Sol_140A0822R0002.pdf

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

A08

Muskogee OK 74402

3100 WEST PEAK BOULEVARD

Contracting Office

DOI, BIA EORO

CODE 16. ADMINISTERED BYCODE

X

X

922160

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORA08

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

07/01/2022 1700 CD

06/01/2022

918-781-4618Teihahnietuh McCargo (No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

140A0822R0002

5. SOLICITATION NUMBER

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

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

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Muskogee OK 74402 Contracting Office

3100 WEST PEAK BOULEVARD

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)

BIA EORO 00008

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.

A Blanket Purchase Agreement(s) (BPA) will be issued as the mechanism to reimburse the Fire Department for Indian Wild Land Fire Suppression Services to the Eastern Oklahoma Regional Office for the protection of Natural Resources, Forests, and Wildlands that are subject to the oversight of the Bureau of Indian Affairs (BIA).

Period of Performance: 08/01/2022 to 07/31/2023

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

Andrew Rhoades

. 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.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

17 2 of

SCOPE OF SERVICES

SECTION 1. GENERAL INFORMATION

1.1 Purpose

This contract is for the protection of Natural Resources, Forests, and Wildlands that are subject to the oversight of the Bureau of Indian Affairs (BIA).

The Contractor, also referred to as the Fire Department, must be a duly constituted fire department, fire district, or non-profit association or political subdivision of the state authorized to provide wild land fire protection within the boundary of the State of Oklahoma and must be authorized to enter this contract by its governing body. The Contractor must have the ability to respond and suppress fires on Indian wild land subject to the oversight of the BIA on a timelier and more effective basis than other resources in the state; and can more adequately carry out this function if additional equipment and technical assistance are available. Contractor shall have wild land firefighting resources readily available to the BIA for Indian wild land fire suppression work.

1.2 Scope of Work

The Fire Department must provide all personnel, equipment, tools, materials, supervision, and other items and services necessary to perform Wild Land Fire Suppression as defined in this Scope of Service, except as specified in Section 6 Government-Furnished Equipment and Supplies. The fire department must perform to the standards in this contract as listed in the Scope of Services.

SECTION 2. ADMINISTRATION

2.1 Authorized BIA Representative.

The term "BIA Representative" shall be used in this BPA to generally identify BIA personnel authorized to perform specified duties and functions related to the BPA, and shall include any one or more of the following BIA personnel, acting alone or in concert:

a. Regional Fire Management Officer;

b. Fire Operations Specialist;

c. A Technical Specialist or any other person authorized by the Regional Director to perform a specific function or functions related to this agreement.

2.2 Contractor Personnel

The BIA assumes that the Fire Chief will be the person responsible for the administration of this contract. The Contractor must notify the BIA in writing if the person responsible is someone other than the Chief.

Standards and qualifications for all contract employees and/or volunteers are outlined under the Fitness and Training Qualifications Section.

SECTION 3. SERVICE AREA

3.1 Eastern Oklahoma Regional Office (EORO)

The administrative boundary of the BIA EORO (hereinafter referred to as the Regional Office) is shown on the map attached hereto as Attachment 2 and expressly incorporated into and made part of this contract.

3.2 Contractor’s Normal Operating Area

The Contractor’s Normal Operating Area encompasses (1) Contractor’s Primary Response Area, which is the geographic area in which Contractor is the primary provider of emergency services, including areas which Contractor serves in accordance with a contract for provision of primary services to any other entity or entities; and (2) the areas in which the Contractor provides Mutual- Aid under current Mutual-Aid agreements between the Contractor and other Fire Departments.

The boundary of Contractor’s Normal Operating Area, with the locations of Contractor’s Primary Response Area, and the area subject to Mutual-Aid by Contractor within said boundary, including the primary response areas of other firefighting entities, are shown on the map attached hereto as Attachment 3 and expressly incorporated into and made a part of this contract. The Contractor shall provide the BIA Representative with an update of this map in the event of any change in the Normal Operating Area boundary.

SECTION 4. INDIAN LAND AND INDIAN WILD LAND

4.1 Indian Land

The term "Indian lands" as used in this BPA means surface land within the administrative boundary of the Regional Office, title to which is held (1) by the United States in trust for an Indian tribe or for an individual member of an Indian tribe, or (2) by an Indian tribe or by a member of an Indian tribe subject to a restriction by the United States against alienation. For payment purposes related to this BPA only, the locations of tracts which have been identified by the BIA as known or presumed Indian land located within Contractor’s Normal Operating Area, based on the best available information, are shown on a map to be provided to Contractor no later than the effective date of this contract. Any erroneous identification or non-identification of Indian land on said map may be subject to correction by either party to this contract, upon presentation of proof of the status of said land. The map may be updated annually, or as new information becomes available.

4.2 Indian Wild Land

The term "Indian wild land'' as used in this contract means Indian land located outside the boundary of a maintained yard or improved compound.

SECTION 5. PROVISION OF INDIAN WILDLAND FIREFIGHTING SERVICES BY

CONTRACTOR

5.1 Contractor’s Primary Services

The Contractor shall respond to Indian Wild Land Fires within its Primary Response Area unless doing so would reduce the Contractor’s level of fire protection on other land within its Primary Response Area.

5.2 Mutual Aid by Contractor

The Contractor may provide Mutual-Aid for Indian wild land fires located within its Normal Operating Area with necessary equipment and manpower, when requested by a BIA Representative or requested by a Fire Department with which the Contractor has a Mutual-Aid agreement; provided; that any responsibility by the BIA to pay for Mutual-Aid services on Indian wild land shall he determined pursuant to Section l0 herein.

5.3 Notice to BIA

At the time of response, the Contractor shall notify the BIA Representative if the fire is known to be on wild land designated as Indian land on the map provided by the BIA pursuant to Section 3 of this contract. If the fire is not known to be on wild land designated as Indian land on said map at the time of the response or if the fire is on wild land found to be Indian land but not so designated on said map, the Contractor shall notify the BIA Representative as soon practicable after the site or the fire is determined to be Indian wild land; and no later than thirty (30) days from ending date of the Contractor's Indian wild land fire response, including proof or the Indian land status of the land if the site of the fire is not designated as Indian land on the said map. The BIA Representative will assign Wild Land Fire Numbers, Incident Order Numbers, and/or Request Numbers for each Indian wild land fire incident occurring on Indian wild land. All documentation for incidents shall be reference by these numbers.

5.4 BIA Assistance

The Contractor shall accept input by BIA Representatives while engaged in suppression activities on Indian wild land pursuant to this contract. A BIA Representative may authorize provision of BIA and wild land firefighting resources to suppress Indian wild land fires inside the Contractor's Normal Operating Area. This assistance may only be provided when the BIA has resources available, and the wild land fire is a threat to life and/or real property.

5.5 Protection of Point of Origin

The Contractor shall protect the Point of Origin of each Indian wild land fire for an arson investigation by the appropriate officials.

5.6 Provisions of Rations to Firefighters

The Contractor shall provide food and drinks to its firefighters for the first 12 hours of an assignment. A BIA Representative may at any time provide additional food and drinks at no cost to the Contractor.

5.7 Reporting Requirements

The Contractor agrees to first submit a BIA Individual Wildland Fire Report (DI-1202) and Invoice within 5 days of the ending date of Contractor’s wildland fire response on known Indian wild land, and no later than 30 days from the ending date of Contractor’s wildland fire response on wildland later discovered to be Indian wildland.

SECTION 6. GOVERNMENT FURNISHED EQUIPMENT AND SUPPLIES

6.1 Joint Fire Prevention Activities

The BIA may provide, if available, prevention materials to the Contractor. The Contractor shall participate to the extent possible in Indian wild land fire prevention activities with the BIA in the Contractor’s Primary Response Area when requested by a BIA Representative.

6.2 Technical Assistance

The BIA may offer to the Contractor’s organization, training, technical assistance, and any other expertise available on its staff.

6.3 Personal Protective Equipment

The BIA may provide the Contractor with one or more sets of personal protective equipment that shall include hard hats, eye protection, fire resistant coveralls, leather work gloves, and fire shelters. The BIA shall determine the number of sets to be provided, based on financial considerations. The Contractor may possess and use the personal protective equipment provided by the BIA while this contract is in effect. The Contractor shall not be required to pay or reimburse the BIA for personal protective equipment provided by the BIA, but the BIA shall have the option to require return of the equipment upon termination of the contract.

SECTION 7. CONTRACT FURNISHED EQUIPMENT AND SUPPLIES

7.1 Provision and Condition of Equipment.

Except for Personal Protective Equipment pursuant to Section 6 of this contract, the Contractor shall provide all equipment used by the Contractor in performing functions under this contract.

All equipment furnished by the Contractor under this contract must be inspected by a BIA Representative prior to assignment. The BIA reserves the right to reject equipment which is not in a safe and operative condition.

7.2 Equipment Operating Supplies

The Contractor shall provide equipment operating supplies unless otherwise expressly stated in this contract. Equipment operating supplies are consumables and include fuel, oil, filters, batteries, and other similar types of consumable supplies.

7.3 Equipment Repairs

Repairs to equipment shall be made and paid for by the Contractor unless otherwise expressly stated in this contract.

7.4 Loss, Damage or Destruction of Equipment or Supplies

The Contractor may be reimbursed if such losses, damages, or destruction were directly caused by the Indian wild land fire being suppressed and if its employees and/or operational failures in the equipment were not a contributing factor to such damage, to the extent not covered by Contractor’s insurance. Claims shall be processed in accordance with the Contract Disputes Act of 1978.

SECTION 8. FIREFIGHTER FITNESS AND TRAINING QUALIFICATIONS

8.1 Minimum Standards for Firefighters Engaged in Fire Suppression on Indian Wild land within Contractor’s Normal Operating Area.

The Contractor shall establish and maintain written physical fitness and training standards for firefighters engaged in fire suppression on Indian Wild land within its Normal Operating Area for purposes of this contract, to ensure that each of its firefighters possess adequate physical condition to meet the arduous demands of wild land firefighting and that each of its firefighters is trained to safely execute fire suppression tactics and strategies. These standards shall be included in the Contractor’s Standard Operating Procedures. In the absence of establishment of standards by Contractor, National Wildfire Coordinating Group standards shall serve as minimum fitness and training standards for firefighters engaged in fire suppression on Indian wild land inside the Contractor’s Normal Operating Area.

8.2 Minimum Standards for Firefighters Operating Outside Contractor’s Normal Operating Area.

Although services by the Contractor’s firefighters outside of their Normal Operating Area on federal wild land fires are outside the scope of this contract, the Contractor acknowledges that National Wildfire Coordinating Group Fitness and Training Standards must be adhered to by its firefighters when engaged in such activities.

8.3 Certification of Qualifications

The Contractor shall certify to the BIA that each of its firefighters participating in wild land fire suppression on Indian wild land within or outside the Contractor’s geographic protection area meet and adhere to the minimum standards for such activities as set forth in this Section before use of the firefighter for purposes of this contract.

8.4 Recommended Training

The Contractor will work towards the goal or requiring its firelighters to meet wild land fire training qualifications and physical fitness standards as defined by the National Wildfire Coordinating Group and any other standards set forth by the BIA. Completion of National Wildfire Coordinating Group Courses S-130, S-190, I-100 and I-200 are recommended. The BIA may provide training opportunities to firelighters at no cost to Contractor, which may include initial training and/or supplemental training.

SECTION 9. SAFETY REQUIREMENTS

9.1 Personal Protective Equipment

Each of the Contractor’s firefighters shall be required to utilize the following minimum personal protective equipment set while actively engaged in an Indian wild land fire response: hard hat, eye protection, long sleeve fire resistant shirt, fire resistant trousers (fire resistant coveralls are acceptable), leather boots with minimum 8” top and non-skid soles, leather work gloves, and a fire shelter. Personal Protective Equipment shall meet National Fire Protection Association 1977-93 standards.

9.2 Compliance with Safety Rules and Standards

The Contractor shall comply with all National Fire Protection Association or National Wildfire Coordinating Group safety rules and standards.

SECTION 10. PAYMENT RATE

10.1 Reimbursement to Contractor for Primary Services

The BIA shall reimburse the Contractor for the cost incurred by such party for Indian wild land fire suppression activities within the Contractor’s Primary Response Area, in accordance with the payment provisions in this Section.

10.2 Payment to the Contractor

The BIA shall also pay the Contactor for reasonable Mutual-Aid on Indian wild land fires within Contractor's Normal Operating Area if such assistance has been determined to be appropriate by the BIA Representative. Such determination shall be based on the need for the Mutual Aid at the specific fire location and time as indicated by: 1) a Burning Index (BI) of 30 or above, As reported on the internet by the Oklahoma Department of Agriculture for Mutual Aid to an area immediately adjacent to Contractor's primary response area; or 2) a BI of 36 or above for Mutual Aid to an area which is not immediately adjacent to Contractor's primary response area; or 3) a BI below 30 for Mutual Aid anywhere in Contractor's Normal Operating Area, where there was a lack of other available fire suppression resources to respond to the lire.

10.3 Reimbursement to Contractor for Payment for Mutual-Aid by another Entity

If another entity provides "mutual aid" by assisting with Contractor’s Indian wild land suppression activities in Contractor’s Primary Response Area, the Contractor shall be responsible for any payment due said entity, unless said entity is entitled to receive direct payment form the BIA through a Wild land Fire Management Contract or Agreement between the entity and the BIA.

10.4 Rates for Initial Attack

The BIA shall pay the Contractor a flat rate, which is cited on the OF-317, for an Initial Attack, which includes up to the first 12 hours of suppression. Invoices shall he submitted through the Internet Payment Platform (IPP) for payment. for Initial Attack on the invoice form provided by the BIA and shall include a Wild Land Fire Report. All Wild Land Fire Reports shall he signed by the Contractor's Incident Commander or person in charge and approved by a BIA Representative.

There shall be no payment or reimbursement for false runs or for those invoices which do not include a Wild Land Fire Report.

10.5 Rates for Extended Attack

Indian wild land fires which require suppression efforts to continue beyond an Initial Attack shall he considered to be an Extended Attack. If use of Contractor's resources for Extended Attack is approved by the authorized BIA Representative, the BIA shall pay for the Extended Attack. The BIA shall not make payment or reimbursement for equipment that has not been inspected and approved by the BIA.

Payments for Extended Attacks shall be in the form of an hourly rate, or a mileage rate set forth in the attached Cooperative Wild Land Rate Schedule, which is incorporated into and made apart of this contract as Attachment 4. The hourly rate will be used for time beyond the twelve-hour Initial Attack time, unless the Contractor is using government excess property, in which case the mileage rate will be used. The Extended Attack time-period subject to BIA payment or reimbursement at an hourly rate shall start twelve hours from the time the Contractor is notified to respond to an incident on Indian wild land and shall end by notification to the Contractor by the Incident Commander or a BIA Representative that equipment is released back to its point of hire.

The time shall be recorded by the Incident Commander, a BIA Representative or person responsible for ordering and/or directing use of' each piece of equipment. Time for purposes or the hourly rate shall he calculated to the nearest half hour. Mileage for purposes of the mileage rate shall be calculated to the nearest mile.

Invoices submitted for payment for Initial Attack shall he submitted through the Internet Payment Platform (IPP) on a form provided by the BIA, and shall include completed Crew Time Reports (Form SF-261) and/or Emergency Equipment Shift Tickets (Form SF- 297) signed by the Incident Commander and approved by a BIA Representative and itemized receipts for any other expenses. Invoices for work shifts exceeding sixteen (16) hours must be accompanied by written justification approved by the Incident Commander and a BIA Representative.

Once an invoice is received and verified that it meets the criteria that it is fire that can be processed by the BIA, a BPA Call will he issued against the contract. The BPA Call will he emailed to the fire department. This will be the document that you use to create the invoice in IPP, which is the US Treasury's Invoice Processing Platform System. The website for this system is www.ipp.gov.

Prior to submitting any invoices, the fire department will need to register in this system. Once the invoice has been created and approved, payment should be received within 14 days.

10.6 Deductions from Payments and Reimbursements

Unless specifically stated elsewhere in this contract, the cost of any commissary items, supplies, materials, or services provided to the Contractor by the BIA, including operating supplies and/or equipment repairs provided by the BIA pursuant to Section 7 of the contract, shall be deducted from the payment or reimbursement to the Contractor.

SECTION 11. BENEFITS AND INSURANCE

The Contractor shall pay all salaries, insurance, pensions, and other benefits provided to firefighters regularly employed by the Contractor. Nothing herein waives or limits the responsibility of the Contractor and any entity providing mutual aid to the Contractor on Indian land to provide Workers Compensation coverage for its own employees as defined by State Statutes, who perform services pursuant to this Contract. The Contractor shall provide an Annual Certificate of Insurance to the Contracting Officer as evidence that policies providing the required coverage and limits are in full force and effect for its employees who may perform services pursuant to this contract. Where a claim for Workers Compensation is made, the employee's entity is responsible for providing the Workers Compensation coverage regardless of where the action occurred or the law that was being enforced.

SECTION 12. LIABILITIES AND IMMUNITIES

Notwithstanding any other provision in this Contract, the BIA, including its agents, employees, and insurers, shall not have the authority or any right whatsoever to control in any manner the day-to-day discharge of the duties and/or activities of the Contractor’s employees, and do not assume any responsibility or liability for the actions of Contractor’s employees which are performed within or outside the scope of their duties. Contractor and its agents, employees, contractors, and volunteers shall be deemed independent contractors, and shall not be deemed agents of the BIA for any purpose.

SECTION 13. INSPECTION AND AUDIT OF RECORDS

The Contractor shall retain all books, accounts, reports, files, and other records ("Records") relating to this contract for a period of five years after completion of this contract. All records shall be subject to inspection and audit by the BIA at all reasonable times. Upon request, the Contractor shall produce the original of all such records at the offices of the BIA.

http://www.ipp.gov/

SECTION 14. TERM OF BPA

This contract will be instituted on August 1, 2022 – July 31, 2023, with four optional periods:

• Option Year of Service One – August 1, 2023 – July 31, 2024

• Option Year of Service Two – August 1, 2024 – July 31, 2025

• Option Year of Service Three – August 1, 2025 – July 31, 2026

• Option Year of Service Four – August 1, 2026 – July 31, 2027

SECTION 15. GENERAL NOTES

1. The North American Industry Classification System (NAICS) codes for this agreement is:

922160 “Ambulance and Fire Service Combined.”

2. (PSC) L042

3. Solicitation dates: 2/11/2022 – 3/10/2022

4. Source selection criteria:

a. Past performance

b. Availability

c. Delivery time capability

d. Compliance with qualifications

5. The Bureau of Indian Affairs, Eastern Oklahoma Region will establish a Blanket Purchase Agreement(s) resulting from this solicitation in accordance with the factors listed in item four of this section. Accordingly, the Government may establish a BPA with other entities as considered necessary to maintain proper service levels to the EORO.

6. Services qualifying for this contract shall have addresses within the attached boundary map (Attachment 2)

SECTION 16. CONTRACT CLAUSES

52.252-2 Clauses Incorporated by Reference (FEB 1998) 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 www.acquisition.gov/far.

FAR

52.204-6 Unique Entity Identifier OCT 2016 52.204-7 System for Award Management OCT 2018 52.204-12 Unique Entity Identifier Maintenance OCT 2016 52.204-13 System for Award Management Maintenance OCT 2018

52.204.19 Incorporation by Reference of Representations and DEC 2014

Certifications

52.204.25 Prohibition on Contracting for Certain Telecommunications and NOV 2021 Video Surveillance Services or Equipment 52.212-3 Offeror Representations and Certifications-Commercial Products NOV 2021 and Commercial Services 52.212-4 Contract Terms and Conditions-Commercial Products and NOV 2021 52.212-5 Contract Terms and Conditions Required to Implement Statutes MAY 2022 Or Executive Orders-Commercial Products and Commercial

Services 52.214-34 Submission of Offers in the English Language APR 1991 52.214-35 Submission of Offers in U.S. Currency APR 1991 52.217-9 Option to Extend the Term of the Contract MAR 2000 52.222-55 Minimum Wages for Contractor Workers Under Executive Order JAN 2022 14026 52.222-62 Paid Sick Leave Under Executive Order 13706 JAN 2022 52.223-18 Encouraging Contractor Policies to Ban Text Messaging While JUN 2020 Driving 52.225-1 Buy American-Supplies NOV 2021 52.225-25 Prohibition on Contracting with Entities Engaging in Sanctioned JUN 2020 Activities Relating to Iran-Representation and Certification 52.229-3 Federal, State, and Local Taxes FEB 2013 52.232-18 Availability of Funds APR 1984 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business Subcontractors NOV 2021 52.233-1 Disputes MAY 2014 52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.244-6 Subcontracts for Commercial Products and Commercial JAN 2022 Services

DIAR

1452.201-70 Authorities and Delegations SEP 2011 1452.204-70 Release of Claims JUL 1996 1452.204-70 Indian Economic Enterprise Subcontracting Limitations FEB 2021

END

ATTACHMENTS:

2. Eastern Oklahoma Region Boundary Map

3. BIA Cooperative Wildland Fire Rate Schedule

4. DI-1202 Individual Fire Report

BUREAU OF INDIAN AFFAIRS

BRANCH OF WILDLAND FIRE MANAGEMENT

COOPERATIVE WILDLAND FIRE RATE SCHEDULE

COOPERATIVE FIRE RATE SCHEDULE NUMBER IGA REFERENCE AGREEMENT NUMBER

(1)FIRE DEPT/AGENCY NAME (COOPERATOR)

(5)BUREAU OF INDIAN AFFAIRS AREA OFFICE

Eastern Oklahoma Regional Office

(2)ADDRESS

(6)ADDRESS

P.O. Box 8002

(3)CITY, STATE, ZIP CODE

(7)CITY, STATE, ZIP CODE

Muskogee, OK 74401

(4a) BUS. PHONE:

(4b) EMERGENCY PHONE : 911

(8)PHONE

(918) 781-4642

(9)FEDERAL EMPLOYER ID NUMBER

(10)EFFECTIVE DATES OF AGREEMENT

BEGINNING ENDING

(11) EQUIPMENT STAFFING IS INCLUDED IN EQUIPMENT RATE (12) TYPE OF DEPARTMENT

[ X ] VOLUNTEER [ ]CAREER [ ]COMBINATION

(13) EQUIPMENT DESCRIPTION

List make, model, year, ICS Type, Gallons, GPM, Unit #, License #, 4X4, foam capability

(14)

STANDARD

STAFFING

RATES

(15) FLAT RATE 16) SPECIAL**

RATE UNIT RATE UNIT

A. FLAT RATE FOR SERVICES PROVIDED FOR INITIAL ATTACK $600.00 Run

B.

Hour C.

Hour D.

E.

F.

Hour G.

Hour

(17) Special Provisions **Section 16 refers only to rates for extended attack. Use attached Worksheet to Calculate Rates and List Vehicle Descriptions here:

B.

C.

D.

E.

F.

G.

(18)FIRE DEPT/AGENCY REPRESENTATIVE (19)NAME AND TITLE (PLEASE PRINT)

(20)DATE

(21)BUREAU OF INDIAN AFFAIRS REPRESENTATIVE

(22)NAME AND TITLE (PLEASE PRINT)

(23)DATE

FORM FM 100

U.S. Department of the Interior – Bureau of Indian Affairs

INDIVIDUAL FIRE REPORT

GENERAL REPORTING INFORMATION

BIA Region Reporting Unit Calendar Year Fire Number FireCode Fire Type / Protection Type

Incident Name Cause Category Burning Index

STATISTICAL DATA

No. State Owner Vegetation Burned Acres No. State Owner Vegetation Burned Acres

LOCATION DATA

Reservation Origin - Owner Origin - Accuracy Location - Method Datum

Latitude Longitude UTM Degrees Minutes Seconds Degrees Minutes Seconds Zone Easting Northing

FIRE MANAGEMENT DATA

Date Time Type Amount Acres

Discovery / Start

Initial Attack

Controlled / Completed

Declared Out

SITE DATA

Topography Aspect Slope Elevation Weather Station FBPS Fuel Model

MSGC

NFDRS Fuel Slope Grass Climate

Wildland Urban Interface (WUI)?

Yes No

Structures Number of homes & significant structures burned/destroyed

FIRE ECOLOGY

Condition Class Condition Class No. Fire Regime

Group Pre-fire Post-fire Acres No. Fire Regime

Group Pre-fire Post-fire Acres

Form DI-1202-BIA ver. 5/2007 Page 1 of 2

Individual Fire Report Record Identifier (Copy from page 1)

Reporting Unit Calendar Year Fire Number

GENERAL REMARKS Note: Attach a topographic map showing the perimeter for fires that are 100 acres or larger.

TRESPASS INVESTIGATION SUB-FORM – FOR HUMAN-CAUSED FIRES

FIRE CAUSE INFORMATION

Cause Code (General – Specific) Other Cause (if “Other – Known”) Suspect Classification

Was Fire Investigated?

Yes No

Suspect Identify

Known Unknown

Suspect Type

Resident Transient Unknown

TRESPASS/INVESTIGATION REMARKS

FUELS MANAGEMENT DATA SUB-FORM – FOR PRESCRIBED AND WILDLAND FIRE USE FIRES

PROJECT INFORMATION

Local Project Number NFPORS Treatment Number Firing Type Plot Burn Objectives Strategy Method #1 #2 #3

Cost Per Acre Escape? Overall Treatment Complexity Was this converted to a wildfire (suppression action taken)? Yes No

If “Yes”, Fire Number for the corresponding suppression action:

Very Low Low Moderate High

SIGNATURE BLOCK

Name Title Date

Data Provided By:

Authorized By:

Report Entered By:

Form DI-1202-BIA ver. 5/2007 Page 2 of 2