PO 75H71124P00032.pdf
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- Attached to
- The contractor shall reduce water levels in lagoons and basin, install electrical and two submersible pumps
- Solicitation number
- 246-24-Q-0003
About this file
This is an award notice for a federal contract issued by the Department of Health and Human Services Indian Health Service. The contractor shall reduce water levels in residual lagoons and pump basins at the Concho Water Treatment Plant without interrupting operations by installing electrical and two submersible pumps. The contractor shall also install sewer connections. The period of performance is from December 1, 2023 to February 9, 2024. The total award amount is $19,959.36 to be paid to Ray Williams Crutcho Creek Farms LLC for the required work. The solicitation number associated with this opportunity was 246-24-Q-0003.
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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)
12/01/2023
75H71124P00032 IHS1483058
Oklahoma City Area IHS
701 Market Drive
Oklahoma City OK 73114
RAY WILLIAMS
CRUTCHO CREEK FARMS LLC 1596239
CRUTCHO CREEK FARMS LLC 6625 N
6625 NE 10TH ST
OKLAHOMA CITY OK 73110
See Schedule
12. F.O.B. POINT
02/09/2024
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: DR5DXNMV8B33
Contractor shall reduce water levels in residual lagoons and pump basin without interrupting operations of the Concho Water Treatment Plant.
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
$19,959.36
22. UNITED STATES OF
AMERICA BY (Signature)
23. NAME (Typed)
TITLE: CONTRACTING/ORDERING OFFICER
SEAN L. LONG
$19,959.36
OPTIONAL FORM 347 (Rev. 2/2012)
Prescribed by GSA/FAR 48 CFR 53.213(f)
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE
12/01/2023
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
12/01/2023 75H71124P00032
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: 12/01/2023 to
02/09/2024
1 Contractor shall install electrical, 2 19,959.36 submersible pumps and sewer connection to reduce water levels in residual lagoons at the Concho Water Treatment Plant in accordance with the statement of work and drawing.
Project Data:
129929.4.HGFK0000000-OKLAHOMA AREA
IHS.25235-ALL OTR SVCS.10/18/2023
Accounting Info:
2024.J5002CB.25235 Appr. Yr.: 2024
CAN: J5002CB Object Class: 25235
Funded: $19,959.36
Additional Provisions and Conditions (10 pages; 4-12 are attached hereto)
Scope of Work includes: Statement of Work
(13 pages), (attached).
Davis Bacon General Wage Decision
OK20230029 Dated 09/29/2023 is hereby incorporated, (attached)
FAR Clause 52.213-4 attached FAR Clause
52.204-7 applies
Oversite Monitor: Drew Kay 580-331-3492
Environmental Engineer e-mail drew.kay@ihs.gov
Contract Specialist (C): Jeffrey Earnest, (IHS/OKC) 405-951-3740
Send original invoice to:
Oklahoma City Area Indian Health Service
Attention: Finance
701 Market Drive
Oklahoma City, OK 73114
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)) $19,959.36
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
12/01/2023 75H71124P00032
PAGE NO
(a) (b) (c) (d) (e) (f) (g)
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: $19,959.36. 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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