SEE SCHEDULE 10. THIS ACQUISITION IS HUBZONE SMALL BUSINESS SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS

Transcription

1 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER HDEC04-15-C FOR SOLICITATION INFORMATION CALL: 9. ISSUED BY DEFENSE COMMISSARY AGENCY SUPPLY & EQUIPMENT DIVISION BUILDING P E AVENUE FORT LEE VA TEL: FAX: (804) / DELIVERY FOR FOB DESTINA- TION UNLESS BLOCK IS MARKED SEE SCHEDULE 11-Jun-2015 a. NAME PAMELA H. JACKSON CODE HDEC DISCOUNT TERMS 10. THIS ACQUISITION IS X SMALL BUSINESS HUBZONE SMALL BUSINESS SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS 1. REQUISITION NUMBER SEE SCHEDULE 13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700) 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE HDEC04-15-R-0021 b. TELEPHONE NUMBER (804) EXT UNRESTRICTED OR WOMEN-OWNED SMALL BUSINESS (WOSB) (No Collect Calls) ECONOMICALLY DISADVANTAGED WOMEN-OWNED SMALL BUSINESS (EDWOSB) 8(A) 13b. RATING X SET ASIDE: 14. METHOD OF SOLICITATION PAGE 1 OF Mar OFFER DUE DATE/LOCAL TIME 03:00 PM 20 Apr 2015 NAICS: % FOR: SIZE STANDARD: 7.5M RFQ IFB X RFP 15. DELIVER TO CODE 16. ADMINISTERED BY CODE SEE SCHEDULE SEE ITEM 9 17a.CONTRACTOR/ CODE 73E70 FACILITY 73E70 OFFEROR CODE LASILL EQUIPMENT REPAIR LLC EUGENE W GEHERS 101 SW I AVE LAWTON OK TELEPHONE NO b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18a. PAYMENT WILL BE MADE BY CODE HQ0131 DFAS-WIDE AREA WORK FLOW DFAS - CVDAAA/CO P.O. BOX COLUMBUS OH b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK BELOW IS CHECKED SEE ADDENDUM ITEM NO. SCHEDULE OF SUPPLIES/ SERVICES QUANTITY UNIT UNIT PRICE AMOUNT SEE SCHEDULE 25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Gov t. Use Only ) See Schedule $28, a. SOLICITATION INCORPORATES BY REFERENCE FAR FAR ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED X 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR FAR IS ATTACHED. ADDENDA X ARE ARE NOT ATTACHED X 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 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. 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: SEE SCHEDULE REF: HDEC04-15-R a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) DESSIE MILLS / CONTRACTING OFFICER TEL: (804) EXT dessie.mills@deca.mil (TYPE OR PRINT) 31c. DATE SIGNED 11-Jun-2015 AUTHORIZED FOR LOCAL REPRODUCTION PREVIOUS EDITION IS NOT USABLE STANDARD FORM 1449 (REV. 2/2012) Prescribed by GSA FAR (48 CFR)

2 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS (CONTINUED) 19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES 21. QUANTITY UNIT UNIT PRICE PAGE 2 OF AMOUNT SEE SCHEDULE 32a. QUANTITY IN COLUMN 21 HAS BEEN RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: 32b. SIGNATURE OF AUTHORIZED GOVERNMENT 32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE REPRESENTATIVE 32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32g. OF AUTHORIZED GOVERNMENT REPRESENTATIVE 33. SHIP NUMBER PARTIAL FINAL 34. VOUCHER NUMBER 35. AMOUNT VERIFIED CORRECT FOR 36. PAYMENT COMPLETE PARTIAL FINAL 37. CHECK NUMBER 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 AUTHORIZED FOR LOCAL REPRODUCTION PREVIOUS EDITION IS NOT USABLE STANDARD FORM 1449 (REV. 2/2012) BACK Prescribed by GSA FAR (48 CFR)

3 Page 3 of 121 Section SF CONTINUATION SHEET 0001 $0.00 Altus AFB Commissary MHE Preventive Maintenance (PM) and Repair of Materials Handling Equipment Base: Jun 11, June 30, 2016 PMs shall include: labor, parts, expendables, fluids and trip charges to perform the requirements listed in the PM checklist. See Performance Work Statement (PWS) attached. The contractor is responsible for capturing costs to complete the administrative process of manpower reporting. See PWS attached. PURCHASE REQUEST NUMBER: HQCMCP NET AMT $0.00

4 Page 4 of AA 45 Labor Hours $58.00 $2, Time - Unscheduled Main/Repairs Altus T&M Hourly Rate TOT ESTIMATED PRICE $2, CEILING PRICE ACRN AA $2, CIN: HQCMCP LTAE0001AA

5 Page 5 of AB 5,000 Each $1.00 $5, Materials - Altus AFB T&M This is NOT a priced CLIN, it is a pre-determined amount where DeCA will pay actual costs for parts as evidenced by supplier invoice for direct materials and supplies used to accomplish preventive maintenance and repair services. TOT ESTIMATED PRICE $5, CEILING PRICE ACRN AA $5, CIN: HQCMCP LTAE0001AB

6 Page 6 of AC 4 Each $43.50 $ R05-A, Electric Pallet Jack Altus Semi-Annual Preventive Maintenance NET AMT $ ACRN AA $ CIN: HQCMCP LTAE0001AC

7 Page 7 of AD 4 Each $54.50 $ R06, Electric Forklift - Altus AFB Semi-Annual Preventive Maintenance NET AMT $ ACRN AA $ CIN: HQCMCP LTAE0001AD

8 Page 8 of AE 5 Each $87.00 $ Trip Charge - Altus AFB Round trip from contractor's business to commissary and return. NET AMT $ ACRN AA $ CIN: HQCMCP LTAE0001AE

9 Page 9 of $0.00 Fort Sill Commissary MHE Preventive Maintenance (PM) and Repair of Materials Handling Equipment Base: Jun 11, Jun 30, 2016 PMs shall include: labor, parts, expendables, fluids and trip charges to perform the requirements listed in the PM checklist. See Performance Work Statement (PWS) attached. The contractor is responsible for capturing costs to complete the administrative process of manpower reporting. See PWS attached. PURCHASE REQUEST NUMBER: HQCMCQ NET AMT $0.00

10 Page 10 of AA 54 Labor Hours $58.00 $3, Time - Unscheduled Maint/Repairs Ft Sill T&M Hourly Rate TOT ESTIMATED PRICE $3, CEILING PRICE ACRN AB $3, CIN: HQCMCQ LTAE00002AA 0002AB 6,000 Each $1.00 $6, Materials - Ft Sill T&M This is NOT a priced CLIN, it is a pre-determined amount where DeCA will pay actual costs for parts as evidenced by supplier invoice for direct materials and supplies used to accomplish preventive maintenance and repair services. TOT ESTIMATED PRICE $6, CEILING PRICE ACRN AB $6, CIN: HQCMCQ LTAE00002AB

11 Page 11 of AC 4 Each $43.50 $ R05-A, Electric Pallett Jack - Ft Sill Semi-Annual Preventive Maintenance NET AMT $ ACRN AB $ CIN: HQCMCQ LTAE00002AC

12 Page 12 of AD 6 Each $54.50 $ R06, Electric Forklift - Ft Sill Semi-Annual Preventive Maintenance NET AMT $ ACRN AB $ CIN: HQCMCQ LTAE00002AD

13 Page 13 of AE 5 Each $29.00 $ Trip Charge - Ft Sill Round trip from contractor's business to commissary and return. NET AMT $ ACRN AB $ CIN: HQCMCQ LTAE00002AE

14 Page 14 of $0.00 Tinker AFB Commissary MHE Preventive Maintenance (PM) and Repair of Materials Handling Equipment Base: Jun 11, Jun 30, 2016 PMs shall include: labor, parts, expendables, fluids and trip charges to perform the requirements listed in the PM checklist. See Performance Work Statement (PWS) attached. The contractor is responsible for capturing costs to complete the administrative process of manpower reporting. See PWS attached. PURCHASE REQUEST NUMBER: HQCMCR NET AMT $0.00

15 Page 15 of AA 54 Each $58.00 $3, Time - Uscheduled Maint/Repairs - Tinker T&M Hourly Rate TOT ESTIMATED PRICE $3, CEILING PRICE ACRN AC $3, CIN: HQCMCR LTAE0003AA 0003AB 6,000 Each $1.00 $6, Materials - Tinker T&M This is NOT a priced CLIN, it is a pre-determined amount where DeCA will pay actual costs for parts as evidenced by supplier invoice for direct materials and supplies used to accomplish preventive maintenance and repair services. TOT ESTIMATED PRICE $6, CEILING PRICE ACRN AC $6, CIN: HQCMCR LTAE0003AB

16 Page 16 of AC 2 Each $43.50 $ R05-A, Electric Pallet Jack -Tinker AFB Semi-Annual Preventive Maintenance NET AMT $87.00 ACRN AC $87.00 CIN: HQCMCR LTAE0003AC

17 Page 17 of AD 2 Each $54.50 $ R05-B, Walkie Stacker - Tinker AFB Semi-Annual Preventive Maintenance NET AMT $ ACRN AC $ CIN: HQCMCR LTAE0003AD

18 Page 18 of AE 4 Each $54.50 $ R06, Electric Forklift - Tinker AFB Semi-Annual Preventive Maintenance NET AMT $ ACRN AC $ CIN: HQCMCR LTAE0003AE

19 Page 19 of AF 2 Each $60.00 $ R12-B, Gas Forklift - Tinker AFB Semi-Annual Preventive Maintenance NET AMT $ ACRN AC $ CIN: HQCMCR LTAE0003AF

20 Page 20 of AG 5 Each $ $ Trip Charge - Tinker AFB Round trip from contractor's business to commissary and return. NET AMT $ ACRN AC $ CIN: HQCMCR LTAE0003AG