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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS <br />1. REQUISITION NUMBER <br />PAGE OF <br />OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 <br />0040436906 <br />1 126 <br />2. CONTRACT NO. <br />3. AWARD/ <br />4. ORDER NUMBER 5. <br />SOLICITATION NUMBER <br />6. SOLICITATION <br />EFFECTIVE DATE <br />14 0 L 4 319 P 0 0 9 4 <br />ISSUE DATE <br />7. FOR SOLICITATION <br />a. NAME <br />b. TELEPHONE NUMBER (No collect calls) <br />8. OFFER DUE DATE/LOCAL TIME <br />INFORMATION CALL: <br />Susanne Clark <br />( 541) 751-4331 <br />9. ISSUED BY CODE LHA <br />10. THIS ACQUISITION IS 0 UNRESTRICTED OR ❑ SET ASIDE: % FOR: <br />BLM OR -ST OFC PROC MGMT BR (OR 9 5 2) <br />❑ SMALL BUSINESS WOMEN -OWNED SMALL BUSINESS <br />❑ (WOSB) ELIGIBLE UNDER THE WOMEN -OWNED <br />1220 SW 3rd Avenue, 12th Floor <br />❑ HUBZONE SMALL SMAI I RLJSINFSS PRO(' RAM NAICS: 922120 <br />PORTLAND OR 97204 <br />BUSINESS ❑ EDWOSB <br />❑ SERVICE -DISABLED ❑ 8(A) <br />VETERAN -OWNED SIZE STANDARD: <br />SMALL BUSINESS <br />11. DELIVERY FOR FOB DESTINA- <br />12. DISCOUNT TERMS <br />13b. RATING <br />TION UNLESS BLOCK IS <br />❑ 13a. THIS CONTRACT IS A <br />MARKED <br />RATED ORDER UNDER <br />14. METHOD OF SOLICITATION <br />® SEE SCHEDULE <br />DPAS (15 CFR 700) <br />❑ RFQ ❑ IFB ❑ RFP <br />15. DELIVER TO CODE 10004276620 <br />16. ADMINISTERED BY CODE ILHA <br />BLM-OR SPOKANE DISTRICT OFFICE* <br />BLM OR -ST OFC PROC MGMT BR(OR952) <br />1103 N FANCHER <br />1220 SW 3rd Avenue, 12th Floor <br />SPOKANE WA 99212-1275 <br />PORTLAND OR 97204 <br />17a. CONTRACTOR/ CODE 0070136992 FACILITY <br />18a. PAYMENT WILL BE MADE BY CODE IPP INV <br />OFFEROR CODE <br />KITTITAS, COUNTY OF <br />Invoice Processing Platform System <br />Attn: Kim Dawson <br />US Department of Treasury <br />205 W 5TH AVE STE 108 <br />http://www.ipp.gov <br />ELLENSBURG WA 98926-2887 <br />TELEPHONE NO. 509-962-7089 <br />❑ 17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER <br />18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW <br />IS CHECKED ❑SEEADDENDUM <br />19. <br />20. <br />21. <br />22. <br />23. <br />24. <br />ITEM NO. <br />SCHEDULE OF SUPPLIES/SERVICES <br />QUANTITY <br />UNIT <br />UNIT PRICE <br />AMOUNT <br />Kittitas County Law Enforcement Services <br />for <br />BLM-WA Spokane District Office. <br />Period of Performance: Date of Award to <br />09/30/2019 <br />(Use Reverse and/or Attach Additional Sheets as Necessary) <br />25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only) <br />01 $25,000.00 <br />❑ 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. <br />❑ 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ❑ ARE ❑ ARE NOT ATTACHED. <br />©28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENTAND RETURN 1 <br />COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER <br />ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL <br />SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED. <br />30a. SIGNATURE OF OFFEROR/ ONTRACTOR <br />30b. NAM D TI LE OF SIGN R (Type or rin 30c. DATE SIGNED <br />L,,, <br />()-U� J(� Ar��a � S I - 0� t <br />AUTHORIZED FOR L CAL PERRGEDUCTION <br />PREVIOUS EDITION IS NOT USABLE <br />❑ 29. AWARD OF CONTRACT: OFFER <br />DATED . YOUR OFFER ON SOLICITATION (BLOCK 5), <br />INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH <br />HEREIN, IS ACCEPTED AS TO ITEMS.- <br />31 <br />TEMS:31 a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) <br />31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED <br />Susanne Clark <br />STANDARD FORM 1449 (REV. 2/2012) <br />Prescribed by GSA - FAR (48 CFR) 53.212 <br />