B08_Solicitation_Attachment_3_Tech_&_Fin_Capability.pdf

RFQ 140P6219Q0020 ATTACHMENT 3

TECHNICAL & FINANCIAL CAPABILITY STATEMENT

Before awarding any Government contract, the Contracting Officer must determine that a proposed contractor is responsible. As used here, the term “responsible” means the Contracting Officer can reasonably expect satisfactory contract performance. A proposed contractor must have or be able to obtain (1) adequate financial resources, (2) be able to comply with the required or proposed delivery or performance schedule, (3) have a record of satisfactory performance , (4) have a satisfactory record of integrity and business ethics, (5) have the necessary organization, experience & technical skills needed, (6) have or be able to obtain production and technical equipment & facilities needed, and (7) be otherwise qualified and eligible to receive an award under applicable laws and regulations. The following information is needed for this determination and will be treated as confidential. The proposed contractor must demonstrate responsibility to the full satisfaction of the Contracting Officer. If the information is not provided or is incomplete the Contracting Officer may not be able to find a proposed contractor responsible.

* * Sign this form in all places indicated and attach copies of documents requested! * *

1. FINANCIAL: PROVIDE INFORMATION ABOUT THE FINANCIAL POSITION OF YOUR FIRM.

a. CONTRACT FINANCING IS NOT AUTHORIZED UNDER THIS SOLICITATION. THEREFORE; DO YOU HAVE, OR ARE YOU ABLE TO OBTAIN, ADEQUATE FINANCIAL RESOURCES FOR PERFORMANCE OF THIS

CONTRACT.

[___] YES [___] NO

b. DO YOU HAVE OR ARE YOU ABLE TO OBTAIN THE INSURANCE, AND THE BONDING AND/OR PAYMENT

PROTECTION AS MAY BE REQUIRED FOR THIS CONTRACT?

[___] YES [___] NO

c. LIST YOUR BUSINESS’ BANK/FINANCIAL INSTITUTION INFORMATION.

NAME PHONE/EMAIL COMPLETE ADDRESS AND ZIP CODE TYPE ACCOUNT

d. LIST YOUR SURETY INFORMATION FOR PERFORMANCE, PAYMENT AND BID BONDING.

NAME OF FIRM:

COMPLETE ADDRESS AND ZIP CODE:

FIRM POC: PHONE: EMAIL:

NAME OF CERTIFIED SURETY: NAIC #:

2. AUTHORIZATION FOR RELEASE OF INFORMATION: ENTER INFORMATION, SIGN & DATE.

I authorize all of the listed references to release financial or business data or records to the National Park Service (NPS) upon request.

Name & Title of Quoter:_________________________________________________________

Signature: _______________________________________________ Date: _______________

3. ABILITY TO COMMENCE PERFORMANCE: IT IS ANTICIPATED THE CONTRACT WILL BE

AWARDED IN THE LATE JULY 2019 TO EARLY AUGUST 2019 TIMEFRAME. IF AWARDED THE CONTRACT, WILL YOUR FIRM BE ABLE TO BEGIN PERFORMANCE WITHIN TWENTY (20) CALENDAR DAYS FROM THE

DATE OF CONTRACT AWARD?

[_____] YES [_____] NO

4. ABILITY TO COMPLETE PERFORMANCE: CAN ALL WORK BE COMPLETED, TO INCLUDE FINAL

INSPECTION, CLEAN-UP, AND SUBMISSION OF ALL CLOSEOUT REPORTS, WITHIN NINETY (90) CALENDAR

DAYS FROM CONTRACTING OFFICER’S ISSUANCE OF THE NOTICE TO PROCEED?

[_____] YES [_____] NO

5. PERSONNEL: ON A SEPARATE PAGE:

(A) WITH THE UNDERSTANDING THAT THE KEY POSITIONS LISTED IN THE EXAMPLE BELOW MAY OR MAY NOT BE RELEVANT OR NEEDED IN PERFORMANCE OF THE CONTRACT, IDENTIFY KEY POSITIONS YOU WILL BE UTILIZING IF YOUR FIRM IS AWARDED THE CONTRACT. (EXAMPLE KEY POSITIONS: Site Superintendent, Alternate Site Superintendent, Foreman, Program Manager, Safety Officer, Environmental Compliance Officer, Engineer, Archaeologist, Quality Control Supervisor, Other (please describe), etc….)

(B) FROM THE POSITIONS YOU’VE IDENTIFIED AS UTILIZING FOR THIS CONTRACT, PROVIDE A BRIEF RESUME OF EACH OF THE INDIVIDUALS WHO WILL BE PERFORMING IN THOSE CAPACITIES. GIVE NAMES, POSITIONS, TRAINING, EDUCATION, EXPERIENCE, & OTHER QUALIFICATIONs. IF THE IDENTIFY OF AN INDIVIDUAL IS NOT YET KNOWN FOR A KEY POSITION YOU WILL BE UTILIZING, AND IF IT IS YOUR PLAN TO HIRE OR SUBCONTRACT OUT FOR THAT POSITION, PLEASE INDICATE HOW THAT POSITION WILL BE FILLED.

(C) DESCRIBE HOW YOU WILL MEET THE CONTRACT REQUIREMENTS FOR LABOR FORCE (CRAFTS AND

TRADE POSITIONS)?

6. RELATIONSHIP WITH THE GOVERNMENT: IS THE OWNER OR ANY OFFICIAL OF THE FIRM AN

EMPLOYEE OF THE U.S. GOVERNMENT OR AN IMMEDIATE FAMILY MEMBER RESIDING IN THE SAME

HOUSEHOLD OF SUCH PERSON?

[___] YES [___] NO IF YES, EXPLAIN. INCLUDE NAME, POSITION HELD, RELATIONSHIP

7. RESOURCES: DO YOU HAVE OR ARE YOU ABLE TO OBTAIN THE PERSONNEL, EQUIPMENT,

MATERIALS, AND SOURCES REQUIRED FOR TIMELY AND COMPLETE PERFORMANCE OF THIS CONTRACT IF

AWARD IS MADE TO YOUR FIRM?

[___] YES [___] NO IF YOU DO NOT ALREADY HAVE ALL OF THE RESOURCES AVAILABLE,

EXPLAIN YOUR STRATEGY OR PLAN FOR ACQUIRING THEM?

Name & Title of Quoter:____________________________________________________________

Signature: _______________________________________________ Date: __________________

8. PROJECT MANAGEMENT AND COORDINATION: PRIOR TO BEGINNING PERFORMANCE OF ON

SITE WORK, A PRECONSTRUCTION CONFERENCE BETWEEN THE CONTRACTOR AND THE GOVERNMENT WILL BE HELD AT THE CONTRACT SITE. PRIOR TO THE PRECONSTRUCTION CONFERENCE, THERE ARE SEVERAL ADMINISTRATIVE DELIVERABLES THAT ARE REQUIRED TO BE FURNISHED BY THE CONTRACTOR.

A LIST OF THOSE SUBMITTALS ARE IDENTIFIED IN THE SPECIFICATIONS DOCUMENT, ATTACHMENT 1, WILL YOUR FIRM BE ABLE TO PROVIDE CERTIFICATE OF INSURANCE, ALTERNATIVE PAYMENT PROTECTION, AND THE LISTED DOCUMENTATION TO THE CONTRACTING OFFICER WITHIN TEN (10) CALENDAR DAYS

FROM THE DATE OF CONTRACT AWARD?

[___] YES [___] NO

9. COST OF CONTRACT PERFORMANCE: FILL IN THE PERCENTAGES BELOW: Quoter’s percentages should total 100%.

______ % WHAT PERCENT OF THE COST OF CONTRACT PERFORMANCE WILL BE INCURRED FOR

PRIME CONTRACTOR’S PERSONNEL?

______ % WHAT PERCENT OF THE COST OF CONTRACT PERFORMANCE WILL BE INCURRED FOR

SMALL BUSINESS SUBCONTRACTORS’ PERSONNEL?

______ % WHAT PERCENT OF THE COST OF CONTRACT PERFORMANCE WILL BE INCURRED FOR

OTHER THAN SMALL BUSINESS SUBCONTRACTORS’ PERSONNEL?

100 % TOTAL

10. OTHER AUTHORITIES: DUE TO THE URGENCY WHICH MAY EXIST IN MAKING A RESPONSIBILITY

DETERMINATION, IF YOU ARE UNABLE TO BE IMMEDIATELY REACHED TO PROVIDE ADDITIONAL

INFORMATION OR CLARIFICATION OF YOUR RESPONSES SUBMITTED ON THIS FORM OR REGARDING YOUR QUOTE SUBMITTAL, ARE THERE ANY OTHER INDIVIDUALS WHO HAVE THE AUTHORITY TO RESPOND ON

BEHALF OF YOU OR YOUR FIRM? [___] YES [___] NO IF YES, PROVIDE THEIR NAME(S),

POSITION, AND CONTACT INFORMATION. ALSO INDICATE IF THE INDIVIDUAL(S) HAS AUTHORITY TO SIGN AND/OR ACT ON YOUR OR YOUR FIRM’S BEHALF REGARDING ANY FOLLOW-ON CONTRACT ACTION OR

ACTIVITIES WHICH MAY RESULT.

11. CERTIFICATIONS: READ CAREFULLY THEN COMPLETE INFORMATION REQUESTED BELOW.

I certify that the information provided is true and may be relied upon in determining my responsibility. If the information is incorrect, incomplete, unable to be validated, or misleading, I understand and agree that sufficient basis exists to determine my quote nonresponsive, and/or me nonresponsible for the performance of the contract; or, if the contract has been awarded, to terminate the contract for cause based upon fraud or misrepresentation in its inception.

COMPLETE BUSINESS ______________________________ NAME & TITLE ______________________________

NAME AND ADDRESS: OF QUOTER:

_______________________________ DUNS #: _____________________________

PHONE NUMBER: _______________________________ SIGNATURE: _____________________________

FAX NUMBER: _______________________________ DATE: _____________________________

E-MAIL ADDRESS: _______________________________