Region 4 utah aquistion support center instructional cover sheet




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Construction RFQ Solicitation Number: AG-84N8-S-11-0102

Panguitch Bunkhouse Concrete-Dixie National Forest

Page of Construction RFQ Solicitation Number: AG-84N8-S-11-0102

Panguitch Bunkhouse Concrete-Dixie National Forest

Page of Construction RFQ Solicitation Number: AG-84N8-S-11-0102

Panguitch Bunkhouse Concrete-Dixie National Forest

Page of Construction RFQ Solicitation Number: AG-84N8-S-11-0102

Panguitch Bunkhouse Concrete-Dixie National Forest

Page of Construction RFQ Solicitation Number: AG-84N8-S-11-0102

Panguitch Bunkhouse Concrete-Dixie National Forest

Page of





REGION 4 UTAH AQUISTION SUPPORT CENTER INSTRUCTIONAL COVER SHEET



issuing office:

U.S. Department of Agriculture

Forest Service

Utah Acquisition Support Center

2222 west 2300 south

Salt Lake City, UT 84119

FAX (801) 975-3483



solicitation no. AG-84N8-S-11-0102



offers are solicited for: Panguitch Bunkhouse Concrete - dixie National Forest



important – notice to offeror:


AT A MINIMUM, OFFEROR SHALL SUBMIT THE FOLLOWING DOCUMENTS BACK WITH THEIR RESPONSE TO THIS SOLICITATION:


1. SF-1449 Solicitation for Construction (Page 2) (Complete, date, and sign)

2. Section I – Schedule of Items (Page 3). (Complete Unit Price and Amount)

3. Experience and Equipment Questionnaire (Page 4)

4. Representations and Certifications (Pages 21-23). (Complete the Representations and Certifications electronically in the Online Representations and Certifications Application (ORCA) website at http://orca.bpn.gov)

5. Statements that address evaluation factors as described under Section M


IT IS REQUIRED YOU WRITE THE SOLICITATION NUMBER ON THE OUTSIDE OF YOUR ENVELOPE OR FAX COVERSHEET.


Return to: USFS - Region 4

Utah Acquisition Support Center

ATTN: Tamera Draper

2222 West 2300 South

Salt Lake City, UT 84119

Solicitation No. AG-84N8-S-11-0102

Please keep a copy of your quote for your records.


IT IS REQUIRED THAT ALL CONTRACTOR’S BE REGISTERED IN THE CENTRAL CONTRACTOR REGISTRATION DATABASE PRIOR TO AWARD UNDER THIS SOLICITATION. SEE CLAUSE 52.205-7 Central contractor registration FOR DETAILS ON HOW TO APPLY.


all solicitations shall be issued through the GSTC Website (http://www.fs.fed.us/gstc/contracting/). no paper solicitations shall be issued. it is the offerors responsibility to watch for any and all amendments to the solicitation, which shall be issued electronically through the GSTC Website.



SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

PAGE 1 OF




41

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NUMBER

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE










AG-84N8-S-11-0102

July 21, 2011

7. FOR SOLICITATION

INFORMATION CALL:




a. NAME

b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/LOCALTIME

Tamera Draper, Purchasing Agent

Robert Miller, Civil Engineer Tech




801.975.3370

435.676.9356




August 9, 2011

@ 1:00 p.m. MT

9. ISSUED BY:

CODE




10. THIS ACQUISITION IS

11. DELIVERY FOR

FOB DESTINATION

UNLESS BLOCK IS

MARKED


SEE SCHEDULE

12. DISCOUNT TERMS

USDA Forest Service

2222 West 2300 South

Salt Lake City, UT 84119

UNRESTRICTED




SET AIDE: 100% FOR

X SMALL BUSINESS

SMALL DISAV. BUSINESS

8(A)

13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700)




NAICs: 238990

13b. RATING







SIZE STANDARD: $14.0    

14. METHOD OF SOLICITATION




X RFQ IFB RFP

15. DELIVER TO

CODE




16. ADMINISTERED BY

CODE










17a. CONTRACTOR/ OFFEROR

CODE

     

FACILITY CODE

     

18a. PAYMENT WILL BE MADE BY

CODE










TELEPHONE NO.




DUNS#




FAX NO.




VXP#




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

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK IS CHECKED SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

1

*****SEE ATTACHED SCHEDULE OF ITEMS*****


Panguitch Bunkhouse Concrete Project


A site visit is not scheduled for this project
















(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 REFERENCES 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: REFERENCE OFFER

DATED. YOUR OFFER ONSOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)







30b. NAME AND TITLE OF SIGNER (Type or print)

30c. DATE SIGNED

31b. NAME OF CONTRACTING OFFICER (Type or print)

31c. DATE SIGNED













32a. QUANTITY IN COLUMN 21 HAS BEEN


RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO

THE CONTRACT, EXCEPT AS NOTED

33. SHIP NUMBER

34. VOUCHER NUMBER

35. AMOUNT VERIFIED CORRECT FOR







PARTIAL FINAL




36. PAYMENT

37. CHECK NUMBER

32b. SIGNATURE OF AUTHORIZED GOVT.

32c. DATE

COMPLETE PARTIAL FINAL










38. S/R ACCOUNT NUMBER

39. S/R VOUCHER NUMBER

40. PAID BY










42a. RECEIVED BY (Print)

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




41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41c. DATE

42b. RECEIVED AT (Location)










42c. DATE REC’D (YY/MM/DD)

42d. TOTAL CONTAINERS







AUTHORIZED FOR LOCAL REPRODUCTION

SEE REVERSE FOR OMB CONTROL NUMBER AND PAPERWORK BURDEN STATEMENT

STANDARD FORM 1449 (10-95)

Prescribed by GSA – FAR (48 CFR) 53.212
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