PO_75H71124P00020 signed.pdf
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- Solicitation number
- 246-23-Q-0168r1
About this file
This document is an awarded order for supplies or services for a domestic water softener and filtration system replacement project. The order was awarded to STOLHAND WELLS PLUMBING, HEATING & AIR CONDITIONING, INC. on December 26, 2023 for $95,003.00 to furnish and install a domestic water softener and filtration system replacement at the Pawnee Indian Health Center in Pawnee, Oklahoma. The period of performance is from December 26, 2023 to April 26, 2024. The project will be overseen by the Oklahoma City Area Indian Health Service and involves replacing the existing water softener and filtration system in accordance with the attached 23-page statement of work and drawings.
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Text version
ORDER FOR SUPPLIES OR SERVICES
3. ORDER NO. 4. REQUISITION/REFERENCE NO.
PAGE OF PAGES
5. ISSUING OFFICE (Address correspondence to) b. STREET ADDRESS
IMPORTANT: Mark all packages and papers with contract and/or order numbers. 1
1. DATE OF ORDER 2. CONTRACT NO. (If any) 6. SHIP TO:
a. NAME OF CONSIGNEE
c. CITY d. STATE e. ZIP CODE
7. TO:
a. NAME OF CONTRACTOR
f. SHIP VIA
8. TYPE OF ORDER
b. COMPANY NAME
c. STREET ADDRESS
d. CITY e. STATE f. ZIP CODE
9. ACCOUNTING AND APPROPRIATION DATA
a. PURCHASE b. DELIVERY
REFERENCE YOUR:
Please furnish the following on the terms and conditions specified on both sides of this order and on the attached sheet, if any, including delivery as indicated.
Except for billing instructions on the reverse, this delivery order is subject to instructions contained on this side only of this form and is issued subject to the terms and conditions of the above-numbered contract.
10. REQUISITIONING OFFICE
11. BUSINESS CLASSIFICATION (Check appropriate box(es))
a. SMALL b. OTHER THAN SMALL c. DISADVANTAGED d. WOMEN-OWNED
13. PLACE OF
a. INSPECTION b. ACCEPTANCE
14. GOVERNMENT B/L NO. 15. DELIVER TO F.O.B. POINT
ON OR BEFORE (Date)
16. DISCOUNT TERMS
17. SCHEDULE (See reverse for Rejections)
12/26/2023
75H71124P00020 IHS1484430
Oklahoma City Area IHS
701 Market Drive
Oklahoma City OK 73114
DARRELL R STOLHAND
STOLHAND HEATING & AIR CONDITIONING, INC. 1284976
STOLHAND WELLS PLUMBING, HEATING &
413 S 3RD ST
PONCA CITY OK 74601
See Schedule
12. F.O.B. POINT
04/26/2024
OKLAHOMA CITY AREA OFFICE
701 MARKET DRIVE
OKLAHOMA CITY OK 73114
OKLAHOMA CITY OK 73114
ORACLE
ITEM NO.
(a)
SUPPLIES OR SERVICES
(b)
QUANTITY
ORDERED
(c)
UNIT
(d)
UNIT
PRICE
(e)
AMOUNT
(f)
QUANTITY
ACCEPTED
(g)
X
X
Destination Destination HHS NET 30P
f. SERVICE-DISABLED
VETERAN-OWNED
e. HUBZone
g. WOMEN-OWNED SMALL BUSINESS (WOSB)
ELIGIBLE UNDER THE WOSB PROGRAM
h. EDWOSB
UEI: FE2MJ5UFLLM4
The Contractor shall furnish and install a Domestic Water Softener and Filtration System Replacement at the Pawnee Indian Health Center.
Continued ...
19. GROSS SHIPPING WEIGHT18. SHIPPING POINT 20. INVOICE NO.
21. MAIL INVOICE TO:
a. NAME
b. STREET ADDRESS
(or P.O. Box)
c. CITY d. STATE e. ZIP CODE
SEE BILLING
INSTRUCTIONS
ON REVERSE
17(h)
TOTAL
(Cont.
pages)
17(i)
GRAND
TOTAL
$95,003.00
22. UNITED STATES OF
AMERICA BY (Signature)
23. NAME (Typed)
TITLE: CONTRACTING/ORDERING OFFICER
SEAN L. LONG
$95,003.00
OPTIONAL FORM 347 (Rev. 2/2012)
Prescribed by GSA/FAR 48 CFR 53.213(f)
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE
12/26/2023
Oklahoma City Area IHS
701 Market Drive
Oklahoma City OK 73114
Oklahoma City OK 73114
DATE OF ORDER
ORDER FOR SUPPLIES OR SERVICES
SCHEDULE - CONTINUATION
CONTRACT NO.
AMOUNTUNIT
PRICE
UNITQUANTITY
ORDERED
SUPPLIES/SERVICESITEM NO.
IMPORTANT: Mark all packages and papers with contract and/or order numbers.
ORDER NO.
QUANTITY
ACCEPTED
12/26/2023 75H71124P00020
PAGE NO
(a) (b) (c) (d) (e) (f) (g)
Admin Office:
Oklahoma City Area IHS
701 Market Drive
Oklahoma City OK 73114
Period of Performance: 12/26/2023 to
04/26/2024
1 Contractor shall furnish and install a 95,003.00 domestic water softener and filtration system replacement at the Pawnee Indian
Health Center in accordance with the
Statement of Work.
Project Data:
134615.Inst-Bldg-E.HGFK0000000-OKLAHOM
A AREA IHS.25401-BLDG REPR and
ALTRS.11/06/2023
Accounting Info:
2024.J5002MI.25401 Appr. Yr.: 2024
CAN: J5002MI Object Class: 25401
Funded: $95,003.00
Additional Provisions and Conditions (10 pages; 4-13 are attached hereto)
Scope of Work: Statement of Work (23 pages includes drawings and photos), (attached).
Davis Bacon General Wage Decision
OK20230051 Dated 06/09/2023 is hereby incorporated, (attached)
FAR Clause 52.213-4 attached FAR Clause
52.204-7 applies
Oversite Monitor: Tim Jim, Facility Manager
Phone: 918-762-6711
E-mail: Timothy.jim@ihs.gov
Engineer Consultant Sr Supervisor: Hugo
Gonzales
Office Phone: 405-951-3857
Cell: 405-501-2697
E-mail: hugo.gonzales@ihs.gov
Contract Specialist (C): Jeffrey Earnest, Continued ...
Prescribed by GSA FAR (48 CFR) 53.213(f)
OPTIONAL FORM 348 (Rev. 4/2006)AUTHORIZED FOR LOCAL REPODUCTION
PREVIOUS EDITION NOT USABLE
TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17(H)) $95,003.00
DATE OF ORDER
ORDER FOR SUPPLIES OR SERVICES
SCHEDULE - CONTINUATION
CONTRACT NO.
AMOUNTUNIT
PRICE
UNITQUANTITY
ORDERED
SUPPLIES/SERVICESITEM NO.
IMPORTANT: Mark all packages and papers with contract and/or order numbers.
ORDER NO.
QUANTITY
ACCEPTED
12/26/2023 75H71124P00020
PAGE NO
(a) (b) (c) (d) (e) (f) (g)
(IHS/OKC) 405-951-3740
Send original invoice to:
Oklahoma City Area Indian Health Service
Attention: Finance
701 Market Drive
Oklahoma City, OK 73114
Or Fax to: 405-951-3873
Invoice inquiries may be made to Denise
Karr at 405-951-3919 denise.karr@ihs.gov
The total amount of award: $95,003.00. The obligation for this award is shown in box
17(i).
Prescribed by GSA FAR (48 CFR) 53.213(f)
OPTIONAL FORM 348 (Rev. 4/2006)AUTHORIZED FOR LOCAL REPODUCTION
PREVIOUS EDITION NOT USABLE
TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17(H)) $0.00
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