Attachment_002_Capability_Form.pdf

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NASA Agency-Wide Acquisition for the Supply of Liquid Hydrogen
Solicitation number
80KSC019R0036
Issued by

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This document is a combined synopsis and solicitation for an indefinite delivery requirements contract for the agency-wide supply of liquid hydrogen to the National Aeronautics and Space Administration Kennedy Space Center. The solicitation seeks proposals for a base period of two years with one optional one-year extension period. Offerors must complete representations and certifications in the System for Award Management and be certified prior to award. The combined synopsis/solicitation includes attachments specifying the statement of work, capability form for offerors, and pricing sheet. The capability form requests information on production facilities and distribution capabilities. The closing date for proposals is October 28, 2019. Questions must be submitted in writing to the points of contact provided by the specified date.

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80KSC019R0036 Attachment 002

CAPABILITY FORM

Note 1: The Contractor shall furnish one point of contact, and an alternate if the contractor so desires, to receive placement of delivery orders by the Government (refer to Block 5C).

Note 2: The offeror shall identify the primary production facility (i.e., manufacturing plant) that will produce and deliver liquid hydrogen to meet contract line item number requirements. 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 shall also identify any alternate facilities in block

8. 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).

1. DATE 2. SOLICITATION NUMBER

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. PRIMARY PRODUCTION FACILITY

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

6C. MAXIMUM FIXED STORAGE (Pounds)

6D. MAXIMUM DAILY PRODUCTION (Pounds)

6E. MAXIMUM MONTHLY PRODUCTION

(Pounds)

7. DISTRIBUTION INFORMATION

7A. NUMBER OF TANKER TRAILERS

7B. AVERAGE TANKER TRAILER CAPACITY

(Pounds)

7C. AVERAGE NUMBER OF DRIVERS

8. ALTERNATE PRODUCTION FACILITY INFORMATION

8A. ALTERNATE PRODUCTION FACILITY (ADDRESS)

8B. ALTERNATE PRODUCTION FACILITY CONTACT

1 DATE:
2 SOLICITATION NUMBER:
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:
6A PRIMARY PRODUCTION FACILITY ADDRESS:
6B PRODUCTION FACILITY CONTACT:
6C MAXIMUM FIXED STORAGE Pounds:
6D MAXIMUM DAILY PRODUCTION Pounds:
6E MAXIMUM MONTHLY PRODUCTION Pounds:
7A NUMBER OF TANKER TRAILERS:
7B AVERAGE TANKER TRAILER CAPACITY Pounds:
7C AVERAGE NUMBER OF DRIVERS:
8A ALTERNATE PRODUCTION FACILITY ADDRESS:
8B ALTERNATE PRODUCTION FACILITY CONTACT:

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