Solicitation.rtf
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Solicitation (rtf)
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DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION
FAA OTT
Nottingham, Maryland
REQUEST FOR OFFER NO: DTFAEN-15-RFQ-OTT TACR
Floor Tile Abatement Services
Coordinate on-site visit with:
Kevin P. O’Connor
Lead Engineer
Phone: 703-771-3703
Email: kevin.P.Oconnor@faa.gov thumbnail_0.emf thumbnail_1.wmf
PROJECT: DTFAEN-15-RFQ-OTT-TACR FOR A REQUIREMENT TO PROVIDE A SERVICE OF FLOOR
TILE ABATEMENT SERVICE FOR THE OTT TACR LOCATED IN NOTTINGHAM, MARYLAND IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS.
TABLE OF CONTENTS
| SECTION A – SF-33, REQUEST FOR QUOTATION |
| SECTION B – SUPPLIES/SERVICES & PRICE/COST |
| SECTION C – SCOPE OF WORK |
| SECTION D – PACKAGING AND MARKING |
| SECTION E – INSPECTION AND ACCEPTANCE |
| SECTION F – DELIVERIES OR PERFORMANCE |
| SECTION G – CONTRACT ADMINISTRATION DATA |
| SECTION H – SPECIAL CONTRACT REQUIREMENTS |
| SECTION I – CONTRACT CLAUSES |
| SECTION J – LIST OF ATTACHMENTS |
| SECTION K – REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS |
| SECTION L – INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS |
| SECTION M – EVALUATION FACTORS FOR AWARD |
**Offerors/Quoters must complete the Solicitation Package in its entirety. Take note of the required documents that must be completed and returned to me in order to be considered responsive.**
Written offers must be received by August 3, 2015 at the following address:
| DOT FAA Potomac TRACON |
| 3699 MacIntosh Drive |
| Attn: Charlie Peppers |
| Warrenton, VA 20187 |
Email offers must be received by 5:00 P.M., August 3, 2015 at: charlie,peppers@faa.gov .
Faxed offers will be accepted and must be received by 5:00 P.M., August 3, 2015, Attn: Charlie Peppers at FAX No. (540) 349-7602.
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XX7. ISSUED BY
CODE
Federal Aviation Administration 3699 Macintosh Drive Warrenton, VA 20187 ADDRESS SHOWN IN BLOCK 7
SOLICITATION, OFFER AND AWARD
1. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 7900)
RATING
PAGE OF PAGES
2. CONTRACT NUMBER
DTFAEN-15-P-00
3. SOLICITATION NUMBER
DTFAEN-15-RFQ-OTT TACR
4. TYPE OF SOLICITATION SEALED BID (IFB)
NEGOTIATED (RFP)
5. DATE ISSUED
07/15/2015
6. REQUISITION/PURCHASE NUMBER
EA-15-00
8. ADDRESS OFFER TO (If other than item 7)
NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".
SOLICITATION
| 9. Sealed offers in original and | copies for furnishings the supplies or services in the Schedule will be received at the place specified in item 8, or if | |
| hand carried, in the depository located in 3699 Macintosh Drive Warrenton, VA 20187 | until 5 p.m. | local time 08/3/2015 |
10. FOR INFORMATION CALL:
A. NAME
Charlie Peppers
B. TELEPHONE (NO COLLECT CALLS)
C. E-MAIL ADDRESS
charlie.peppers@faa.gov
AREA CODE
NUMBER
349-7417
EXT.
(Hour) (Date) CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.
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11. TABLE OF CONTENTS
(X)
SEC.
DESCRIPTION
PAGE(S)
(X)
SEC.
DESCRIPTION
PAGE(S)
PART I - THE SCHEDULE
PART II - CONTRACT CLAUSES
X A
SOLICITATION/CONTRACT FORM
X I
CONTRACT CLAUSES
X B
SUPPLIES OR SERVICES AND PRICES/COSTS
PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.
X C
DESCRIPTION/SPECS./WORK STATEMENT
X J
LIST OF ATTACHMENTS
D
PACKAGING AND MARKING
PART IV - REPRESENTATIONS AND INSTRUCTIONS
X E
INSPECTION AND ACCEPTANCE
X
K
REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS OF OFFERORS
X F
DELIVERIES OR PERFORMANCE
X G
CONTRACT ADMINISTRATION DATA
X L
INSTRS., CONDS., AND NOTICES TO OFFERORS
X H
SPECIAL CONTRACT REQUIREMENTS
X M
EVALUATION FACTORS FOR AWARD
OFFER (Must be fully completed by offeror) NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.
12. In compliance with the above, the undersigned agrees, if this offer is accepted within 60 calendar days (60 calendar days unless a different file_5.png file_6.wmf period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the set opposite each item, delivered at the designated point(s), within the time specified in the schedule.
13. DISCOUNT FOR PROMPT PAYMENT
(See Section I, Clause No. 52.232-8)
10 CALENDAR DAYS (%)
20 CALENDAR DAYS (%)
30 CALENDAR DAYS (%)
CALENDAR DAYS(%)
14. ACKNOWLEDGMENT OF AMENDMENTS
(The offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated):
AMENDMENT NO.
DATE
AMENDMENT NO.
DATE
15A. NAME AND ADDRESS OF OFFER- OR
CODE
FACILITY
16. NAME AND THE TITLE OF PERSON AUTHORIZED TO SIGN OFFER
(Type or print)
15B. TELEPHONE NUMBER
15C. CHECK IF REMITTANCE ADDRESS IS DIFFERENT FROM ABOVE - ENTER SUCH ADDRESS IN SCHEDULE.
17. SIGNATURE
18. OFFER DATE
AREA CODE
NUMBER
EXT.
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AWARD (To be completed by Government)
19. ACCEPTED AS TO ITEMS
20. AMOUNT
21. ACCOUNTING AND APPROPRIATION
22. AUTHORITY FOR USING OTHER THAN FULL OPEN COMPETITION:
10 U.S.C. 2304 (c) 41 U.S.C. 253 (c)
23. SUBMIT INVOICES TO ADDRESS SHOWN IN
(4 copies unless otherwise specified)
ITEM
24. ADMINISTERED BY (If other than Item 7)
25. PAYMENT WILL BE MADE BY CODE
26. NAME OF CONTRACTING OFFICER (Type or print)
27. UNITED STATES OF AMERICA
(Signature of Contracting Officer)
28. AWARD DATE
DTFAEN-15-RFQ-IAD PAPI
PART I - SECTION B
SUPPLIES/SERVICES & PRICE/COST
Material/Supply/Equipment Cost _______________________________
Labor Cost _______________________________
Total Cost: _______________________________
PART I - SECTION C
SCOPE OF WORK
(SEE ATTACHMENT)
PART I - SECTION D
PACKAGING AND MARKING
PART I - SECTION E
INSPECTION AND ACCEPTANCE
3.1-1 Clauses and Provisions Incorporated by reference (July 2011)
This screening information request (SIR) or contract, as applicable, incorporates by reference the provisions or clauses listed below with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make the full text available, or offerors and contractors may obtain the full text via Internet at: http://conwrite.faa.gov.
(End of clause)
| 3.10.4-2 | Inspection of Supplies - Fixed Price (November 1997) |
| 3.10.4-4 | Inspection of Services - Both Fixed-Price & Cost Reimbursement (April 1996) |
| 3.10.4-9 | Inspection of Facilities (April 1996) |
| 3.10.4-16 | Responsibility for Supplies (April 1996) |
PART I - SECTION F
DELIVERIES OR PERFORMANCE
3.1-1 Clauses and Provisions Incorporated by reference (July 2011)
This screening information request (SIR) or contract, as applicable, incorporates by reference the provisions or clauses listed below with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make the full text available, or offerors and contractors may obtain the full text via Internet at: http://conwrite.faa.gov.
| 3.10.1-9 | Stop-Work Order (October 1996) |
| 3.10.1-10 | Stop-Work Order - Facilities (June 1999) |
PART I - SECTION G
CONTRACT ADMINISTRATION DATA
3.1-1 Clauses and Provisions Incorporated by reference (July 2011)
This screening information request (SIR) or contract, as applicable, incorporates by reference the provisions or clauses listed below with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make the full text available, or offerors and contractors may obtain the full text via Internet at: http://conwrite.faa.gov.
3.10.1-23 Contracting Officer's Representative-Construction Contracts (April 2012)
(a) The Contracting Officer may appoint other Government personnel to accomplish certain contract administration matters. While there shall be various titles and divisions of duties for these individuals, generically they are known as Contracting Officer's Representatives (CORs). The Contracting Officer will provide written notice of COR appointment(s), setting forth the authorities and limitations, to the Contractor within ____ calendar days prior to the notice to proceed. COR duties may include, but are not limited to:
(1) Perform as the authorized representative of the Contracting Officer for technical matters, including interpretation of specifications and drawings, and inspection and review of work performed.
(2) Perform as the authorized representative of the Contracting Officer for administrative matters, including reviewing payments, and updated delivery schedules.
(b) These representatives are authorized to act for the Contracting Officer in all specifically delegated matters pertaining to the contract, except:
(1) contract modifications that change the contract price or cost, technical requirements or time for performance, unless delegated field change order authority;
(2) suspension or termination of the Contractor's right to proceed, either for default or for convenience;
(3) final decisions on any matters subject to appeal, e.g., disputes under the "Contract Disputes" clause; and
(4) final acceptance under the contract.
(End of clause)
1. NAMES AND ADDRESSES OF THE KEY GOVERNMENT PERSONNEL:
| Contracting Officer: | Charlie Peppers | ||
| WES-41, Washington District OSS | |||
| 3699 Macintosh Drive | |||
| Warrenton, Virginia 20187 | |||
| Phone: (540) 349-7417 |
| Contracting Officer Technical Representative: Kevin P. O’Connor | |
| AJW-E22D FAA Leesburg TSC | |
| 821 E. Market Street | |
| Leesburg, VA 20176 | |
| Phone: (703) 771-3703 |
1. CORRESPONDENCE PROCEDURES:
All correspondence should be addressed to the Contracting Officer.
3. BILLING INSTRUCTIONS:
a. Payment will be made, upon submission of proper invoices, of the amount due under the contract for work performed to the end of the preceding month; provided, that if the work required to be performed under the contract shall have been fully and satisfactorily completed to that date, deductions shall be made as provided herein.
b. At the end of the last month of the contract period, the amount due the contractor under this contract will be paid upon the presentation of a properly executed and duly certified voucher therefore, after the contractor shall have furnished the Government with a release, if required, of all claims against the Government arising under and by virtue of this contract, other than such claims, if any, as may be specifically excepted by the contractor from the operation of the release in stated amounts to be set forth therein. The government’s exact contract number must appear on each invoice
c. In the event this contract becomes effective or terminates during the course of a month, the amount to be paid the contractor for the past month shall be determined by pro-rating the amount specified in the contract for a full month on the basis of the number of days involved.
4. AUTHORITIES: No person other than the Contracting Officer is authorized to change any clause or provision of this contract.
PART I - SECTION H
SPECIAL CONTRACT REQUIREMENTS
3.1-1 Clauses and Provisions Incorporated by reference (July 2011)
This screening information request (SIR) or contract, as applicable, incorporates by reference the provisions or clauses listed below with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make the full text available, or offerors and contractors may obtain the full text via Internet at: http://conwrite.faa.gov.
3.1.9-1 Electronic Commerce and Signature (July 2013)
(a) The Electronic Signatures in Global and National Commerce Act (E-SIGN) establishes a legal equivalence between:
(1) Contracts written on paper and contracts in electronic form;
(2) Pen-and-ink signatures and electronic signatures; and
(3) Other legally-required written records and the same information in electronic form.
(b) With the submission of an offer, the offeror acknowledges and accepts the utilization of electronic commerce as part of the requirements of this solicitation and the resultant contract.
(c) Certain documents may need to be provided or maintained in original form, such as large scale drawings impractical to convert to electronic format or a document with a raised seal signifying authenticity. This clause does not change or affect any other requirements that a document must be in paper format to satisfy legal requirements such as for certain real estate transactions.
(d) The use of electronic signature technology is authorized under this solicitation and the resulting contract. Contractors may use the following means of electronic signature technology [CO to enter the means of electronic signature technology authorized to include PIN numbers or passwords, digital signatures, smart cards, etc].
(End of Clause)
PART II - SECTION I
CONTRACT CLAUSES
3.1-1 Clauses and Provisions Incorporated by reference (July 2011)
This screening information request (SIR) or contract, as applicable, incorporates by reference the provisions or clauses listed below with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make the full text available, or offerors and contractors may obtain the full text via Internet at: http://conwrite.faa.gov.
| 3.1.7-2 | Organizational Conflicts of Interest (August 1997) |
| 3.2.2.7-6 | Protecting the Government's Interest when Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (April 2011) |
| 3.2.2.7-8 | Disclosure of Team Arrangements (April 2008) |
| 3.2.2.8-1 | Material Requirement (April 2009) |
| 3.2.5-1 | Officials Not to Benefit (April 1996) |
| 3.2.5-3 | Gratuities or Gifts (January 1999) |
| 3.2.5-4 | Contingent Fees (October 1996) |
| 3.2.5-5 | Anti-Kickback Procedures (October 2010) |
| 3.2.5-8 | Whistleblower Protection for Contractor Employees (April 1996) |
| 3.3.1-1 | Payments (April 1996) |
| 3.3.1-13 | Limitation of Cost (Facilities) (April 1996) |
| 3.3.1-20 | Providing Accelerated Payment to Small Business Subcontractors (October 2012) |
| 3.3.1-34 | Payment by Electronic Funds Transfer- System for Award Management (August 2012) |
| 3.3.2-1 | FAA Cost Principles (October 1996) |
| 3.4.1-12 | Insurance (July 1996) |
| 3.6.2-39 | Trafficking in Persons (January 2008) |
| 3.6.3-16 | Drug Free Workplace (March 2009) |
| 3.6.4-2 | Buy American Act - Supplies (July 2010) |
| 3.6.4-10 | Restrictions on Certain Foreign Purchases (January 2010) |
| 3.9.1-1 | Contract Disputes (October 2011) |
| 3.9.1-2 | Protest After Award (August 1997) |
| 3.10.1-7 | Bankruptcy (April 1996) |
| 3.10.1-12 | Changes - Fixed-Price (April 1996) |
| 3.10.1-25 | Novation and Change-Of-Name Agreements (October 2007) |
| 3.10.2-1 | Subcontracts (Fixed-Price Contracts) (April 1996) |
| 3.10.6-1 | Termination for Convenience of the Government (Fixed Price) (October 1996) |
| 3.10.6-4 | Default (Fixed-Price Supply and Service) (October 1996) |
| 3.13-5 | Seat Belt Use by Contractor Employees (October 2001) |
| 3.13-13 | Contractor Policy to Ban Text Messaging While Driving (January 2011) |
| 3.3.1-11 | Availability of Funds for the Next Fiscal Year (April 1996) |
Funds are not presently available for performance under this contract beyond -----. The FAA 's obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the FAA for any payment may arise for performance under this contract beyond -----, until funds are made available to the Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in writing by the Contracting Officer.
3.3.1-33 System for Award Management (August 2012)
(a) Definitions. As used in this clause
"Data Universal Numbering System (DUNS) number" means the 9-digit number assigned by Dun and Bradstreet, Inc. (D&B) to identify unique business entities.
"Data Universal Numbering System +4 (DUNS+4) number" means the DUNS number assigned by D&B plus a 4-character suffix that may be assigned by a business concern. (D&B has no affiliation with this 4-character suffix.) This 4-character suffix may be assigned at the discretion of the business concern to establish additional SAM records for identifying alternative Electronic Funds Transfer (EFT) accounts for the same parent concern.
"Registered in the SAM database" means that the Contractor has entered all mandatory information, including the DUNS number or the DUNS+4 number, into the SAM database.
"System for Award Management (SAM) Database" means the primary Government repository for Contractor information required for the conduct of business with the Government.
(b)(1) By submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the SAM database prior to award, during performance, and through final payment of any contract, basic agreement, basic ordering agreement, or blanket purchasing agreement resulting from this solicitation.
(2) The offeror shall enter, in Representations, Certifications and Other Statements of Offerors Section of the solicitation, the DUNS or DUNS +4 number that identifies the offeror's name and address exactly as stated in the offer. The DUNS number will be used by the Contracting Officer to verify that the offeror is registered in the SAM database.
(c) If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one.
(1) An offeror may obtain a DUNS number
(i) If located within the United States, by calling Dun and Bradstreet at 1-866-705-5711 or via the Internet at http://fedgov.dnb.com/webform; or
(ii) If located outside the United States, by contacting the local Dun and Bradstreet office.
(2) The offeror should be prepared to provide the following information:
(i) Company legal business.
(ii) Tradestyle, doing business, or other name by which your entity is commonly recognized.
(iii) Company Physical Street Address, City, State, and ZIP Code.
(iv) Company Mailing Address, City, State and ZIP Code (if different from physical street address).
(v) Company Telephone Number.
(vi) Date the company was started.
(vii) Number of employees at your location.
(viii) Chief executive officer/key manager.
(ix) Line of business (industry).
(x) Company Headquarters name and address (reporting relationship within your entity).
(d) If the offeror does not become registered in the SAM database in the time prescribed by the Contracting Officer, the Contracting Officer may proceed to award to the next otherwise successful registered offeror.
(e) Processing time, which normally takes 48 hours, should be taken into consideration when registering. Offerors who are not registered should consider applying for registration immediately upon receipt of this solicitation.
(f) The Contractor is responsible for the accuracy and completeness of the data within the SAM database, and for any liability resulting from the Government's reliance on inaccurate or incomplete data. To remain registered in the SAM database after the initial registration, the Contractor is required to review and update on an annual basis from the date of initial registration or subsequent updates its information in the SAM database to ensure it is current, accurate and complete. Updating information in the SAM does not alter the terms and conditions of this contract and is not a substitute for a properly executed contractual document.
(g)(1)(i) If a Contractor has legally changed its business name, "doing business as" name, or division name (whichever is shown on the contract), or has transferred the assets used in performing the contract, but has not completed the necessary requirements regarding novation and change-of-name agreements in AMS Procurement Guidance, the Contractor shall provide the responsible Contracting Officer a minimum of one business day's written notification of its intention to:
(A) change the name in the SAM database;
(B) comply with the requirements of AMS regarding novation and change-of-name agreements; and
(C) agree in writing to the timeline and procedures specified by the responsible Contracting Officer. The Contractor must provide the Contracting Officer with the notification, sufficient documentation to support the legally changed name.
(ii) If the Contractor fails to comply with the requirements of paragraph (g)(1)(i) of this clause, or fails to perform the agreement at paragraph (g)(1)(i)(C) of this clause, and, in the absence of a properly executed novation or change-of-name agreement, the SAM information that shows the Contractor to be other than the Contractor indicated in the contract will be considered to be incorrect information within the meaning of the "Suspension of Payment" paragraph of the electronic funds transfer (EFT) clause of this contract.
(2) The Contractor shall not change the name or address for EFT payments or manual payments, as appropriate, in the SAM record to reflect an assignee for the purpose of assignment of claims. Assignees shall be separately registered in the SAM database. Information provided to the Contractor's SAM record that indicates payments, including those made by EFT, to an ultimate recipient other than that Contractor will be considered to be incorrect information within the meaning of the "Suspension of payment" paragraph of the EFT clause of this contract.
(h) Offerors and Contractors may obtain information on registration and annual confirmation requirements via the internet at http://www.sam.gov.
(End of Clause)
PART III - SECTION J
LIST OF ATTACHMENTS
EA-J-1 WAGE DETERMINATION (Attachment 1) Wage Determination No.: 2005-2103, Revision No. 15, dated 12/22/2014, 10 pages EA-J-2 BUSINESS DECLARATION (Attachment 2), 1 page
EA-J-3 W-9 REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND
CERTIFICATION(Attachment 3), 1 page
EA-J-4 PAST PERFORMANCE SURVEY (Attachment 4), 5 pages
EA-L-1 REQUIRED DOCUMENTS
The contractor SHALL return the following completed documents as part of its offer:
a) Section A - SF 33, Solicitation, Offer and Award
b) Section B - Supplies or Services and Prices/Costs – Cost Sheet
c) Section K - Representations, Certifications, & Other Statements of Offerors, pages 26-30
d) Section L - Instructions, Conditions, And Notices to Offerors, page 33
e) Business Declaration (Attachment 2)
f) W-9 Request for Taxpayer Identification Number and Certification (Attachment 3)
g) Past Experience Survey (Attachment 4)
EA-L-2 COMPLETED DOCUMENTS AFTER NOTIFICATION OF SELECTION
The contractor shall return the following completed documents no later than ten (10) days after notification of selection:
Contractor shall provide certificate of insurance.
List of personnel responsible for the performance of the work on this.
Delphi Vendor Entry Worksheet (CO will send this to you after notification of selection).
PART IV - SECTION K
REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS
3.1-1 Clauses and Provisions Incorporated by reference (July 2011)
This screening information request (SIR) or contract, as applicable, incorporates by reference the provisions or clauses listed below with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make the full text available, or offerors and contractors may obtain the full text via Internet at: http://conwrite.faa.gov.
3.2.2.3-82 Prohibition on Conducting Restricted Business Operations in Sudan - Certification (July 2012)
3.2.2.3-10 Type of Business Organization (July 2004) By checking the applicable box, the offeror (you) represents that--
(a) You operate as [ ] a corporation incorporated under the laws of the State of ____________________ , [ ] an individual, [ ] a partnership, [ ] a nonprofit organization, [ ] a joint venture or [ ] other ____________[specify what type of organization].
(b) If you are a foreign entity, you operate as [ ] an individual, [ ] a partnership, [ ] a nonprofit organization, [ ] a joint venture, or [ ] a corporation, registered for business in _____________________________________________ .
(country)
(End of provision)
3.2.2.3-70 Taxpayer Identification (July 2004)
(a) Definitions.
(1) "Common parent," as used in this clause, means a corporate entity that owns or controls an affiliated group of corporations that files an offeror's (you, your) Federal income tax returns on a consolidated basis, and of which you are a member.
(2) "Corporate status," as used in this clause, means a designation as to whether you are a corporate entity, an unincorporated entity (for example, sole proprietorship or partnership), or a corporation providing medical and health care services.
(3) "Taxpayer Identification Number (TIN)," as used in this clause, means the number the Internal Revenue Service (IRS) requires you use in reporting income tax and other returns.
(b) All offerors must submit the information required in paragraphs (c) through (e) of this provision to comply with reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M and implementing regulations issued by IRS. The FAA will use this information to collect and report on any delinquent amounts arising out of your relation with the Federal Government, under Public Law 104 -134, the Debt Collection Improvement Act of 1996, Section 31001(I)(3). If the resulting contract is subject to the reporting requirements and you refuse or fail to provide the information, the Contracting Officer (CO) may reduce your payments 31 percent under the contract.
(c) Taxpayer Identification Number (TIN).
[ ] TIN: ______________________________
[ ] TIN has been applied for.
[ ] TIN is not required because:
[ ] Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not leave income effectively connected with the conduct of a trade or business in the U.S. and does not have an office or place of business or a fiscal paying agent in the U.S.;
[ ] Offeror is an agency or instrumentality of a foreign government;
[ ] Offeror is an agency or instrumentality of a Federal, state, or local government;
[ ] Other--State basis. ___________________________________.
(d) Corporate Status.
[ ] Corporation providing medical and health care services, or engaged in the billing and collecting of payments for such services;
[ ] Other corporate entity [ ] Not a corporate entity [ ] Sole proprietorship [ ] Partnership [ ] Hospital or extended care facility described in 26 CFR 501(c)(3) that is exempt from taxation under 26 CFR 501(a).
(e) Common Parent.
[ ] A common parent does not own or control the offeror as defined in paragraph (a).
[ ] Name and TIN of common parent:
Name _______________________________________________________
TIN _______________________________________________________
3.2.2.7-7 Certification Regarding Responsibility Matters (January 2010)
(a)(1) The Offeror certifies, to the best of its knowledge and belief, that
(i) The Offeror and/or any of its Principals- A) Are [ ] are not [ ] presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;
(B) Have [ ] have not [ ] within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, state, or local) contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws or receiving stolen property; and
(C) Are [ ] are not [ ] presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in subdivision a)(1) (i)(B) of this provision.
(D) Have [ ], have not [ ], within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds $3,000 for which the liability remains unsatisfied.
(1) Federal taxes are considered delinquent if both of the following criteria apply:
(i) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.
(ii) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.
(2) Examples-
(i) The taxpayer has received a statutory notice of deficiency, under I.R.C. Sec. 6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.
(ii) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. Sec. 6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. In the course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.
(iii) The taxpayer has entered into an installment agreement pursuant to I.R.C. Sec. 6159. The taxpayer is making timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the taxpayer is not currently required to make full payment.
(iv) The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. 362 (the Bankruptcy Code).
(b) The Offeror has [ ] has not [ ] within a three-year period preceding this offer, had one or more contracts terminated for default by any Federal agency.
(2) 'Principals,' for the purposes of this certification, means officers; directors; owners; partners; and, persons having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a subsidiary, division, or business segment, and similar positions). THIS CERTIFICATION CONCERNS A MATTER WITHIN THE JURISDICTION OF AN AGENCY OF THE UNITED STATES AND THE MAKING OF A FALSE, FICTITIOUS, OR FRAUDULENT CERTIFICATION MAY RENDER THE MAKER SUBJECT TO PROSECUTION UNDER SECTION 1001, TITLE 18, UNITED STATES CODE.
(c) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.
(d) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this SIR. However, the certification will be considered in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible.
(e) Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a) of this provision. The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.
(f) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If it is later determined that the Offeror knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this SIR for default.
3.3.1-35 Certification of Registration in System for Award Management (August 2012) In accordance with Clause 3.3.1-33, System for Award Management (SAM), offeror certifies that they are registered in the SAM Database and have entered all mandatory information including the DUNS or DUNS+4 Number.
Name: ______________________________
Title: _______________________________
Phone Number: _______________________
3.6.4-19 Prohibition Contracting with Entities Engaging in Certain Activities or Transactions Related to Iran- Representation and Certifications (April 2013)
(a) Definitions.
"Person"
(1) Means
(i) A natural person;
(ii) A corporation, business association, partnership, society, trust, financial institution, insurer, underwriter, guarantor, and any other business organization, any other nongovernmental entity, organization, or group, and any governmental entity operating as a business enterprise; and
(iii) Any successor to any entity described in paragraph (1)(ii) of this definition; and
(2) Does not include a government or governmental entity that is not operating as a business enterprise.
"Sensitive Technology"
(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically (i)To restrict the flow of free, unbiased information in Iran; or
(ii) To disrupt, monitor, or otherwise restrict the speech of the people of Iran; and
(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to Section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).
(3)The offeror must e-mail any questions concerning sensitive technology to the Department of State at CISADA106@state.gov.
(b) Certification. Except as provided in paragraph (c) of this provision or if a waiver has been granted in accordance with AMS Iran Sanctions Guidance, by submission of its offer, the offeror
(1)Represents, to the best of its knowledge and belief, that the offeror does not export any sensitive technology to the government of Iran or any individuals owned or controlled by, or acting on behalf or at the direction of, the government of Iran;
(2) Certifies that the offeror, or any other entity owned or controlled by, or person controlled by the offeror, does not engage in any activities for which sanctions may be imposed under section 5 of the Iran Sanctions Act of 1996. These sanctioned activities are in the areas of development of the petroleum resources of Iran, production of refined petroleum products in Iran, sale and provision of refined petroleum products to Iran, and contributing to Iran's ability to acquire or develop certain weapons or technologies; and
(3) Certifies that the offeror, and any other entity owned or controlled by, or person controlled by the offeror, does not knowingly engage in any transaction that exceeds $3,000 with Iran's Revolutionary Guard Corps or any of its officials, agents, or affiliates, the property and interests in property of which are blocked pursuant to the International Emergency Economic Powers Act 50 USC 1701 et. seq. (see the Department of the Treasury's Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons List on their website).
(c) The certification requirement of paragraph (b) of this provision does not apply if the acquisition is subject to the trade-related acts in AMS Trade Agreements Guidance.
3.13-4 Contractor Identification Number - Data Universal Numbering System (DUNS) Number (August 2012)
(a) Definitions. As used in this clause
"Contractor Identification Number," as used in this provision, means "Data Universal Numbering System (DUNS) number, which is a nine-digit number assigned by Dun and Bradstreet Information Services, to identify unique business entities (taken from SAM clause)
"Data Universal Numbering System +4 (DUNS+4) number" means the DUNS number assigned by D&B plus a 4-character suffix that may be assigned by a business concern. (D&B has no affiliation with this 4-character suffix.) This 4-character suffix may be assigned at the discretion of the business concern to establish additional SAM records for identifying alternative Electronic Funds Transfer.
(b) Contractor identification is essential for receiving payment and complying with statutory contract reporting requirements. Therefore, the offeror shall provide its DUNS or DUNS+4 number below. The DUNS number will be used by the Contracting Officer to verify that the offeror is registered in the SAM database.
DUNS OR DUNS+4 NUMBER: _________________________
(c) If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one.
(1) An offeror may obtain a DUNS number
(i) If located within the United States, by calling Dun and Bradstreet at 1-866-705-5711 or via the Internet at http://www.dnb.com/; or
(ii) If located outside the United States, by contacting the local Dun and Bradstreet office.
(2) The offeror should be prepared to provide the following information:
(i) Company legal business.
(ii) Tradestyle, doing business, or other name by which your entity is commonly recognized.
(iii) Company Physical Street Address, City, State, and ZIP Code.
(iv) Company Mailing Address, City, State and ZIP Code (if different from physical street address).
(v) Company Telephone Number.
(vi) Date the company was started.
(vii) Number of employees at your location.
(viii) Chief executive officer/key manager.
(ix) Line of business (industry).
(x) Company Headquarters name and address (reporting relationship within your entity).
PART IV - SECTION L
INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS
3.1-1 Clauses and Provisions Incorporated by reference (July 2011)
This screening information request (SIR) or contract, as applicable, incorporates by reference the provisions or clauses listed below with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make the full text available, or offerors and contractors may obtain the full text via Internet at: http://conwrite.faa.gov.
| 3.2.2.3-1 | False Statements in Offers (July 2004) |
| 3.2.2.3-11 | Unnecessarily Elaborate Submittals (July 2004) |
| 3.2.2.3-12 | Amendments to Screening Information Requests (July 2004) |
| 3.2.2.3-13 | Submission of Information/Documentation/Offers (July 2004) |
| 3.2.2.3-16 | Restricting, Disclosing and Using Data (July 2004) |
| 3.2.2.3-17 | Preparing Offers (July 2004) |
| 3.2.2.3-18 | Prospective Offeror's Requests for Explanations (March 2009) |
| 3.2.2.3-19 | Contract Award (July 2004) |
3.2.2.3-20 Electronic Offers (July 2004)
(a) The offeror (you) may submit responses to this SIR by the following electronic means ______________________[CO should insert acceptable means _ fax, e-mail, telegraph, e-commerce, and so on].. Your offer must arrive at the place and by the time specified in the SIR.
(b) Electronic offers must refer to this SIR and include, as applicable, the item or sub-items, quantities, unit prices, time and place of delivery, all representations and other information required and a statement specifying the extent of your agreement with all the FAA's (we) terms, conditions, and provisions..
(c) We may decline to consider electronic offers that do not include required information, or that reject any of the terms, conditions and provisions of the SIR.
(d) We reserve the right to make award solely on the electronic offer. However, if the CO requests, you must promptly submit the complete original (hard copy) signed proposal.
(e) Send your offer electronically to ______________________ [CO should insert fax number, e-mail address, other offer information].
(f) If you chose to sent your offer electronically, we will not be responsible for any failure attributable to transmitting or receiving the offer.
3.9.1-3 Protest (October 2011) AS A CONDITION OF SUBMITTING AN OFFER OR RESPONSE TO THIS SIR (OR OTHER SOLICITATION, IF APPROPRIATE), THE OFFEROR OR POTENTIAL OFFEROR AGREES TO BE BOUND BY THE FOLLOWING PROVISIONS RELATING TO PROTESTS:
(a) Protests concerning Federal Aviation Administration Screening Information Requests (SIRs) or awards of contracts shall be resolved through the Federal Aviation Administration (FAA) dispute resolution system at the Office of Dispute Resolution for Acquisition (ODRA) and shall be governed by the procedures set forth in 14 C.F.R. Parts 14 and 17, which are hereby incorporated by reference. Judicial review, where available, will be in accordance with 49 U.S.C. 46110 and shall apply only to final agency decisions. A protestor may seek review of a final FAA decision only after its administrative remedies have been exhausted.
(b) Offerors initially should attempt to resolve any issues concerning potential protests with the Contracting Officer. The Contracting Officer should make reasonable efforts to answer questions promptly and completely, and, where possible, to resolve concerns or controversies. The protest time limitations, however, will not be extended by attempts to resolve a potential protest with the Contracting Officer.
(c) The filing of a protest with the ODRA may be accomplished by mail, overnight delivery, hand delivery, or by facsimile or if permitted by order of the ODRA, by electronic filing.. A protest is considered to be filed on the date it is received by the ODRA during normal business hours. The ODRA's normal business hours are from 8:30 am to 5:00 pm Eastern Time.
(d) Only an interested party may file a protest. An interested party is one whose direct economic interest has been or would be affected by the award or failure to award an FAA contract. Proposed subcontractors are not "interested parties" within this definition.
(e) A written protest must be filed with the ODRA within the times set forth below, or the protest shall be dismissed as untimely:
(1) Protests based upon alleged improprieties in a solicitation or a SIR that are apparent prior to bid opening or the time set for receipt of initial proposals shall be filed prior to bid opening or the time set for the receipt of initial proposals.
(2) In procurements where proposals are requested, alleged improprieties that do not exist in the initial solicitation, but which are subsequently incorporated into the solicitation, must be protested not later than the next closing time for receipt of proposals following the incorporation.
(3) For protests other than those related to alleged solicitation improprieties, the protest must be filed on the later of the following two dates:
(i) Not later than seven (7) business days after the date the protester knew or should have known of the grounds for the protest; or
(ii) If the protester has requested a post-award debriefing from the FAA Product Team, not later than five (5) business days after the date on which the Product Team holds that debriefing.
(f) Protests shall be filed at:
(1) Office of Dispute Resolution for Acquisition Federal Aviation Administration 800 Independence Ave., S.W.
Room 323 Washington, DC 20591
Telephone: (202) 267-3290 Facsimile: (202) 267-3720; or
(2) Other address as specified in 14 CFR Part 17.
(g) At the same time as filing the protest with the ODRA, the protester shall serve a copy of the protest on the Contracting Officer and any other official designated in the SIR for receipt of protests by means reasonably calculated to be received by the Contracting Officer on the same day as it is to be received by the ODRA. The protest shall include a signed statement from the protester, certifying to the ODRA the manner of service, date, and time when a copy of the protest was served on the Contracting Officer and other designated official(s).
(h) Additional information and guidance about the ODRA dispute resolution process for protests can be found on the ODRA Website at http://www.faa.gov.
PART IV - SECTION M
EVALUATION FACTORS FOR AWARD
(1) The Government will award a single contract resulting from this Request For Quote/Proposal to the responsible offeror whose offer submitted in response to, and conforming with, this Request is determined to represent the best value to the government considering price and other factors as listed below. Award shall not be based on price alone.
(2) The Government may determine a contractor to be unacceptable without evaluation of other factors if evaluation of past experience reveals insufficient past experience performing work similar to this project.
The government may:
| (a) | reject any or all offers if such action is in the public interest; |
| (b) | accept other than the lowest offer; |
| (c) | waive informalities and minor irregularities in offers received; |
| (d) | make award without written or oral discussion with offerors. |
| (e) | have discussions with any one offeror, all offerors, or without any discussion. |
(3) In addition to price, award will be based on best value to FAA considering the following factors which are listed in relative order of importance:
a. Past Experience Performing Work Similar to this Project. The Contractor shall demonstrate past experience in providing similar services to other organizations, and on a similar size scale.
b. Tiered Evaluation. This requirement is offered to all qualified, responsive concerns and offers will be considered using a tiered order of precedence. Each tier will be evaluated using the procedure outline below. A determination of insufficient competition or unreasonable price will be made before the next tier is evaluated.
c. Sam Registration. The Contractor shall be registered in SAM and their registration shall be active in order to be considered responsive. Go to www.sam.gov to register and/or update registration.
Tiered Evaluation
First Tier: It is the intent of the FAA to award a contract on a competitive basis to an eligible Socially and economically disadvantaged business (SEDB) expressly certified by the Small Business Administration (SBA) for participation in SBA's 8(a) program, provided that adequate competition is received and an award can be made at a fair market price.
Second Tier: If circumstances do not permit an eligible Socially and economically disadvantaged business (SEDB) expressly certified by the Small Business Administration (SBA) for participation in SBA's 8(a) program, the responsive offeror(s) from the first tier will be included in the evaluation of the second tier. The Government intends to award a contract on a competitive basis to an eligible Service-disabled veteran owned small business (SDVOSB), provided that adequate competition is received and an award can be made at a fair market price.
Third Tier: If circumstances do not permit a Service-disabled veteran owned small business (SDVOSB), the responsive offeror(s) from the first and second tier will be included in the evaluation of the third tier. The Government intends to award a contract on a competitive basis to an eligible Very small business, provided that adequate competition is received and an award can be made at a fair market price.
Fourth Tier: If circumstances do not permit a Very small business, the responsive offeror(s) from the first, second and third tier will be included in the evaluation of the fourth tier. The Government intends to award a contract on a competitive basis to an eligible Small business, provided that adequate competition is received and an award can be made at a fair market price.
Fifth Tier: If circumstances do not permit an award in the fourth tier, the FAA intends to award a contract on the basis of full and open competition from among all responsible, responsive offers received providing award can be made at a fair market price.
Adequate competition is defined as at least two (2) competitive offers received from qualified, responsible business concerns at the tier under evaluation.
If a proposal is determined to be “unacceptable” in any evaluation area, criteria, or sub-element thereof, shall render the entire proposal to be unacceptable and therefore rejected from further consideration. One-on-one discussions may be held at the option of the Government, as determined necessary by the Contracting Officer, to clarify statements, resolve issues and omissions, etc.
Other files
| File | Type | Posted |
|---|---|---|
| Past Performance Survey.doc | DOC document | |
| W-9.pdf | ||
| Specs.pdf | ||
| Wage Determination.txt | TXT text file | |
| Business Declaration.doc | DOC document |
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