A19 - 1605C4-27-R-00002 - Sol.pdf

WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3.AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NUMBER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

. YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4.

FAR 52.212-3 AND 52.212-5 ARE ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED.

8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

DATED.

OFFER

ADDENDA

ADDENDA

1605C4-27-R-00002

US Department of Labor Customer Acquisition Services 200 Constitution Ave, NW S-4307 Washington DC 20210

US Department of Labor Customer Acquisition Services 200 Constitution Ave, NW S-4307 Washington DC 20210

11/09/2026 1100 ET

Michael Whiddon

(202) 693-1000 Ext 10509

CAS 100.00

CAS

Alicia M. Jackson

334519

10/22/2026

The Department of Labor (DOL) Office of the

Senior Procurement Executive, on behalf of the

Mine Safety and Health Administration (MSHA), has a need for Chek Mates, in accordance with this Request for Quotation (RFP).

Continued...

STOCK RECORD (S/R)

STANDARD FORM 1449 (REV. 11/2021) BACK

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE RECEIVED (MM/DD/YYYY) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

ACCEPTED,

This RFP will result in a Firm Fixed Price

Delivery Order. The required delivery schedule will be within 30 Days After Receipt of Order

(ARO).

Please read the RFP in its entirety, including the instructions for submitting a quote.

0001 53 EAThe Contractor shall provide SKC Inc. Chek-Mate

Flowmeters, Part Number: 375-0550N, in accordance with the attached Product

Specifications.

CLIN Type: Firm Fixed Price

Quantity: 53

Unit Price: $

Total Amount: $

*To be shipped in accordance with the distribution list that is included in the attached Product Specifications.

Product/Service Code: 6685

1 - Product Specifications 2 - Clauses 3 - Provisions 4 - Instructions to Contractors 5 - Evaluation Criteria

1 - Product Specifications

Product Specifications For SKC Inc. Chek-Mate Flowmeter, Part Number: 375-0550N, Medium Flow Chek-Mate Flowmeter with CalChek and

NIST

Justification:

The SKC Chek-Mate facilitates essential calibration and flow audits, ensuring that the data collected by the required instruments are accurate and dependable, thereby supporting MSHA’s response when necessary. USC Code: Federal Mine Safety and Health Act of 1977, as amended, and 29 U.S.C. § 668,. Per 29 U.S.C. § 668(a)(2)

Specifications:

Flow Measurement Range

Low Flow Chek-mate:

20 to 500 ml/min (volumetric) Medium Flow Chek-mate:

500 to 5000 ml/min (volumetric) High Flow Chek-mate:

5 to 30 L/min

Display Resolution 0.001 L/min

Accuracy

Low Flow Chek-mate:

20-50 ml/min ± 2.5% of reading 50-500 ml/min ± 1% of reading Medium Flow Chek-mate:

500-750 ml/min ± 2.5% of reading 750 to 5000 ml/min ± 1% of reading High Flow Chek-mate:

5 to 30 L/min ± 1% of reading

Battery

9-V alkaline primary (disposable) PP3 / 6LR61 / 1604A or equivalent, or 8.4V NiMH secondary (rechargeable) PP3 / 6HR61 / 8.4H5 or equivalent Automatic power off timer – 15 minutes

Operating Temperature Range 32 to 104 F (0 to 40 C)

Operating Barometric Pressure 700 mbar to 1090 mbar (20.7 inch Hg to 32.2 inch Hg)

Operating Altitude Sea level to approximately 10,000 ft (3050 m) above sea level

IP Rating (enclosure) IP40

Overall Dimensions (including hose tail)

7 x 3.3 x 1.3 in (17.8 x 8.4 x 3.3cm)

Weight Models below 9 ounces (255 grams)

Certification CE Marked

Warranty Warranty should be excluded due to Department of Labor Mine Safety and Health will not need this item because MSHA will perform their own calibrations.

Shipping/Delivery:

Shipping shall be Freight on Board (FOB) Destination.

Delivery shall be within 30 days after receipt of order unless otherwise specified on the delivery order.

District District Address District POC Quantity Amount

Dallas 1100 Commerce Street, Room 462, Dallas, TX 75242

Lisa Monsivais 5

Norton 716 Spring Ave SE, Wise, VA 24293

Larry Kendrick 20

Beckley 1293 Airport Rd., Beaver, WV 25813

Rebecca Cook 2

Morgantown 604 Cheat Rd. Morgantown, WV 26554

Kary Yates 6

Warrendale 178 Thorn Hill Rd., Suite 100, Warrendale PA 15086

Sean Vandergrift 20

2 - Clauses

52.204-19 Incorporation by Reference of Representations and Certifications. (DEC 2014)

52.226-8 Encouraging Contractor Policies To Ban Text Messaging While Driving. (MAY 2024)

52.232-39 Unenforceability of Unauthorized Obligations. (JUN 2013)

52.232-40 Providing Accelerated Payments to Small Business Subcontractors. (MAR 2023)

2952.201-70 Contracting Officer's Representative (COR) Clause. (SEP 2014)

(a) A Contracting Officer's Representative (COR) will be delegated upon award. A copy of the delegation memorandum will be provided to the COR and a delegation letter sent to the vendor.

(b) The COR is responsible as applicable for receiving all deliverables; inspecting and accepting the supplies or services provided hereunder in accordance with the terms and conditions of this contract; providing direction to the contractor which clarifies the contract effort, fills in details or otherwise serves to accomplish the contractual scope of work; evaluating performance; and certifying all invoices/vouchers for acceptance of the supplies or services furnished for payment.

(c) The COR does not have the authority to alter the contractor's obligations under the contract, and/or modify any of the expressed terms, conditions, specifications, or cost of the agreement. If, as a result of technical discussions, it is desirable to alter/change contractual obligations or the scope of work, the contracting officer must issue such changes.

(End of Clause)

3 - Provisions

52.232-13 Notice of Progress Payments. (APR 1984)

4 - Instructions to Contractors

PERIOD OF ACCEPTANCE FOR QUOTES

The Contractor agrees to hold the prices in its quote firm for 90 days from the date specified for receipt of quotes. The Contractor shall make a clear statement in its quote that the quote is valid through that date.

ADDITIONAL INFORMATION

The Contractor's quote must include all data and information requested by the RFP and must be submitted in accordance with these instructions. The quote shall be compliant with the requirements of the RFP.

The quote shall be clear, concise, and shall include sufficient detail for effective evaluation and for substantiating the validity of stated claims.

The Government will not make assumptions concerning intent, capabilities, or experience. Clear identification of quote details shall be the sole responsibility of the Contractor. Conditional quotes will not be accepted. All prospective Contractors must be registered in the System for Award Management (www.sam.gov) in order to be eligible for award.

POINT OF CONTACT (POC)

The Contracting Officer and Contract Specialist are the sole POCs for this Procurement.

Contracting Officer: Alicia Jackson, (jackson.alicia.m@dol.gov) Contract Specialist: Michael Whiddon, (whiddon.michael.v@dol.gov)

SUBMISSION OF QUESTIONS

Questions regarding this RFP must be submitted via email to the Contracting Officer with a carbon copy (cc) to the Contract Specialist identified in the Point of Contact section. Reference “RFQ 1605C4-27-R-00002 Chek-Mates Questions” in the subject line of the email.

Telephone questions or inquiries will not be accepted.

Questions must be submitted no later than October 30, 2026, at 11:00 AM ET.

Responses to questions submitted will be addressed in an amendment to the RFP via SAM.gov.

The format for questions must be submitted in the following format:

Question Title RFP Section Number/Page Number Contractor Question

DELIVERY OF QUOTES

All quotations must be submitted electronically via email to the Contracting Officer, with a cc to the Contract Specialist identified in the Point of Contact section.

Quotes shall be submitted no later than November 09, 2026, 11:00 am ET.

5 - Evaluation Criteria

EVALUATION FACTORS

The Contractor must demonstrate an understanding of the requirements as set forth in the Product Specifications. The following factors shall be used for evaluation:

Factor 1 - Technical

The Contractor must demonstrate that their technical quote meets the requirements set forth in the Products Specifications.

Adjectival Ratings for Factor 1 - Technical:

Acceptable The quote is technically acceptable as it meets and/or exceeds the minimum specifications listed in the Product Specifications section of the RFP.

Unacceptable The quote is technically unacceptable if it does not meet the minimum specifications listed in the Product Specifications section of the RFP.

Factor 2 - Price

The Government intends to award a Firm Fixed Price Delivery Order.

The Government will evaluate the Contractor 's prices, but this factor will not be given an adjectival rating. The price quote will be evaluated on completeness, accuracy, and reasonableness.

BASIS FOR AWARD

The Government contemplates award of a single Delivery Order resulting from this solicitation to the responsive, responsible Contractor whose quote conforms to the solicitation and is the Lowest Priced Technically Acceptable (LPTA) offer.