PO_75H71124P00247.pdf
PDF 210 KB Posted
- Solicitation number
- 75H71124P00247
About this file
This document is an Order for Supplies or Services related to a federal contract opportunity. The order was issued on 05/09/2024 under Contract No. 75H71124P00247 to NATIVE ENERGY SOURCE, LLC to furnish and install two backup generators for lift stations for the Seneca Cayuga Nation Tribal Complex. The total award amount is $49,800.00, with $12,000.00 for a 12,000 watt generator and $37,800.00 for a 37,800 watt generator. The period of performance is from 05/09/2024 to 08/16/2024. The contracting agency is the Department of Health and Human Services Indian Health Service. The order is subject to the statement of work and attachments referenced. No set-aside designations 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)
05/09/2024
75H71124P00247 IHS1494886
Oklahoma City Area IHS
701 Market Drive
Oklahoma City OK 73114
DAVID L THOMASSON
NATIVE ENERGY SOURCE LLC 1640062
NATIVE ENERGY SOURCE, LLC 101
101 W MAIN ST
TECUMSEH OK 74873
See Schedule
12. F.O.B. POINT
08/16/2024
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: E2BBRMJ3TB36
(SFC - MIA) Request for contractor to furnish and install a backup generator for lift stations for the Seneca Cayuga Nation (see attachments) 2235iA 137191 and 2235i
133399 IGF OT IGF
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
$49,800.00
22. UNITED STATES OF
AMERICA BY (Signature)
23. NAME (Typed)
TITLE: CONTRACTING/ORDERING OFFICER
EDSON W. YELLOWFISH
$49,800.00
OPTIONAL FORM 347 (Rev. 2/2012)
Prescribed by GSA/FAR 48 CFR 53.213(f)
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE
05/21/2024
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
05/09/2024 75H71124P00247
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: 05/09/2024 to
08/16/2024
1 Contractor shall furnish and install a 12000 J3 1.00 12,000.00 backup generator for lift stations in accordance with the statement of work for the Seneca Cayuga Nation Tribal Complex.
Project Data:
137191.4.HGFK0000000-OKLAHOMA AREA
IHS.25235-ALL OTR SVCS.04/30/2024
Accounting Info:
2024.J5002CB.25235 Appr. Yr.: 2024
CAN: J5002CB Object Class: 25235
Funded: $12,000.00
2 Contractor shall furnish and install a 37800 J3 1.00 37,800.00 backup generator for lift stations in accordance with the statement of work and attachments 2235iA 137191 and 2235i 133399, for the Seneca Cayuga Nation Tribal
Complex. The funding is spread over two lines for this project.
Project Data:
133399.6.EMJK0000000-OKLAHOMA AREA
IHS.25235-ALL OTR SVCS.04/30/2024
Accounting Info:
2024.J5003IJ.25235 Appr. Yr.: 2024
CAN: J5003IJ Object Class: 25235
Funded: $37,800.00
The total amount of award: $49,800.00. 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)) $49,800.00
File details come from the government source that posted it. Updated .