TIRMS10R00004 Pricing Schedule rev 9-08-10.rtf

TIRMS-10-R-00004

Page of 64 OMB Control No. 1505-0081

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

D-0-D7-20-GR-D00 000

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NUMBER

5. SOLICITATION NUMBER

TIRMS-10-R-00004

6. SOLICITATION ISSUE DATE

07/19/2010

7. FOR SOLICITATION INFORMATION CALL:

a. NAME Joshua L. Haker

b. TELEPHONE NUMBER (No collect calls) 972-308-1997

8. OFFER DUE DATE/ LOCAL TIME

09/22/2010 2:00 PM CST

9. ISSUED BY

CODE

IRS0030

10. THIS ACQUISITION IS

X

IRS, Midstates Procurement, OS:A:P:B:M 4050 Alpha Rd, 1045NDAL, 9th Flr, Rm 930 Mail Stop 1045/NDAL Dallas , TX 75244-4203

UNRESTRICTED OR

SET ASIDE:

% FOR

SMALL BUSINESS

EMERGING SMALL BUSINESS

NAICS:561612

HUBZONE SMALL BUSINESS

SIZE STANDARD:

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

11. DEVLIVERY FOR FOB DESTINATION

UNLESS BLOCK IS MARKED

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER DPAS

(15 CFR700)

13b. RATING

SEE SCHEDULE

15. DELIVER TO

CODE

41042001

16. ADMINISTERED BY

CODE

IRS0030

IRS, Midstates Procurement, OS:A:P:B:M 4050 Alpha Rd, 1045NDAL, 9th Flr, Rm 930 Dallas , TX 75244-4203

IRS, Midstates Procurement, OS:A:P:B:M 4050 Alpha Rd, 1045NDAL, 9th Flr, Rm 930 Dallas , TX 75244-4203

17a. CONTRACTOR/

CODE

00055905

FACILITY

18a. PAYMENT WILL BE MADE BY

CODE

INVB030

OFFEROR

CODE

TO ALL OFFERORS

IRS Beckley Finance Center P.O. Box 9002 Tel: (304) 254-3300 Beckley, WV 25802

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

BASE YEAR: 02/01/2011 – 09/30/2011

Contract Type: Firm-fixed-price, Labor-hour

BASIC SECURITY GUARD SERVICES AT THE

FRESNO, CA AND OGDEN, UT CAMPUSES 24 HOURS A

DAY, 7 DAYS PER WEEK, 365 DAYS PER YEAR,

INCLUDING HOLIDAYS.

“Provide basic security guard services in accordance with the attached PWS”.

0001A Fresno, CA Campus 8.00

MO

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

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4, FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

29. AWARD OF CONTRACT: REF. OFFER

DATED . YOUR OFFER ON SOLICITATION (BLOCK 5).

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

HEREIN, IS ACCEPTED AS TO ITEMS:

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT)

30c. DATE SIGNED

31b NAME OF CONTRACTING OFFICER (TYPE OR PRINT)

31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV. 3/2005) PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212 19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE (US$)

24.

AMOUNT (US$)

(CONTINUE)

0001B Ogden, UT Campus 8.00

MO

EMERGENCY/ADDITIONAL GUARD SERVICES TO BE

USED ON AN AS NEEDED BASIS NOT TO EXCEED

2,000 HOURS PER LOCATION.

0002A

2,000.00

HR

0002B

2,000.00

HR

OPTION 1: 10/01/2011 – 09/30/2012

DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR,

1001A

12.00

MO

1001B

12.00

MO

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER

34. VOUCHER NUMBER

35.AMOUNT VERIFIED CORRECT FOR

36. PAYMENT

COMPLETE PARTIAL FINAL

37. CHECK NUMBER

PARTIAL

FINAL

38. S/R ACCOUNT NUMBER

39.S/R VOUCHER NUMBER

40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42.a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42b. RECEIVED AT (Location)

42.c DATE REC’D (YY/MM/DD)

42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 3/2005) BACK

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE (US$)

24.

1002A

2,000.00

HR

1002B

2,000.00

HR

OPTION 2: 10/01/2012 - 09/30/2013

FRESNO, CA AND OGDEN, UT CAMPUSES 4 HOURS A

2001A

12.00

MO

2001B

12.00

MO

2002A

2,000.00

HR

2002B

2,000.00

HR

OPTION 3: 10/01/2013 - 09/30/2014

3001A

12.00

MO

3001B

12.00

MO

FORM 1449 CONTINUE SHEET 1

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE (US$)

24.

3002A

2,000.00

HR

3002B

2,000.00

HR

OPTION 4: 10/01/2014 - 09/30/2015

4001A

12.00

MO

4001B

12.00

MO

4002A

2,000.00

HR

4002B

2,000.00

HR

OPTION 5: 10/01/2015 - 01/31/2015

5001A

4.00

MO

FORM 1449 CONTINUE SHEET 2

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE (US$)

24.

5001B

4.00

MO

5002A

2,000.00

HR

5002B

2,000.00

HR

Note: Refer to Exhibit 4, Application of Criteria for Deductions.

FORM 1449 CONTINUE SHEET 3