Attachment 5 - Water Testing Call Order Form Sample.pdf
PDF 135 KB Posted
- Attached to
- Amendment - 0002 - Water Testing BPA - Locations Shipping Addresses on PWS Federal contract opportunity
- Solicitation number
- W9127N24Q0098
About this file
This document is a combined synopsis/solicitation for a Blanket Purchase Agreement (BPA) for non-personal services related to water quality testing and sampling for the U.S. Army Corps of Engineers, Portland District. The government is seeking contractors to provide field sampling, mailing and chain of custody supplies, and laboratory analysis of water quality samples for drinking water systems and NPDES permit requirements in the Willamette Valley and Rogue River Basin. The BPA will have a 5-year period of performance, and the services will be ordered via individual calls. The government is looking for 100% small business offerors capable of either performing the full scope of collecting, testing, and reporting, or providing the necessary materials for the government to perform the sampling. Pricing is requested per the attached price list, and quotes are due by June 12, 2024. Award will be made to the lowest priced, technically acceptable offeror.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 3 - PWS WVP_RRB_WaterTestingBPA_R2.pdf | ||
| Attachment 7 - QASP-WVP BPA Water testing.pdf | ||
| Attachment 3 - PWS WVP_RRB_WaterTestingBPA_R1.pdf | ||
| Amendment 1_Response to Questions.pdf | ||
| Attachment 2 - BPA Tests and Sampling Schedule_R1.xlsx | XLSX spreadsheet | |
| Attachment 2 - BPA Tests and Sampling Schedule.xlsx | XLSX spreadsheet | |
| Attachment 3 - PWS WVP_RRB_WaterTestingBPA.pdf | ||
| Attachment 6 - BPA Call Order Tracking Sheet Sample.xlsx | XLSX spreadsheet | |
| Attachment 7A_WD_2015-5569_LaneOR.pdf | ||
| Attachment 1 - CLAUSES.pdf | ||
| Attachment 4 - BPA Terms Conditions May2024.pdf | ||
| Attachment 7B_WD_2015-5571_JacksonOR.pdf | ||
| Attachment 7C_WD_2015-5573_MarionOR.pdf | ||
| Attachment 7D_WD_2015-5587_LinnOR.pdf |
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Text version
Attachment 4 - Water Testing Call Order Form Sample
(Name and Address of Lab/Contractor from BPA Selected) Blanket Purchase Agreement No. _______________
For _________ Office
1. PROJECT/CONTRACT INFORMATION.
Contract No.: ________________ Contract Name (or Design Title): ________________ Location: ________________
2. PROJECT LOCATION. (Include specific location of the project and location of testing or samples to be taken, include entrance to the contract site, or where mailing supplies need to be shipped and care of whom to include the City, and State)
3. STATEMENT OF WORK/OBJECTIVES. Government Estimate below is based upon the Blanket Purchase Agreement No. ____________ Price Schedule (make sure to identify FY Price Schedule, for example: FY24 Price Schedule). The Contractor shall provide all labor, equipment and materials to perform the following:
(fill in this information from the specific BPA Price Schedule)
ITEM
NO.
DESCRIPTION (Title/description of tests as stated in Price Schedule)
Qty Unit Est Unit total $
Est Total $
$0.00 $0.00 Total $
4. COORDINATION WITH GOVERNMENT.
Primary/On-site Point of Contact is _________, whose phone number is ______.
Alternate POC is _______, whose phone number is _________.
5. FORMAL REPORTS AND DOCUMENTATION. Official reports/results shall be emailed to the Government, ATTN: __________ (also include the applicable COR), within 24 hours after completion of the tests, formal letters reports shall follow within 3 calendar days.
Email address to provide items to is: __________________.
6. SPECIAL CONSIDERATIONS. Reference Blanket Purchase Agreement and Performance Work Statement provided with agreement for specific testing requirements and performance standards. This testing will be used to assure the accuracy of the other contractor’s tests and may be used to verify accurate payment.
(Include specific and special information/considerations that will need to be known by the contractor/lab personnel coming to the USACE site to take the samples/or information where shipping and chain of custody documentation needs to be sent, and perform the testing.
Example, any security requirements, how to find the site or general site access route, even consider providing an alternate contact person for the scheduled day.)
7. DELIVERY REQUIREMENTS.
Anticipated date of testing needed: ___________.
Location of sample collection: ______________.
Contractor of Government collecting sample __________.
Require reports by ________________.
8. BILLING REQUIREMENTS. Invoices shall be emailed to the Government, ATTN: (List the GPCC holder), whose email address is ____________________. Payment for tests under $2,500 will be made by credit card VISA payments, within seven calendar days of receipt of invoice and all testing requirements were met satisfactory. For tests over $2,500 payment will be made by USACE Finance Center via electronic check payment within 30 calendar days of testing requirements completed satisfactory and invoiced received.
For _________ Office
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