19HA7025R0002 - Fuel Delivery Services - Solicitation Notice.pdf

19HA7026R0002

U.S. Embassy Port-au-Prince

Date: 03/13/2026

Dear Prospective Quoter:

Subject: Request for Proposal number 19HA7026R0002

Enclosed is a Request for Quotations (RFP) for Fuel Delivery Services for the US Embassy in Haiti’s staff. If you would like to submit quotation, follow the instructions in Section 3 of the solicitation, complete the required portions of the attached document, and submit it to the address shown on Standard Form 1449 that follows this letter.

The U.S. Government intends to award a contract/purchase order to the responsible company submitting an acceptable offer at the lowest price. We intend to award a contract/purchase order based on initial quotations, without holding discussions, although we may hold discussions with companies in the competitive range if there is a need to do so.

The Embassy intends to conduct a pre-quotation conference call. The pre-proposal conference call will be held on March 24th at 10:AM (local time). Prospective offerors/quoters should contact saintjacquesS@state.gov by February 22nd, 2026, at

12:00PM for additional information or to arrange the conference call.

Quotations are due by April 13th ,2026 at 3:30PM. No quotations will be accepted after this time. Proposals must be in English and incomplete proposals will not be accepted.

Version B

Your quotation must be submitted electronically to Saintjacquess@state.gov. It is important to make sure the submission is made in specific size and format; in MS-Word 2007/2010 or MS-Excel 2007/2010 or Adobe Acrobat (pdf) file format. The file size must not exceed 30MB. If the file size should exceed the 30MB, the submission must be made in separate files and attached to separate emails with less than 30MB each.

mailto:saintjacquesS@state.gov mailto:Saintjacquess@state.gov.

In order for a quotation to be considered, you must also complete and submit the following:

1. SF-1449

2. Section I, Pricing

3. Section 5 Representations and Certifications

4. Additional information as required in Section 3

5. Proof of SAM Registration

Offerors shall be registered in the SAM (System for Award Management) database at https://www.sam.gov prior to submittal of their offer/proposal as prescribed under FAR

4.1102. Failure to be registered at time of proposal submission may deem the offeror’s proposal to be considered nonresponsive and no further consideration will be given.

Therefore, offerors are highly encouraged to register immediately if they are interested in submitting a response to this requirement.

Sincerely, Laura A. Quinn

Contracting Officer

Enclosure:

03/13/2026 13:57 GMT

Quinn, Laura (QuinnLA@state.gov) https://www.sam.gov/

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER

PR15007079

PAGE 1 OF

2. CONTRACT NO.

3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER

5. SOLICITATION NUMBER

19HA7026R0002

6. SOLICITATION ISSUE DATE

03/13/2026

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Samuel Saint Jacques

b. TELEPHONE NUMBER(No collect calls)

+509 22298491

8. OFFER DUE DATE/ LOCAL

TIME

04/13/2026 / 12:00

9. ISSUED BY

CODE

19HA70 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE:____ % FOR:

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS

AMERICAN EMBASSY PORT-AU-PRINCE

BLVD 15 OCTOBRE-TABARRE 41

ATTN: GSO/PROCUREMENT

HUBZONE SMALL

BUSINESS

(WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM NAICS:

PORT-AU-PRINCE, HAITI SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

EDWOSB

8 (A) SIZE STANDARD:

11. DELIVERY FOR FOB DESTINAT-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS 13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 19HA70 16. ADMINISTERED BY CODE 19HA70

AMERICAN EMBASSY PORT-AU-PRINCE

BLVD 15 OCTOBRE-TABARRE 41

ATTN: GSO/PROCUREMENT

PORT-AU-PRINCE, HAITI

AMERICAN EMBASSY PORT-AU-PRINCE

BLVD 15 OCTOBRE- TABARRE 41, ATTN : GSO/ PROCUREMENT

PORT-AU-PRINCE

HAITI

CODE FACILITY

CODE

18a. PAYMENT WILL BE MADE BY

AMERICAN EMBASSY PORT-AU-PRINCE

BLVD 15 OCTOBRE- TABARRE 41, ATTN : FMC

PORT-AU-PRINCE

HAITI

CODE 19HA70

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 SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

See Continuation Pages for details

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

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a.SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED

27b.CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN ____

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 HEREIN.

29. AWARD OF CONTRACT: REF. _________________ OFFER DATED

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

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

30c. DATE SIGNED

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

31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV.

02/2012)

PREVIOUS EDITION IS NOT USABLE Computer Generated Prescribed by GSA - FAR (48 CFR) 53.212

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 ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: _______________________________

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

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

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

CORRECT FOR

36. PAYMENT 37. CHECK NUMBER

PARTIAL FINAL

COMPLETE PARTIAL

FINAL

38. S/R ACCOUNT NO.

39. S/R VOUCHER NO. 40. PAID BY

41.a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41C. DATE

42b. RECEIVED AT (Location)

42c. DATE REC’D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

TABLE OF CONTENTS

SECTION 1 - THE SCHEDULE

• SF 18 or SF 1449 cover sheet

• Continuation To SF-1449, RFQ Number 19HA7026R0002, Prices, Block 23

• Continuation To SF-1449, RFQ Number 19HA7026R0002 Schedule Of Supplies/Services, Block 20 Description/Specifications/Work Statement

• Attachment 1 to Description/Specifications/Statement of Work, Government Furnished

Property

SECTION 2 - CONTRACT CLAUSES

• Contract Clauses

• Addendum to Contract Clauses - FAR and DOSAR Clauses not Prescribed in Part 12

SECTION 3 - SOLICITATION PROVISIONS

• Solicitation Provisions

• Addendum to Solicitation Provisions - FAR and DOSAR Provisions not Prescribed in Part

SECTION 4 - EVALUATION FACTORS

• Evaluation Factors

• Addendum to Evaluation Factors - FAR and DOSAR Provisions not Prescribed in Part 12

SECTION 5 - OFFEROR REPRESENTATIONS AND CERTIFICATIONS

• Offeror Representations and Certifications

• Addendum to Offeror Representations and Certifications - FAR and DOSAR Provisions not

Prescribed in Part 12

SECTION 1 - THE SCHEDULE

CONTINUATION TO SF-1449

RFQ NUMBER 19HA7026R0002

PRICES, BLOCK 23

I. SCOPE OF SERVICES

The Contractor shall provide and deliver high-grade heating oil to the U.S. Embassy Port-au-Prince, as described in this solicitation. The contract type will be a fixed price with economic price adjustment, indefinite quantity/indefinite delivery, under which firm fixed-price delivery orders may be placed.

The price listed below shall include all labor, materials, insurance (see FAR 52.228-3 and 52.228-5), overhead, profit, and transportation necessary to supply and deliver high-grade premium gasoline

(minimum octane level: 95) and low-grade premium diesel fuel to the U.S. Embassy in Port-au-Prince.

In consideration of satisfactory performance of all scheduled services required under this contract, the

Contractor shall be paid a firm fixed price for each delivery. The Contractor shall be compensated monthly upon receipt of a proper invoice for all deliveries made under delivery orders during the month.

JAMES ZADROGA 9/11 VICTIMS HEALTH AND COMPENSATION ACT OF

2010 NOTICE: UNLESS A WAIVER OR EXCEPTION APPLIES, PAYMENTS

SUBSEQUENT TO THIS PROCUREMENT ARE SUBJECT TO AN EXCISE

TAX OF 2% PERSUANT TO 26 U.S.C. 5000C.

II. Base Period

From June 1st 2026 to May 31st June 2027

CLIN

Type of Fuel

Estimated

Quantity/Year

Unit

Price/gallon Total

SUBCLIN

A. Unleaded 95

1. To be delivered in the Port-au-Prince

Area 194,000.00

2. To be delivered to Les Cayes –

South Department 24,000.00

3. To be delivered to Cap Haitian –

North Area 12,000.00

To be picked up 20,000.00

B. Diesel Low sulfure

1. To be delivered in the Port au Prince

Metropolitan Area 1,520,000. 00

2. To be delivered to

Cabaret 8,000.00

3. To be delivered to

Malpasse 8,000.00

4. To be delivered to

Les Cayes – South

Department

22,000.00

5. To be delivered to

Fort Liberte – North

Department 16,000.00

6. To be delivered to

Cap Haitian – North

Department 26,000.00

7. To be picked up

400,000.00

Total

III. First Option Year

From June 1st 2027 to May 31st June 2028

Type of Fuel

Estimated

Quantity/Year

Unit

Price/gallon Total the Port-au-Prince

Area 194,000.00

2. To be delivered to Les Cayes –

South Department 24,000.00

3. To be delivered to Cap Haitian –

North Area 12,000.00

To be picked up 20,000.00

B. Diesel

Low sulfure the Port au Prince

Metropolitan Area 1,520,000. 00

2. To be delivered to

Cabaret 8,000.00

3. To be delivered to

Malpasse 8,000.00

4. To be delivered to

Fort Liberte – North

Department 16,000.00

6. To be delivered to

Cap Haitian – North

Department 26,000.00

7. To be picked up 400,000.00

IV. Second Option Year

From June 1st 2025 to May 31st June 2029

Estimated

Quantity/Year

Unit

Price/gallon Total the Port-au-Prince

Area 194,000.00

2. To be delivered to

Les Cayes – South

Department 24,000.00

3. To be delivered to

Cap Haitian – North

Area 12,000.00

To be picked up 20,000.00

B. Diesel

Low sulfure

1. To be delivered in the Port au Prince

Metropolitan Area 1,520,000. 00

2. To be delivered to

Cabaret 8,000.00

3. To be delivered to

Malpasse 8,000.00

4. To be delivered to

Fort Liberte – North

Department 16,000.00

6. To be delivered to

V. Third Option Year

From June 1st 2029 to May 31st June 2030

Estimated

Quantity/Year

Unit

Price/gallon Total

SUBCLIN

A. Unleaded

Low sulfure

1. To be delivered in the Port-au-Prince

Area 194,000.00

2. To be delivered to

Les Cayes – South

Department 24,000.00

3. To be delivered to

Cap Haitian – North

Area 12,000.00

To be picked up 20,000.00

B. Diesel

Low sulfure

1. To be delivered in the Port au Prince

Metropolitan Area 1,520,000. 00

2. To be delivered to

Cabaret 8,000.00

3. To be delivered to

Malpasse 8,000.00

4. To be delivered to

Fort Liberte – North

Department 16,000.00

6. To be delivered to

VI. Fourth Option Year

From June 1st 2030 to May 31st 2031

Estimated

Quantity/Year

Unit

Price/gallon Total the Port-au-Prince

Area 194,000.00

2. To be delivered to

Les Cayes – South

Department 24,000.00

3. To be delivered to

Cap Haitian – North

Area 12,000.00

To be picked up 20,000.00

B. Diesel

Low sulfure

1. To be delivered in the Port au Prince

Metropolitan Area 1,520,000. 00

2. To be delivered to

Cabaret 8,000.00

3. To be delivered to

Malpasse 8,000.00

4. To be delivered to

6. To be delivered to

Fort Liberte – North

Department 16,000.00

5. To be delivered to

VII. 52.217-8 Option to extend Services (6 months): Pricing for 6-months of fuel required

Estimated

Quantity/Year

Unit

Price/gallon Total the Port-au-Prince

Area 194,000.00

2. To be delivered to

Les Cayes – South

Department 24,000.00

3. To be delivered to

Cap Haitian – North

Area 12,000.00

To be picked up 20,000.00

B. Diesel

Low sulfure

1. To be delivered in the Port au Prince

Metropolitan Area 1,520,000. 00

2. To be delivered to

Cabaret 8,000.00

3. To be delivered to

Malpasse 8,000.00

4. To be delivered to

Fort Liberte – North

Department 16,000.00

6. To be delivered to

Cap Haitian – North

Department 26,000.00

7. To be picked up

400,000.00

VIII. Total base year + four option years

Base Year Total

Option Year 1 Total

Option Year 2 Total

Option Year 3 Total

Option Year 4 Total

52.217-8 Option to extend Services (6 months)

Grand Total for Base plus All Option Years

See Section I of Continuation of Block 20 for minimum and maximum amounts.

The Contractor may request Price Redetermination/adjustment after the completion of the based period of the contract and anytime thereafter. Evidence of price increase or decrease must be submitted for evaluation by the Contracting Officer. Investigation for requests may involve automation systems and supporting documentation requested by the Contracting Officer. The Contractor must submit to the

Contracting Officer, 3-months of clear and readable invoices for purchased fuel by category type in the request. Invoices must include date of purchase, legible name of authorized representative for the

Contractor to purchase fuel for resale to the U.S Government.

Agreement to evaluate requests does not constitute approval. The Contracting Officer must modify the contract for any price adjustment resulting from the Contracting Officer’s determination and findings and associated investigation.

VIII. VALUE ADDED TAX

VALUE ADDED TAX. Value Added Tax (VAT) is not applicable to this contract and shall not be included in the CLIN rates or Invoices because the U.S. Embassy has a tax exemption certificate from the host government

CONTINUATION TO SF-1449

RFQ NUMBER 19HA7026R0002

SCHEDULE OF SUPPLIES/SERVICES, BLOCK 20

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

1. SCOPE OF WORK

For each year of the contract, the U.S. Government guarantees a minimum order 50,000 gallons of diesel and 5,000 gallons of unleaded fuel. The maximum amount of fuel ordered under each year of the contract shall not exceed 2,000,000 gallons of diesel and 250,000 gallons of unleaded fuel.

The Contracting Officer may issue oral orders that will be confirmed in writing.

The fuel provided will BE unleaded gasoline no less than 95 octane, and the type of diesel fuel that is approved by the Haitian Government. For supply and delivery of the fuel, the Contractor shall be paid the fixed price per unit as listed above. This price is not to exceed any official rate, as set by laws enacted by the government of Haiti.

2. DEFINITIONS

Calendar Day: The twenty-four-hour period from midnight to midnight. Saturdays, Sundays and all holidays are considered calendar days.

COR: the Contracting Officer's Representative, appointed in accordance with Section G of this contract.

Government: means the Government of the United States of America unless specifically stated otherwise.

GTM: Government Technical Monitor

HNP: Haitian National Police.

NEC: New Embassy Compound. It refers to the Chancery.

Ordering Officer means the Contracting Officer of the American Embassy Port au Prince.

REYES: Warehouse compound

Services: the services performed, workmanship, and equipment furnished or utilized in the performance of the services.

STECHER ROUMAIN: Residential compound at Roumain Street.

3. DELIVERY

a) The Contractor shall deliver fuel to the locations listed in paragraph 5. Delivery must be made between the hours of 9:00 – 13:00 (local time) Monday through Friday. Other hours, if requested by the Contractor, may be approved by the Contracting Officer's Representative (COR) or the

(GTM). The Contractor shall promptly deliver the fuel by tanker truck within 48 hours of receipt of the delivery orders issued under the contract. Any contractor personnel involved with the delivery of the fuel shall comply with Embassy regulations for receiving supplies. The

Contracting Officer's Representative (COR) will be responsible for instructing contractor personnel at the time deliveries are made. The driver of the tanker truck must submit an invoice and truck verification check list to the (COR) or the (GTM) for approval at the time any delivery is made.

b) In case of emergency, Embassy designated COR or GTM could request delivery in less than 24 hours if contractor has already received a Delivery Order.

c) Delivery coordination is crucial to avoid excessive delay in the receiving process. All Embassy personnel involved in receiving the product shall be informed ahead of time and be ready to unload the product to the specific tank as soon as the truck arrive on the designated site. If for any reason the contractor is unable to make the delivery on the date and time agreed upon, the contractor shall notify the COR or GTM by phone call followed by a written notice outlining the reason for the missed delivery. A new schedule will then be negotiated.

d) Contractor’s delivery trucks must be equipped with proper hoses, coupling and adapters for the

4-inch receiving inlets, wall mounted, at the Embassy, Reyes and Stecher Roumain sites.

Contractor’s trucks must be in good working condition without leaking from the lines, PTO and/or seals. Contractor’s trucks should not have oil or fuel leak visible while on site if not they will not be accepted on the compound and returned. All damage caused by any truck on site including environmental damage due to oil or fuel spill will be the responsibility of the contractor. All trucks are required to have a spill containment kit and a fire extinguisher tank for safety reasons during each delivery. All personnel, drivers and helpers are required to be trained in fuel delivery procedures and should attend a safety briefing.

e) The Government will not accept gravity unloading due to the position of the receiving inlets adapters in some of the site. All fuel delivery trucks must have a Power Take Off system, except for a few remote sites designed for gravity reception. For gasoline delivery, all trucks are required to have vapor recovery system to collect gasoline vapors generated when a tank truck delivers gasoline to a storage tank at a gasoline dispensing facility.

f) The U.S. Embassy may have one or two of their fuel trucks go to any of the contractor’s plants to pick up fuel for delivery to scheduled Embassy residences and offices. Contractors will be notified when the Embassy schedules to do so. The Embassy fuel trucks’ capacity are: 3,200 and

2,400 gallons. Embassy truck should be able to pick up fuel or fill the same day delivery request sent to the contractor. The date and time of pick up shall be coordinated between Embassy

(COR) and contractor personnel to authorize the truck loading and minimize delays. Estimated amount of fuel which will be picked by Embassy trucks is 30,000 gallons per month.

g) The contractor should provide a copy or the certificate of calibration for all the trucks which will perform delivery under this contract, and this should be maintained every time another truck is used or removed from the contractor’s pool.

h) The Contractor shall advise also in advance when they anticipate fuel shortage. This will allow us to fill our storage tanks accordingly and the Embassy should have priority in the delivery when the problem resumes. Once the problem is solved, any pending Embassy fuel requests shall take precedence.

4. QUALITY CONTROL

The USG will perform a water test on the fuel delivered before the fuel leaves the delivery truck. If there is an excessive percentage of water in the fuel (greater than 0.02%), the fuel truck will not be unloaded to the site and the Contractor will provide a replacement delivery of noncontaminated fuel in less than

48 hours after the claim is received by the contractor.

The USG will use electronic metering device or mechanical metering cart while receiving product on site to compare and monitor the quantity of fuel receive from each truck. All discrepancy will be noted on the receiving slip.

The USG could reject any truck if:

- the invoice has a mistake,

- the density is not in acceptable range,

- a significant amount of water is found in one of the compartments while performing verification of the truck or,

- the quantity is not right during the inspection of the fuel truck.

If any discrepancy arises during the control process, the embassy personnel conducting the inspection will properly document all information on the delivery slip or invoice received from the driver and inform the COR for follow up with the company representative.

The contractor shall designate and provide full contact of a Project Manager who will be the liaison between the Contractor and the Embassy. All requests for delivery, complaints, follow ups, and emergency repairs shall go through the main designated personnel.

5. LOCATIONS AND FUEL TANK CAPACITIES

Location Address Type of

Product

Tank Capacity

(Gallons)

Quantity

New Embassy

Compound (NEC)

Blvd 15 Octobre -

Tabarre 41

Diesel

20,000 4

15,000 1

Gasoline

4,000 1

6,000 2

REYES Warehouse

Blvd 15 Octobre -

Tabarre 41

10,000

Stecher Roumain

Roumain Street, Blvd 15

Octobre - Tabarre 41

15,000

BLTS Headquater

Office

Blvd 15 Octobre , Tabarre 52 Diesel 1,500 1

Vetting Office Blvd 15 Octobre , Tabarre 23

Diesel 1,500 3

Gasoline 1,500 1

BLTS Port-au-Prince

International Airport

K9

International Airport

PaP, Gate 7 - Airport

Road

Diesel 800 1

BLTS Seaport (APN) Blvd La Saline Diesel 800 1

Haitian National

Police School

Route de Freres Diesel 1,500 5

HNP SWAT

Clercine 8, next to DDP Diesel

1,000 1

1,200 1

3,000 1

HNP Headquarter

(C3i building)

Clercine 8 Diesel 1,000 1

HNP - DCPJ Clercine 8 Diesel 500 1

HNP Emergency Call

Center (CRO)

Rue Pacot

1,500 1

1,000 1

Coast Guard - Les

Cayes

Rue du Quai - Base

Maritime Garde Cote

- Les Cayes

Diesel 1,500 1

Diesel 800 1

Diesel 3,000 1

Gasoline 3,000 1

BLTS Customs Office, Malpasse

Malpasse Border Diesel 800 1

BLTS Office, Cap

Haitian

#7, Rue Salomon

Mombain Lataille, -

Haut du Cap

Diesel 800 1

K-9 Unit Office - Cap

Haitian Airport

Cap Haitian Airport Diesel 1,500 1

Gasoline 1,500 1

BLTS Seaport - Cap

Haitian

Rue 18 A Blvd Diesel 800 1

Cabaret Civil Prison Cabaret Diesel N/A 1

Fort Liberte Civil

Prison

Mornes Casses Diesel N/A 1

6. PRICE ADJUSTMENT

(a) The unit price per gallon of Diesel and unloaded fuel may be adjusted based on increases or decreases in the official price, mandated by the government of Haiti.

(b) To request an adjustment in price, the Contractor must provide written notification of the price change to the Contracting Officer at least one week before the new price is to be effective. This notification must be accompanied by a copy of the official announcement of the price change, showing the new price and its effective date. The officer or general partner of the Contractor having overall responsibility for the Contractor's affairs shall certify the submission by written signature.

(c) The U.S. Government will make no adjustment to the contract price that relates to any wages, overhead, fixed costs, general and administrative expenses, materials, or profit. Only the amount which is a direct result of an increase or decrease in the price of oil to be delivered under this contract shall be considered by the U.S. Government as the basis for contract price adjustments.

(d) The Contractor may not request an adjustment under this clause after final payment has been made under this contract.

(e) This clause shall only apply to laws enacted by the government of Haiti which meet the criteria set forth above. The U.S. Government will make no adjustments in contract price due to currency devaluations or fluctuations in exchange rates.

7. CALIBRATION OF FUEL EQUIPMENT

The Embassy currently has two (2) island fuel stations with two (2) dispensers each. Without additional charge to the Government, the Contractor shall service and calibrate these dispensers every month. The

COR will coordinate the date of such maintenance with the Contractor. A monthly report of the calibration should be returned to the COR after each monthly service.

The Contractor shall also schedule to calibrate the Embassy’s fuel truck meters. This service shall be provided to the two (2) Embassy fuel truck every six (6) months. A copy of the calibration sheet should be returned to the COR 30 days after the calibration. The COR will work on the service agenda with the

Contractor.

8. ADDITIONAL FUELING SERVICES

8.1 Maintenance of the Automated Fueling System

In addition to the Chancery fuel facility for fuel delivery and the Contractor’s depots for fuel pickup, the

Government has a requirement for the maintenance of an automated fueling system with the following specifications:

GAS BOY

Model MDE-4811F

Orpak Systems Ltd.

Fuel Island Controller

Power requirements: 100-120 VAC, 60 Hz, Output: For use with dispensing devices containing the following:

Pulser input rated 3mA, 15 vdc max

Pulser Power 15 vdc

Installation manual P/N 817438050

The Contractor will have to refer to Maintenance Manual and manufacturer recommendation for all task and routine maintenance required for this equipment.

See Gas Boy Manual MDE-4811F Chapter 5.

8.2 Maintenance of the Fuel Islands and Canopies

The Embassy would like to maintain a safe and clean environment. As such, it is required that all fuel, oil, grease, dust and spiderweb be removed from fuel island pumps, concrete and canopies. The Contractor shall provide monthly servicing and maintenance of all equipment used under this contract during this contract period. The contractor should schedule with the

COR to perform quarterly a deep cleaning of both fuel island and canopy.

8.4 Technical Support

The Contractor shall provide technical support onsite in less than 24 hours after receiving a call for emergency repair of the fuel dispensers. The contractor should have available a designated contact personnel member with valid cellphone number, email for the technical support.

8.5 Equipment List:

• Fuel island, including 1 dispenser, 2 hoses, with 1 product (gasoline)

• Fuel island, including 1 dispenser, 2 hoses, with 2 products (gasoline and diesel)

• 1 canopy located inside the compound at the Embassy at Tabarre

• Gasboy automatic fuel controller and accessories

9. REQUIREMENT

Under this current contract, the contractor shall provide new fuel dispensers for both islands located at the Embassy. As advance technology becomes available the dispenser should have same function or equivalent to the specs below. All equipment installed will be the proprietary of the Embassy.

The contractor should replace all the fuel island pump and dispensers during the basic year of this contract.

All old equipment shall be removed without disrupting the normal activities and operations of the fuel service station. All equipment will be returned to the Embassy personnel for disposal. A strong coordination between the COR and the contractor should be established before proceeding these tasks.

Recommended fuel dispenser: Gilbarco Veeder-root, Legacy series or equivalent

Model Flow Rate Product Hoses Pump/Dispenser Location

JHA 100 Standard 1 Product 2 Hoses Dispenser Outside compound

JHA 200 Standard 2 Product 2 Hoses Dispenser Inside compound

The contractor has the responsibility to install all fuel dispenser including connection to the existing piping, electrical connection on site, connection with Automatic card fueling system

All new dispensers should have a minimum warranty period of 1 year where all defective parts should be the responsibilities of the contractor.

10. INSURANCE

10.1 AMOUNT OF INSURANCE. The Contractor is required to provide whatever insurance is legally necessary. The Contractor shall, at its own expense, provide and maintain during the entire performance period the following insurance amounts:

10.2 GENERAL LIABILITY (includes premises/operations, collapse hazard, products, completed operations, contractual, independent contractors, broad form property damage, personal injury)

1. Bodily Injury stated in US Dollars: Cumulative $100,000.00

2. Property Damage stated in US Dollars: Cumulative $100,000.00

10.3 The types and amounts of insurance are the minimums required. The Contractor shall obtain any other types of insurance required by local law or that are ordinarily or customarily obtained in the location of the work. The limit of such insurance shall be as provided by law or sufficient to meet normal and customary claims.

10.4 For those Contractor employees assigned to this contract who are either United States citizens or direct hire in the United States or its possessions, the Contractor shall provide workers’ compensation insurance in accordance with FAR52.228-3, or host country nationals that do not have a DOL waiver.

10.5 The Contractor agrees that the Government shall not be responsible for personal injuries or for damages to:

- any property of the Contractor,

- its officers,

- agents,

- servants,

- employees, or

- any other person,

- arising from an incident to the Contractor's performance of this contract. The Contractor shall hold harmless and indemnify the Government from any and all claims arising, except in the instance of gross negligence on the part of the Government.

10.6 The Contractor shall obtain adequate insurance for damage to, or theft of, materials and equipment in insurance coverage for loose transit to the site or in storage on or off the site.

10.7 Government as Additional Insured. The general liability policy required of the

Contractor shall name "the United States of America, acting by and through the Department of

State," as an additional insured with respect to operations performed under this contract.

10.8 Time for Submission of Evidence of Insurance. The Contractor shall provide evidence of the insurance required under this contract within ten (10) days after contract award. The

Government may rescind or terminate the contract if the Contractor fails to timely submit insurance certificates identified above.

QUALITY ASSURANCE AND SURVEILLANCE PLAN (QASP)

This plan provides an effective method to promote satisfactory contractor performance. The QASP provides a method for the Contracting Officer's Representative (COR) to monitor Contractor performance, advise the Contractor of unsatisfactory performance, and notify the Contracting Officer of continued unsatisfactory performance. The Contractor, not the Government, is responsible for management and quality control to meet the terms of the contract. The role of the Government is to monitor quality to ensure that contract standards are achieved.

Performance Objective Scope of Work Para Performance Threshold

Services.

Performs all Fuel delivery services set forth in the scope of work.

1 thru 10

All required services are performed and no more than one

(1) customer complaint is received per month.

SECTION 2 - CONTRACT CLAUSES

52.212-4 CONTRACT TERMS AND CONDITIONS – COMMERCIAL ITEMS

(NOV 2023) IS INCORPORATED BY REFERENCE. (SEE SF-1449,

BLOCK 27A) Update to (NOV 2023).

IMPLEMENTATION OF EXECUTIVE ORDER 14208 ENDING PROCUREMENT AND FORCED

USE OF PAPER STRAWS

1. Introduction: The purpose of this Acquisition Alert (AA) is to provide contracts personnel with mandatory guidance for ending the procurement and supply of paper straws and to ensure the paper straws are not provided in agency facilities.

2. Background: The Department is taking steps to end all procurements and supply for paper straws in accordance with the President’s Executive Order (EO) 14208 titled Ending Procurement and Forced

Use of Paper Straws February 10, 2025.

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial products and commercial services:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN

2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations

Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (NOV 2021) (Section 1634 of Pub. L. 115-91).

(3) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance

Services or Equipment. (NOV 2021) (Section 889(a)(1)(A) of Pub. L. 115-232).

(4) 52.216-5, Price Redetermination-Prospective (Jan 2022)

(a) General. The unit prices and the total price stated in this contract shall be periodically redetermined in accordance with this clause, except that-

(1) The prices for supplies delivered and services performed before the first effective date of price redetermination (see paragraph (c) of this clause) shall remain fixed; and

(2) In no event shall the total amount paid under this contract exceed any ceiling price included in the contract.

(b) Definition. "Costs," as used in this clause, means allowable costs in accordance with part 31 of the

Federal Acquisition Regulation (FAR) in effect on the date of this contract.

https://www.acquisition.gov/far/part-52#FAR_52_203_19 https://www.acquisition.gov/far/part-52#FAR_52_204_23 https://www.acquisition.gov/far/part-52#FAR_52_204_25

(c) Price redetermination periods. For the purpose of price redetermination, performance of this contract is divided into successive periods. The first period shall extend from the date of the contract to

________, (see Note(1)) and the second and each succeeding period shall extend for ________ [insert appropriate number] months from the end of the last preceding period, except that the parties may agree to vary the length of the final period. The first day of the second and each succeeding period shall be the effective date of price redetermination for that period.

(d) Data submission. (1) Not more than _______ nor less than ______ (see Note (2)) days before the end of each redetermination period, except the last, the Contractor shall submit-

(i) Proposed prices for supplies that may be delivered or services that may be performed in the next succeeding period, and-

(A) An estimate and breakdown of the costs of these supplies or services in the format of Table 15-1, FAR 15.408, or in any other form on which the parties may agree;

(B) Sufficient data to support the accuracy and reliability of this estimate; and

(C) An explanation of the differences between this estimate and the original (or last preceding) estimate for the same supplies or services; and

(ii) A statement of all costs incurred in performing this contract through the end of the

_______________ month (see Note (3)) before the submission of proposed prices in the format of Table

15-1, FAR 15.408 (or in any other form on which the parties may agree), with sufficient supporting data to disclose unit costs and cost trends for-

(A) Supplies delivered and services performed; and

(B) Inventories of work in process and undelivered contract supplies on hand (estimated to the extent necessary).

(2) The Contractor shall also submit, to the extent that it becomes available before negotiations on redetermined prices are concluded-

(i) Supplemental statements of costs incurred after the date stated in subdivision (d)(1)(ii) of this section for-

(A) Supplies delivered and services performed; and

(B) Inventories of work in process and undelivered contract supplies on hand (estimated to the extent necessary); and

(ii) Any other relevant data that the Contracting Officer may reasonably require.

(3) If the Contractor fails to submit the data required by paragraphs (d)(1) and (2) of this section, within the time specified, the Contracting Officer may suspend payments under this contract until the data are furnished. If it is later determined that the Government has overpaid the Contractor, the Contractor shall repay the excess to the Government immediately. Unless repaid within 30 days after the end of the data submittal period, the amount of the excess shall bear interest, computed from the date the data were due to the date of repayment, at the rate established in accordance with the Interest clause.

(e) Price redetermination. Upon the Contracting Officer’s receipt of the data required by paragraph (d) of this section, the Contracting Officer and the Contractor shall promptly negotiate to redetermine fair and reasonable prices for supplies that may be delivered or services that may be performed in the period following the effective date of price redetermination.

(f) Contract modifications. Each negotiated redetermination of prices shall be evidenced by a modification to this contract, signed by the Contractor and the Contracting Officer, stating the redetermined prices that apply during the redetermination period.

(g) Adjusting billing prices. Pending execution of the contract modification (see paragraph (f) of this section), the Contractor shall submit invoices or vouchers in accordance with the billing prices stated in this contract. If at any time it appears that the then-current billing prices will be substantially greater than the estimated final prices, or if the Contractor submits data showing that the redetermined price will be substantially greater than the current billing prices, the parties shall negotiate an appropriate decrease or increase in billing prices. Any billing price adjustment shall be reflected in a contract modification and shall not affect the redetermination of prices under this clause. After the contract modification for price redetermination is executed, the total amount paid or to be paid on all invoices or vouchers shall be adjusted to reflect the agreed-upon prices, and any requested additional payments, refunds, or credits shall be made promptly.

(h) Quarterly limitation on payments statement. This paragraph (h) applies only during periods for which firm prices have not been established.

(1) Within 45 days after the end of the quarter of the Contractor’s fiscal year in which a delivery is first made (or services are first performed) and accepted by the Government under this contract, and for each quarter thereafter, the Contractor shall submit to the contract administration office (with a copy to the contracting office and the cognizant contract auditor) a statement, cumulative from the beginning of the contract, showing-

(i) The total contract price of all supplies delivered (or services performed) and accepted by the

Government and for which final prices have been established;

(ii) The total costs (estimated to the extent necessary) reasonably incurred for, and properly allocable solely to, the supplies delivered (or services performed) and accepted by the Government and for which final prices have not been established;

(iii) The portion of the total interim profit (used in establishing the initial contract price or agreed to for the purpose of this paragraph (h)) that is in direct proportion to the supplies delivered (or services performed) and accepted by the Government and for which final prices have not been established; and

(iv) The total amount of all invoices or vouchers for supplies delivered (or services performed) and accepted by the Government (including amounts applied or to be applied to liquidate progress payments).

(2) The statement required by paragraph (h)(1) of this section need not be submitted for any quarter for which either no costs are to be reported under subdivision (h)(1)(ii) of this section, or revised billing prices have been established in accordance with paragraph (g) of this section, and do not exceed the existing contract price, the Contractor’s price-redetermination proposal, or a price based on the most recent quarterly statement, whichever is least.

(3) Notwithstanding any provision of this contract authorizing greater payments, if on any quarterly statement the amount under subdivision (h)(1)(iv) of this section exceeds the sum due the Contractor, as computed in accordance with subdivisions (h)(1)(i), (ii), and (iii) of this section, the Contractor shall immediately refund or credit to the Government the amount of this excess. The Contractor may, when appropriate, reduce this refund or credit by the amount of previous refunds or credits affected under this clause. If any portion of the excess has been applied to the liquidation of progress payments, then that portion may, instead of being refunded, be added to the unliquidated progress payment account, consistent with the Progress Payments clause. The Contractor shall provide complete details to support any claimed reductions in refunds.

(4) If the Contractor fails to submit the quarterly statement within 45 days after the end of each quarter and it is later determined that the Government has overpaid the Contractor, the Contractor shall repay the excess to the Government immediately. Unless repaid within 30 days after the end of the statement submittal period, the amount of the excess shall bear interest, computed from the date the quarterly statement was due to the date of repayment, at the rate established in accordance with the Interest clause.

(i) Subcontracts. No subcontract placed under this contract may provide for payment on a cost-plus-a-percentage-of-cost- basis.

(j) Disagreements. If the Contractor and the Contracting Officer fail to agree upon redetermined prices for any price redetermination period within 60 days (or within such other period as the parties agree) after the date on which the data required by paragraph (d) of this section are to be submitted, the

Contracting Officer shall promptly issue a decision in accordance with the Disputes clause. For the purpose of paragraphs (f), (g), and (h) of this section, and pending final settlement of the disagreement on appeal, by failure to appeal, or by agreement, this decision shall be treated as an executed contract modification. Pending final settlement, price redetermination for subsequent periods, if any, shall continue to be negotiated as provided in this clause.

(k) Termination. If this contract is terminated, prices shall continue to be established in accordance with this clause for (1) completed supplies and services accepted by the Government and (2) those supplies and services not terminated under a partial termination. All other elements of the termination shall be resolved in accordance with other applicable clauses of this contract.

Notes:

(1) Express in terms of units delivered, or as a date; but in either case the period should end on the last day of a month.

(2) Insert the number of days chosen so that the Contractor’s submission will be late enough to reflect recent cost experience (taking into account the Contractor’s accounting system), but early enough to permit review, audit (if necessary), and negotiation before the start of the prospective period.

(3) Insert "first," except that "second" may be inserted if necessary to achieve compatibility with the

Contractor’s accounting system.

(End of clause)

(5) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (NOV 2015).

(6) 52.232-40, Providing Accelerated Payments to Small Business Subcontractors (MAR 2023) ( 31

U.S.C. 3903 and 10 U.S.C. 3801).

(7) 52.233-3, Protest After Award (AUG 1996) ( 31 U.S.C. 3553).

(8) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Public Laws 108-77 and 108-

78 ( 19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting

Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial products and commercial services:

[Contracting Officer check as appropriate.]

_X_ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (JUN

2020), with Alternate I (NOV 2021) ( 41 U.S.C. 4704 and 10 U.S.C. 4655).

_X_ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (NOV 2021) ( 41 U.S.C. 3509)).

__ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of

2009 (JUN 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American

Recovery and Reinvestment Act of 2009.)

_X_ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (JUN

2020) (Pub. L. 109-282) ( 31 U.S.C. 6101 note).

__ (5) [Reserved].

__ (6) 52.204-14, Service Contract Reporting Requirements (OCT 2016) (Pub. L. 111-117, section 743 of Div. C).

__ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (OCT

2016) (Pub. L. 111-117, section 743 of Div. C).

_X_ (9) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors

Debarred, Suspended, or Proposed for Debarment. (NOV 2021) ( 31 U.S.C. 6101 note).

_X_ (10) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (OCT

2018) ( 41 U.S.C. 2313).

__ (11) [Reserved].

__ (12) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (OCT 2022) ( 15 U.S.C. 657a).

https://www.acquisition.gov/far/part-52#FAR_52_209_10 https://www.acquisition.gov/far/part-52#FAR_52_232_40 https://www.govinfo.gov/link/uscode/31/3903 https://www.govinfo.gov/link/uscode/31/3903 https://www.govinfo.gov/link/uscode/10/3801 https://www.acquisition.gov/far/part-52#FAR_52_233_3 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/far/part-52#FAR_52_233_4 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/far/part-52#FAR_52_203_6 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.govinfo.gov/link/uscode/10/4655 https://www.acquisition.gov/far/part-52#FAR_52_203_13 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/far/part-52#FAR_52_203_15 https://www.acquisition.gov/far/part-52#FAR_52_204_10 http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section6101&num=0&edition=prelim https://www.acquisition.gov/far/part-52#FAR_52_204_14 https://www.acquisition.gov/far/part-52#FAR_52_204_15 https://www.acquisition.gov/far/part-52#FAR_52_209_6 http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section6101&num=0&edition=prelim https://www.acquisition.gov/far/part-52#FAR_52_209_9 http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title41-section2313&num=0&edition=prelim https://www.acquisition.gov/far/part-52#FAR_52_219_3 http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title15-section637a&num=0&edition=prelim

__ (13) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (OCT

2022) (if the offeror elects to waive the preference, it shall so indicate in its offer) ( 15 U.S.C. 657a).

__ (14) [Reserved]

__ (15)

(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2020) ( 15 U.S.C. 644).

__ (ii) Alternate I (MAR 2020) of 52.219-6.

__ (16)

(i) 52.219-7, Notice of Partial Small Business Set-Aside (NOV 2020) ( 15 U.S.C. 644).

__ (ii) Alternate I (MAR 2020) of 52.219-7.

__ (17) 52.219-8, Utilization of Small Business Concerns (SEP 2023) ( 15 U.S.C. 637(d)(2) and (3)).

__ (18)

(i) 52.219-9, Small Business Subcontracting Plan (SEP 2023) ( 15 U.S.C. 637(d)(4)).

__ (ii) Alternate I (NOV 2016) of 52.219-9.

__ (iii) Alternate II (NOV 2016) of 52.219-9.

__ (iv) Alternate III (JUN 2020) of 52.219-9.

__ (v) Alternate IV (SEP 2023) of 52.219-9.

__ (19)

(i) 52.219-13, Notice of Set-Aside of Orders (MAR 2020) ( 15 U.S.C. 644(r)).

__ (ii) Alternate I (MAR 2020) of 52.219-13.

__ (20) 52.219-14, Limitations on Subcontracting (OCT 2022) ( 15 U.S.C. 637s).

__ (21) 52.219-16, Liquidated Damages—Subcontracting Plan (SEP 2021) ( 15 U.S.C. 637(d)(4)(F)(i)).

__ (22) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (OCT 2022)

( 15 U.S.C. 657f).

_X_ (23) 52.216-5, Price Redetermination-Prospective

(i) 52.219-28, Post Award Small Business Program Rerepresentation (SEP 2023)( 15 U.S.C. 632(a)(2)).

__ (ii) Alternate I (MAR 2020) of 52.219-28.

__ (24) 52.219-29, Notice of Set-Aside for, or Sole-Source Award to, Economically

Disadvantaged Women-Owned Small Business Concerns (OCT 2022) ( 15 U.S.C. 637(m)).

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