OFFER_SUBMISSION_PACKAGE_-_Gravel_Crushing.docx

Offer Submission Package #12569R19Q0008 HIA – East Zone Gravel Crushing

OFFER SUBMISSION PACKAGE

Complete and submit the following with your offer.

Hiawatha National Forest East Zone Gravel Crushing

By submitting the offer, the Contractor agrees to all terms, conditions, clauses, and provisions included in the solicitation and agrees to furnish any awarded items at the price set in the schedule. The offer is valid for 30 after the closing date of the solicitation unless a formal extension is granted by the contractor.

OFFEROR NAME __________________________________________________________

OFFEROR DUNS NUMBER _________________________________________________

OFFEROR EMAIL ADDRESS ________________________________________________

OFFEROR POINT OF CONTACT (NAME AND PHONE) _________________________________

SCHEDULE OF ITEMS

The Government intends to award a fixed price contract with estimated award date of April 30, 2019. Work may begin two weeks after award as long as weight restrictions are lifted. Contractor must complete all work and demobilized from the site by August 31, 2019. See attached Statement of work and maps for further specifications. All labor costs must be in compliance with the attached Federal Wage Determination.

ITEM 1

4,000

EXPERIENCE AND CAPABILITY QUESTIONNAIRE

Instructions: See Box 10, REMARKS. If extra space is needed to answer any items below. Mark "X" in the appropriate boxes.

Please list NA for inapplicable items.

____ Company

____ Corporation

____ Non-profit Organization

____ Co-partner

____ Individual

3. How many years of experience do you have in this line of work? ___________________

4. How many years of experience as a prime contractor? _________ subcontractor? ________

5. List the projects your business has completed in the last 3 years.

Contract Amount

Completed Name and Telephone Number to Contact For Information

6. List contractual commitments running concurrently with the work contemplated by this soliciation.

Contract Number Contract Amount

Completion Name and Telephone Number to Contact For Information

7a. Have you ever failed to complete any work awarded to you? ____ yes ____ no 7b. Has work ever been completed by performance bond? ____ yes ____ no 7c. If "yes" to either Question 7a. or 7b., please specify location(s) and reason(s):

8. Organization that will be available for this project:

d. If applicable, estimate rate of progress (such as 2.0 acres per day):

Minimum progress rate: __________________________ Maximum progress rate: ______________________

9. List the experience of the principal individuals of your business.

10. Remarks: Additional pages may be added to provide additional information in this section.

Please include a list of bio-based product if they will be used in performance of this contract. Applicable bio-based products may include fuel, lubricants, or additives for vehicles or equipment provided by the contractor.

CERTIFICATION: I certify that all of the statements made above are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.

Signature Title Date

52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law. (FEB 2016)

(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that—

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that—

(1) It is □ is not □ a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is □ is not □ a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management (SAM) accessed through https://www.sam.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (u)) of this provision. A copy of this provision can be found at http://www.acquisition.gov/far/

52.212-3 Offeror Representations and Certifications – Commercial Items (OCT 2018) (paragraph b):

(b)(1) Annual Representations and Certifications. Any changes provided by the Offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications in SAM.

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications-Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ___________.

[Offeror to identify the applicable paragraphs at (c) through (u) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

Review 52.212-2 Evaluation – Commercial Items (OCT 2014) on page 11 of the Combined Synopsis/Solicitation and the Offer Submission Information on page 14. Include any other documentation to allow for a thorough evaluation.