074-17 - NBIB US Office of Personnel Management - ContractAWARDlCONTRACT
1 THIS CONTRACT IS A RATED ORDER
RATING
PAGE OF PAGES
1
UNDER DPAS 05 CFR 7001
1 2
2 CONTRACT (Prot Inst (dent) NO.
3 EFFECTIVE DATE
REQUISITIONIPURCHASE REQUEST/PROJECT NO
24362018DO090 �10/01/2C17
5 ISSUED BY CODE 243620
6. ADMINISTERED BY(Ifotherthan Item 5) CODE
NBIB
US Office of Personnel Management
1137 Branchton Road
Boyers PA 16018
7. NAME AND ADDRESS OF CONTRACTOR (No, Street, Co. Country, State and ZIP Cade)
H DELIVERY
FOB ORIGIN X� OTHER (See below)
PORT ORCHARD, CITY OF:1487
9 DISCOUNT FOR PROMPT PAYMENT
216 PROSPECT STREET
PORT ORCHARD WA 983665339
10. SUBMITINVOICES
ITEM
'
(4 copies unless otherwise specified)
TO THE ADDRESS SHOWN IN
CODE 081932790
FACILITY CODE
11 SHIP TO/MARK FOR CODE 0 4 AD
12 PAYMENT VWLL BE MADE BY CODE 4 2AA
Investigation Services, Boyers, PA
U.S. Office of Personnel Management
Investigation Services
Office of the Chief Financial Offic
1137 Branchton Rd
1900 E St NW, Rm 5475
Boyers PA 16018
Washington DC 20415
13. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION
14. ACCOUNTING AND APPROPRIATION DATA
E]1DUS.0 2304(c)( ) ®41U.S.C.253(c11 1 )
See Schedule
15A. ITEM NO
15B SUPPLIES/SERVICES
15C.
15D.
15E UNIT PRICE
15F. AMOUNT
QUANTITY
UNIT
Continued
15G TOTAL AMOUNT OF CONTRACT 61 SO.00
(X) SEC I DESCRIPTION PAGEIS)
SCRIPTION PAGES)
PART I - THE SCHEDULE
NTRACT CLAUSES
A
SOLICITATIONICONTRACT FORM
NTRACT CLAUSES 28
RPART
X
B
SUPPLIES OR SERVICES AND PRICESICOSTS
3
T OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.
X
C
DESCRIPTIONISPECSANORK STATEMENT
5
T OF ATTACHMENTS 31
X
D
PACKAGING AND MARKING
6
PART IV - REPRESENTATIONS AND INSTRUCTIONS
X
E
INSPECTION AND ACCEPTANCE
7
K
REPRESENTATIONS, CERTIFICATIONS AND
OTHER STATEMENTS OF OFFERORS
X
F
_
DELIVERIES OR PERFORMANCE
8
X
G
CONTRACT ADMINISTRATION DATA
110
L
INSTRS . CONDS . AND NOTICES TO OFFERORS
X
H
SPECIAL CONTRACT REQUIREMENTS
113
M
EVALUATION FACTORS FOR AWARD
CONTRACTING OFFICER 1MLL COMPLETE ITEM 17 (SEALED -BID OR D
17 iJ CONTRACTOR S NEGOTIATED AGREEMENT (Contract., . required fo sgn Bss
document and return copes to issuing office) Contractor agrees to
furnish and deliver all items or perform all the services set forth or otherwise identified
above and on any continuation sheets for the consideration staled herein. The rights and
obligations of the parties to this contract shall be subject to and governed by the following
documents (a) this award/contract, (b) the solicitation, if any and (c) such provisions.
representations, certifications, and specif catons, as are attached or incorporated by
referenceherein. (ARachrents are listed herein )
19A. NAME AND TITLE OF SIGNER (Type orprint)
APPLICABLE
18 iJ SEALED -BID AWARD (Contractor is not required to sign this document) Your bid an
Solicitation Number
including the additions or changes made by you which additions or changes are set forth
in full above is hereby accepted as to the items listed above and an any continuation
sheets This award consummates the contract which consists of the following
documents (a) the Government's solicitation and your bid, and (b) this award/contract
No further contractual document is necessary (Block 18 should be checked only when
Jesse C. Rumbel
198 NAME OF CONTRACTOR
19C, DATE SIGNED
200 UNITED STATES OF AMERICA
OC. DATE SIGNED
�.zu/�
BY JESSE RUMBEL=—`, ,- _
(Sr nature o/ perapif authorized to Wn)
i[Sionature of the nlr r !fi r
�2s
-
.TAN.ARD FOfUe lR�v. S77a111
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is NOT usable
Prescribed by GSA -FAR (4B CFR) 53.714(s)
Date Signed
16
Robert Putaansuu, Mayor
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
CONTINUATION SHEET 24362018DO090
2 12
NAME OF OFFEROR OR CONTRACTOR
PORT ORCHARD, CITY OF:1487
ITEM NO.
(A)
SUPPLIESISERVICES
(B)
QUANTITY
(C)
UNIT
(D)
UNIT PRICE
(E)
AMOUNT
(F)
CHRI PORT ORCHARD POLICE DEPARTMENT
Delivery: 09/30/2022
FOB: Destination
Period of Performance: 10/01/2017 to 09/30/2022
00001
Criminal record history information on the OPM
200
EA
10.00
NBIB Subject
Obligated Amount: $0.00
The total amount of award: $2,000.00. The
obligation for this award is shown in box 15G.
NSN 7540-01-152-6067
OPTIONAL FORM 336 (486)
Sponsored by GSA
FAR (46 CFR) 51110