Road salt Hines
PAGE 1 OF
1. REQUISITION NO.
2. CONTRACT NO.
3. AWARD/EFFECTIVE DATE
4. ORDER NO.
5. SOLICITATION NUMBER
6. SOLICITATION ISSUE DATE
a. NAME
b. TELEPHONE NO. (No Collect Calls)
8. OFFER DUE DATE/LOCAL
TIME
9. ISSUED BY
CODE
10. THIS ACQUISITION IS
UNRESTRICTED OR
SET ASIDE:
% FOR:
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
WOMEN-OWNED SMALL BUSINESS
(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
8(A)
NAICS:
SIZE STANDARD:
11. DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
SEE SCHEDULE
12. DISCOUNT TERMS
13a. THIS CONTRACT IS A
RATED ORDER UNDER
DPAS (15 CFR 700)
13b. RATING
14. METHOD OF SOLICITATION
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:
DUNS+4:
PHONE:
FAX:
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED
SEE ADDENDUM
19.
20.
21.
22.
23.
24.
ITEM NO.
SCHEDULE OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
(Use Reverse and/or 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 REFERENCE 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 _______________
29. AWARD OF CONTRACT: REF. ___________________________________ OFFER
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
DATED ________________________________. YOUR OFFER ON SOLICITATION
DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED
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
AUTHORIZED FOR LOCAL REPRODUCTION
(REV. 2/2012)
PREVIOUS EDITION IS NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.212
7. FOR SOLICITATION
INFORMATION CALL:
STANDARD FORM 1449
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
5
None
578-19-1-6057-0002
36C25219Q0418
Pauline Ludwig
414-844-4868
0069D
Great Lakes Acquisition Center (GLAC)
Department of Veterans Affairs
115 S 84th St, Suite 100
Milwaukee WI 53214-1476
x
100
x
N
327992
500 employees
N/A
0069D
Department of Veterans Affairs
Edward Hines Jr VAMC
5000 S 5th Ave
Hines IL 60141
36C252
Great Lakes Acquisition Center (GLAC)
Department of Veterans Affairs
115 S 84th St, Suite 100
Milwaukee WI 53214-1476
Department of Veterans Affairs
Financial Services Center
PO Box 149971
Austin TX 78714-9971
Bulk rock salt
Purchase order 578-C9
Please reference all correspondence and invoices
with the above number
The Contracting officer is the only person
authorized to modify or make changes
to this contract.
578-3690162-6057-853300-2660-578-C9 010056190
x
1
Pauline Ludwig
Contracting Officer
SECTION B - CONTINUATION OF SF 1449 BLOCKS
STICONTRACT ADMINISTRATION DATA
(Continuation from Standard Form 1449, block 18A.)
1. Contract Administration: All contract administration matters will be handled by the following individuals:
A. CONTRACTOR:
B. GOVERNMENT: Pauline Ludwig, Contract Specialist
Great Lakes Acquisition Center
115 S 84th St.
Milwaukee, WI 53214 (414) 844-4868
2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:
[X] 52.232-33, Payment by Electronic Funds Transfer System for Award Management (Jul 2013)
3. INVOICES: Invoices shall be submitted in arrears in accordance with:
a. 852.232-72 Electronic Submission of Payment Requests (Nov 2012)
b. Upon Acceptance of Items
c. NO ACCELERATED PAYMENTS
FACSIMILE, E-Mail, and Scanned Documents are Not Acceptable forms of Submission for Payment Requests.
For assistance setting up e-Invoice, the below information is provided:
*OB10 e-Invoice Setup Information: 1-877-489-6135
*OB10 e-Invoice email: VA.Registration@ob10.com
*FSC e-invoice contact information: 1-877-353-9791
*FSC e-invoice email: vafsccshd@va.gov
BASIS OF AWARD:
The Government will make the award to the most fair and reasonably priced offer.
SCHEDULE OF SUPPLIES/SERVICES AND PRICES/COSTS
(SF 1449, Continuation of Blocks 19 24)
Contractor shall provide the following fuel for the Edward Hines Jr, Hines, IL. All fuel shall be delivered to the designated destination. All rock salt shall be delivered FOB destination. Offeror shall provide the following:
Item No.
Description
QTY
UNIT
UNIT PRICE
TOTAL PRICE
1
Bulk rock salt
100
tons
TOTAL
Salient Characteristics:
1. Road salt to be free of sand, stone, fillers, or debris. Upon inspection, if road salt is found to be contaminated with any kind of debris, the shipment/delivery will be halted.
2. Weight tickets must be provided upon delivery. Loads of salt will not be accepted unless a
delivery ticket is provided upon arrival.
3. Delivery requires use of a truck capable of loading a spreader truck.
4. The government reserves the right to change the amount of salt delivered.
5. The contractor is responsible for immediately cleaning up any spills, debris, etc., which may occur during delivery.
B.1 DELIVERY SCHEDULE
ITEM NUMBER
QUANTITY
DELIVERY DATE
0001
SHIP TO:
Edward Hines Jr VAMC
5000 S 5th Ave
Hines, IL 60141
USA
100.00
Within 48hrs of call-in
SECTION C - CONTRACT CLAUSES
C.1 52.212-4 CONTRACT TERMS AND CONDITIONS COMMERCIAL ITEMS (OCT 2018)
ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS COMMERCIAL ITEMS
C.2 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
C.3 52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS (DEC 2013)
C.4 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)
C.5 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)
C.6 VAAR 852.246-71 REJECTED GOODS (OCT 2018)
(End of Addendum to 52.212-4)
C.7 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS COMMERCIAL ITEMS (OCT 2018)
52.204 10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2018) (Pub. L.
109 282) (31 U.S.C. 6101 note).
52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred,
Suspended, or Proposed for Debarment. (OCT 2015) (31 U.S.C. 6101 note).
52.219-13, Notice of Set-Aside of Orders (NOV 2011) (15 U.S.C. 644(r)).
52.219-14, Limitations on Subcontracting (JAN 2017) (15 U.S.C. 637(a)(14)).
52.219-28, Post Award Small Business Program Representation (Jul 2013) (15 U.S.C 632(a)(2)).
52.222-3, Convict Labor (June 2003) (E.O. 11755).
52.222 19, Child Labor Cooperation with Authorities and Remedies (JAN 2018) (E.O. 13126).
52.222-50, Combating Trafficking in Persons (MAR 2015) (22 U.S.C. chapter 78 and E.O. 13627).
52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (AUG 2011)
52.225-1, Buy American Supplies (MAY 2014) (41 U.S.C. chapter 83).
52.225-13, Restrictions on Certain Foreign Purchases (JUN 2008) (E.O.'s, proclamations, and statutes
administered by the Office of Foreign Assets Control of the Department of the Treasury).
52.232-33, Payment by Electronic Funds Transfer System for Award Management (Oct 2018) (31
U.S.C. 3332).
52.232-34, Payment by Electronic Funds Transfer Other than System for Award Management (Jul
2013) (31 U.S.C. 3332).
SECTION E - SOLICITATION PROVISIONS
E.1 52.212-1 INSTRUCTIONS TO OFFERORS COMMERCIAL ITEMS (OCT 2018)
ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS COMMERCIAL ITEMS
E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)
E.3 52.232-38 SUBMISSION OF ELECTRONIC FUNDS TRANSFER INFORMATION WITH OFFER (JUL 2013)
E.4 VAAR 852.252-70 SOLICITATION PROVISIONS OR CLAUSES INCORPORATED BY REFERENCE (JAN 2008)
(End of Addendum to 52.212-1)
E.5 52.212-2 EVALUATION COMMERCIAL ITEMS (OCT 2014)
E.6 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS COMMERCIAL ITEMS (OCT 2018)
End of Document
Pauline Ludwig
414-844-4868
pauline.ludwig@va.gov
pauline.ludwig@va.gov
