Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutC20-308 White River National Forest Emergency Land Use AgreementEMERGENCY FACILITIES & LAND USE AGREEMENT rev. SJNF 05/2020
INCIDENT AGENCY (name, address, phone number)
US Forest Service
White River National Forest
900 Grand Ave.
Glenwood Springs, CO 81602
970-930-1850
Page 1 of 3
AGREEMENT NUMBER MUST APPEAR ON ALL PAPERS
RELATING TO THIS AGREEMENT
AGREEMENT NUMBER:
140L1720P5063
EFFECTIVE DATES
a. beginning: 08/12/2020
b. ending: End Of Incident
OWNER (name, address, phone number-include day/night/cell)
Eagle, County of
500 Broadway
Eagle, CO, 81631-5178
POINT OF CONTACT: Jan Miller
EMAIL: Jan.Miller@eaglecounty.us
PAYMENT ADDRESS: Same as above or ___
DUNS: 084024447
REGISTERED IN SAM.GOV: Yes or No, Vendor Code
Information Worksheet attached
EIN/SSN (only if not in SAM):
County: ;; State: Township: Range: Section:
INCIDENT NAME: ____ Grizzly Creek ___________
INCIDENT NUMBER: __ CO-:5)-000348 ____________
RESOURCE ORDER NUMBER: S-006________________
MODIFICATION No/DATE: ___________________
MODIFICATION CO Initials: __________________
TYPE OF CONTRACTOR ("X" APPROPRIATE BOXES):
SMALL BUSINESS LARGE BUSINESS SMALL DISADVANTAGED OWNED WOMEN OWNED HUBZONE
SERVICE DISABLED VETERAN PUBLIC ENTITY GOVERNMENT OTHER
The owner of the property described herein, or the duly appointed representative of the owner, agrees to furnish the
land/facilities for use as Incident Command Post .
DESCRIPTION OF LAND/FACILITIES:
The Eagle River Center, 0794 Fairgrounds Rd which includes non-exclusive use of two adjacent parking lots.
This Land Use Agreement is for the use of:
Eagle County - Eagle County Fairgrounds
0794 Fairgrounds Road, Eagle, CO 81631
Eagle River Center Building and parking lots.
Includes use of the indoor riding arena and associated facilities in the building, bathrooms, electricity, internet if available.
Local POC is: Jan Miller, Facilities 0DQDJHU, 970-445-7718, Jan.Miller@eaglecounty.us or Kate Tennant, Facilities / Fair &
Rodeo, 970-456-5528, kathryn.tennant@eaglecounty.us
-The land will be used for, Incident Command Post (ICP) in support of the Grizzly Creek Fire.
-Excluding offices located in the front of the building.
RATE: For each day that the land/facilities are used, the Government will pay the rate of see below or as indicated below.
Ordinary wear and tear is included in the rate. The minimum amount guaranteed to be paid under this agreement shall be
$ 0.00 , regardless of the length of use. The maximum amount to be paid under this agreement shall not exceed $ see
below . Payment shall be in accordance with the incident Agency payment procedures.
Rate breakout: $450/Day
UTILITIES AND SERVICES:
The above rate includes utility charges for the following: DIESEL GAS ELECTRICITY WATER TOILET
SUPPLIES JANITORIAL SERVICES & SUPPLIES TRASH REMOVAL SEPTIC SERVICE EXISTING
TELECOMMUNICATIONS
The above rate excludes utility charges. The Government will pay to the owner the sum determined due by the Contracting
Officer based on:
Page 2 of 3
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
C20-308
Agreement No: 140L1720P5063
RESTORATION: Restoration beyond ordinary wear and tear. (check only one)
The above sum includes Government restoration of land/facilities. Restoration shall be performed to the extent
reasonably practical. Restoration work includes: .
The above sum excludes restoration of land/facilities. Reasonable costs incurred by the owner (beyond ordinary wear
and tear) in restoring land/facilities to their prior condition shall be submitted, in writing, to the Contracting Officer.
ALTERATIONS: The Government may make alterations, attach fixtures or signs, erect temporary structures in or upon the
land/facilities, install temporary culverts, trenching for utilities, which shall be the property of the Government. Alterations will
be removed by the Government after the termination of the emergency use, unless otherwise agreed.
ORAL STATEMENTS: Oral statements or commitments supplementary or contrary to any provisions of this Agreement shall
not be considered as modifying or affecting the provisions of this Agreement.
ORDINARY WEAR AND TEAR: Ordinary wear and tear is based on the customary use of the land/facilities, and not the use
resulting from the incident.
CONDITION REPORTS: A joint pre and post-use physical inspection report of the land/facilities shall be made and signed by
the parties; the purpose of the inspections shall be to reflect the existing site condition.
OTHER: Describe in detail: .
TERMS AND CONDITIONS: See attachment.
INSURANCE/ INDEMINIFCATION: The United States Federal Government is self-insured and does not have the authority to
indemnify and hold harmless the landowner , from any and all claims, liabilities, losses, damages, charges, etc. The
landowner does not have the authority to indemnify and hold harmless the United States Federal Government from any
and all claims, liabilities, losses, damages, charges etc. The landowner will be responsible for errors, omissions and
negligence of its employees. The United States Federal Government will be responsible for errors, omissions and negligence
of its employees to the extent provided by Congress under the Federal Tort Claims Act [28 U.S.C. 1346(b), 2401(b), 2671-
2680, as amended by P.L. 89-506, 80-Stat. 306].
CHECKLIST(s): See attachment. Fill in the following drawing showing the land/facilities under agreement. Include buildings,
roads, paved areas, utility lines, fences, ditches, landscaping and any other physical features which help describe the area.
FEDERAL ACQUISITION REGULATION CLAUSES:
FAR 52.252-2 Clauses Incorporated by Reference (FEB 1998)
This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request,
the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these
address(es): https://www.acquisition.gov/browse/index/far or https://www.acquisition.gov/agar
FAR 52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment (Aug 2019)
FAR 52.213-4 Terms and Conditions -- Simplified Acquisitions (Other Than Commercial Items) (Jun 2020)
FAR 52.222-3 Convict Labor (June 2003)
FAR 52.222-50 Combating Trafficking in Persons (Jan 2019)
FAR 52.223-18 Encouraging Contractor Policies to Ban Text Messaging While Driving (Jun 2020)
FAR 52.232-1 Payments (APR 1984)
FAR 52.232-11 Extras (APR 1984)
FAR 52.232-17 Interest (MAY 2014)
FAR 52.232-25 Prompt Payment (JAN 2017)
FAR 52-233-1 Disputes (MAY 2014) ALT I (DEC 1991)
FAR 52.243-1 Changes—Fixed Price (AUG 1987)ALT I(APR 1984)
FAR 52.249-4 Termination for the Convenience of the Government (Services)(Short Form)(APR 1984)
FAR 52.249-8 Termination for Default (Fixed-Price Supply and Service)(APR 1984)
Loss, Damage or Destruction: The Government will assume liability for the loss, damage, or destruction of facilities furnished under this
Agreement, provided that no reimbursement will be made for loss, damage, or destruction when due to (1) ordinary wear and tear, or (2) the
fault or negligence of the owner or the owner’s agent(s).
OWNER / OWNER’S AGENT SIGNATURE: DATE:
08/12/2020
CONTRACTING OFFICER'S SIGNATURE: DATE:
08/18/2020
PRINT NAME AND TITLE: -HII6KUROO&RXQW\0DQDJHU
PHONE NUMBER:
EMAIL:
PRINT NAME AND TITLE: Ellena Silva, Contracting Officer (BUYL-
T) Warrant: USDA-FOR-2015-10930F92
PHONE NUMBER: 505-263-8278
EMAIL: ellena.silva@usda.gov
Page 3 of 3
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
970-328-8600
jeff.shroll@eaglecounty.us
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B
DocuSign Envelope ID: 37FAC033-2CD1-43E9-B617-E9EB1966558B