B08_Solicitation_Attachment_4_-_Technical_&_Financial_Capability.pdf

140P6219Q0059 ATTACHMENT 4

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 EXPLAIN: __________________________________________________

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

PROTECTION THAT IS REQUIRED FOR THIS CONTRACT? [___] YES [___] NO

c. LIST YOUR BUSINESS’ BANK/FINANCIAL INSTITUTION, AND SURETY INFORMATION.

NAME PHONE/FAX NO COMPLETE ADDRESS AND ZIP CODE TYPE ACCOUNT

2. GOVERNMENT EXPERIENCE: ON A SEPARATE PAGE, LIST ANY CONTRACTS THAT YOU HAVE

HAD WITH GOVERNMENT AGENCIES. AT A MINIMUM, INCLUDE THE FOLLOWING FOR EACH CONTRACT

LISTED:

(i) The name of the Agency.

(ii) Location where work was performed.

(iii) A reference point of contact, phone number, e-mail address.

(iv) Brief description of the work performed and dollar value.

(v) Date and duration of the contract.

3. TECHNICAL CAPABILITY: ON A SEPARATE PAGE, PROVIDE DETAILS ON AT LEAST THREE (3)

PROJECTS THAT QUOTER HAS SUCCESSFULLY COMPLETED IN THE PAST THREE (3) YEARS THAT

EVIDENCE THE CONTRACTOR HAS PERFORMED AND SUCCESSFULLY COMPLETED WORK THAT IS OF AT LEAST THE TYPE, SIZE, AND SCOPE OF WORK AS DECRIBED IN THIS SOLICITATION. AT A MINIMUM, INCLUDE THE FOLLOWING FOR EACH PROJECT LISTED:

(i) The company/business/organization/individual for whom the work was performed.

(ii) Location where work was performed.

(iii) A reference point of contact, phone number, e-mail address.

(iv) Brief description of the work performed and dollar value

(v) Date and duration of the project. (Beginning and Ending Dates)

4. 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: _______________

Item #2, Government Experience, is not required.

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

AWARDED IN MID- to LATE-SEPTEMBER 2019 TIMEFRAME. IF YOUR FIRM IS AWARDED THE CONTRACT, WILL YOU BE ABLE TO BEGIN WORK AT THE CONTRACT SITE WITHIN THE TIMEFRAME SPECIFIED IN THE

SOLICITATION?

[___] YES [___] NO IF NO, EXPLAIN.

6. ABILITY TO COMPLETE PERFORMANCE: IF YOUR FIRM IS AWARDED THE CONTRACT, CAN ALL

WORK BE SUCCESSFULLY COMPLETED NO LATER THAN MARCH 31, 2020?

[___] YES [___] NO IF NO, EXPLAIN.

7. PERSONNEL: ON A SEPARATE PAGE, PROVIDE A BRIEF RESUME OF KEY INDIVIDUALS WHO WILL PERFORM THIS CONTRACT. GIVE NAMES, POSITIONS, TRAINING, EDUCATION, EXPERIENCE, & OTHER QUALIFICATIONS. ALSO, DESCRIBE HOW YOU WILL MEET THE CONTRACT REQUIREMENTS FOR ON-SITE

MANAGEMENT AND EMPLOYEES.

8. 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

9. 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?

10. SAFETY / ACCIDENT PREVENTION AND COMMUNICATION PLANS: CONTRACTORS MUST

BE COMMITTED TO PROVIDING A SAFE AND HEALTHFUL WORK ENVIRONMENT FOR ALL OF ITS EMPLOYEES AND OTHERS THAT MAY WORK, VISIT OR ENTER THE WORK SITE. CONTRACTORS ARE TO MANAGE AND CONDUCT BUSINESS OPERATIONS IN A MANNER THAT OFFERS MAXIMUM PROTECTION TO EACH AND EVERY EMPLOYEE AND ANY OTHER PERSON THAT MAY BE AFFECTED BY CONTRACTOR’S OPERATIONS.

THE CONTRACTOR SHALL MAKE EVERY EFFORT TO PROVIDE A WORKING ENVIRONMENT THAT IS FREE FROM ANY RECOGNIZED OR POTENTIAL HAZARD AND ALLOCATE AND PROVIDE ALL RESOURCES NEEDED TO PROMOTE AND EFFECTIVELY IMPLEMENT ITS SAFETY / ACCIDENT PREVENTION AND COMMUNICATION

PLANS.

[___] YES [___] NO QUOTER DOES HAVE A SAFETY / ACCIDENT PREVENTION PROGRAM AND

COMMUNICATIONS PLAN AND, IF AWARDED THE CONTRACT, WILL SUBMIT THEM TO THE CONTRACTING

OFFICER WITHIN SEVEN (7) CALENDAR DAYS AFTER CONTRACT AWARD.

Name & Title of Quoter:_________________________________________________________

Signature: _______________________________________________ Date: _______________

11. 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 QUOTATION 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.

12. 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 and technical capability. 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, not technically capable, 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: _______________________________