Sol_140A2321Q0749.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

A23

Albuquerque NM 87104 Suite 352A 1011 Indian School Rd.

Indian Education Acquisition Office

0009061972 CODE 16. ADMINISTERED BYCODE

X

X

X

324110

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORA23

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

09/22/2021 1200 ES

09/20/2021

5058034259Mary Jane Johnson (No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

140A2321Q0749

5. SOLICITATION NUMBER

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

1 5 0040554790OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

KYKOTSMOVI AZ 86039

10 Mile North Dinnebito Road PO Box 299

BIE ROCKY RIDGE BOARDING SCHOOL

15. DELIVER TO

Albuquerque NM 87104 Suite 352A 1011 Indian School Rd.

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

1,500

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)

Indian Education Acquisition Office

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.

PROPANE FOR ROCKY RIDGE BOARDING SOLICITATION

140A2321Q0749 100% BUY INDIAN SET ASIDE.

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in subpart 12.6, as supplemented with additional information included in this notice.

This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued.

This is a request for quote (RFQ in accordance (Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

Mary Jane Johnson

. 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.

with FAR part 12, Commercial Items and FAR part

13, Simplified Acquisition Procedures, This requirement is the delivery of Propane for

Rocky Ridge Boarding School, estimated annual use

23,000 gallons.

NAICS: 324110 LIQUID AND GAS FLOW, LIQUID LEVEL,

SB Size Standard 1,500

Place of Performance: Rocky Ridge Boarding

School, PO Box 299, 10 Miles North of Dinnebito

Road in Kykotsmovi, AZ 86039

CONTRACT TYPE: Fixed Price With Economic Price

Adjustment.

PERIOD OF PERFORMANCE (POP)

Base Year: 10/1/2021 to 9/30/2022

Option Year 1: 10/1/2022 to 9/30/2023

Option Year 2: 10/1/2023 to 9/30/2024

Option Year 3: 10/1/2024 to 9/30/2025

Option Year 4: 10/1/2025 to 9/30/2026

PRICING SUMMARY

CONTRACTOR TO PROVIDE PROPANE DELIVERY SERVICES

FOR THE ROCKY RIDGE BOARDING SCHOOL

BASE YEAR: OCTOBER 01,2021 TO SEPTEMBER 30, 2022

1. ROCKY RIDGE BOARDING SCHOOL:

(1) PROPANE $ _______ per gallon X 23,000 =

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

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

140A2321Q0749

NAVAJO NATION TAXES @ 6% $___________

ALL APPLICABLE STATE TAXES $ ___________

SUB -TOTAL: $_______________

OPTION YEAR 1: OCTOBER 01,2022 TO SEPTEMBER 30,

2. ROCKY RIDGE BOARDING SCHOOL:

(1) PROPANE $ _______ per gallon X 23,000 =

NAVAJO NATION TAXES @ 6% $___________

ALL APPLICABLE STATE TAXES $ ___________

SUB -TOTAL: $_______________

OPTION YEAR 2: OCTOBER 01,2023 TO SEPTEMBER 30,

3. ROCKY RIDGE BOARDING SCHOOL:

(1) PROPANE $ _______ per gallon X 23,000 =

NAVAJO NATION TAXES @ 6% $___________

ALL APPLICABLE STATE TAXES $ ___________

SUB -TOTAL: $_______________

OPTION YEAR 3: OCTOBER 01,2024 TO SEPTEMBER 30,

4. ROCKY RIDGE BOARDING SCHOOL:

(1) PROPANE $ _______ per gallon X 23,000 =

NAVAJO NATION TAXES @ 6% $___________

ALL APPLICABLE STATE TAXES $ ___________

SUB -TOTAL: $_______________

OPTION YEAR 4: OCTOBER 01,2025 TO SEPTEMBER 30,

5. ROCKY RIDGE BOARDING SCHOOL:

(1) PROPANE $ _______ per gallon X 23,000 =

NAVAJO NATION TAXES @ 6% $___________

ALL APPLICABLE STATE TAXES $ ___________

SUB -TOTAL: $_______________

Award will be made to the lowest priced offeror, who's quote conforming to the requirements herein, will be most advantageous to the

Government, and is fair and reasonable.

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

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

140A2321Q0749

The Government will award a contract resulting from this solicitation to the responsive responsible offeror whose offer conforming to the solicitation will be most advantageous to the

Government. The factors used to evaluate offers will be (i) Price [The Total Price for all CLINs plus Option CLINs will be evaluated. Offerors shall include pricing for the Base Period of

Performance and Four Option Periods to be considered for award] and (ii) Past Performance

[Past performance will be evaluated as positive, negative, or neutral. All proposals shall submit at least three Points of Contact with complete name, phone number and e-mail address that can confirm relevant past performance. An offeror without a record of relevant past performance or whom information on past performance is not available will not be evaluated positive or negative on past performance. If the offeror has no record of past performance, they will be rated neutral.

Service Contract Act WD # 2015-5477 (Rev.-15), Date Of Revision: 07/15/2021 for Navajo County, Arizona is applicable to this solicitation and resulting award.

CONTRACT CLAUSES: The following FAR Clause including all addenda applies to this acquisition: 52.212-1, Instructions to

Offerors-Commercial Items; 52.212-4 - Contract

Terms and Conditions-Commercial; 52.212-5 -

Contract Terms and Conditions Required to

Implement Statutes or Executive Orders-Commercial

Items; 52.232-1, Payment; 52.232-33, Payment by

Electronic Funds Transfer-Central Contractor

Registration (Oct 2003); 52.232-36, Payment by

Third Party (May 1999);52.229-3, Federal, State, and Local Taxes (April 2003); 52.213-02, Invoices; 52.217-08, Option to Extend Services;

52.217-09, Option to Extend the Term of the

Contract; 52.232-18, Availability of Funds;

52.232-19, Availability of Funds for the Next

Fiscal Year; 52.222-41, Service Contract Act of

1965; 52.222-43, Fair Labor Standard Act and

Service Contract Act-Price Adjustment (Multiple

Continued ...

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

5 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

140A2321Q0749

Year and Option Contracts); The following

Department of Interior provisions and clauses apply to this solicitation: DIAR 1452-204-70, Release of Claims - Department of the Interior;

1452.226-70, Indian Preference; 1452.226-71, Indian Preference Program, 1452.280-1 Notice of

Indian small business economic enterprise set aside, 1452.280-2 Notice of Indian economic enterprise set-aside, 1452.280-3 Subcontracting limitations, 1480.102 Buy Indian Act acquisition regulations, 1452.280-4 Indian economic enterprise representation.

The Federal Acquisition Regulations clauses and provisions are available on the website at http://www.arnet.gov/far or may be requested from the Contracting Officer.

Sign and date offers with a complete copy of FAR

Clause 52.212-3, Offeror Representations and

Certifications-Commercial Items, are due at the

Bureau of Indian Education, Division of

Acquisition, Attention: Mary Jane Johnson at maryjane.johnson@bia.gov.

Any further questions regarding this announcement may be directed to maryjane.johnson@bia.gov, Contracting Specialist. All contractors submitting offers must be registered in the

SAM.GOV in order to receive contracts and purchase orders from the Federal Government. To register or learn more about the SAM.gov, go to:

http://sam.gov.

Legacy Doc #: IA

Delivery: 07/31/2022

Period of Performance: 09/23/2021 to 09/30/2022

00010 EMERGENCY REQ. Propane Delivery

Product/Service Code: 6830

Product/Service Description: GASES: COMPRESSED

AND LIQUEFIED

Period of Performance: 07/01/2021 to 07/31/2022

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