Exhibit/Attachment Table of Contents
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AWARD/CONTRACT 1. T HIS CONT RACT IS A RAT ED ORDER RAT ING P AGE OF P AGES UNDER DP AS (15 CFR 700) 1 50 2. CONT RACT (Proc. Inst. Ident.) NO. 3. EFFECT IVE DAT E 4. REQUISIT ION/P URCHASE REQUEST /P ROJECT NO. HDEC08-13-C-0012 30 Mar 2013 HQCCBB00950001
5. ISSUED BY CODE HDEC08 6. ADMINIST ERED BY (If other than Item 5) CODE DEFENSE COMMISSARY AGENCY STORE SERVICES SUPPORT DIVISION 1300 E AVENUE See Item 5 FORT LEE VA 23801-1800
7. NAME AND ADDRESS OF CONT RACT OR (No., street, city, county, state and zip code) 8. DELIVERY GOODWILL SERVICES, INC. [ ] FOB ORIGIN [ X ] OT HER (See below) MICHAEL WINCKLER 6301 MIDLOTHIAN TURNPIKE 9. DISCOUNT FOR PROMPT PAYMENT RICHMOND VA 23225-5707
10. SUBMIT INVOICES 1 ITEM (4 copies unless otherwise specified) TO THE ADDRESS Block 12 CODE 1JSZ8 FACILIT Y CODE SHOWN IN: 11. SHIP T O/MARK FOR CODE HQCCBB 12. P AYMENT W ILL BE MADE BY CODE HQ0131 FORT EUSTIS COMMISSARY DEF FINANCE & ACCOUNTING SVC "EFT: T" BUILDING 1382 DFAS-CVDAAA/CO FORT EUSTIS VA 23604-5542 P O BOX 369016 COLUMBUS OH 43236-9016
13. AUT HORIT Y FOR USING OT HER T HAN FULL AND OP EN 14. ACCOUNT ING AND AP P ROP RIAT ION DAT A COMP ET IT ION: See Schedule [ X ] 10 U.S.C. 2304(c)( 5 ) [ ] 41 U.S.C. 253(c)( ) 15A. IT EM NO. 15B. SUP P LIES/ SERVICES 15C. QUANT IT Y 15D. UNIT 15E. UNIT P RICE 15F. AMOUNT
SEE SCHEDULE
15G. TOTAL AMOUNT OF CONTRACT $1,017,018.49 EST 16. T ABLE OF CONT ENT S (X) SEC. DESCRIP T ION P AGE(S) (X) SEC. DESCRIP T ION P AGE(S) PART I - THE SCHEDULE PART II - CONTRACT CLAUSES X A SOLICIT AT ION/ CONT RACT FORM 1 X I CONT RACT CLAUSES 37 - 49 X B SUP P LIES OR SERVICES AND P RICES/ COST S 2 - 21 PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS X C DESCRIP T ION/ SP ECS./ W ORK ST AT EMENT 22 X J LIST OF AT T ACHMENT S 50 D P ACKAGING AND MARKING PART IV - REPRESENTATIONS AND INSTRUCTIONS X E INSP ECT ION AND ACCEP T ANCE 23 REP RESENT AT IONS, CERT IFICAT IONS AND K X F DELIVERIES OR P ERFORMANCE 24 OT HER ST AT EMENT S OF OFFERORS X G CONT RACT ADM INIST RAT ION DAT A 25 - 27 L INST RS., CONDS., AND NOT ICES T O OFFERORS X H SP ECIAL CONT RACT REQUIREMENT S 28 - 36 M EVALUAT ION FACT ORS FOR AW ARD CONT RACT ING OFFICER W ILL COMP LET E IT EM 17 OR 18 AS AP P LICABLE 17. [ X ] CONTRACTOR'S NEGOTIATED AGREEMENT Contractor is required to sign this 18. [ ] AWARD (Contractor is not required to sign this docum ent.) Your offer on Solicitation Num ber docum ent and return 1 copies to issuing office.) Contractor agrees to furnish and deliver all item s or perform all the services set forth or otherwise identified above and on any continuation sheets for the consideration stated herein. The rights and obligations of the parties to this including the additions or changes m ade by y ou which additions or changes are set forth in full contract shall be subject to and governed by the following docum ents: (a) this award/contract, above, is hereby accepted as to the item s listed above and on any continuation sheets. This award consum m ates (b) the solicitation, if any , and (c) such provisions, representations, certifications, and specifications, the contract which consists of the following docum ents: (a) the Governm ent's solicitation and y our offer, and as are attached or incorporated by reference herein. (b) this award/contract. No further contractual docum ent is necessary . (Attachm ents are listed herein.) 19A. NAM E AND T IT LE OF SIGNER (Type or print) 20A. NAME OF CONT RACT ING OFFICER KATHY L. HAWTHORNE / CONTRACTING OFFICER TEL: (804) 734-8000 ext 48031 EMAIL: [email protected] 19B. NAME OF CONT RACT OR 19C. DAT E SIGNED 20B. UNIT ED ST AT ES OF AMERICA 20C. DAT E SIGNED
30-Mar-2013 BY BY (Signature of person authorized to sign) (Signature of Contracting Officer) AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 26 (REV. 4/2008) Previous edition is usable Prescribed by GSA FAR (48 CFR) 53.214(a) Section B - Supplies or Services and Prices
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 $0.00 SERVICES, NONPERSONAL FFP Provide all the necessary supervision, personnel, supplies, and equipment to perform shelf stocking and custodial operations for the Fort Eustis Commissary located in Fort Eustis, Virginia, in accordance with the Performance Work Statement (PWS) as set forth at Attachment 1 and all terms and conditions contained herein:
BASE YEAR: April 1, 2013 through March 31, 2014
FOB: Destination PURCHASE REQUEST NUMBER: HQCCBB00950001
NET AMT $0.00
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AA 807,876 Case $0.77548 $626,491.68 EST Shelf Stocking Operations FFP Perform Shelf Stocking Operations (includes overwrites between 0% and 7%) in accordance with Attachment 1, PWS. (The QUANTITY shown is an ESTIMATED QUANTITY.) FOB: Destination PURCHASE REQUEST NUMBER: HQCCBB00950001
NET AMT $626,491.68 (EST.)
ACRN AA $626,491.68 CIN: 000000000000000000000000000000
HDEC08-13-C-0012
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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AB 7,048 Case $0.46528 $3,279.29 EST Overwrites FFP Overwrites exceeding 7% of the total monthly cases per 4.3.3.8. of the PWS will be paid a unit price of 60% of the case price. (The QUANTITY shown is an ESTIMATED QUANTITY.) FOB: Destination PURCHASE REQUEST NUMBER: HQCCBB00950001
NET AMT $3,279.29 (EST.)
ACRN AA $3,279.29 CIN: 000000000000000000000000000000
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AC 100 Hours $19.74 $1,974.00 EST Inventory Preparation FFP Perform Inventory Preparation Services in accordance with Attachment 1, PWS. (The QUANTITY shown is an ESTIMATED QUANTITY.) FOB: Destination PURCHASE REQUEST NUMBER: HQCCBB00950001
NET AMT $1,974.00 (EST.)
ACRN AA $1,974.00 CIN: 000000000000000000000000000000
HDEC08-13-C-0012
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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AD 12 Months $22,098.81 $265,185.72 Custodial Operations - Main Store FFP Perform Custodial Operations (excludes Contractor's Overwrites Area, Outside Areas, and Meat Processing, Preparation, and Wrapping Area) in accordance with Attachment 1, (PWS). FOB: Destination PURCHASE REQUEST NUMBER: HQCCBB00950001
NET AMT $265,185.72
ACRN AA $265,185.72 CIN: 000000000000000000000000000000
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AE 12 Months $1,921.64 $23,059.68 Custodial Operations - Other FFP Perform Custodial Operations (includes Contractor's Overwrites Area, and Outside Areas) in accordance with Attachment 1, (PWS). FOB: Destination PURCHASE REQUEST NUMBER: HQCCBB00950001
NET AMT $23,059.68
ACRN AA $23,059.68 CIN: 000000000000000000000000000000
HDEC08-13-C-0012
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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AF 12 Months $8,006.81 $96,081.72 Custodial Operations - Meat Room FFP Perform Custodial Operations of the Meat Processing, Preparation, and Wrapping Area in accordance with Attachment 1, PWS. FOB: Destination PURCHASE REQUEST NUMBER: HQCCBB00950001
NET AMT $96,081.72
ACRN AA $96,081.72 CIN: 000000000000000000000000000000
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AG 20 Hours $47.32 $946.40 Snow and Ice Removal FFP Perform Snow and Ice Removal in accordance with Attachment 1, (PWS). (The QUANTITY shown is an ESTIMATED QUANTITY.) FOB: Destination PURCHASE REQUEST NUMBER: HQCCBB00950001
NET AMT $946.40
ACRN AA $946.40 CIN: 000000000000000000000000000000