Attachment_4_-_Capability_Form_Apr_30.pdf

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Attached to
National Aeronautics and Space Administration-wide (NASA-wide) Acquisition for Nitrogen and Oxygen 3 (NANO 3)
Solicitation number
80KSC019R0015
Issued by

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This document is a combined synopsis and solicitation from the National Aeronautics and Space Administration for the National Aeronautics and Space Administration-wide Acquisition for Nitrogen and Oxygen 3 contract. The solicitation requests proposals for the award of multiple fixed price with economic price adjustment indefinite delivery requirement contracts for liquid nitrogen and oxygen to be delivered FOB destination to NASA locations. The contract would have a period of five years with no options. Proposals are due by May 23, 2019 and the solicitation was issued on April 29, 2019. The solicitation provides attachments with additional clauses and provisions, statements of work by contract line item, economic price adjustment clauses, capability forms, pricing sheets, and historical delivery quantities. The North American Industry Classification System code for this requirement is 325120 and the size standard is 1,000 employees.

Attachment 04 - Capability Form (Amendment 01)

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ATTACHMENT 4 - CAPABILITY FORM

Note 1: The offeror shall identify the primary production facility (i.e., manufacturing plant) that will produce and deliver liquid nitrogen and oxygen to meet contract line item number requirements. This facility shall be used to complete blocks 6C-E. This production facility shall be the shipping point used to determine any charges accrued due to the Government’s inability to accept deliveries. The offeror may also identify any alternate facilities that could be used in performance of this contract. In addition, the production facility point of contact(s) will be used to place requests for shipments against Government authorized delivery orders (refer to Block 6B).

Note 2: Distribution assets listed under block 7 shall be available to meet maximum CLIN requirements and are not specific to either the primary or alternate facility.

1. DATE 2. SOLICITATION NUMBER

80KSC019R0015

3. CONTRACT LINE ITEM

NUMBER

4. PROPELLANT

5. OFFEROR INFORMATION

5A. OFFEROR NAME 5B. OFFEROR ADDRESS

5C. OFFEROR PRIMARY CONTACT (Name, Email, Phone) 5D. OFFEROR ALTERNATE CONTACT (Name, Email, Phone)

6. PRODUCTION FACILITY INFORMAITON

6A. PRIMARY PRODUCTION FACILITY (ADDRESS) 6B. PRODUCTION FACILITY CONTACT

6C. MAXIMUM FIXED STORAGE (TONS) 6D. MAXIMUM DAILY PRODUCTION (TONS) 6E. MAXIMUM MONTHLY PRODUCTION

(TONS)

7. DISTRIBUTION INFORMATION

7A. NUMBER OF TANKER TRAILERS 7B. AVERAGE TANKER TRAILER CAPACITY

(TONS)

7C. AVERAGE NUMBER OF DRIVERS

8. ALTERNATE PRODUCTION FACILITY INFORMATION

8A. ALTERNATE PRODUCTION FACILITY (ADDRESS) 8B. ALTERNATE PRODUCTION FACILITY CONTACT

3 CONTRACT LINE ITEM NUMBER:
4 PROPELLANT:
5A OFFEROR NAME:
5B OFFEROR ADDRESS:
5C OFFEROR PRIMARY CONTACT Name Email Phone:
5D OFFEROR ALTERNATE CONTACT Name Email Phone:
Date1_af_date:
6A PRIMARY PRODUCTION FACILITY ADDRESS:
6B PRODUCTION FACILITY CONTACT:
6C MAXIMUM FIXED STORAGE TONS:
6D MAXIMUM DAILY PRODUCTION TONS:
6E MAXIMUM MONTHLY PRODUCTION TONS:
7A NUMBER OF TANKER TRAILERS:
7B AVERAGE TANKER TRAILER CAPACITY TONS:
7C AVERAGE NUMBER OF DRIVERS:
8A ALTERNATE PRODUCTION FACILITY ADDRESS:
8B ALTERNATE PRODUCTION FACILITY CONTACT:

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