HomeMy WebLinkAboutRental Agreement with Idaho Department of Lands for Fire Equipment
EMERGENCY EQUIPMENT RENTAL AGREEMENT
1. ORDERING OFFICE (name and address)
Idaho Department of Lands
Southwest Area FPD
8355 W State Street
Boise, Idaho 83703
AGREEMENT NUMBER MUST APPEAR ON ALL PAPERS
RELATING TO THIS AGREEMENT
2 AGREEMENT NUMBER IDL-61Q..lJE"r029
4. CONTRACTOR a. name and address
Meridian Fire Department
540 EFranklin
Meridian, Idaho 83642
3. EFFECTIVE DATES
a. beginning 06101106 I b. ending 12131/06
5. POINT OF HIRE (location when hired)
Boise 10
6. THE WORK RATE IS BASED ON ALL OPERATING SUPPLIES
BEING FURNISHED BY
o CONTRACTOR
I:8l GOVERNMENT
b. E1NfSSN: 82-6000225
b. telephone number (day) d. telephone number (night)
208.888-1234
FAX 208.895-0390 3n-7351 Dispatch
8. TYPE OF CONTRACTOR ("X" appropriate boxes)
o SMALL BUSINESS 0 LARGE BUSINESS 0 SMALL DISADVANTAGED ONNER
7. OPERATOR FURNISHED BY
121 CONTRACTOR
o GOVERNMENT
o WOMEN ONNEn D LABOR SURPLUS AREA 121 OTHER
9. ITEM DESCRIPTION
Onclude make, model, year, serial number and accessories)
a. Structural Engine l,vcc' E2
1986 Ford,10oog., 500gpm pump, Foam:
SN:-FDRI<84N8GVA48266 '
Uc.# MFD 306
5:11/; I FD R J< 8 4 N' 3.9:> V A LJ g ;L). (0
b. C.':'iYl.M/~.lJ i) L,/<.'h.;~(c. .
9.,C()/ /=::,,-0 ~XPF-DI'hGiV 4/0..{
.!;~'; I FM PI...L.1 fcLX J LA '7ct q J...1c
L i G. Ii: ,11 F 1-') 3 0S
c.
10. NUMBER OF
OPERATORS
11. WORK OR DAILY
a.rate b.un~
12. SPECIAL
a. rate b. unit
13. GUARANTEE
. (B or mare hours)
NA
3
Un
$92.00
$1.291
$1.614
operated
hr
dayl1 shift
dayl2 shifts
NA NA
d.
e.
1.
g.
14. SPECIAL PROVISIONS
Un-oDerated:. A Fire Service Organization with equipment hired at the un-operated rate, with salaried employees, will submit an invoice for
personnel time. IOL will reimburse the FSO for actual payroll costs, including benefits, for resources assigned to an incident No other
administrative or backfill costs will be allowed.
Original payment packages are to be returned to the Idaho Department of Lands for audit and payment as stated in the Interagency Incident
Business Management Handbook, 51.1 Exhibit 02, under Fire Service Organizations.
Wildland fire response. For initial attack within the FSO District or mutual response zone, tflere will be no payment to the FSO resource for
the first four (4) hours of use. If an FSO resource is needed beyond the four hour period, or for a dispatch outside the DistricUmutual
response zone, the FSO resource order shall be requested through the wildland agency's dispatch center and confinned through IOL or
SrrPA for billing purposes. Only apparatus listed on the current EERA may be hired.
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15. CONTRA~Tt5R'F R"Jro'FHORIZED AGt:I~' TGlE t'!i.r ~ 17. CONTRACTING OFFICER'S SIGNATURE
.J ...' ,,"'" _ . ~". J"
..... Jtt;... "" ./Y./ ///./ .J.A.~" c}~'p(L~ !1.tI~
19. P~T NAME AND m~E J~ J ~/f I n~~ _ '0 \ ~. PRINT NAME AND TITLE
Rorr;'~f!~~:z~ tJ{ tL vv'l e.f-~ ~ / '"Q~ ~.t ;urt Houston Fire Warden, SWI
Il'Jkf.f.4l: J(fa-;;5~~__ (~~~ ...R J
NSN 7540-01-121.s825' or 4 b Y<YJ~ 'Sr --1, 'i:..J)..5? A
PREVlOUSEDITIONNOTUSA8LE ~ '[;1"'1) ~ t.>. 1l:J... ~,~-(,-t'b
J............ 01")/. ..., \b \".....
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18. DATE
OPTIONAL FORM 294 (REV.8--90)
USDAlUSOI
S0294-1l1<
1. ORDERING OFFICE (name and address) AGREEMENT NUMBER MUST APPEAR ON AlL PAPERS
Idaho Department of Lands RELATING TO THIS AGREEMENT
Southwest Area FPD 2, AGREEMENT NUMBER IDL-a10-0EH)29
8355 W State Street
Boise, Idaho 83703 3. EFFECTIVE DATES I b,
a. beginning 06101/06 ending 12131/06
4. CONTRACTOR a. name and address 5. POINT OF HIRE (location when hired)
Meridian Fire Department Boise 10
540 E Franklin 6. THE WORK RATE IS BASED ON ALL OPERATING SUPPLIES
Meridian, Idaho 83642 BEING FURNISHED BY
o CONTRACTOR I8l GOVERNMENT
b. EIN/SSN: 82-6000225
b. telephone number (day) d. telephone number (night) 7. OPERATOR FURNISHED BY
208-888--1234
FAX 208-895-0390 3n-7351 Dispatch 181 CONTRACTOR o GOVERNMENT
8. TYPE OF CONTRACTOR ("X- appropriate boxes)
o SMALL BUSINESS o lARGE BUSINESS 0 SMALL DISADVANTAGED CWNER o WOMEN (MINED 0 LABOR SURPLUS AREA 1:81 OTHER
9. ITEM DESCRIPTION 10. NUMBER OF 11. WORK OR DAILY 12. SPECIAL 13. GUARANTEE
(include make, model, year, serial number and accessories) OPERATORS a.rate b.unit a.rate b.unit . (8 or more hours)
a. Structural Engine ~/G'C(' E2 3 Un operated NA NA NA
1986 Ford,1000g., 500gpm pump, Foam: $92.00 hr
SN:-FDRKB4N8GVA48266- $1,291 day/1 shift
Uc.# MFD 306 Q' $1.614 daya shifts
SA!; I FDRi<P,4N'3.-;)VA yrJ),). &:
b. c..:.,n. i"iJ~.II;) './<.'h.,'~( ~. . . I
:).col i=G,.D EXPF-DI'hGM t./x4.
.!;t..:~ IFMpCLI tcLX/LA 70Q}..fc
L r c.. tf: II'] F D 3 iuS
c.
d.
e.
f.
g.
14. SPECIAL PROVISIONS
Un-ooerated: A Fire Service Organization with equipment hired at the un-operated rate, with salaried employees, will submit an invoice for
personnel time. IDL will reimburse the FSO for actual payroll costs, including benefits, for resources assigned to an incident No other
administrative or backfill costs will be allowed.
Original payment packages are to be returned to the Idaho Department of Lands for audit and payment as stated in the Interagency Incident
Business Management Handbook, 51.7 Exhibit 02, under Fire Service Organizations.
Wildland fire response. For initial attack within the FSO District or mutual response zone, there will be no payment to the FSO resource for
the first four (4) hours of use. If an FSO resource is needed beyond the four hour period, or for a dispatch outside the DistricUmutual
response zone, the FSO resource order shall be requested through the wildland agency's dispatch center and confirmed through IDL or
SITPA for billing purposes. Only apparatus listed on the current EERA may be hired.
15. CONTRACTOR'S OR AUTHORIZED AGENT'S SIGNATURE 16. DATE 17. CONTRACTING OFFICER'S SIGNATURE 18. DATE
19. PRINT NAME AND TITLE 20. PRINT NAME AND TITLE
Ron Anderson. Fire Chief Kurt Houston. Fire Warden, SWI
EMERGENCY EQUIPMENT RENTAL AGREEMENT
NSN 7540-01.121-a825
PREVIOUS EDmON NOT USABLE
OPTIONAL FORM 294 (REV.S-OO)
USDAlUSDI
!AJ29.4.104
Form W..9
(Rev. December 2000]
Request for Taxpayer
Identification Number and Certification
Give form to the
requester. Do not
send to the IRS.
6 DEPT
III
c..
~
5
E
'0:: Check appropriate box:
c..
III
'"
'"
Ql
a::
Business name. if different from above. (See Specific Instructions on page 2.)
o IndividuaVSole proprietor
o Corporation 0 Partnership tsti Other ... _~\lf::'t"D~___..__.
Requester's name alld address (optional]
\J \ '0 'l, =2>1o~ d---
Tax a er Identification Number (TIN)
Enter your TIN in the appropriate box. For
individuals, this is your social security number
(SSN). However, for a resident alien, sole
proprietor, or disregarded entity, see the Part I
instructions on page 2. For other entities, it is your
employer identification number (EIN). IF you do not
have a number, see How to get a TIN on page 2.
Note: If the account is in more than one name, see
the chart on page 2 for guidelines on whose number
to enter.
~
or
List account number[s) here (optional)
For U.S. Payees Exempt From
Backup Withholding (See the
instructions on page 2.)
Certification
Under penalties of perjury. [ certify that:
1. The number shown on this Form is my correct taxpayer identification number (or I am waiting For a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal
Revenue Service (IRS) that I am subject to backup withhOlding as a result of a failure to report all interest or dividends, or (cl the IRS has
notified me that I am no longer subject to backup withholding, and
3. I am a U.S. person (including a U.S. resident alien).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax retum. For real estate transactions, item 2 does not apply.
For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement
arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must
provide your correct TIN. (See the instruction on page 2.)
Sign
Here
Purpose of Form
A person who is required to an information
return with the IRS must get your correct
taxpayer identification number (TIN) to report, for
example, income paid to you, real estate
transactions, mortgage interest you paid.
acquisition or abandonment of secured property.
c;mc!)!!a~ion of debt, or contributions yo!.! made
to an IRA
Use Form W-9 only if you are a U.S. person
(including a resident alien), to give your correct
TIN to the person requesting it (the requester)
and. when applicable, to:
1. Certify the TIN you are giving is correct (or
you are waiting for a number to be issued),
2. Certify you are not subject to backup
withholding, or
3. Claim exemption from backup withholding if
you are a U.S. exempt payee.
If you are a foreign person, use the
appropriate Form W-8. See Pub. 515,
Withholding of Tax on Nonresident Aliens and
Foreign Corporations.
Note: If a requester gives you a form other than
Form W-9 to request your TIN, you must use the
requester's form if it is substantially similar CD this
Form W.9.
What is backup withholding? Persons making
certain payments to you must withhold and pay
to the IRS 31% of such payments under certain
conditions. This is called "backup withholding,"
Payments that may be subject to backup
withholding inClude interest, dividends, broker
and barter exchange transactions, rents.
royalties, nonemployee pay. and certain
payments from fishing boat operators. Real
estate transactions are not subject to backup
withholding.
If you give the requester your correct TIN,
make the proper certificatlons, and report all
your taxable interest and dividends on your tax
return, paymellts you receive will not be subject
to backup withholding. Payments you receive
will be subject to backup withholding if:
1. You do not fumish your TIN to the
requester, or
2. You do not certiFy your TIN whell required
(see the Part III instructions on page 2 for
details), or
3. The IRS tells the requester that you
furnished an incorrect TI N, or
4. The IRS tells you that you are subject to
backup withholding because you did not report
all your interest and dividends on your tax return
(for reportable interest and dividends only). or
c:<
Date ...
5. You do not certify to the requester that you
are not subject to backup withholding under 4
above (for reportable interest and dividend
accounts opened after 1983 only).
Certain payees and payments are exempt
from backup withholding. See the Part II
instructions and the separate Instructions for
the Requester of Form W-9.
Penalties
Failure to furnish TIN. If you fail to furnish your
correct TIN to a requester, you are subject to a
penalty of $50 For each such failure ullless your
failure is due to reasona ble cause and not to
willful neglect.
Civil penalty for false information with respect
to withholding. If you make a False statement
with no rea sonable basis that resu Its in no
backup withholding, you are subject to a $500
penalty.
Criminal penalty for falsifying information.
Willfully falsifying certifications or affirmations
may subject you to criminal penalties including
fines and/or Imprisonment
Misuse of TIN s. IF the requester discloses or
uses TINs in violation of Federal law, the
requester may be subject to civil a nd criminal
penalties.
Cat. No. 10231X
Form W-9 (Rev. 12.2000)
The following clauses shall be applied to the administration and enforcement of
EERA's
GENERAL CLAUSES TO EMERGENCY EQUIPMENT RENfAL
AGREEMENT FORM OF-294 (11-30-2004)
Since the equipment needs of the Government and availability of Contractor's equipment
during an emergency cannot be detennined in advance, it is mutually agreed that, upon
request of the Government, the Contractor shall furnish the equipment listed herein to the
extent the Contractor is willing and able at the time of order. The following persOlmel are
authorized to place orders against this agreement, Dispatchers, Buying Team Members,
Finance Section Chiefs, Procurement Unit Leaders, Contracting Officers and Purchasing
Agents. . At tme of dispatch, a resource order nuriilJeiwlll be ilsslgned. The Contractor .
shall furnish the assigned resource order number upon arrival and checkin at the incident.
The Incident Commander or responsible Government Representative is authorized to
administer the technical aspects of this agreement.
Equipment furnished under this agreement may be operated and subjected to extreme
environmentalandJor strenuous operating conditions which could include but are not
limited to unimproved roads, steep, rocky, hilly terrain, dust, heat, and smoky conditions.
As a result, by entering into this agreement, the Contractor agrees that what is considered
wear and tear under this agreement is in excess of what the equipment is subjected to
under nonnal operations and is reflected in the rates paid for the equipment. When such
equipment is furnished to the Government, the following clauses shall apply:
CLAUSE 1. Condition of Equipment - All equipment furnished under this agreement
shall be in acceptable condition. The Government reserves the right to reject equipment
that is not in safe and operable condition. The Government may allow the Contractor to
correct deficiencies within 24 hours. No payment for travel to an Incident or point of
inspectio~ or return to the point of hire, will be made for equipment that does not pass
inspection. No payment will be made for time that the equipment was not available.
CLA USE 2. The time under hire shall start at the time the equipment begins traveling to
the incident after being ordered by the Government and end at the estimated time of
arrival back to the point ofhire after being released, except as provided in Clause 7 of
these General Clauses.
CLAUSE 3. Operating Supplies - As identified in Block 7, operating supplies include
fuel, oil, filters, lube/oil changes. Even though Block 7 may specify that all operating
supplies are to be furnished by the Contractor (wet), the Government may, at its option,
elect to furnish such supplies when necessary to keep the equipment operating. The cost
of such supplies will be determined by the Government and deducted from payment to
the Contractor.
CLAUSE 4. Repairs - Repairs to equipment shall be made and paid for by the
Contractor. The Government may, at its option, elect to make such repairs when
crew(s) is/are ordered in writing for the second shift.
3) Agency personnel at the Section Chief Level may, by resource order, authorize
a second operator or crew (Double Shift), if needed during the assignment.
b. Method of Payment. Lump-sum payment will normally be processed at the end of the
emergency assignment. However, partial payment may be authorized as approved by the
incident agency. Payment for each calendar day will be made for (1) actuall.ll1its ordered
and perrormed under Work or Daily, shift basis and/or Special rates or (2) the guarantee
earned, whichever is the greater amount.
CLAUSE 7. Exceptions.
a. Daily Rate or Guarantee - No further payment under Clause 6 will accrue during any
period that equipment under hire is not in a safe or operable condition or when Contractor
furnished operator(s) is not available for the assigned shift or portions of the assigned
shift. Payment will be based on the hours the equipment was operational during the
assigned shift, as documented on the shift ticket versus the designated shift, as shown on
the Incident Action Plan.
b. lfthe Contractor withdraws equipment and/or operator(s) prior to being released by the
Government, no further payment under Clause 6 shall accrue and the Contractor shall
bear all costs of returning equipment and/or operator(s) to the point of hire.
c. After inspection and acceptance for use, equipment and/or furnished operator(s) that
cannot be replaced or equipment that cannot be repaired at the site of work by the
Contractor or by the Government in accordance with Clause 4, within 24 hours, may be
considered as being withdrawn by the Contractor in accordance with Paragraph B above,
except that the Government will bear all costs of returning equipment and/or operator(s)
to the point of hire as promptly as emergency conditions will allow.
d. No payment will accrue under Clause 6 when the contractor is off shift in compliance
with the mandatory ..WorklRest" and "Length of Commitment" provisions. As an option
to rotating personnel, or taking a mandatory day off without pay, the Contractor may be
released from the incident.
CLA USE 8. When Government subsistence incident camps are available, meals and
bedding for Contractor's operator(s) will be furnished without charge. Government will
furnish meals and lodging without cost ifhotellrestaurant subsistence is the approved
camp for incident personnel Double occupancy of hotel rooms may be required.
Contractors are not paid per diem or lodging expenses to and from incidents.
CLAUSE 9. Loss, Damage, or Destruction.
a. For equipment furnished under this EERA without operator, the Government will
assume liability for any loss, damage or destruction of such equipment, except that no
reimbursement will be made for loss, damage or destruction due to: (1) ordinary wear or
CLAUSE 14. CLAIM SETTLEMENT AUTHORITY. For the purpose of settling claims,
the successor Contracting Officer is any Contracting Officer acting within their delegated
warrant authority, under the clauses of this agreement, and limits set by the incident
agency.
CLAUSE 15. CHANGES TO EMERGENCY EQUIPMENT RENTAL
AGREEMENTS.
Changes to Emergency Equipment Rental Agreements (EERA's), OF-294 may only be
made by the original signing procurement official. If the original signing procurement
official is not available and adjustments are deemed appropriate, a new EERA shall be
executed at the incident and sllilll be appp:~ableo-'cllYfQ.rthe duration of that incident. The
agreement will inClude nmne and location of the incident.
CLAUSE 16. FIREARM - WEAPON PROIDBITION. The possession of firearms or
other dangerous weapon (18 USC 930 (t)(2) are prohibited at all times while on
Government property and during perfonnance of services, under this agreement. The
term dangerous weapon does not include a pocket knife with a blade less than 2~ inches
in length or a multipurpose tool such as a leatherman.
CLAUSE 17. WORK REST and LENGTII OF ASSIGNMENT: The Contractor is
required to follow the work rest guidelines as established by the NWCG. Refer to website
for the guidelines: www.nwcg.gov
CLAUSE 18. HARRASSMENT FREE WORKPLACE. Contractors shall abide by "U.S.
Code, Title VII, Civil Rights Act of 1964, Executive Order EO-93-05, Secretary's
Memorandum 4430-2 Workplace Violence Policy, and Harassment Free Workplace (29
CPR Part 1614)". Regulations can be found at www.gpoaccess.gov/
CLAUSE 19. Definitions. 11Ie following definitions for Block 8 of the EERA are added:
Infonnation about business size is collected for tracking purposes only.
a SMALL BUSINESS is one that is independently owned and operated and is not
dominate in the field for which it is being signed up, subject to the following size
standards: (1) Motorcar and Truck Rental Without Operator - average annual receipts for
its preceding 3 fiscal years do not exceed 12.5 millio14 (2) Equipment Rental With
Operator - average annual receipts for its preceding 3 fiscal years do not exceed 3.5
million.
b. SMALL DISADV AN[ AGED-OWNED BUSINESS is a small business concern that
is at least 51 percent unconditionally owned by one or more individuals who are both
socially and economically disadvantaged, or a publicly owned business that has at least
51 percent of its stock unconditionally owned. by one or more socially and economically
disadvantaged individuals and that has its management and daily business controlled by
one or more such individuals.
(vi) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Pub. L.
108-77, 108-78).
(2) Listed below are additional clauses that apply:
(i) 52.232-1, Payments (Apr 1984).
(ii) 52.232-8, Discounts for Prompt Payment (Feb 2002).
(Ui) 52.232-11, Extras (Apr 1984).
(iv) 52.232-25, Prompt Pa~nt(Oct 2003).
(v) 52-233-1, Disputes (July 2(02).
(vi) 52.244-6, Sulx:ontracts for Connnercial Items (Dec 2(04).
(vii) 52.253-1, Computer Generated Forms (Ian 1991).
(b) The Contractor shall comply with the following FAR clauses, incorporated by
reference, unless the circumstances do not apply:
(1) The clauses listed below implement provisions of law or Executive order:
(i) 52.222-19, Child Labor - Cooperation with Authorities and Remedies (June
2004)
(E.O. 13126). (Applies to contracts for supplies exceeding the micropurchase threshold.)
(ii) 52.222-20, Walsh-Healey Public Contracts Act (Dec 1996) (41 U.S.c. 35-45).
(Applies to supply contracts over $10,000 in the United States, Puerto Rico, or the U.S.
Virgin Islands).
(ill) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of the
Vietnam Era, and Other Eligible Veterans (Dee 2001) (38 U.S.c. 4212) (Applies to
contracts of $25,000 or IOOre).
(iv) 52.222-36, Affinnative Action for Workers with Disabilities (June 1998) (29
U.S.C.793). (Applies to contracts over $10,000, unless the work is to be pertonned
outside the United States by employees recruited outside the United States.) (For
purposes of this clause, United States includes the 50 States, the District of Columbia,
Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin
Islands, and Wake Island.)
(v) 52.222-37, Employment Reports on Special Disabled Veterans, Veterans of
the Vietnam Era, and Other Eligible Veterans (Dee 2(01) (38 U.S.c. 4212) (Applies to
contracts of $25,000 or IOOre).
52.208-6 Marking of Lease Vehicles (APR 1984)
The applicable Service Contract Act Wage Detennination No. 1995 - 0221, Rev. 14
Dated 6/24/04 is incorporated herein. (See Clause 52.222-41 above.)
52.208-6 Marking of Lease Vehicles (APR 1984)
TIle applicable Service Contract Act Wage Determination No. 1995 - 0221, Rev. 14
Dated 6/24/04 is incorporated herein. (See Clause 52.222-41 above.)