ML20247P316

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Package of Purchase Order DR-89-0181 & Amends 1-4 to Subj Purchase Order
ML20247P316
Person / Time
Issue date: 11/04/1988
From: Edgeworth P, Smith P
NRC
To:
Shared Package
ML20247P314 List:
References
FOIA-89-156 NUDOCS 8908040130
Download: ML20247P316 (6)
v • d • e


Text

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y PURCHASE ORDE3 -

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-po Nr er issue: u.s. Nuctean nezus.Arent ccu rirism

___DR-89-0181

~ di/4/88L REOusseTION NUusEA seggCUCitoNs. Sea bimng codersa. lower left comit of thh irrm.

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PURCHASE ORDER PER YOUR 000tatlon or 1I/J/W pgt.svCRY ORDER UNDER CONTRACT NUMBER ap, poPRiatlON/ALLOTME NT FIN 84RNUMBER CONSIGNEE AND DE$ilNAllON (SHsP TO NRC WAREHOUSE UNLESA OTHERwtSE SPECir alx0200.409 D23769 940-20-06-25-0 U.S. Nuclear Regulatory Comnission Tns.i-i Attn:. Richard A. Dopp..MNBB-5721 Employee Screening Services, Inc.

Washington, DC 20555 dh/a Ira Ane He.'st & Associates jeCE or 'NSaEC2'ON AND ACCEeiANCE [ DA rr.

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  • 3404 W.

Ptahook Road' un N/A Lafayette, Louislana 70508 OE uven V^ve lDiSCOUair PAvuENr rEaus sian Reinw N-30 PLE ASE FURNISH THE FOttOwsNG ON THE TERMS SPECir#ED ON BOTH $1 DES OF THIS SHEET AND ON THE ATTACHED.eF ANY. ENCEPT THAT AhiY SUCH TER

  1. NCONSigfENT wtTH THE TERMS OF ANY EKISTING FEDERAL CONTRACT OR AGREtuCNT UNDER WHICH I645 ORDER IS PL ACED WILL NOT APPLY NEGOTIATED PURSUANT TO THE AUTHORITY OF 41 USC 252(CI(3t ITEM NO ARiiCLES OR SERV 4CES OUANilfY UNIT UNIT PRICE AMOUNT'

" Collection of Urine Specimens At Remote Sites" This purchase order is'for collection services a't remote sites,on a requirements basis using loaded hourly rates and firm fixed prices for the items specified herein.

The c6ntractor is not authorized to proceed or to incur any costs, and the NRC is not liable for any expenditures, unless and.until the NRC places an order for these services.

Orders mey be placed verbally, and will be confirmed in writing by the Contracting Officer's Technical Representative or by the Assistant Drug l

Program Coordinator identified herein.

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v 03 TO CONYAct REGARDING THt,., ORDER TE t E PHONE

'y,y AREA CODE l NUMBER TOTAL i

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y*>>630*-

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"'8 84VOICt ses D pffUuoER uuS, UPLtCATE tN ACCORDAnCE WITH INSTRUCfiONSON REVE RSE SIGN AT URE ANO T YPED NAME j

.E,NCtUDED, AND rORwaRD TO

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u.s. NuC CAR ReoutAToRY Commission 4;Not$r"!CS$$[rs"$"[ND ItN

[ WASHINQ1t)N. D C. 20555 Patric4afv,jgiQo,,,ct, CE i

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CONTINUATION SHEET DR-89-0181 2 of 2 ITEM NO SUPPLIE%ERWCES OUANTITY UNtf UNIT PReCE AMOUNT The contractor shall perform Collection and Transportation of Urinalysis Samples for Drug Testing in accordance with the attacheat Statement of Work.

Firm Fixed l

hr. !

  • rice /Hr.

P 1

, Collection of Samples - The estimated Estimated number of samples to be collected under this' 15

..5.586.67,

  • $ 8,800.00 P.O. is 15 or approximately 5 per month.

2 Statistical Summary Report 3

Lot Not separately Pricec Not Separately Pricec - Price 'ncluded in Item 1.

3 Material and supplies for approximately 30 Ea.

5 4.00 5

120.00

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fifteen (15) collections (30 Kits).

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4 Shipment of specimens to NRC Drug Testing Laboratory.

15

_ot 5 14.00 5

210.00 5

Travel & Per Diem - Approximately 15 trips -

one person. Each trip consists of traveling to one of the identified sites (Atch. 5)

Ceiling j

and collecting one urine specimen.

Costs 15 Trips N/A 5 10,500 aill be reimoursed IAW current Federal Travel Regulation rates.

The NRC may unilaterally increase the ceiling amount at any time during the period of performance.

TOTAL CEILING FRICE S_122630gg, Note:

The fixed price per labor rate is a buroened rate that includes labor., overnead, G&A, fringe benefits, costs associated with the preparation of statistical summary reports, and profit.

The per nour labor rate does not contain travel costs, i

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m tgso m aga inib NUMbth MUS1 ArFLAH uN ALL tNW,,0 s (say),

Q AND PAPERS RELATING TO THIS ORDE NRCM 6131 PURCHASE ORDER

  • '*""" " Amende No.1 l"* h Poli 4T OF ISSUE: U.S. NUCLEAR REGULATORY COMMISSION DR.89.Q}$1 I nt/Ag REOutstTION NUMBER

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INSTRUCTIONS see twimg.ddresa. lower left corner of this form.

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PURCHASE ORDER PER YouR..

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DELfVERY ORDER UNDER CONTRACT NUMBER 7

APPROPRIA f EON /ALL OT M E NI FIN 8 & R NUMBER cog $gGNEE AND DESTINA fiON (SHIP TO NRC WAREHOUSE UN(ESS OTHERWISE SPEC 8FifD,

_31XQ2Rf,L409 D23759 940-20-06-25-0 U.S. Nuclear Regulatory Comission ployee Screening Services. Inc.

hardAgp.MNBB-5721

R d/b/a Ira Jane Hurst & Associates DuivtRM.
  • lPcACt Or NSPiCr.ON AND ACCEP lOAiL ANCE l

3404 W. Pinhook Road n/a n/a Lafayette, 00M8!AMA 70508 OEuvE Rv OATE J DiSCOUN' eAvMcNr teams

% Raltw N.30 PLEASE FURM3H THE FOLLOWING ON THE TERMS SPECIFsED ON BOTH SIDES Or THrs SHEET AND ON THE ATT ACHED (F ANY. EXC(Pf THAT ANY SUCH TERMS WHiCH MICHT (tE INCONSISTENT WITH fME FERMS OF ANY EXISTING FEDf RAL CONTRACT OR AGREEMENT UNDLR WHICH THis ORDER iS PLACED WILL Not APPLY NEGOTIATED DURSUANT TO THE AUTHORITY OF 41 USC 252(C)(36 ffEM NO ARitCLES OR SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

/aendment No. 4-The purpose of this amendment is to revise the pur-chase order to add the following:

"The period of perfomance of this purchase order is from November 4.1988 through April 3.1989.*

All other terms and conditions including the total of

$19,630.00, remain the same.

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PERSON to CONT ACT Rf GARD *NG THIS ORDER ggggpgggg l NUMBE R TOTAL AReaCODE 4 ACCORD ANCL WITH INSTRUC riONS ON RC vt R$[

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N bN URk NO LO AME ePO NUMotR MUST BE ENCL JOED) AND FORWARD TO

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U.S. NUCLEAR REGULATORY COMMISSION OFFICE Or RESOURCE MANAGEMENT

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DIVISION OF ACCOUNTING AND FINANCE L 4T A ATING 06 F ICLR WASHINGTON. D C 20555

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JACKET COPY

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' PURCHASE ORDER '

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, POINT OF ISSUE: U.S. NUCLEAR REOULATORY COMMIS:lON MAME D<l' ATE,9 /d.fg mp REOD5sa%ps pi NUdeta i

(NSTRUCTidNS. SM bdisng Cddrias, low";r left Corn!r C1 this form.

I jPURCHASE ORDER PER YOUR -

OF f

DELfVERY ORDER UNDER CONTRACT NUMBER APPROPRIA TION /AL L OIME N! l FsN B & R NUMBER 31XO200.409

'D23769 940-20-06-25-0 CpNSIGNEE AND DESTINATION (SHIP TO NRC WAREHOUSE UNLESS OTHERWISE SPECirig~*

U.S. Nuclear Regulatory Commission

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i Attna Richard A. Dopp Employee Screening Services, Inc.

Washington, DC 20555 d/b/a Ira Jane Hurst & Associates oEtevER, F O s gPLACE Or mSnCr.oM ANo ACCEP:ANap loArE 3404 W. PinhoOk Road N/A N/A Lafayette, Louisiana 70508 j

OEuvonv OATE lDiSCOuNr PAvMEN, rERMS See Below Net 30 PLEASE FURNISH THE FOLLOWING ON THE TERM $ SPECar E0 ON BOTH SiOES OF THIS SHEET AND ON fM INCONSISTENT WITH THE TERMS OF ANY 4xr$74NG FEDERAL CONTRACT OR AGRfEMENT UNDER WHtCH THIS ORDER IS Pj NEGOTIATED PURSUANT TO THE AUTHORITY OF 4 USC 252(C)(31 ftEnd NO ARiaCL E S OR SE RviCE S QUANflTY UNtf UNIT PRICE AMOvNT leendment No. 2 The purpose of this amendment is to revise item no. I as shown below:

Est.

"1 Collection of Samples. The estimated number of 15 ca.

$586.67

$8,800.00 I

sampics to be collected at each remote site is 1.

The estimated number of collections each reonth is five.*

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  • When between 2 and 5 collections are made at any one site, the contractor's Firm Fixed Price per site shall be $1173.34. "

All other terms and conditions including the total ceiling price of $19,C0.00, remain the same.

ACCEPTED BYt EMPLOYEE SEREENING SERVICES, INC. d/b/a Ira Jane I!urst NAME:

DATE PE F. SON TO CONTACT REGARDiNG THis ORDER T E L E PHONE Akl A CODE NuwDLR Barbara Meehan gQgg 301 492-131Q AveMst sNVO'CE IN DUPitC ATE sN ACCORDANCE WifH INSTRUCTIONSON REVE RSE SIGN ATURE AND T YPLD NAME PO NUM!ER MCST Bf sNCL UDEDs AND FOnwARD TO U.S. NUCLEAR REGULATORY COMMISSION 8

OFF8CE OF RESOURCE MANAGEMENT A"I M IWPu:10h DIVISION OF ACCOUNTING AND FINANCE WASHINGTON. D C 20555

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CONT R A TING OF F ICL M j% [9

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POINT OF ISSUE: U.S. NUCLEAR [EEULATO;;Y COMMIS!!ON -

DR-89-0181 A==ad 3

2f28/C) e NEOutStisON NUMBCJR

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INSTRUCitON'S. See bilhng address,lowet left CDrner of this form.

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PURCHASE ORDER PER YOUR OF

{f DELIVERY ORDER UNDER CONTRACT NUMBER j FsN l B & R NUMBER CONSIGNEE AND DESTINA710N ISHtP TO NRC WAREHOUSE UNLESS OTHERWISE SPEClfIEDI.1 APPNOPAiAlsON/ALL O T ME NT 31X0200.409 f 23]h9. 910-20-06-25-0 U.S. Nuclear Regulatory Comun&&eion to <S.u.r>

Atta: Richard A. Dopp i

Employee Screening Services, Inc.

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7 " /a d/b/a Ira Jane Hurst & Associates 3404W. Pinhook Boad n/a I

n Lafayette, Louisiana 70508 l'*'""'"""'"""*

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See Below Net 30 PLEASE FURNtSH THE FOLLOWING ON THE TE RMS SPECIFIED ON BOTH SIDES OF THis SHE E T AND ON THE ATT ACHE D,IF ANY. E XCEPT THAT ANY SUCH TERMS WHICH MIGHT gg j INCONSISTENT WITH THE TERMS OF ANY EXISTING FEDf.RAL CONTRACf OR AGREEMENT UNDER WHtCH THl3 ORDER IS PLACED wlLL NOT APPLY l j l NEGOTIATED PURSUANT TO THE AUTHORITY Or *1 USC 75?fC)f31 ITEM NO.

ARiiCLES OR SERvtCES OUANTffY UNif UNIT PRICE AMOUNT l

Amendment NO. 3 1

i The purpose of this ascendment is to revise the period of performance av follows:

"The period of performance of this purchase order is from November 4, 1988 through May 3, 1989."

i All other terms and conditions including the total of $19,630,00, remain the same.

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ACCEPTED BY EMPLOYEE SCREENING SERVICES, INC.

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NnwY Date:

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i PERSON TO CONTACT REGARDING THIS 081DE R TE L E PHONE AREA CODE lNuueER TOTAL Br.rbara Meehan 301 492-7310 SU19AIT INVOICE IN DUPLIC AT E IN ACCQ4D ANCl, W6f H INSTRUCTIONS ON RE vf RSE SIGN AT AND T YPE D N AME (PO NUMBER 88U$7 BE #NCLUDED:AND FORWARD TO

/2 U.S. NUCLEAR REGULATORY COMMISSION

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OFFICE OF Rf. SOURCE MANAGEMENT

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(--7,dge OfVISION Or ACCOUNTING AND FINANCE ATING OF F #CLR WASHINGTON. D C 20S5$

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iirceoom PURCHASE CRDER' f

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il*3; POINT OF ISSUE: U.S. NUCLEAR CEDULAT3RY COM~lS212N M _S 91A1

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REOu aliON NUMa u a -

N INSTRUCTIONS S23 fling eddrssa,lowsr litt cornis r,f the form.

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PURCHASE ORDER PER YOUR i

DELfVERY ORDER UNDER CONTRACT NUMBER CONSIGNEE AND OESTINAf TON (SHIP TO NRC WAREHOUSE UNL ESS OTHERWISE SPECirtEQ l B & R NUMBER APPROPRIA TION /AL L OT ME N T FsN 31X0200 D23759 940-20-04-25-0 U.S. Nuclear Regulatory Commission Attn: Richard A. Dopp m 9nscs Employee Screening Services. Inc.

m t hing+an.' ~I"'*"'"'"*"^*^"'"'"l

d/b/a Ira Jane Hurst & Assoc.

3404 W. Pinhook Road n/a n /a~~ l*'"""'""'"'"*5 o"'vt av o^'t Lafayette. Louisiana 70508 s t 30 days n/a e

PLEt,SE FURNISH THE FOLLOWING ON THE 7ERM$ SPECIFIED ON SOTH SIDES OF THIS SHEET AND ON THE ATTACHE D. IF ANY.EKCE INCONSISTENT WITH THE TERMS OF ANY EXISTING FEDERAL CONTRACT OR AGREEMENT UNDER WHICH THIS ORDER r j

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NEGOTIATED PURSUANT TO THE AUTHORITY OF 41 USC 252(C)(3)

ARtiCL E S OR SE RviCE S OUANTITY UNIT UNIT PRfCE AMOUNT stE M NO Amendment No. 4 i

The purpose of this amendment is to increase the ceil ing l

amount by $5.370.00 from $19.630.00 to $25,000.00.

l Therefore the purchase order is amended as follows:

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'The ceiling amount of this purchase order is $25,000,00 All other terms and conditions, incidding the unit pr Ices, remain the same."

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PERSON TO CONT ACT REGARDING TH6S ORDER TE L E PHONE AREA CODt l NUMBER TOTAL AT AME d

E TEIN ACCORDANCE wt1HINSTRUCflONSONREVERSE t e (PO NUMBE,R MU$f DE INCL UDE D6 AND FORWARD 10 f,

Paul 6'._Ed U S, NUCLE AR REGULATORY COMMISSION Of FICE OF RESOURCE MAN AGEMENT CONT R ATING OF F 4CE R DivtSION OF ACCOUNTING AND FINANCE WASHINGTON OC 20555 JACKET COPY

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