W912GY-22-F-0010.pdf

SEE ADDENDUM

(No Collect Calls)b. TELEPHONE NUMBER 8. OFFER DUE DATE/LOCAL TIME

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.530-258-4555

W912GY9. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

W912GY22D0001 26-Jan-2022 W912GY22F0010

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SEE SCHEDULE

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

TAMARA A. GAGE / CONTRACTING OFFICER

See Schedule $25,014.00

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS: SEE SCHEDULE

.25-Jan-2022 YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN W912GY-22-D-0001

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE 4VMV0 FACILITY

OFFEROR CODE

SIERRA ARMY DEPOT

CONTRACTING OFFICE

74 C STREET BUILDING 60

HERLONG CA 96113

SIERRA CASCADE AGGREGATE & ASPHALT PRODU

KACIE HOLLAND

803 LORRAINE DR

CHESTER CA 96020-0000

DFAS - COLUMBUS

DFAS-ROCK ISLAND / JAIQBAC

ATTN: ROCK ISLAND

P.O. BOX 182317

COLUMBUS OH 43218-2316

18a. PAYMENT WILL BE MADE BY CODE HQ0303

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

W912GYCODE15. DELIVER TO CODE W62G2W 16. ADMINISTERED BY

Net 30 Days

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFP

SIERRA ARMY DEPOT

RHONDA A. LONG 530-827-4826 RHONDA.A.LONG.CIV

HERLONG CA 96113

SIERRA ARMY DEPOT

DOUGLAS VITTITOW

BLDG 304N 4TH STREET

HERLONG CA 96113-5520

530-827-4722FAX:

TEL: 530-827-5126 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

327992

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

X

EMAIL: tamara.a.gage.civ@army.mil

530-827-4258TEL:

31c. DATE SIGNED

26-Jan-2022

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF7

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

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

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

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

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W912GY22D0001

W912GY22F0010

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 684 Net Ton

(2,000

LB).

$18.50 $12,654.00

Aggregate Base Rock 3/4 inch

FFP

Ordering Year 1. Aggregate ¾ inch Base Rock per the Statement of Work. This is a Firm Fixed Price CLIN to include all third party testing in the unit price as applicable.

FOB: Destination

MILSTRIP: W62G2W135400OJ

MODEL: ROCK

PURCHASE REQUEST NUMBER: W62G2W135400OJ

PSC CD: 5610

NET AMT $12,654.00

ACRN AA

CIN: W62G2W135400OJ0001

$12,654.00

0005 10 Net Ton

(2,000

LB).

$19.00 $190.00

Aggregate Washed Pea Gravel 3/8 inch

FFP

Ordering Year 1. Aggregate 3/8 inch Washed Pea Gravel per the Statement of Work. This is a Firm Fixed Price CLIN to include all third party testing in the unit price as applicable.

FOB: Destination

MILSTRIP: W62G2W135400OQ

MODEL: ROCK

PURCHASE REQUEST NUMBER: W62G2W135400OQ

NET AMT $190.00

ACRN AB

CIN: W62G2W135400OQ0001

$190.00

0006 10 Net Ton

(2,000

LB).

$24.00 $240.00

Aggregate Washed Chip Rock 3/8 inch

FFP

Ordering Year 1. Aggregate 3/8 inch Washed Chip Rock per the Statement of Work. This is a Firm Fixed Price CLIN to include all third party testing in the unit price as applicable.

FOB: Destination

MILSTRIP: W62G2W135400OR

MODEL: ROCK

PURCHASE REQUEST NUMBER: W62G2W135400OR

NET AMT $240.00

ACRN AD

CIN: W62G2W135400OR0001

$240.00

0007 10 Net Ton

(2,000

LB).

$23.00 $230.00

Railroad Ballast 2 inch X 3 inch

FFP

Ordering Year 1. Railroad Ballast #4 AREMA 2 inch x 3 inch per the Statement of Work. This is a Firm Fixed Price CLIN to include all third party testing in the unit price as applicable.

FOB: Destination

MILSTRIP: W62G2W135400OI

MODEL: ROCK

PURCHASE REQUEST NUMBER: W62G2W135400OI

NET AMT $230.00

ACRN AE

CIN: W62G2W135400OI0001

$230.00

0008 150 Net Ton

(2,000

LB).

$78.00 $11,700.00

Hot Mix Asphalt

FFP

Ordering Year 1. Hot Mix Asphalt per the Statement of Work. This is a Firm Fixed Price CLIN to include all third party testing in the unit price as applicable.

FOB: Destination

MILSTRIP: W62G2W135400OP

MODEL: ROCK

PURCHASE REQUEST NUMBER: W62G2W135400OP

NET AMT $11,700.00

ACRN AC

CIN: W62G2W135400OP0001

$11,700.00

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 0008 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 16-MAY-2022 684 SIERRA ARMY DEPOT

DOUGLAS VITTITOW

BLDG 304N 4TH STREET

HERLONG CA 96113-5520

(530) 827-4758 FOB: Destination

W62G2W

0005 16-MAY-2022 10 (SAME AS PREVIOUS LOCATION)

0006 16-MAY-2022 10 (SAME AS PREVIOUS LOCATION)

0007 16-MAY-2022 10 (SAME AS PREVIOUS LOCATION)

0008 16-MAY-2022 150 (SAME AS PREVIOUS LOCATION)

ACCOUNTING AND APPROPRIATION DATA

AA: 97X4930AAPX 6DAAPXZGD076L100026EB3A0000W62G2W135400OJ002GG4S04170

AMOUNT: $12,654.00

AB: 97X4930AAPX 6DAAPXZGD076L100026EB3A0000W62G2W135400OQ002GG4S04170

AMOUNT: $190.00

AC: 97X4930AAPX 6DAAPXZGD076L100026EB3A0000W62G2W135400OP002GG4S04170

AMOUNT: $11,700.00

AD: 97X4930AAPX 6DAAPXZGD076L100026EB3A0000W62G2W135400OR002GG4S04170

AMOUNT: $240.00

AE: 97X4930AAPX 6DAAPXZGD076L100026EB3A0000W62G2W135400OI002GG4S04170

AMOUNT: $230.00

ACRN CLIN/SLIN CIN AMOUNT

AA 0001 W62G2W135400OJ0001 $12,654.00

AB 0005 W62G2W135400OQ0001 $190.00

AC 0008 W62G2W135400OP0001 $11,700.00

AD 0006 W62G2W135400OR0001 $240.00

AE 0007 W62G2W135400OI0001 $230.00