detail to identify goods and services as compared to and in accordance with contract terms and conditions. Invoices that do not match the line item pricing in the contract will be considered improper and returned to the contractor. In addition, each invoice shall detail the total charges by showing current and cumulative goods and services both currently invoiced and cumulative to date.
B.7.1 INVOICE APPROVAL
The following FEMA individual (in addition to the Contracting Officer) is hereby delegated authority to accept goods and services and to review and approve invoices for this contract:
Authorized Invoice Approver
Name: Chris Ferguson Title: Contracting Officer’s Representative Email: Chris.Ferguson@fema.dhs.gov
B.7.2 DEFECTIVE INVOICES
Name, title, phone number, and email of officials of the business concern who are to be notified when the Government receives an improper invoice.
B.8 IDENTIFICATION OF GOVERNMENT OFFICIALS
The Government Officials assigned to this contract are as follows:
Administrative Contracting Officer:
Name: Monique Park Phone: 202-212-7781 Email: Monique.park@fema.dhs.gov
Administrative Contract Specialist Name: Jonathan Igwebueze Phone: 202-212-2802 Email: jonathan.igwebueze@fema.dhs.gov
Contracting Officer's Technical Representative:
Name: Chris Ferguson Phone: 202-646-2509 Email: Chris.Ferguson@fema.dhs.gov
Clauses:
52.247-34 F.o.b. Destination. (NOV 1991)
52.242-15 Stop Work Order. (AUG 1989) mailto:Monique.park@fema.dhs.gov mailto:jonathan.igwebueze@fema.dhs.gov
SECTION C
SECTION C – CONTRACT CLAUSES
C.1 52.212-4 Contract Terms and Conditions - Commercial Items. (JAN 2017) – Incorporated by Reference
See SF 1449 Block 27a.
C.1-1: ADDENDUM TO FAR 52.212-4 CONTRACT TERMS AND CONDITIONS--COMMERCIAL
ITEMS
Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.
The following clauses are incorporated into 52.212-4 as an addendum to this contract:
52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):
http://www.acquisition.gov/far/index.html
52.202-1 DEFINITIONS NOV 2013
52.203-3 GRATUITIES APR 1984
52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE
CERTAIN FEDERAL TRANSACTIONS OCT 2010
52.203-5 COVENANT AGAINST CONTINGENTS FEES MAY 2014
52.203-7 ANTI-KICKBACK PROCEDURES MAY 2014
52.20…
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