RFQ_R16PS01121_HUBZone.pdf

Request For Quote No. R16PS01121 Contract No. _____________ Commercial Item Acquisition HUBZONE Small Business Set Aside

Aggregate Base Course Gravel for the Yuma Area Office 242 Stockpile Site

U.S. Department of the Interior Bureau of Reclamation Yuma Area Office 7301 Calle Agua Salada Yuma, Arizona

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Solicitation

R16PS01121

Document Title:

Gravel Aggregate Base

FOREWORD

The Bureau of Reclamation (Reclamation) currently maintains and operates 21 wells in the 242 well field. The existing wells have been in operation since 1981. Reclamation maintains the wells per the requirements of the Minute 242 of the treaty with Mexico and Title I of the Salinity control Act (Public Law 93-320). Reclamation utilizes the well field to supplement the water being delivered to Mexico at the Southern International Boundary (SIB). Reclamation is responsible for maintaining the well field and for providing maintenance of the well pumping facilities, discharge pipes, canals and maintenance roads with a gravel base surface. Currently, Reclamation does not have access to a convenient source of base material located near the 242 well field.

In order to meet present and future general well site and road maintenance requirements, Reclamation is looking to purchase and have delivered to Reclamations 242 stockpile site Aggregate Base Course (ABC) gravel. Supplier will be required to deliver materials to stockpile site at the designated location (utilizing any either end dumps or belly dumps), or both. Site is located at Ave B south of well #242-15 (See Location Map Drawing 1292-303-60100).

Questions regarding this solicitation shall be submitted to Ms. Lorena Vera, Contract Specialist, telephone number

(928) 343-8410 or email at lvera@usbr.gov .

Offerors are encouraged to submit quotes using recycled paper and doubled sided copying to minimize waste and to utilize products that are made with post-consumer recycled content, recyclable, bio-based, and/or energy efficient products.

Offerors are cautioned to carefully review the quote submission instructions contained in Part E, E.2 Addendum to 52.212-1 Instruction to Offerors—Commercial Items. Failure to comply with these instructions may result in your quote being excluded from award consideration. The Government intends to award to the responsible offeror whose quote is most advantageous considering price and non-price factors.

mailto:lvera@usbr.gov

Solicitation

Document Title:

TOC Solicitation

Document Title:

i

TABLE OF CONTENTS

Foreword

Table of Contents i-ii

Part A – Standard Form 1449 – Solicitation/Contract/Order for Commercial Items 1-3

Part B – Continuation from SF 1449

B.1 Block 14 – Method of Solicitation B-1 B.2 Block 16 – Government Administration Personnel B-1 B.3 Block 17a – Contractor’s Administration Personnel B-1 B.4 Block 18a – Electronic Invoicing and Payment – Internet Payment Platform B-1 B.5 Blocks 19 through 24: Schedule of Supplies/Services and Prices B-2

Part C – Contract Clauses

C.1 Clauses Incorporated by Reference in Accordance with FAR 52.252-2 C-1 C.2 Addendum to 52.212-4 Contract Terms and Conditions—Commercial Items C-1

a. 52.203-99 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements C-1

b. 52.211-16 Variation in Quantity C-2

c. 52.217-6 Option for Increased Quantity C-2

d. 1452.201-70 Authorities and Delegations C-2

C.3 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders – Commercial Items C-3

C.4 Contractor Performance Assessment Reporting System C-11

Part D – Contract Documents, Exhibits, or Attachments

D.1 List of Items D-1

Part E – Solicitation Provisions

E.1 52.252-1 Solicitation Provisions Incorporated by Reference E-1 52.204-7 System for Award Management E-1 52.204-16 Commercial and Government Entity Code Reporting E-1 52.204-17 Ownership or Control of Offeror E-1 52.212-1 Instructions to Offeror--Commercial Items E-1

52.225-25 Prohibition on Contracting with Entities Engaging in Certain Activities or Transaction Relating to Iran—Representation and Certifications

1452.222-80 Notice of Applicability--Cooperation with Authorities and Remedies--Child Labor--Bureau of Reclamation E-1

1452.225-82 Notice of World Trade Organization Government Procurement Agreement Evaluations--Bureau of Reclamation E-1

E.2 Addendum to 52.212-1 Instructions to Offeror–Commercial Items E-1

a. Substitute Term E-1 b Period for Acceptance of Offers E-1

c. Basis of Award E-2

d. Quote Instructions E-2

e. Use and Disclosure of Proposal Information E-2

f. Service of Protest E-4

E.3 52.212-2 Evaluation—Commercial Items E-4 E.4 52.212-3 Offeror Representations and Certification--Commercial Item E-5

TOC Solicitation

Document Title:

ii

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

R34

7301 Calle Agua Salada Yuma Area Office Lower Colorado Region Bureau of Reclamation

0004506041 CODE 16. ADMINISTERED BYCODE

X

X

212321

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORR34

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

09/07/2016 1700 ET

08/30/2016

928-343-8410Lorena Vera (No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

R16PS01121

5. SOLICITATION NUMBER

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

1 2 0040271306OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

Yuma AZ 85364

TELEPHONE NO.

17a. CONTRACTOR/

99999 See Award

15. DELIVER TO

Yuma AZ 85364 7301 Calle Agua Salada Yuma Area Office Lower Colorado Region

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

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)

X

Bureau of Reclamation

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.

NAICS: 212321

Award will be made to the lowest responsive, responsible offeror.

Delivery: 12/18/2016 Period of Performance: 09/19/2016 to 12/18/2016

00010 Aggregate Base Course Stockpile Gravel per attached Statement of Work Continued ...

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

Virginia Toledo

. 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.

31,000 Tons @ $____________________

Quantity may range from 31,000 Tons to 120,000

Tons.

00020 Delivery Fee per each delivery, if applicable.

Delivery per Truck @ $____________________

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

2 2 of

Part B – Continuation of Blocks from SF-

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B- 1

PART A – CONTINUATION OF BLOCKS FROM SF-1449

B.1 BLOCK 14: Method of Solicitation

This acquisition is being solicited and conducted using the procedures set forth in FAR Part 12, Acquisition of Commercial Items, Subpart 13.5 and FAR Part 13, Simplified Acquisition Procedures.

B.2 BLOCK 16: Government Administration Personnel

The contracting office representative responsible for overall administration of this contract is:

(a) Virginia Toledo, Contracting Officer (LC-10401)

7301 Calle Agua Salada Yuma, AZ 85364 Phone No.: 928-343-8136 Facsimile No.: 928-343-8568 E-mail: vtoledo@usbr.gov

(b) Lorena Vera, Contract Specialist (LC-10406)

7301 Calle Agua Salada Yuma, AZ 85364 Phone No.: 928-343-8410 Facsimile No.: 928-343-8568 E-mail: lvera@usbr.gov

B.3 BLOCK 17a: Contractor’s Administration Personnel

Name: _____________________________________________ Title: _______________________________________________ Address: ____________________________________________ City/State/Zip: ________________________________________ Telephone No: ________________________________________ Fax No.: _____________________________________________ Email: _______________________________________________

B.4 BLOCK 18a: Electronic Invoicing and Payment - Internet

Payment Platforms April 2013

Payment requests must be submitted electronically through the U.S. Department of the Treasury’s Internet Payment Platform System (IPP).

mailto:vtoledo@usbr.gov

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B- 2

“Payment requests” means any request for contract financing payment or invoicing payment by the Contractor. To constitute a proper invoice, the payment request must comply with the requirements identified in the applicable Prompt Payment clause included in the contract, or the clause 52.212-4 Contract Terms and Conditions-Commercial Items included in commercial item contracts. The IPP website address is: https://www.ipp.gov.

Under this contract, the following documents are required to be submitted as an attachment to the IPP invoice: Courtesy Copy to Contract Specialist (lvera@usbr.gov) of IPP submitted invoice and all invoice backup supporting documentation.

The Contractor must use the IPP website to register access and use IPP for submitting requests for payment. The Contractor Government Business Point of Contact (as listed in SAM) will receive enrollment instructions via email from the Federal Reserve Bank of Boston (FRBB) within 3-5 business days of the contract award date. Contractor assistance with enrollment can be obtained by contacting the IPP Production Helpdesk via email ippgroup@bos.frb.org or phone (866) 973-3131.

If the Contractor is unable to comply with the requirement to use IPP for submitting invoices for payment, the Contractor must submit a waiver request in writing to the Contracting Officer with its proposal or quotation.

B.5 BLOCKS 19 THROUGH 24:

(a) Offeror shall provide supply and delivery of Aggregate Base Course Gravel in accordance with the Statement of Work, Section D, attachment 1.

(b) Offerors are subject to the terms and conditions of this Request for Quote (RFQ).

(c) Offerors are cautioned to carefully review the quote submission requirements contained in Section E. Failure to comply with these requirement may result in a quote being declared non-responsive.

(d) Offeror shall complete the items in the Price Quote Breakdown and furnish any additional information required in Part B, as applicable.

(e) Quantities in the Price Quote Breakdown are estimated quantities for comparison of offerors only. Except as provided in the contract clause FAR 52.211-16 Variation in Estimated Quantity, no claim shall be made against the Government for variations in the quantities stated. The Government will determine at the time of award the amount of gravel base to be ordered based on the pricing and funds available.

(f) Offeror shall furnish Unit and Total Costs for all items in the Price Quote Breakdown for the total cost of the contract. When completing the Price Quote Breakdown schedule, the price entered in the “Amount” column shall be the mathematical product of the quantity multiplied by the unit price. Rounding up or down is not permitted. If a price entered in the “Amount” column has been rounded, the Contracting Officer will correct such amount.

https://www.ipp.gov/ mailto:ippgroup@bos.frb.org

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B- 3

(g) Offers will be considered for award on the following schedule, but no bid will be considered for award for only part of the schedule. Offers for only a part of the schedules will be considered non-responsive and will be rejected.

Price Quote Breakdown

19.

Item No.

20. Schedule of Supplies/Services

21. Estimated Quantity

22. Unit 23. Unit Price 24. Amount

10 Aggregate Base Course Stockpile Gravel

See Statement of Work, “242 Aggregate Base Course Stockpiles”

Quantity may range from 31,000 Tons to 120,000 Tons

31,000.00 Tons $ $

20 Delivery Fee, if Applicable Delivery per Truck $__________ Tons per Truck ______________

1 LS $ $

Total

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B- 4

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PART C – Contract Clauses

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C-1

CONTRACT CLAUSES

C.1 52.252-02 CLAUSES INCORPORATED BY REFERENCE

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

Also, the full text of a clause may be accessed electronically at these addresses:

Federal Acquisition Regulations (FAR) - http://www.arnet.gov/far ; and Department of the Interior Acquisition Regulations (DIAR) - http://www.doi.gov/pam/aindex.html Reclamation Acquisition Regulations (RAR) - http://www.usbr.gov/mso/aamd/resources.html

FAR - by the number prefix 52, e.g. 52.252-01, etc.; DIAR - by the number prefix 1452 and number suffix of -70, e.g. 1452.204-70; and RAR - by the number prefix 1452 and number suffix of -80, e.g. 1452.201-80.

The following referenced clause is hereby incorporated into and made a part of this contract.

Clause Title Date 52.203-17 Contractor Employee Whistleblower Rights and

Requirements to Inform Employee of Whistleblower Rights

Apr 2014

52.204-13 System for Award Management Maintenance July 2013 52.204-18 Commercial and Government Entity Code

Maintenance July 2016

52.204-19 Incorporation by Reference of Representation and Certifications

December 2014

52.212-4 Contract Terms and Conditions – Commercial Items June 2016 52.232-40 Providing Accelerated Payment to Small Business

Subcontractors December 2013

52.242-15 Stop-Work Order August 1989 52.247-34 F.O.B. Destination November 1991

C.2 Addendum to 52.212-4 Contract Terms and Conditions – Commercial Items

(FAR 52.212-4 - Incorporated by Reference in Block 27a of the SF-1449)

a. 52.203-99, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements

(DEVIATION)

February 2015

(a) The contractor shall not require employees or subcontractors seeking to report fraud, waste, or abuse to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting such fraud, waste, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information.

http://www.arnet.gov/far http://www.doi.gov/pam/aindex.html http://www.usbr.gov/mso/aamd/resources.html

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(b) The contractor shall notify employees that the prohibition and restrictions of any internal confidentiality agreements covered by this clause are no longer in effect.

(c) The prohibition in paragraph (a) of this clause does not contravene requirements applicable to Standard Form 312, Form 4414, or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(d)(1) In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing Resolution Appropriations Act, 2015 (Pub. L. 113-235), use of funds appropriated (or otherwise made available) under that or any other Act may be prohibited, if the Government determines that the contractor is not in compliance with the provisions of this clause.

(2) The Government may seek any available remedies in the event the contractor fails to comply with the provisions of this clause.

b. 52.211-16 Variation in Quantity April 1984

(a) A variation in the quantity of any item called for by this contract will not be accepted unless the variation has been caused by conditions of loading, shipping, or packing, or allowances in manufacturing processes, and then only to the extent, if any, specified in paragraph (b) of this clause.

(b) The permissible variation shall be limited to:

10 Percent increase

10 Percent decrease

This increase or decrease shall apply to the total quantity of each item without regard to destination.

c. 52.217-6 Option for Increased Quantity March 1989

The Government may increase the quantity of supplies called for in the price proposal breakdown at the unit price specified. The Contracting Officer may exercise the option at the time of award. Delivery of the added items shall continue at the same rate as the like items called for under the contract, unless the parties otherwise agree.

d. 1452.201-70 Authorities and Delegations—Department of the Interior

September 2011

(a) The Contracting Officer is the only individual authorized to enter into or terminate this contract, modify any term or condition of this contract, waive any requirement of this contract, or accept nonconforming work.

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C-3

(b) The Contracting Officer will designate a Contracting Officer's Representative (COR) at time of award. The COR will be responsible for technical monitoring of the contractor's performance and deliveries. The COR will be appointed in writing, and a copy of the appointment will be furnished to the Contractor. Changes to this delegation will be made by written changes to the existing appointment or by issuance of a new appointment.

(c) The COR is not authorized to perform, formally or informally, any of the following actions:

(1) Promise, award, agree to award, or execute any contract, contract modification, or notice of intent that changes or may change this contract;

(2) Waive or agree to modification of the delivery schedule;

(3) Make any final decision on any contract matter subject to the Disputes Clause;

(4) Terminate, for any reason, the Contractor's right to proceed;

(5) Obligate in any way, the payment of money by the Government.

(d) The Contractor shall comply with the written or oral direction of the Contracting Officer or authorized representative(s) acting within the scope and authority of the appointment memorandum. The Contractor need not proceed with direction that it considers to have been issued without proper authority. The Contractor shall notify the Contracting Officer in writing, with as much detail as possible, when the COR has taken an action or has issued direction (written or oral) that the Contractor considers to exceed the COR's appointment, within 3 days of the occurrence. Unless otherwise provided in this contract, the Contractor assumes all costs, risks, liabilities, and consequences of performing any work it is directed to perform that falls within any of the categories defined in paragraph (c) prior to receipt of the Contracting Officer's response issued under paragraph (e) of this clause.

(e) The Contracting Officer shall respond in writing within 30 days to any notice made under paragraph (d) of this clause. A failure of the parties to agree upon the nature of a direction, or upon the contract action to be taken with respect thereto, shall be subject to the provisions of the Disputes clause of this contract.

(f) The Contractor shall provide copies of all correspondence to the Contracting Officer and the

COR.

(g) Any action(s) taken by the Contractor, in response to any direction given by any person acting on behalf of the Government or any Government official other than the Contracting Officer or the COR acting within his or her appointment, shall be at the Contractor's risk.

C.3 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders – Commercial Items

JUN 2016

As prescribed in 12.301(b)(4), insert the following clause:

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/12.htm#P120_20013

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(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015)

(2) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(3) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Public Laws 108-77, 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the contracting officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[Contracting Officer check as appropriate.]

_X_ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

___ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509).

___ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (Jun 2010) (Section 1553 of Pub L. 111-5) (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009).

_X_ (4) 52.204-10, Reporting Executive compensation and First-Tier Subcontract Awards (Oct 2015) (Pub. L. 109-282) (31 U.S.C. 6101 note).

___ (5) [Reserved]

___ (6) 52.204-14, Service Contract Reporting Requirements (Jan 2014) (Pub. L. 111- 117, section 743 of Div. C).

___ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (Jan 2014) (Pub. L. 111-117, section 743 of Div. C).

_X_ (8) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (Oct 2015) (31 U.S.C.

6101 note).

_X_ (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Jul 2013) (41 U.S.C. 2313).

___ (10) [Reserved]

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_X_ (11) (i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Nov 2011) (15 U.S.C. 657a).

___ (ii) Alternate I (Nov 2011) of 52.219-3.

___ (12) (i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (Oct 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer)(15 U.S.C. 657a).

___ (ii) Alternate I (Jan 2011) of 52.219-4.

___ (13) [Reserved]

___ (14) (i) 52.219-6, Notice of Total Small Business Aside (Nov 2011) (15 U.S.C. 644).

___ (ii) Alternate I (Nov 2011).

___ (iii) Alternate II (Nov 2011).

___ (15) (i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C.

644).

___ (ii) Alternate I (Oct 1995) of 52.219-7.

___ (iii) Alternate II (Mar 2004) of 52.219-7.

___ (16) 52.219-8, Utilization of Small Business Concerns (Oct 2014) (15 U.S.C.

637(d)(2) and (3)).

___ (17) (i) 52.219-9, Small Business Subcontracting Plan (Oct 2015) (15 U.S.C. 637 (d)(4)).

___ (ii) Alternate I (Oct 2001) of 52.219-9.

___ (iii) Alternate II (Oct 2001) of 52.219-9.

___ (iv) Alternate III (Oct 2015) of 52.219-9.

___ (18) 52.219-13, Notice of Set-Aside of Orders (Nov 2011) (15 U.S.C. 644(r)).

_X_ (19) 52.219-14, Limitations on Subcontracting (Nov 2011) (15 U.S.C. 637(a)(14)).

___ (20) 52.219-16, Liquidated Damages—Subcontracting Plan (Jan 1999) (15 U.S.C.

637(d)(4)(F)(i)).

___ (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set- Aside (Nov 2011) (15 U.S.C. 657f).

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_X_ (22) 52.219-28, Post Award Small Business Program Rerepresentation (Jul 2013) (15 U.S.C. 632(a)(2)).

___ (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women-Owned Small Business Concerns (Dec 2015) (15 U.S.C.

637(m)).

___ (24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (Dec 2015) (15 U.S.C. 637(m)).

_X_ (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

_X_ (26) 52.222-19, Child Labor—Cooperation with Authorities and Remedies (Feb 2016) (E.O. 13126).

_X_ (27) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

_X_ (28) 52.222-26, Equal Opportunity (Apr 2015) (E.O. 11246).

_X_ (29) 52.222-35, Equal Opportunity for Veterans (Oct 2015) (38 U.S.C. 4212).

_X_ (30) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29 U.S.C. 793).

_X_ (31) 52.222-37, Employment Reports on Veterans (Feb 2016) (38 U.S.C. 4212).

_X_ (32) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496).

_X_ (33) (i) 52.222-50, Combating Trafficking in Persons (Mar 2015) (22 U.S.C. chapter 78 and E.O. 13627).

___ (ii) Alternate I (Mar 2015) of 52.222-50, (22 U.S.C. chapter 78 and E.O. 13627).

___ (34) 52.222-54, Employment Eligibility Verification (Oct 2015). (E. O. 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

___ (35) (i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA- Designated Items (May 2008) (42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

___ (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

___ (36) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (Jun 2016) (E.O.13693).

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___ (37) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners (Jun 2016) (E.O. 13693).

___ (38) (i) 52.223-13, Acquisition of EPEAT® -Registered Imaging Equipment (Jun 2014) (E.O.s 13423 and 13514

___ (ii) Alternate I (Oct 2015) of 52.223-13.

___ (39) (i) 52.223-14, Acquisition of EPEAT® -Registered Television (Jun 2014) (E.O.s 13423 and 13514).

___ (ii) Alternate I (Jun 2014) of 52.223-14.

___ (40) 52.223-15, Energy Efficiency in Energy-Consuming Products (Dec 2007) (42 U.S.C. 8259b).

___ (41) (i) 52.223-16, Acquisition of EPEAT® -Registered Personal Computer Products (Oct 2015) (E.O.s 13423 and 13514).

___ (ii) Alternate I (Jun 2014) of 52.223-16.

_X_ (42) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging while Driving (Aug 2011) (E.O. 13513).

___ (43) 52.223-20, Aerosols (Jun 2016) (E.O. 13693).

___ (44) 52.223-21, Foams (Jun 2016) (E.O. 13696).

___ (45) 52.225-1, Buy American--Supplies (May 2014) (41 U.S.C. chapter 83).

_ _ (46) (i) 52.225-3, Buy American--Free Trade Agreements--Israeli Trade Act (May 2014) (41 U.S.C. chapter 83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L. 103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43).

___ (ii) Alternate I (May 2014) of 52.225-3.

___ (iii) Alternate II (May 2014) of 52.225-3.

___ (iv) Alternate III (May 2014) of 52.225-3.

_X_ (47) 52.225-5, Trade Agreements (Feb 2016) (19 U.S.C. 2501, et seq., 19 U.S.C.

3301 note).

_X_ (48) 52.225-13, Restrictions on Certain Foreign Purchases (Jun 2008) (E.O.’s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

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___ (49) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Jul 2013) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

___ (50) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) (42 U.S.C. 5150).

___ (51) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007) (42 U.S.C. 5150).

___ (52) 52.232-29, Terms for Financing of Purchases of Commercial Items (Feb 2002) (41 U.S.C. 4505), 10 U.S.C. 2307(f)).

___ (53) 52.232-30, Installment Payments for Commercial Items (Oct 1995) (41 U.S.C.

4505, 10 U.S.C. 2307(f)).

_X_ (54) 52.232-33, Payment by Electronic Funds Transfer— System for Award Management (Jul 2013) (31 U.S.C. 3332).

___ (55) 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management (Jul 2013) (31 U.S.C. 3332).

___ (56) 52.232-36, Payment by Third Party (May 2014) (31 U.S.C. 3332).

___ (57) 52.239-1, Privacy or Security Safeguards (Aug 1996) (5 U.S.C. 552a).

___ (58) (i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx 1241(b) and 10 U.S.C. 2631).

___ (ii) Alternate I (Apr 2003) of 52.247-64.

(c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or executive orders applicable to acquisitions of commercial items:

[Contracting Officer check as appropriate.]

___ (1) 52.222-17, Nondisplacement of Qualified Workers (May 2014) (E.O. 13495)

___ (2) 52.222-41, Service Contract Labor Standards (May 2014) (41 U.S.C. chapter 67.).

___ (3) 52.222-42, Statement of Equivalent Rates for Federal Hires (May 2014) (29 U.S.C. 206 and 41 U.S.C. chapter 67).

___ (4) 52.222-43, Fair Labor Standards Act and Service Contract Labor Standards -- Price Adjustment (Multiple Year and Option Contracts) (May 2014) (29 U.S.C.206 and 41 U.S.C. chapter 67).

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___ (5) 52.222-44, Fair Labor Standards Act and Service Contract Labor Standards -- Price Adjustment (May 2014) (29 U.S.C. 206 and 41 U.S.C. chapter 67).

___ (6) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment-- Requirements (May 2014) (41 U.S.C. chapter 67).

___ (7) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services--Requirements (May 2014) (41 U.S.C. chapter 67).

___ (8) 52.222-55, Minimum Wages Under Executive Order 13658 (Dec 2015) (E.O.

13658).

___ (9) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations. (May 2014) (42 U.S.C. 1792).

___ (10) 52.237-11, Accepting and Dispensing of $1 Coin (Sep 2008) (31 U.S.C.

5112(p)(1)).

(d) Comptroller General Examination of Record The Contractor shall comply with the provisions of this paragraph (d) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records -- Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor’s directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(e)

(1) Notwithstanding the requirements of the clauses in paragraphs (a), (b), (c) and (d) of this clause, the Contractor is not required to flow down any FAR clause, other than those in this paragraph (e)(1) in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause—

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(i) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509).

(ii) 52.219-8, Utilization of Small Business Concerns (Oct 2014) (15 U.S.C.

637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $700,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(iii) 52.222-17, Nondisplacement of Qualified Workers (May 2014) (E.O. 13495).

Flow down required in accordance with paragraph (1) of FAR clause 52.222-17.

(iv) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

(v) 52.222-26, Equal Opportunity (Apr 2015) (E.O. 11246).

(vi) 52.222-35, Equal Opportunity for Veterans (Oct 2015) (38 U.S.C. 4212).

(vii) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29 U.S.C. 793).

(viii) 52.222-37, Employment Reports on Veterans (Feb 2016) (38 U.S.C. 4212).

(ix) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496). Flow down required in accordance with paragraph (f) of FAR clause 52.222-40.

(x) 52.222-41, Service Contract Labor Standards (May 2014), (41 U.S.C. chapter 67).

(xi) ____ (A) 52.222-50, Combating Trafficking in Persons (Mar 2015) (22 U.S.C.

chapter 78 and E.O. 13627).

___ (B) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 E.O.

13627).

(xii) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Requirements (May 2014) (41 U.S.C. chapter 67.)

(xiii) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services--Requirements (May 2014) (41 U.S.C. chapter 67)

(xiv) 52.222-54, Employment Eligibility Verification (Oct 2015) (E. O. 12989).

(xv) 52.222-55, Minimum Wages Under Executive Order 13658 (Dec 2015).

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(xvi) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Jul 2013) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

(xvii) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations.

(May 2014) (42 U.S.C. 1792). Flow down required in accordance with paragraph

(e) of FAR clause 52.226-6.

(xviii) 52.247-64, Preference for Privately-Owned U.S. Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx 1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the Contractor may include in its subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligations.

C.4 Contractor Performance Assessment Reporting System December 2015

1. FAR 42.1502 directs all Federal agencies to collect past performance information on contracts.

The Department of the Interior (DOI) has implemented the Contractor Performance Assessment Reporting System (CPARS) to comply with this regulation. One or more past performance evaluations will be conducted in order to record your contract performance as required by FAR 42.15.

2. The past performance evaluation process is a totally paperless process using CPARS. CPARS is a web-based system that allows for electronic processing of the performance evaluation report.

Once the report is processed, it is available in the Past Performance Information Retrieval System (PPIRS) for Government use in evaluating past performance as part of a source selection action.

3. We request that you furnish the Contracting Officer (CO) with the name, position title, phone number, and email address for each person designated to have access to your firm's past performance evaluation(s) for the contract no later than 30 days after award. Each person granted access will have the ability to provide comments in the Contractor portion of the report and state whether or not the Contractor agrees with the evaluation, before returning the report to the Assessing Official (AO). Information in the report must be protected as source selection sensitive information not releasable to the public.

4. When your Contractor Representative(s) are registered in CPARS, they will receive an automatically generated email with detailed login instructions. Further details, systems requirements, and training information for CPARS is available at https://www.cpars.gov/.

5. Within 60 days after the end of a performance period, the AO will complete an interim or final past performance evaluation, and the report will be accessible at https://www.cpars.gov/.

a. Contractor Representatives may then provide comments in response to the evaluation, or return the evaluation without comment.

b. Your comments should focus on objective facts in the AO's narrative and should provide your views on the causes and ramifications of the assessed performance.

c. All information provided should be reviewed for accuracy prior to submission.

d. If you elect not to provide comments, please acknowledge receipt of the evaluation by indicating "No comment" in the space provided, and then selecting “Accept the Ratings and Close the Evaluation”.

https://www.acquisition.gov/sites/default/files/current/far/html/Subpart%2042_15.html https://www.acquisition.gov/sites/default/files/current/far/html/Subpart%2042_15.html https://www.acquisition.gov/sites/default/files/current/far/html/Subpart%2042_15.html https://www.cpars.gov/ https://www.cpars.csd.disa.mil/ https://www.cpars.csd.disa.mil/

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e. Your response is due within 60 calendar days after receipt of the CPAR. On day 15, the evaluation will become available in PPIRS-RC marked as “Pending” with or without comments and whether or not it has been closed.

f. If you do not sign and submit the CPAR within 60 days, it will automatically be returned to the Government and will be annotated: "The report was delivered/received by the contractor on (date). The contractor neither signed nor offered comment in response to this assessment."

6. The following guidelines apply concerning your use of the past performance evaluation:

a. Protect the evaluation as source selection information. After review, transmit the evaluation by completing and submitting the form through CPARS. If for some reason you are unable to view and/or submit the form through CPARS, contact the CO for instructions.

b. Strictly control access to the evaluation within your organization. Ensure the evaluation is never released to persons or entities outside of your control.

c. Prohibit the use of or reference to evaluation data for advertising, promotional material, pre-award surveys, responsibility determinations, production readiness reviews, or other similar purposes.

7. If you wish to discuss a past performance evaluation, you should request a meeting in writing to the CO no later than seven days following your receipt of the evaluation. The meeting will be held in person or via telephone or other means during your 60-day review period.

8. A copy of the completed past performance evaluation will be available in CPARS for your viewing and for Government use supporting source selection actions after it has been finalized.

PART D – Contract Documents, Exhibits, or Attachments

Solicitation

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Document Title:

D-1

PART D – CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 LIST OF ITEMS

INDEX OF ITEMS

Item No. No. of Pages

Attachment 1 Specifications/Statement of Work 5 Attachment 2 Past Performance Questionnaire 2

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Document Title:

D-2

Attachments

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Document Title:

D-3

ATTACHMENT No. 1

STATEMENT OF WORK

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R16PS01121

Document Title:

D-4

242 Aggregate Base Course Stockpiles R16PS01121

Statement of Work Yuma Area Office

242 Aggregate Base Course Stockpiles

1. Background.

Reclamation currently maintains and operates 21 wells in the 242 well field. The existing wells have been in operation since 1981. Reclamation maintains the wells per the requirements of the Minute 242 of the treaty with Mexico and Title I of the Salinity control Act (Public Law 93-320). Reclamation utilizes the well field to supplement the water being delivered to Mexico at the Southern International Boundary (SIB). Reclamation is responsible for maintaining the well field and for providing maintenance of the well pumping facilities, discharge pipes, canals and maintenance roads. A part of the road maintenance operations includes periodic blading and plating the maintenance roads with a gravel base surface. Currently, Reclamation does not have access to a convenient source of base material located near the 242 well field.

In order to meet present and future well site and road maintenance requirements, Reclamation is looking to purchase, deliver and stockpile at Reclamations 242 stockpile site and A-22 stockpile site a minimum of 31,000 tons up to a maximum of 120,000 tons of Aggregate Base Course (ABC).

Supplier will be required to deliver materials to the stockpile sites at the designated locations (utilizing any either end dumps or belly dumps), or both. Site 242 stockpile is located at Ave B south of well # 242-15 will receive 40% of the material, and A-22 is at Ave B south of County 21street and north of Highway 195 will receive 60% of the supplied material. (See Location Map Drawing 1292-303-60100).

Quantities in the Price Bid Breakdown are estimated quantities for comparison of bidders only. The Government will determine at the time of award the amount of gravel base to be ordered based on the pricing and funds available. Except as provided in the contract clause FAR 52.211-16 Variation in Estimated Quantity, no claim shall be made against the Government for variations in the quantities stated."

The ABC material shall meet the requirements listed below.

2. General. - The Contractor shall furnish all of the labor, materials, and equipment necessary to furnish, haul and stockpile gravel base at the designated locations (See Location Map Drawing 1292-303-60100.

a. Aggregates for ABC. The ABC shall consist of clean, sound durable particles of crushed stone or crushed gravel or other approved material. ABC shall be free of lumps of clay, organic matter, and other objectionable materials or coatings. The portion retained on the Number 4 sieve shall be known as coarse aggregate and the portion passing the number 4 sieve shall be known as fine aggregate.

Coarse and fine aggregates shall be angular particles of uniform density. When the coarse aggregate is supplied form more than one source, aggregate from each source shall meet the specified requirements and shall be stockpiled separately.

b. Aggregate Base Course. ABC fine aggregate shall consist of screenings, angular sand, crushed fines or other finely divided mineral matter processed or naturally combined with the coarse aggregate.

ABC coarse aggregate shall not show more than 50% loss when subjected to the Los Angeles abrasion test in accordance with ASTM C 131 (2003). The amount of flat and elongated particles shall not exceed 30 percent. A flat particle is defined as one having a ratio of width to thickness greater than 3. An elongated particle is defined as having a ratio of length to width greater than 3.

The specified gradation requirements shall apply to the completed ABC. The aggregates shall have a maximum size of 1 inch and shall be continuously well graded with the limits specified in the table below. Sieves shall conform to

ASTM E 11 (2001).

TABLE 1

SIEVE

DESIGNATION

PERCENTAGE PASSING BY WT.

1½ In. 100 1 In. 60 – 100 ½ In. 30 – 65 No. 4 20 – 50 No. 10 15 – 40 No. 40 5 – 25 No. 200 0 – 8

Liquid limit and plasticity index requirements shall apply to the completed ABC and shall also apply to any component that is blended to meet the required gradation. The portion of any component or of the completed course passing the No. 40 sieve shall a liquid less than or equal to 25 and a plasticity index less than or equal to 5.

c. Aggregate Base Course Stockpile. ABC stockpiles shall be built as compactly as practicable. Gravel stockpiles shall have an average uniform height of 12 feet and shall have no noticeable peaks or valleys.

3. Submittals. The following items shall be submitted to the Contracting Officer for approval.

a. Weighmaster credentials. Include licenses and experience of the proposed weighmaster.

b. Weigh tickets. Submit weigh tickets weekly. Weigh tickets shall clearly show the type of material on the truck, where the truck was weighed, and the final destination of the truck. Show the tare weight of the truck, loaded weight of the truck, and the weight of material being transported.

4. References

a. American Society for Testing and Materials (ASTM), 100 Bar Harbor Drive, West Conshohocken, PA 19428-2959.

b. American National Standards Institute, 1819 L Street NW, Washington D. C., 20036.

5. Drawings

a. Location Map 1292-303-60100

2 4 S

6~, 242 Stockpile Site LsOIh~d.. 32,45342

115144. AZ 2076-03-37

LOCATION MAP, KEY MAP,

AND AERIAL SITE PLAN

1292—303—60 100

SHEET

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NEVADA UTAH

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RECLAMATION

Managing N/Her in the West

~ACIF/C

•CEAN

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Phaenix

Gill, PROJECT ~ITE

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KEY MAP

(Nor TO SCALE)

PROJECT LOCAIION

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242 O& ROAD

LOCATION MAP PROJECT LOCATION —.

29 40% OF THE /4ATERL4 -~

(NOT TO SCALE) PLACED AT 242 ST. KPILE SITE ~‘ 6

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242 STOCKP LE SIT

AERIAL SITE PLAN 1

(NOT TO SCALE)

LIST OF DRAWINGS

DESIGN DRAWINGS

A N MAP 1292—303—60100

JEFF c- SANDERSON C.E.T.

I) (SIGNED

JEFF L. SANDERSON C.E.T.

O#A 414

CHECkED Beious, Aieeender 0 PT.

TECH. APPR.

gee. Michoel W P.E.

P((51~ a

Attachments

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R16PS01121

Document Title:

Gravel Aggregate Base

D-10

Attachments

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R16PS01121

Document Title:

Gravel Aggregate Base

D-11

ATTACHMENT No. 2

PAST PERFORMANCE QUESTIONNAIRE

Attachments

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Document Title:

Gravel Aggregate Base

D-12

Attachment 2 – Solicitation No. R16PS01121

LCR 1453.303-LCR 1415-38

Revised 09/02/05

***NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS***

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

U.S. Department of the Interior, Bureau of Reclamation, Yuma Arizona, is considering the firm listed below. Your comments would be appreciated regarding this firm’s past performance.

Past Performance Information:

Name and Address of Firm Being Evaluated:______________________________________

Contract No.:__________________ Type of Contract: _____________________ Project Title:___________________ Date of Award:_________________ Completion Date: _____________________ Location:______________________ Initial Amount:__________________ Final Amount: ________________________ Description:_________________________________________________________________

Evaluator: (The following information will assist in the analysis of the data.)

Name of Evaluator: ______________________________________

Company/Agency Name: ______________________________________

Address: ______________________________________

Phone Number: ______________________________________

Email Address: ______________________________________

Position Held or Function in Relation to Project: ______________________________________

Rating: If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.

“O” Outstanding Performance greatly exceeded the contract requirements.

“A” Above Average Performance exceeded the contract requirements.

“S” Satisfactory Performance met the contract requirements.

“M” Marginal Performance met the minimum contract requirements but

Some material aspects of the contractor’s performance were less than satisfactory.

“U” Unacceptable Performance was poor and/or did not satisfy contract requirements.

Attachment 2 – Solicitation No. R16PS01121

LCR 1453.303-LCR 1415-38

Revised 09/02/05

Please circle the appropriate rating and provide any supporting information/comments for the following:

1. The relationship between the firm and client’s/customer’s contract team: O A S M U

2. The firm’s management and coordination of subcontractors/consultants: O A S M U

3. Overall…