PO_75H71124P00173.pdf
PDF 128 KB Posted
- Solicitation number
- 75H71124P00173
About this file
This document is an Order for Supplies or Services issued by the Department of Health and Human Services Indian Health Service to LYDAY CONSTRUCTION LLC. The order is for the contractor to furnish and install a water service line in Oktaha, OK, in accordance with the provided Statement of Work and drawings. The total contract value is $8,530.00, with a required completion date of 05/13/2024. The order includes applicable Davis-Bacon wage rates and incorporates FAR clauses. The contracting office is the Oklahoma City Area IHS, with the contract administrator and oversight/monitoring personnel identified. Instructions for submitting invoices are provided.
View the file
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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)
03/13/2024
75H71124P00173 IHS1489586
Oklahoma City Area IHS
701 Market Drive
Oklahoma City OK 73114
SHAWN D LYDAY
SHAWN LYDAY 1627606
LYDAY CONSTRUCTION LLC 3209 BE
3209 BENNETT ROAD
HOWE TX 75459
See Schedule
12. F.O.B. POINT
05/13/2024
OKLAHOMA CITY AREA OFFICE
701 MARKET DRIVE
OKLAHOMA CITY OK 73114
OKLAHOMA CITY OK 73114
RFQ BID 246-24-Q-0009
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: HFMWKRHX16D3
Contractor shall furnish and install a water service line in Oktaha, OK. in accordance with the Statement of Work and drawing provided.
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
$8,530.00
22. UNITED STATES OF
AMERICA BY (Signature)
23. NAME (Typed)
TITLE: CONTRACTING/ORDERING OFFICER
SEAN L. LONG
$8,530.00
OPTIONAL FORM 347 (Rev. 2/2012)
Prescribed by GSA/FAR 48 CFR 53.213(f)
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE
03/18/2024
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
03/13/2024 75H71124P00173
PAGE NO
(a) (b) (c) (d) (e) (f) (g)
Additional Provisions and Conditions
(10 pages; 4-13 are attached hereto)
Scope of Work includes: Statement of Work
(3 pages, drawing (1 page) attached).
Davis Bacon General Wage Decision
OK20240009
Dated 01/05/2024 is hereby incorporated and attached.
FAR 52.213-4 attached.
FAR 52.204-7 applies.
Admin Office:
Oklahoma City Area IHS
701 Market Drive
Oklahoma City OK 73114
1 Contractor shall furnish and install a 8530 J3 1.00 8,530.00 water service line in Oktaha, OK in accordance with the Statement of Work and drawings provided.
Project Data:
134465.3.HGFK0000000-OKLAHOMA AREA
IHS.25235-ALL OTR SVCS.02/05/2024
Accounting Info:
2024.J5002IH.25235 Appr. Yr.: 2024
CAN: J5002IH Object Class: 25235
Funded: $8,530.00
Oversight/Monitor: Tobias Filener, Engineering Technician, Office:918.586.8409. Cell: 918.399.9277.
Contract Administrator: Noleen Powell, Contract Specialist, Office: 405.951.3975.
OCAO Finance Contact: Erin Lonewolf, Office of Finance and Accounting, 405.951.3919.
Send original invoices to: Oklahoma City
Area Indian Health Service
Attn: Finance
701 Market Drive Oklahoma City, OK 73114 or
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)) $8,530.00
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
03/13/2024 75H71124P00173
PAGE NO
(a) (b) (c) (d) (e) (f) (g) email to:
OKCAPInvoices@ihs.gov.
The total amount of award: $8,530.00. 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
File details come from the government source that posted it. Updated .