75H71019P00566_-_DH_Pace.pdf

SOLICITATIONICONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OFOFFERORTO COMPLETE BLOCKS 12, 17, 23, 24, & 30 1HS1375 946

1 52 CONTRACT NO.

3. AWARD! 4, ORDER NUMBER

5. SOLICITATION NUMBER 6. SOLICITATION

EFFECTIVE DATE

ISSUE DATE

75H71019P00566

7. FOR SOLICITATION a. NAME b TELEPHONE NUMBER (No collect calls) 8. OFFER DUE DATEILOCAL TIME

INFORMATIONCALL: SHEILA DENNY 928—697—40279. ISSUED BY

CODE [25 10. THIS ACQUISITION IS UNRESTRICTED OR U SETASIDE. % FOR’

WOMEN-OWNED SMALL BUSINESS

Ka yent a Health Center

LI SMALL BUSINESS

Li (WOSB) ELIGIBLE UNDER THE WOMEN-OWNED Acqui s it ion Department

Li HUBZDNE SMALL SMAI I RUSINFSS PRC)DRAM

NAICS 321911

P0 Box 368 BUSINESS EEDWOSBHighway 160, Mile Post 394 .3 Li SERVICE-DSAELED Li 8(A)

SIZE STANDARD 1, 000

Kayenta AZ 86033

SMALLBUSINESS

11. DELIVERY FOR FOB DESTINA- 12 DISCOUNT TERMS

13b RATING

TION UNLESS BLOCK IS

IHS NET 30P Li 13a. THIS CONTRACT ISAMARKED

RATED ORDER UNDER

14. METHOD OF SOLICITATION

[7 SEE SCHEDULE

DPAS (15 CFR 700)

URFQ LIIFB U RFP

15 DELIVER TO

CODE

IIMSKAYENTA 16 ADMINISTERED BY

CODE 125KAYENTA NAVAJO

Kayenta Health CenterKayenta Health Center Acquisition DepartmentAcquisition Department, P0 Box 368 P0 Box 368Highway 160, Mile Post 394.3 Highway 160, Mile Post 394.3Kayenta AZ 86033 Kayenta AZ 86033

17a CONTRACTOR! CODE 114 4 1380 f FACILiTY i8a PAYMENT WILL BE MADE BY CODE IIi SNAVAJO

D. H. PACE COMPANY, INC. 1441380 IHSNAVAJOD. H. PACE COMPANY, INC.

P.O. BOX 90204200 MONAACO ST

WINDOW ROCK AZ 86515DENVER CO 802166606

TELEPHONE NO

Lii 7b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 1 8b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOC1( BELOWIS CHECKED [X]SEE ADDENDUM19 20.

21. 22. 23.

ITEM NO

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY UNIT UNIT PRICE AMOUNTThe contractor shall provide the followingInstallation of ADA Doors at the Kayenta HealthCenter, Kayenta, AZ. Services will be in accordance with Statement of Work.

* * * * * * * * * * * * * * * * * * NOTE TO VENDOR* * * * * * * * * * * * * * * * * PLEASE REFERENCE THE PURCHASE ORDER NUMBER LISTEDIN BLOCK #4 ON ALL INVOICES AND PACKING SLIPSASSOCIATED WITH THIS ORDER.

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

25. ACCOUNTING AND APPROPRIATION DATA

— 26 TOTAL AWARD AMOUNT (For Govt Use On!y) See schedule

$45,203.70Li 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52 212-1 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA Li ARE t] ARE NOT ATTACHED.

27b. CONTRACTIPURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.2124. FAR 52 212-5 IS ATTACHED ADDENDA Li ARE ARE NOT ATTACHED.

p028 CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN I - -

- ri 29. AWARD OF CONTRACT:

OFFER

COPIES TO ISSUING OFFICE CONTRACTOR AGREES TO FURNISH AND DELIVER DATED

-‘ YOUR OFFER ON SOLICITATION (BLOCK 5),

ALL ITEMS SET FORTH OR OTHERWiSE IDENTIFIED ABOVE AND ON ANY ADDITIONAL INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

HEREIN, IS ACCEPTED AS TO ITEMS30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

3Db NAME AND TITLE OF SIGNER (Type orpdnt) 3DC DATE SIGNED

ROXANNE R. FRANKLIN 04/09/2019

STANDARD FORM 1449 (REV. 212012)

Prescribed by GSA - FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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.

INVOICE SUBMISSION INSTRUCTIONS: The Contractor shall submit invoices in accordance with FAR

Clause 52.212-4(g) by regular postal mail to:

Kayenta Health Center

ATTN: Financial Management Team

P.O. Box 1276

Kayenta, AZ 86033

Delivery: 09/30/2019

Period of Performance: 04/09/2019 to 09/30/2019

1 PROPOSAL OF AUTO OPERATORS (INSTALLATION OF ADA 42,645.00

DOORS)

2 - DOOR PAIR AUTO OPERATOR 72"

3 - SINGLE DOOR AUTO OPERATORS 48"

1 - SINGLE DOOR AUTO OPERATOR 36"

1 - VESTIBULE ADA PUSH BUTTON PACKAGE

4 - SINGLE DOOR ADA PUSH BUTTON PACKAGES

2 - ELECTRIC STRIKES

2 - POWER TRANSFER CORDS

2 - ELECTRIC LATCH RETRACTION KITS

3 - 4.5" X 4.5" BALL BEARING HINGES

2 - POWER SUPPLIES

$42,465.00

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

5 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

D. H. PACE COMPANY, INC. 1441380

(A) (B) (C) (D) (E) (F)

75H71019P00566

Accounting Info:

2019.J549FSE.25407 Appr. Yr.: 2019 CAN: J549FSE

Object Class: 25407

Funded: $42,645.00

2 NAVAJO NATION TAX 2,558.70

$2,558.70

Accounting Info:

2019.J549FSE.23345 Appr. Yr.: 2019 CAN: J549FSE

Object Class: 23345

Funded: $2,558.70

Contracting Officer (CO): Sheila Denny, Contract

Specialist, Telephone: (928) 697-4027, Sheila.Denny@ihs.gov.

Contracting Officer (CO): is the only individual to authorize modifications to the purchase order and/or terms and conditions.

Per FAR Subpart 1.602-2(d), the Contracting

Officer (CO) determines that this order does requires a Contracting Officer Representative

(COR).

Contracting Officer Representative (COR): Antonio

Anagal, KHC General Engineer, telephone

928-697-4377, Antonio.Anagal@ihs.gov

Supervisory Point of Contact (SPOC): Desmond

Jones, KHC Supervisor General Engineer, Telephone: (928) 697-4375, Desmond.Jones@ihs.gov.

**INVOICE SUBMISSION**:

The Contractor shall submit invoices once in accordance with FAR Clause 52.212-4(g) by regular postal mail to:

Kayenta Health Center

ATTN: Financial Management Team

P.O. Box 1276

Kayenta, AZ 86033

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

4 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

D. H. PACE COMPANY, INC. 1441380

(A) (B) (C) (D) (E) (F)

75H71019P00566

Additionally, the Contractor is required to include its Data Universal Numbering System

(DUNS) number on each invoice. For additional information about the Dun & Bradstreet (D&B) DUNS number, please visit http://fedgov.dnb.com/webform.

Invoices shall be submitted in accordance with the contract terms, i.e. payment schedule, progress payments, partial payments, deliverables, etc.

All information set forth in FAR Clause

52.212-4(g), Invoice, must be included in all invoices for it to constitute a proper invoice.

In accordance with OMB Memorandum, M-11-32, Agencies shall make payments to small businesses as soon as practicable, with the goal of making payments within 15 days of receipt of a proper invoice. If a small business contractor is not paid within this (15 day) accelerated period, the contractor will not be given a late-payment interest penalty. Interest penalties, as prescribed by the Prompt Payment Act, remain unchanged by means of this memorandum. All small businesses shall label all invoices as "Small

Business."

Additionally, in accordance with OMB Memorandum, M-12-16, all prime contractors are encouraged to disburse funds received from the Federal

Government to their small business subcontractors in a prompt manner. To assist prime contractors in expediting contractor payments to small business subcontractors, Agencies shall, to the full extent permitted by law, temporarily establish an earlier, accelerated date for making agency payments to all prime contractors.

Consistent with OMB Memorandum M-11-32 above, Agencies shall have a goal of paying all prime contractors within 15 days of receiving proper documentation. In an effort to support small business growth, drive economic activity and job creation, the Contractor is encouraged to accelerate payments to their small business subcontractors.

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

5 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

D. H. PACE COMPANY, INC. 1441380

(A) (B) (C) (D) (E) (F)

75H71019P00566

In accordance with the requirements of the Debt

Collection Improvement Act of 1996, all payments under this order will be made by electronic funds transfer (EFT). The Contractor shall provide financial institution information to the Finance

Office designated above in accordance with FAR

52.232-33 Payment by Electronic Funds Transfer -

System for Award Management.

Questions regarding Payment contact Finance at

928.697.4386.

Additional Applicable Federal Acquisition Clauses:

52.204-7 System for Award Management (Oct 2016)

52.204-9 Personnel Identity Verification of

Contractor Personnel (Jan 2011)

52.212-4 Contract Terms and Conditions-Commercial

Items (Oct 2018)

52.229-3 Federal, State, and Local Taxes (Feb

2013)

52.232-33 Payment by Electronic Funds

Transfer-Systems for Award Management (Jul 2013)

52.232-40 Providing Accelerated Payments to Small

Business Subcontractors (Dec 2013)

52.237-2 Protection of Government Buildings, Equipment, and Vegetation (APR 1984)

52.237-3 Continuity of Services (Jan 1991)

The total amount of award: $45,203.70. The obligation for this award is shown in box 26.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)