B08_Attachment_3_Price_and_Provisions_to_Return_with_Quote.docx
DOCX document 34 KB Posted
- Solicitation number
- 140P8425Q0101
About this file
This document is a Price and Provisions Attachment for Solicitation No. 140P8425Q0101, issued by the Department of the Interior National Park Service Pacific West Region. The solicitation is for multiple deliveries of ready-mix concrete to Lava Beds National Monument (LABE), including the Tule Lake National Monument delivery area. The requirement is for 80 cubic yards of 4000 PSI colored transit-mixed concrete, with deliveries scheduled between late September/early October through December 2025.
The procurement is a 100% small business set-aside using NAICS code 327320 (Ready-Mix Concrete Manufacturing), with a small business size standard of 500 employees. The contract will be a firm fixed-price award to a single responsive and responsible contractor. The price schedule includes two line items: the concrete delivery and a separate short load delivery charge. Contractors must complete representations regarding telecommunications equipment and services, and provide pricing and business information. The government anticipates evaluating the quote primarily based on price, with past performance considered in determining contractor responsibility.
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Other files
| File | Type | Posted |
|---|---|---|
| B08_Attachment_1_Terms_Provisions_Clauses.pdf | ||
| Sol_140P8425Q0101.pdf | ||
| B08_Attachment_2_Statement_of_Work.pdf |
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Solicitation no. 140P82425Q0101– Attachment no. 3, Forms and Provisions to Submit with Quote (9/18/25) Multiple Deliveries Concrete to Lava Beds National Monument (LAVO)
PRICE SCHEDULE
The Quoter shall submit a price for the line item below. Failure to do so may render the quote ineligible. The Government anticipates being able to evaluate solely based upon the price quoted.
| Price Schedule Line Item Number |
| Description - Refer to Solicitation Attachment 3, Statement of Work |
| *Qty |
| Unit of Measure |
| Price |
| Extended Total |
| 1 |
| Multiple Deliveries 4000 PSI Ready/Transit Mixed with Color to Lava Beds National Monument (LABE) including delivery area of Tule Lake National Monument as part of LABE. |
| 80 |
| Cubic Yard |
| $ |
| $ |
| 2 |
| Delivery/Short Load |
| 10 |
| Per Trip |
| $ |
| $ |
*Quantity is estimated. Vendor/Contractor will be paid for actual quantities of concrete delivered and delivery charge. Invoices shall show actual quantities delivered and delivery charge.
Quoter’s Business Name:
Business Address:
UEI Number from www.SAM.gov:
Are you proposing to use a sub-contractor? (Answer YES or NO):
If “YES”, list proposed sub-contractor:
Point of Contact Email/Phone Number:
52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (NOV 2021)
This section requires contractor to fill in and submit with quote unless the quoter has already responded “does not” in Paragraphs (c)(1) and (c)(2) of 52.204–26, Covered Telecommunications Equipment or Services—Representation (OCT 2020) in SAM.
The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Products or Commercial Services. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.
(a) Definitions. As used in this provision— Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.
(b) Prohibition.
| (1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year | 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, | from procuring or obtaining, or extending or renewing a contract to procure or obtain, any | equipment, system, or service that uses covered telecommunications equipment or services as a | substantial or essential component of any system, or as critical technology as part of any system. | Nothing in the prohibition shall be construed to— | |||||||
| (i) Prohibit the head of an executive agency from procuring with an entity to provide a | service that connects to the facilities of a third-party, such as backhaul, roaming, or | interconnection arrangements; or | ||||||||||
| (ii) Cover telecommunications equipment that cannot route or redirect user data traffic | or cannot permit visibility into any user data or packets that such | equipment transmits or otherwise handles. | ||||||||||
| (2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year | 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2020, from | entering into a contract | or extending or renewing a contract with an entity that uses any equipment, | system, or service that uses covered | telecommunications equipment or services as a substantial or | essential component of any system, or as critical | technology as part of any system. This | prohibition applies to the use of covered telecommunications equipment or | services, regardless of | whether that use is in performance of work under a Federal contract. Nothing in the prohibition | shall be construed to— |
| (i) Prohibit the head of an executive agency from procuring with an entity to provide a | service that | connects to the facilities of a third-party, such as backhaul, roaming, or | interconnection arrangements; or | |
| (ii) Cover telecommunications equipment that cannot route or redirect user data traffic | or cannot permit visibility into any user data or packets that such equipment transmits | or otherwise handles. |
(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) ( https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services".
(d) Representation. The Offeror represents that—
| (1) It □ will, □ will not provide covered telecommunications equipment or services to the | Government in the performance of any contract, subcontract or other contractual instrument | resulting from this solicitation. The Offeror shall provide the additional disclosure information | required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this | section; and | ||
| (2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents | that— | |||||
| It □ does, □ does not use covered telecommunications equipment or services, or use any | equipment, system, or service that uses covered telecommunications equipment or services. The | Offeror shall provide the additional | disclosure information required at paragraph (e)(2) of this | section if the Offeror responds "does" in paragraph | (d)(2) of this section. |
(e) Disclosures.
(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:
(i) For covered equipment—
| (A) The entity that produced the covered telecommunications equipment (include | entity name, unique entity identifier, CAGE code, and whether the entity was the | original equipment manufacturer (OEM) or a distributor, if known); | |
| (B) A description of all covered telecommunications equipment offered (include | brand; model number, such as OEM number, manufacturer part number, or | wholesaler number; and item description, as applicable); and | |
| (C) Explanation of the proposed use of covered telecommunications equipment | and any factors relevant to determining if such use would be permissible under | the prohibition in paragraph (b)(1) of this provision. |
(ii) For covered services—
| (A) If the service is related to item maintenance: A description of all covered | telecommunications services offered (include on the item being maintained: | Brand; model number, such as OEM number, manufacturer part number, or | wholesaler number; and item description, as applicable); | or | ||||
| (B) If not associated with maintenance, the Product Service Code (PSC) of the | service being provided; and explanation of the proposed use of covered | telecommunications services and any factors relevant to determining if such use | would be permissible under the prohibition in paragraph (b)(1) of this provision. | |||||
| (2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has | responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall | provide the following information as part | of the offer: |
(i) For covered equipment—
| (A) The entity that produced the covered telecommunications equipment (include | entity name, unique entity identifier, CAGE code, and whether the entity was the | OEM or a distributor, if known); | ||
| (B) A description of all covered telecommunications equipment offered (include | brand; model number, such as OEM number, manufacturer part number, or | wholesaler number; and item description, as applicable); and | ||
| (C) Explanation of the proposed use of covered telecommunications equipment | and any factors relevant to determining if such use would be permissible under | the prohibition in paragraph (b)(2) of this provision. |
(ii) For covered services—
| (A) If the service is related to item maintenance: A description of all covered | telecommunications services offered (include on the item being maintained: | Brand; model number, such as OEM number, manufacturer part number, or | wholesaler number; and item description, as applicable); | or |
| (B) If not associated with maintenance, the PSC of the service being provided; | and explanation of the proposed use of covered telecommunications services and | any factors relevant to determining if such use would be permissible under the | prohibition in paragraph (b)(2) of this provision. |
Small Business Program Rerepresentation (Optional).
In accordance with the clause 52.219-28 incorporated by reference in Section 5.01 in Attachment 2, Terms Provisions Clauses, fill in the small business rerepresentation below only if the quoter does not have a representation in their SAM Reps/Certs for the NAICS code applicable to this solicitation.
The Contractor represents that it □ is, □ is not a small business concern under NAICS Code 237320 assigned to solicitation number 140P8425Q0061. The associated small business size standard for NAICS 237320 is 500 employees.
(Print First/Last Name, Title, Company Name)
(Signature) (Date)
FAR 52.225-2, BUY AMERICAN ACT CERTIFICATE (FEB 2021)
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