Sol_140L6421Q0013.pdf
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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
LZA
PHOENIX AZ 85004
ONE N. CENTRAL AVE, SUITE 800
BLM AZ-STATE OFC ADMN SVCS(AZ951)
0004276182 CODE 16. ADMINISTERED BYCODE
X
X
X
561720
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED ORLZA
RFPIFB
10. THIS ACQUISITION ISCODE
RFQ
14. METHOD OF SOLICITATION
13b. RATING
NAICS:
SMALL BUSINESS
05/18/2021 1400 PS
05/04/2021
3032361159Cindy Gonzalez (No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
140L6421Q0013
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 66 0040523777OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
TELEPHONE NO.
17a. CONTRACTOR/
PHOENIX AZ 85027-2099
21605 N 7TH AVE.
BLM-AZ HASSAYAMPA FIELD OFFICE
15. DELIVER TO
PHOENIX AZ 85004
ONE N. CENTRAL AVE, SUITE 800
9. ISSUED BY
7.
2. CONTRACT NO.
EFFECTIVE DATE
$19.50
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 SCHEDULEX
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)
BLM AZ-STATE OFC ADMN SVCS(AZ951)
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.
Please include your DUNS number with your quote.
The Bureau of Land Management (BLM), Phoenix District Office, is seeking quotes in response to a request for janitorial services to administer the public restroom facilities at recreation sites North and West of the Phoenix Metro area and in accordance with the attached Statement of Work (SOW) dated May 2021.
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
X
XX
DATED
Lisa Hariper
. 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.
Quotes shall be submitted in accordance with the attached Statement of Work (SOW).
All questions are due no later than May 11, 2021 by 2:00 pm (PS) to Cindy Gonzalez, Contract
Specialist.
All quotes are due no later than May 18, 2021 by
2:00 pm (PS) to Cindy Gonzalez, Contract
Specialist, and Lisa Hariper, Contracting Officer.
Period of Performance: 05/21/2021 to 05/20/2026
00010 Base year - Janitorial Services for the Northern
Locations - provide labor and material(s) (unless otherwise provided herein) necessary to meet the requirements in accordance with the Statement of
Work (SOW) dated May 2021.
Product/Service Code: S201
Product/Service Description: HOUSEKEEPING-
CUSTODIAL JANITORIAL
Period of Performance: 05/21/2021 to 05/20/2022
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
66 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 66
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
140L6421Q0013
00020 Base year - Janitorial Services for the Western
Locations - provide labor and material(s) (unless otherwise provided herein) necessary to meet the requirements in accordance with the Statement of
Work (SOW) dated May 2021.
Product/Service Code: S201
Product/Service Description: HOUSEKEEPING-
CUSTODIAL JANITORIAL
Period of Performance: 05/21/2021 to 05/20/2022
00030 Option Year 1- Janitorial Services for the
Northern Locations - provide labor and material(s) (unless otherwise provided herein) necessary to meet the requirements in accordance with the Statement of Work (SOW) dated May 2021.
(Option Line Item)
05/21/2022
Product/Service Code: S201
Product/Service Description: HOUSEKEEPING-
CUSTODIAL JANITORIAL
Period of Performance: 05/21/2022 to 05/20/2023
00040 Option Year 1 - Janitorial Services for the
Western Locations - provide labor and material(s)
(unless otherwise provided herein) necessary to meet the requirements in accordance with the
Statement of Work (SOW) dated May 2021.
(Option Line Item)
05/21/2022
Product/Service Code: S201
Product/Service Description: HOUSEKEEPING-
CUSTODIAL JANITORIAL
Period of Performance: 05/21/2022 to 05/20/2023
00050 Option Year 2 - Janitorial Services for the
Northern Locations - provide labor and material(s) (unless otherwise provided herein) necessary to meet the requirements in accordance with the Statement of Work (SOW) dated May 2021.
(Option Line Item)
05/21/2023
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
4 66
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
140L6421Q0013
Product/Service Code: S201
Product/Service Description: HOUSEKEEPING-
CUSTODIAL JANITORIAL
Period of Performance: 05/21/2023 to 05/20/2024
00060 Option Year 2 - Janitorial Services for the
Western Locations - provide labor and material(s)
(unless otherwise provided herein) necessary to meet the requirements in accordance with the
Statement of Work (SOW) dated May 2021.
(Option Line Item)
05/21/2023
Product/Service Code: S201
Product/Service Description: HOUSEKEEPING-
CUSTODIAL JANITORIAL
Period of Performance: 05/21/2023 to 05/20/2024
00070 Option Year 3 - Janitorial Services for the
Northern Locations - provide labor and material(s) (unless otherwise provided herein) necessary to meet the requirements in accordance with the Statement of Work (SOW) dated May 2021.
(Option Line Item)
05/21/2024
Product/Service Code: S201
Product/Service Description: HOUSEKEEPING-
CUSTODIAL JANITORIAL
Period of Performance: 05/21/2024 to 05/20/2025
00080 Option Year 3 - Janitorial Services for the
Western Locations - provide labor and material(s)
(unless otherwise provided herein) necessary to meet the requirements in accordance with the
Statement of Work (SOW) dated May 2021.
(Option Line Item)
05/21/2024
Product/Service Code: S201
Product/Service Description: HOUSEKEEPING-
CUSTODIAL JANITORIAL
Period of Performance: 05/21/2024 to 05/20/2025
00090 Option Year 4 - Janitorial Services for the
Northern Locations - provide labor and
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
5 66
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
140L6421Q0013 material(s) (unless otherwise provided herein) necessary to meet the requirements in accordance with the Statement of Work (SOW) dated May 2021.
(Option Line Item)
05/21/2025
Product/Service Code: S201
Product/Service Description: HOUSEKEEPING-
CUSTODIAL JANITORIAL
Period of Performance: 05/21/2025 to 05/20/2026
00100 Option Year 4 - Janitorial Services for the
Western Locations - provide labor and material(s)
(unless otherwise provided herein) necessary to meet the requirements in accordance with the
Statement of Work (SOW) dated May 2021.
(Option Line Item)
05/21/2025
Product/Service Code: S201
Product/Service Description: HOUSEKEEPING-
CUSTODIAL JANITORIAL
Period of Performance: 05/21/2025 to 05/20/2026
BLM Points of Contact:
Contracting Officer (CO), Lisa Hariper
Phone: 602-417-9434
Email: lhariper@blm.gov
Contract Specialist (CS), Cindy Gonzalez
Phone: 303-236-1159
Email: chgonzalez@blm.gov
Contracting Officer Representative (COR), Chris
Gammage
Phone: 623-580-5512
Email: cgammage@blm.gov
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
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