Sol_P16PS00769.pdf

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

PY2

Ashford WA 98304-9751 55210 238th. Ave. E.

DOI, NPS, PWR - OLYM MABO - MORA

0009816044 CODE 16. ADMINISTERED BYCODE

X

X

X

221310

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED ORPPY

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

04/07/2016 1200 PT

03/22/2016

360-569-6542Hal Hoversten (No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

P16PS00769

5. SOLICITATION NUMBER

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

1 4 0040258481OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Longmire WA 98397 L-201 Park Warehouse NPS Mount Rainier National Park

15. DELIVER TO

Port Angeles WA 98362-6757 600 E. Park Avenue

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$27.50

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)

NPS, PWR - OLYM MABO

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.

All offerors shall be registered and have active profiles in the System for Award Administration (SAM) database https://www.sam.gov prior to the close date of this announcement. It is the responsibility of the offerors to ensure their profile information is accurate and current in order to prevent future complications.

Offerors may obtain assistance by calling the Federal Service Desk at 866-606-8220.

Legacy Doc #: NPS Continued ...

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

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

Hal Hoversten

. 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.

Delivery: 05/11/2016

Period of Performance: 04/11/2016 to 05/11/2016

00010 Various sizes of potable water filters, to 1 EA include shipping FOB Destination: Longmire, WA

98397 within 30 days upon receipt of order.

Vendors shall be required to register and submit invoices via the Department of the Treasury's

Internet Payment Platform (IPP):

https://www.ipp.gov

Federal Tax Exemption #53-0197094 applies to all taxes.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

4 2 of

SECTION B: Contract Price Schedule

CONTRACT PRICE SCHEDULE INSTRUCTIONS

On lump-sum-priced line items, provide the total price, for all others the unit price and the extended total price. Round totals and extended prices to whole dollars.

CONTRACT PRICE SCHEDULE

Quoters must provide a price for each line item; failure to do so may render the quote unacceptable.

SUPPLIES QTY. Unit Price Total Price

50 Micron/40"

EP50R40PE

21 EA $ $

25 Micron AR25P2P-EVP 14 EA $ $

10 Micron AR10P2P-EVP 3 EA $ $

5 Micron AR5P2P-EVP 12 EA $ $

1 Micron AR1TP2P-EVP 13 EA $ $

50 Micron AR50P2P-EVP 10 EA $ $

Primary HPM99-CC-2SR 55 EA $ $

Sec/Final HPM99-CCX-

2SR

59 EA $ $

Shipping FOB Destination Zip Code 98328

1 LS $

Federal tax exemption #53-0197094 applies to all taxes.

GRAND TOTAL QUOTE $____________

Insert your business name: _______________________________________, DUNS number: _________________________, Point of contact e-mail: __________________________________________ and

Fax number: ____________________.

My business is registered in SAM __yes __no (check one);

We have completed the online representations and certifications therein __yes __no (check one).