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- Grass Mowing & Trimming at various locations on the George Washington & Jefferson NFs in Virginia
- Solicitation number
- AG-3395-S-10-0010
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| COMMERCIAL SERVIC E | AG-3395-S-10-0010 | |
| MOWING & SITE CLEANING | ||
| GEORGE WASHINGTON & JEFFERSON NFS | ||
| SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS | ||
| 1. REQUISITION NUMBER | ||
| PAGE 1 OF |
| OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 |
| 2. CONTRACT NO. |
| 3. AWARD/EFFECTIVE |
| 4. ORDER NUMBER |
| 5. SOLICITATION NUMBER |
| 6. SOLICITATION ISSUE |
DATE
AG-3395-S-10-0010
DATE
3/22/2010
| a. NAME |
| b. TELEPHONE NUMBER(No collect |
| 8. OFFER DUE DATE/ |
| 7. FOR SOLICITATION |
| Sherry D. Helmick |
| calls) 540-265-5112 |
| LOCAL TIME |
INFORMATION CALL:
4/12/2010
| 9. ISSUED BY CODE |
| 10. THIS ACQUISITON IS |
| USDA Forest Service |
| |_| UNRESTRICTED OR |X| SET ASIDE: 100 % FOR |
5162 Valleypointe Parkway Roanoke VA 24019-3050
|X| SMALL BUSINESS |_| EMERGING SMALL
BUSINESS
|_| HUBZONE SMALL
NAICS: 561730 BUSINESS
|_| SERVICE-DISABLED VETERAN- |_| 8(A)
SIZE STANDARD: 7.0 MILLION OWNED SMALL BUSINESS
11. DELIVERY FOR FOB DESTINATION 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
|X| RFQ |_| IFB |_| RFP
15. DELIVER TO CODE
16. ADMINISTERED BY CODE
USDA Forest Service 5162 Valleypointe Parkway Roanoke VA 24019-3050
17a. CONTRACTOR/ CODE FACILITY
OFFEROR CODE
18a. PAYMENT WILL BE MADE BY CODE
USDA Forest Service 5162 Valleypointe Parkway Roanoke VA 24019-3050
TELEPHONE N0.
| |_| 17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN |
| 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW |
| OFFER |
| IS CHECKED |
|_| SEE ADDENDUM
| 19. |
| 20. |
| 21. |
| 22. |
| 23. |
| 24. |
| ITEM N0. |
| SCHEDULE OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
Contractor shall furnish all labor, tools, equipment, fuel, supervision, transportation, materials and supplies necessary to perform mowing and trimming of grass, weeds and tree and brush sprouts and other associated grounds maintenance at various locations on the George Washington & Jefferson National Forests in accordance with the specifications, clauses and provisions.
SEE CONTINUATION ON NEXT PAGE FOR SCHEDULE OF ITEMS
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
| |X| |
| 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA |
| |X| |
| 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 One (1)__ |
| |_| 29. AWARD OF CONTRACT: REF. OFFER |
COPY TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
| DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY |
| DATED .. YOUR OFFER ON SOLICITATION |
| ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED |
| (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.3/2005) |
| PREVIOUS EDITION IS NOT USABLE | Prescribed by GSA FAR (48 CFR) 53.212 |
Continuation of SF1449
Blocks 19 thru 24:
MOWING, TRIMMING AND SITE CLEANING.
This solicitation is for a fixed price contract. It is effective for the periods stated in the Schedule. The quantities and unit of issue are for each mowing or site cleaning. The Forest Service anticipates making multiple contract awards as a result of this solicitation.
BASE YEAR – 2010
ITEM DESCRIPTION EST NO. OF SERVICE QTY UNIT PRICE AMOUNT
I. WARM SPRINGS RANGER DISTRICT
1 A. Blowing Springs 19 EA $______ $_______ Campground - Mowing (est. 4.6 acres)
| B. Blowing Springs | 36 | EA | $______ | $_______ |
| Campground - Site Cleaning | ||||
| (23 campsites) |
| 2 | A. District Office | 20 | EA | $______ | $_______ | |
| Mowing (est. 1.5 acres) |
II. JAMES RIVER RANGER DISTRICT
| 1 | A. Coles Point Recreation Area | 14 | EA | $______ | $_______ |
| (est. 6.7 acres) |
| B. Morris Hill Campground | 10 | EA | $______ | $_______ |
| (est. 1.5 acres) |
| C. Fortney Branch Boat Launch | 14 | EA | $______ | $_______ |
| (est. 2.0 acres) |
| 2 | A. Longdale Recreation Area | 10 | EA | $______ | $_______ |
| (est. 3.5 acres) |
| B. Evans Tract River Access | 14 | EA | $______ | $_______ |
| (est. 0.75 acres) |
| C. Low Moor Rifle Range | 14 | EA | $______ | $_______ |
| (est. 1.25 acres) |
III. EASTERN DIVIDE RANGER DISTRICT
| 1 | A. Craig Creek Recreation Area | 11 | EA | $______ | $_______ |
| (est. 2.5 acres) |
| B. Fenwick Mines Picnic Area | 11 | EA | $______ | $_______ |
| & Mill Creek Road Signs | ||||
| (est. 2.0 acres) |
| C. New Castle Work Center | 11 | EA | $______ | $_______ |
| (est. 2.0 acres) |
| 2 | A. White Rocks Campground | 11 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| B. Glen Alton | 11 | EA | $______ | $_______ |
| (est. 2.0 acres) |
| C. Interior Whistle Stop | 11 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| D. Cascades Day Use Area | 11 | EA | $______ | $_______ |
| (est. 3.0 acres) |
| E. Caldwell Rental Fields | 11 | EA | $______ | $_______ |
| (est. 3.0 acres) |
| F. National Forest Entry Sign | 6 | EA | $______ | $_______ |
| (est. 0.4 acres) |
| G. Blacksburg Work Center | 11 | EA | $______ | $_______ |
| (est. 1.5 acres) |
| H. Boley Rental Field | 11 | EA | $______ | $_______ |
| (est. 1.0 acres) |
IV. MOUNT ROGERS NRA
| 1 | A. Stony Fork Campground | 11 | EA | $______ | $_______ |
| (est. 4.0 acres) |
| B. Hussy Mountain Horse Camp | 7 | EA | $______ | $_______ | |
| (est. 1.0 acres) |
| C. Comers Rock Campground | 7 | EA | $______ | $_______ |
| And Picnic Area (est. 1.5 acres) |
| D. Big Walker Byway Pull-outs | 7 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| 2 | A. Green Cove Station | 11 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| B. Whitetop Station & Parking Lot | 11 | EA | $______ | $_______ |
| (est. 2.0 acres) |
| C. Elk Garden Trailhead | 3 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| D. Beartree Road | 7 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| E. Overlook on State Route 600 | 8 | EA | $______ | $_______ |
| (est. 1.5 acres) |
| 3 | A. Raven Cliff Recreation Area | 11 | EA | $______ | $_______ |
| (est. 6.0 acres) |
| B. Collins Cove Horse Camp | 11 | EA | $______ | $_______ |
| (est. 3.0 acres) |
| C. Sunrise Cabin | 8 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| 4 | A. Hurricane Campground | 11 | EA | $______ | $_______ |
| (est. 4.0 acres) |
| B. Fox Creek Horse Camp | 11 | EA | $______ | $_______ |
| (est. 4.0 acres) |
| C. Old Virginia Group Horse Camp | 11 | EA | $______ | $_______ |
| (est. 2.0 acres) |
V. CLINCH RANGER DISTRICT
| 1 | A. District Office | 29 | EA | $______ | $_______ |
| (est. 1.5 acres) |
VI. LEE RANGER DISTRICT
| 1 | A. District Office | 12 | EA | $______ | $_______ |
| (est. 4.0 acres) |
OPTION YEAR 1 – 2011
ITEM DESCRIPTION EST NO. OF SERVICE QTY UNIT PRICE AMOUNT
1 A. Blowing Springs 19 EA $______ $_______ Campground - Mowing (est. 4.6 acres)
| B. Blowing Springs | 36 | EA | $______ | $_______ |
| Campground - Site Cleaning | ||||
| (23 campsites) |
| 2 | A. District Office | 20 | EA | $______ | $_______ | |
| Mowing (est. 1.5 acres) |
| 1 | A. Coles Point Recreation Area | 14 | EA | $______ | $_______ |
| (est. 6.7 acres) |
| B. Morris Hill Campground | 10 | EA | $______ | $_______ |
| (est. 1.5 acres) |
| C. Fortney Branch Boat Launch | 14 | EA | $______ | $_______ |
| (est. 2.0 acres) |
| 2 | A. Longdale Recreation Area | 10 | EA | $______ | $_______ |
| (est. 3.5 acres) |
| B. Evans Tract River Access | 14 | EA | $______ | $_______ |
| (est. 0.75 acres) |
| C. Low Moor Rifle Range | 14 | EA | $______ | $_______ |
| (est. 1.25 acres) |
| 1 | A. Craig Creek Recreation Area | 11 | EA | $______ | $_______ |
| (est. 2.5 acres) |
| B. Fenwick Mines Picnic Area | 11 | EA | $______ | $_______ |
| & Mill Creek Road Signs | ||||
| (est. 2.0 acres) |
| C. New Castle Work Center | 11 | EA | $______ | $_______ |
| (est. 2.0 acres) |
| 2 | A. White Rocks Campground | 11 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| B. Glen Alton | 11 | EA | $______ | $_______ |
| (est. 2.0 acres) |
| C. Interior Whistle Stop | 11 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| D. Cascades Day Use Area | 11 | EA | $______ | $_______ |
| (est. 3.0 acres) |
| E. Caldwell Rental Fields | 11 | EA | $______ | $_______ |
| (est. 3.0 acres) |
| F. National Forest Entry Sign | 6 | EA | $______ | $_______ |
| (est. 0.4 acres) |
| G. Blacksburg Work Center | 11 | EA | $______ | $_______ |
| (est. 1.5 acres) |
| H. Boley Rental Field | 11 | EA | $______ | $_______ |
| (est. 1.0 acres) |
IV. MOUNT ROGERS NRA
| 1 | A. Stony Fork Campground | 11 | EA | $______ | $_______ |
| (est. 4.0 acres) |
| B. Hussy Mountain Horse Camp | 7 | EA | $______ | $_______ | |
| (est. 1.0 acres) |
| C. Comers Rock Campground | 7 | EA | $______ | $_______ |
| And Picnic Area (est. 1.5 acres) |
| D. Big Walker Byway Pull-outs | 7 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| 2 | A. Green Cove Station | 11 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| B. Whitetop Station & Parking Lot | 11 | EA | $______ | $_______ |
| (est. 2.0 acres) |
| C. Elk Garden Trailhead | 3 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| D. Beartree Road | 7 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| E. Overlook on State Route 600 | 8 | EA | $______ | $_______ |
| (est. 1.5 acres) |
| 3 | A. Raven Cliff Recreation Area | 11 | EA | $______ | $_______ |
| (est. 6.0 acres) |
| B. Collins Cove Horse Camp | 11 | EA | $______ | $_______ |
| (est. 3.0 acres) |
| C. Sunrise Cabin | 8 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| 4 | A. Hurricane Campground | 11 | EA | $______ | $_______ |
| (est. 4.0 acres) |
| B. Fox Creek Horse Camp | 11 | EA | $______ | $_______ |
| (est. 4.0 acres) |
| C. Old Virginia Group Horse Camp | 11 | EA | $______ | $_______ |
| (est. 2.0 acres) |
V. CLINCH RANGER DISTRICT
| 1 | A. District Office | 29 | EA | $______ | $_______ |
| (est. 1.5 acres) |
| 1 | A. District Office | 12 | EA | $______ | $_______ |
| (est. 4.0 acres) |
OPTION YEAR 2 – 2012
ITEM DESCRIPTION EST NO. OF SERVICE QTY UNIT PRICE AMOUNT
1 A. Blowing Springs 19 EA $______ $_______ Campground - Mowing (est. 4.6 acres)
| B. Blowing Springs | 36 | EA | $______ | $_______ |
| Campground - Site Cleaning | ||||
| (23 campsites) |
| 2 | A. District Office | 20 | EA | $______ | $_______ | |
| Mowing (est. 1.5 acres) |
| 1 | A. Coles Point Recreation Area | 14 | EA | $______ | $_______ |
| (est. 6.7 acres) |
| B. Morris Hill Campground | 10 | EA | $______ | $_______ |
| (est. 1.5 acres) |
| C. Fortney Branch Boat Launch | 14 | EA | $______ | $_______ |
| (est. 2.0 acres) |
| 2 | A. Longdale Recreation Area | 10 | EA | $______ | $_______ |
| (est. 3.5 acres) |
| B. Evans Tract River Access | 14 | EA | $______ | $_______ |
| (est. 0.75 acres) |
| C. Low Moor Rifle Range | 14 | EA | $______ | $_______ |
| (est. 1.25 acres) |
| 1 | A. Craig Creek Recreation Area | 11 | EA | $______ | $_______ |
| (est. 2.5 acres) |
| B. Fenwick Mines Picnic Area | 11 | EA | $______ | $_______ |
| & Mill Creek Road Signs | ||||
| (est. 2.0 acres) |
| C. New Castle Work Center | 11 | EA | $______ | $_______ |
| (est. 2.0 acres) |
| 2 | A. White Rocks Campground | 11 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| B. Glen Alton | 11 | EA | $______ | $_______ |
| (est. 2.0 acres) |
| C. Interior Whistle Stop | 11 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| D. Cascades Day Use Area | 11 | EA | $______ | $_______ |
| (est. 3.0 acres) |
| E. Caldwell Rental Fields | 11 | EA | $______ | $_______ |
| (est. 3.0 acres) |
| F. National Forest Entry Sign | 6 | EA | $______ | $_______ |
| (est. 0.4 acres) |
| G. Blacksburg Work Center | 11 | EA | $______ | $_______ |
| (est. 1.5 acres) |
| H. Boley Rental Field | 11 | EA | $______ | $_______ |
| (est. 1.0 acres) |
IV. MOUNT ROGERS NRA
| 1 | A. Stony Fork Campground | 11 | EA | $______ | $_______ |
| (est. 4.0 acres) |
| B. Hussy Mountain Horse Camp | 7 | EA | $______ | $_______ | |
| (est. 1.0 acres) |
| C. Comers Rock Campground | 7 | EA | $______ | $_______ |
| And Picnic Area (est. 1.5 acres) |
| D. Big Walker Byway Pull-outs | 7 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| 2 | A. Green Cove Station | 11 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| B. Whitetop Station & Parking Lot | 11 | EA | $______ | $_______ |
| (est. 2.0 acres) |
| C. Elk Garden Trailhead | 3 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| D. Beartree Road | 7 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| E. Overlook on State Route 600 | 8 | EA | $______ | $_______ |
| (est. 1.5 acres) |
| 3 | A. Raven Cliff Recreation Area | 11 | EA | $______ | $_______ |
| (est. 6.0 acres) |
| B. Collins Cove Horse Camp | 11 | EA | $______ | $_______ |
| (est. 3.0 acres) |
| C. Sunrise Cabin | 8 | EA | $______ | $_______ |
| (est. 1.0 acres) |
| 4 | A. Hurricane Campground | 11 | EA | $______ | $_______ |
| (est. 4.0 acres) |
| B. Fox Creek Horse Camp | 11 | EA | $______ | $_______ |
| (est. 4.0 acres) |
| C. Old Virginia Group Horse Camp | 11 | EA | $______ | $_______ |
| (est. 2.0 acres) |
V. CLINCH RANGER DISTRICT
| 1 | A. District Office | 29 | EA | $______ | $_______ |
| (est. 1.5 acres) |
| 1 | A. District Office | 12 | EA | $______ | $_______ |
| (est. 4.0 acres) |
Contractor must have previous knowledge/experience and must have equipment needed in the performance of this contract.
Contractor must, at its own expense, provide and maintain insurance coverage throughout the performance of this contract. See FAR Clause 52.228-5 and AGAR Clause 452.228-71.
Documentation of qualifications and experience is required. Please return the Experience and Qualifications statement with your quote (separate attachment).
Award could be made on an individual line item basis if advantageous to the Government, see FAR Provision 52.214-22, Evaluation of Bids for Multiple Awards. Contractors may quote on one line item or all line items; however, offerors must quote on all areas within each line item and on both the base and option years of the line item for which they wish to be considered.
Award will be made for the initial contract period. If the government exercises its option to renew, award will be made on option years in accordance with FAR clause 52.217-9, Option to Extend the Terms of the Contract and FAR provision 52.217-5, Evaluation of Options.
Award(s) will be made to the offeror(s) with the Best Value to the government. The evaluation factors are listed in FAR provision 52.212-2 on page 34.
TAX IDENTIFICATION NO._____________________ DUNS NO.__________________________
CONTRACTOR QUALIFICATIONS: Contractor must be registered in Central Contractor Registration (CCR) database prior to award of a contract. Registration may be completed on the Internet at http://www.ccr.gov/. Vendors must submit a completed copy of the provision 52.212-3-Offeror Representations and Certifications-Commercial Items OR be registered in Online Representations and Certifications Application (ORCA) prior to contract award. Online ORCA may accomplished at this Internet site: http://www.bpn.gov. YOU MUST BE REGISTERED IN CCR AND HAVE AN MPIN NUMBER BEFORE YOU CAN BEGIN ONLINE ORCA REGISTRATION.
Offerors are urged to inspect contract areas to view current conditions. For additional information contact the appropriate Ranger District office listed at the end of the Specifications Table on page 31.
SOLICITATION PROVISIONS
FAR 52.212-2 Evaluation – Commercial Items (JAN 1999)
(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:
Price Past Performance Qualifications/Experience
Past performance and qualifications/experience, when combined, are approximately equal to price.
(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).
(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.
FAR 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS (JUN 2009)
An offeror shall complete only paragraphs (b) of this provision if the offeror has completed the annual representations and certificates electronically at http://orca.bpn.gov . If an offeror has not completed the annual representations and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (c) through (m) of this provision.
(a) Definitions. As used in this provision-- “Emerging small business” means a small business concern whose size is no greater than 50 percent of the numerical size standard for the NAICS code designated.
“Forced or indentured child labor” means all work or service—
(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or
(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.
“Manufactured end product” means any end product in Federal Supply Classes (FSC) 1000-9999, except—
(1) FSC 5510, Lumber and Related Basic Wood Materials;
(2) Federal Supply Group (FSG) 87, Agricultural Supplies;
(3) FSG 88, Live Animals;
(4) FSG 89, Food and Related Consumables;
(5) FSC 9410, Crude Grades of Plant Materials;
(6) FSC 9430, Miscellaneous Crude Animal Products, Inedible;
(7) FSC 9440, Miscellaneous Crude Agricultural and Forestry Products;
(8) FSC 9610, Ores;
(9) FSC 9620, Minerals, Natural and Synthetic; and
(10) FSC 9630, Additive Metal Materials.
“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.
“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person conducting the business can demonstrate—
(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;
(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;
(3) Consist of providing goods or services to marginalized populations of Sudan;
(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;
(5) Consist of providing goods or services that are used only to promote health or education; or
(6) Have been voluntarily suspended.
“Service-disabled veteran-owned small business concern”—
(1) Means a small business concern—
(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and
(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.
(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).
“Small business concern” means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.
“Veteran-owned small business concern” means a small business concern—
(1) Not less than 51 percent of which is owned by one or more veterans(as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and
(2) The management and daily business operations of which are controlled by one or more veterans.
“Women-owned business concern” means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.
“Women-owned small business concern” means a small business concern --
(1) That is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and
(2) Whose management and daily business operations are controlled by one or more women.
(b)
(1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the Online Representations and Certifications Application (ORCA) website.
(2) The offeror has completed the annual representations and certifications electronically via the ORCA website at http://orca.bpn.gov .After reviewing the ORCA database information, the offeror verifies by submission of this offer that the representation and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ____________. [Offeror to identify the applicable paragraphs at (c) through (m) of this provision that the offeror has completed for the purposes of this solicitation only, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on ORCA.]
(c) Offerors must complete the following representations when the resulting contract is to be performed in the United States or its outlying areas. Check all that apply.
(1) Small business concern. The offeror represents as part of its offer that it [_] is, [_] is not a small business concern.
(2) Veteran-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it [_] is, [_] is not a veteran-owned small business concern.
(3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that it [_] is, [_] is not a service-disabled veteran-owned small business concern.
(4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, for general statistical purposes, that it [_] is, [_] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.
(5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [_] is, [_] is not a women-owned small business concern.
Note: Complete paragraphs (c)(6) and (c)(7) only if this solicitation is expected to exceed the simplified acquisition threshold.
(6) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.]. The offeror represents that it [_] is, a women-owned business concern.
(7) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price:
(8) Small Business Size for the Small Business Competitiveness Demonstration Program and for the Targeted Industry Categories under the Small Business Competitiveness Demonstration Program. [Complete only if the offeror has represented itself to be a small business concern under the size standards for this solicitation.]
(i) [Complete only for solicitations indicated in an addendum as being set-aside for emerging small businesses in one of the designated industry groups (DIGs).] The offeror represents as part of its offer that it [_] is, [_] is not an emerging small business.
(ii) [Complete only for solicitations indicated in an addendum as being for one of the targeted industry categories (TICs) or designated industry groups (DIGs).] Offeror represents as follows:
(A) Offeror’s number of employees for the past 12 months (check the Employees column if size standard stated in the solicitation is expressed in terms of number of employees); or
(B) Offeror’s average annual gross revenue for the last 3 fiscal years (check the Average Annual Gross Number of Revenues column if size standard stated in the solicitation is expressed in terms of annual receipts).
(Check one of the following):
| Number of Employees |
| Average Annual Gross Revenues |
| 50 or fewer |
| $1 million or less |
| 51-100 |
| $1,000,001-$2 million |
| 101-250 |
| $2,000,001-$3.5 million |
| 251-500 |
| $3,500,001-$5 million |
| 501-750 |
| $5,000,001-$10 million |
| 751-1,000 |
| $10,000,001-$17 million |
| Over 1,000 |
| Over $17 million |
(9) [Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns, or FAR 52.219-25, Small Disadvantaged Business Participation Program—Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.]
(i) General. The offeror represents that either—
(A) It [_] is, [_] is not certified by the Small Business Administration as a small disadvantaged business concern and identified, on the date of this representation, as a certified small disadvantaged business concern in the database maintained by the Small Business Administration (PRO-Net), and that no material change in disadvantaged ownership and control has occurred since its certification, and, where the concern is owned by one or more individuals claiming disadvantaged status, the net worth of each individual upon whom the certification is based does not exceed $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); or
(B) It [_] has, [_] has not submitted a completed application to the Small Business Administration or a Private Certifier to be certified as a small disadvantaged business concern in accordance with 13 CFR 124, Subpart B, and a decision on that application is pending, and that no material change in disadvantaged ownership and control has occurred since its application was submitted.
(ii) Joint Ventures under the Price Evaluation Adjustment for Small Disadvantaged Business Concerns. The offeror represents, as part of its offer, that it is a joint venture that complies with the requirements in 13 CFR 124.1002(f) and that the representation in paragraph (c)(9)(i) of this provision is accurate for the small disadvantaged business concern that is participating in the joint venture. [The offeror shall enter the name of the small disadvantaged business concern that is participating in the joint venture: ________________.]
(10) HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that--
(i) It [_] is, [_] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material change in ownership and control, principal office, or HUBZone employee percentage has occurred since it was certified by the Small Business Administration in accordance with 13 CFR part 126; and
(ii) It [_] is, [_] not a joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for the HUBZone small business concern or concerns that are participating in the joint venture. [The offeror shall enter the name or names of the HUBZone small business concern or concerns that are participating in the joint venture: __________.] Each HUBZone small business concern participating in the joint venture shall submit a separate signed copy of the HUBZone representation.
(d) Representations required to implement provisions of Executive Order 11246 --
(1) Previous contracts and compliance. The offeror represents that --
(i) It [_] has, [_] has not, participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and
(ii) It [_] has, [_] has not, filed all required compliance reports.
(2) Affirmative Action Compliance. The offeror represents that --
(i) It [_] has developed and has on file, [_] has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR parts 60-1 and 60-2), or
(ii) It [_] has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.
(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $100,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.
(f) Buy American Act Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American Act – Supplies, is included in this solicitation.)
(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.” The terms “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American Act—Supplies.”
(2) Foreign End Products:
| LINE ITEM NO. |
| COUNTRY OF ORIGIN |
[List as necessary]
(3) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.
(g)
(1) Buy American Act -- Free Trade Agreements -- Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American Act -- Free Trade Agreements -- Israeli Trade Act, is included in this solicitation.)
(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The terms “Bahrainian, Moroccan, Omani, or Peruvian end product,” “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” “Free Trade Agreement country,” “Free Trade Agreement country end product,” “Israeli end product,” and ‘United States’ are defined in the clause of this solicitation entitled “Buy American Act--Free Trade Agreements--Israeli Trade Act.”
(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Moroccan, Omani, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled “Buy American Act—Free Trade Agreements—Israeli Trade Act”:
Free Trade Agreement Country End Products (Other than Bahrainian or Moroccan End Products) or Israeli End Products:
| LINE ITEM NO. |
| COUNTRY OF ORIGIN |
(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) or this provision) as defined in the clause of this solicitation entitled “Buy American Act—Free Trade Agreements—Israeli Trade Act.” The offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.”
Other Foreign End Products:
| LINE ITEM NO. |
| COUNTRY OF ORIGIN |
(iv) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.
(2) Buy American Act—Free Trade Agreements—Israeli Trade Act Certificate, Alternate I. If Alternate I to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:
(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products as defined in the clause of this solicitation entitled “Buy American Act—Free Trade Agreements—Israeli Trade Act”:
Canadian End Products:
Line Item No.:
[List as necessary]
(3) Buy American Act—Free Trade Agreements—Israeli Trade Act Certificate, Alternate II. If Alternate II to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:
(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products or Israeli end products as defined in the clause of this solicitation entitled ``Buy American Act--Free Trade Agreements--Israeli Trade Act'':
Canadian or Israeli End Products:
| Line Item No.: |
| Country of Origin: |
(4) Trade Agreements Certificate. (Applies only if the clause at FAR 52.225-5, Trade Agreements, is included in this solicitation.)
(i) The offeror certifies that each end product, except those listed in paragraph (g)(4)(ii) of this provision, is a U.S.-made or designated country end product as defined in the clause of this solicitation entitled “Trade Agreements.”
(ii) The offeror shall list as other end products those end products that are not U.S.-made or designated country end products.
Other End Products
| Line Item No.: |
| Country of Origin: |
(iii) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25. For line items covered by the WTO GPA, the Government will evaluate offers of U.S.-made or designated country end products without regard to the restrictions of the Buy American Act. The Government will consider for award only offers of U.S.-made or designated country end products unless the Contracting Officer determines that there are no offers for such products or that the offers for such products are insufficient to fulfill the requirements of the solicitation.
(h) Certification Regarding Responsibility Matters (Executive Order 12689). (Applies only if the contract value is expected to exceed the simplified acquisition threshold.) The offeror certifies, to the best of its knowledge and belief, that the offeror and/or any of its principals--
(1) [_] Are, [_] are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;
(2) [_] 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 Federal, state or local government 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
(3) [_] Are, [_] are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses enumerated in paragraph (h)(2) of this clause; and
(4) [_] 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.
(i) Taxes are considered delinquent if both of the following criteria apply:
(A) 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.
(B) 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.
(ii) Examples.
(A) The taxpayer has received a statutory notice of deficiency, under I.R.C. §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 appear rights.
(B) 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. §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.
(C) The taxpayer has entered into an installment agreement pursuant to I.R.C. §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.
(D) 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).
(i) Certification Regarding Knowledge of Child Labor for Listed End Products (Executive Order 13126). [The Contracting Officer must list in paragraph (i)(1) any end products being acquired under this solicitation that are included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, unless excluded at 22.1503(b).]
(1) Listed End Product
| Listed End Product: |
| Listed Countries of Origin: |
(2) Certification. [If the Contracting Officer has identified end products and countries of origin in paragraph (i)(1) of this provision, then the offeror must certify to either (i)(2)(i) or (i)(2)(ii) by checking the appropriate block.] [_] (i) The offeror will not supply any end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product.
[_] (ii) The offeror may supply an end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product. The offeror certifies that is has made a good faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture any such end product furnished under this contract. On the basis of those efforts, the offeror certifies that it is not aware of any such use of child labor.
(j) Place of manufacture. (Does not apply unless the solicitation is predominantly for the acquisition of manufactured end products.) For statistical purposes only, the offeror shall indicate whether the place of manufacture of the end products it expects to provide in response to this solicitation is predominantly—
(1) [_] In the United States (Check this box if the total anticipated price of offered end products manufactured in the United States exceeds the total anticipated price of offered end products manufactured outside the United States); or
(2) [_] Outside the United States.
(k) Certificates regarding exemptions from the application of the Service Contract Act. (Certification by the offeror as to its compliance with respect to the contract also constitutes its certification as to compliance by its subcontractor if it subcontracts out the exempt services.) [The contracting officer is to check a box to indicate if paragraph (k)(1) or (k)(2) applies.]
(1) [_] Maintenance, calibration, or repair of certain equipment as described in FAR 22.1003-4(c)(1). The offeror [_] does [_] does not certify that—
(i) The items of equipment to be serviced under this contract are used regularly for other than Governmental purposes and are sold or traded by the offeror (or subcontractor in the case of an exempt subcontract) in substantial quantities to the general public in the course of normal business operations;
(ii) The services will be furnished at prices which are, or are based on, established catalog or market prices (see FAR 22.1003-4(c)(2)(ii)) for the maintenance, calibration, or repair of such equipment; and
(iii) The compensation (wage and fringe benefits) plan for all service employees performing work under the contract will be the same as that used for these employees and equivalent employees servicing the same equipment of commercial customers.
(2) [_] Certain services as described in FAR 22.1003-4(d)(1). The offeror [_] does [_] does not certify that—
(i) The services under the contract are offered and sold regularly to non-Governmental customers, and are provided by the offeror (or subcontractor in the case of an exempt subcontract) to the general public in substantial quantities in the course of normal business operations;
(ii) The contract services will be furnished at prices that are, or are based on, established catalog or market prices (see FAR 22.1003-4(d)(2)(iii));
(iii) Each service employee who will perform the services under the contract will spend only a small portion of his or her time (a monthly average of less than 20 percent of the available hours on an annualized basis, or less than 20 percent of available hours during the contract period if the contract period is less than a month) servicing the Government contract; and
(iv) The compensation (wage and fringe benefits) plan for all service employees performing work under the contract is the same as that used for these employees and equivalent employees servicing commercial customers.
(3) If paragraph (k)(1) or (k)(2) of this clause applies—
(i) If the offeror does not certify to the conditions in paragraph (k)(1) or (k)(2) and the Contracting Officer did not attach a Service Contract Act wage determination to the solicitation, the offeror shall notify the Contracting Officer as soon as possible; and
(ii) The Contracting Officer may not make an award to the offeror if the offeror fails to execute the certification in paragraph (k)(1) or (k)(2) of this clause or to contact the Contracting Officer as required in paragraph (k)(3)(i) of this clause.
(l) Taxpayer identification number (TIN) (26 U.S.C. 6109, 31 U.S.C. 7701). (Not applicable if the offeror is required to provide this information to a central contractor registration database to be eligible for award.)
(1) All offerors must submit the information required in paragraphs (l)(3) through (l)(5) of this provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by the Internal Revenue Service (IRS).
(2) The TIN may be used by the government to collect and report on any delinquent amounts arising out of the offeror’s relationship with the Government (31 U.S.C. 7701(c)(3)). If the resulting contract is subject to the payment reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror’s TIN.]
(3) 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 have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States;
[_] Offeror is an agency or instrumentality of a foreign government;
[_] Offeror is an agency or instrumentality of the Federal Government;
(4) Type of organization.
[_] Sole proprietorship;
[_] Partnership;
[_] Corporate entity (not tax-exempt);
[_] Corporate entity (tax-exempt);
[_] Government entity (Federal, State, or local);
[_] Foreign government;
[_] International organization per 26 CFR 1.6049-4;
[_] Other ____________________.
(5) Common parent.
[_] Offeror is not owned or controlled by a common parent:
[_] Name and TIN of common parent:
Name ____________________________________
TIN ______________________________________
(m) Restricted business operations in Sudan. By submission of its offer, the offeror certifies that it does not conduct any restricted business operations in Sudan.
FAR 52.214-22 Evaluation of Bids for Multiple Awards. (MAR 1990)
In addition to other factors, bids will be evaluated on the basis of advantages and disadvantages to the Government that might result from making more than one award (multiple awards). It is assumed, for the purpose of evaluating bids, that $500 would be the administrative cost to the Government for issuing and administering each contract awarded under this solicitation, and individual awards will be for the items or combinations of items that result in the lowest aggregate cost to the Government, including the assumed administrative costs.
FAR 52.214-31 Facsimile Bids. (DEC 1989)
(a) Definition. “Facsimile bid,” as used in this solicitation, means a bid, modification of a bid, or withdrawal of a bid that is transmitted to and received by the Government via electronic equipment that communicates and reproduces both printed and handwritten material.
(b) Bidders may submit facsimile bids as responses to this solicitation. These responses must arrive at the place and by the time, specified in the solicitation.
(c) Facsimile bids that fail to furnish required representations or information or that reject any of the terms, conditions, and provisions of the solicitation may be excluded from consideration.
(d) Facsimile bids must contain the required signatures.
(e) The Government reserves the right to make award solely on the facsimile bid. However, if requested to do so by the Contracting Officer, the apparently successful bidder agrees to promptly submit the complete original signed bid.
(f) Facsimile receiving data and compatibility characteristics are as follows:
(1) Telephone number of receiving facsimile equipment: 540-265-5109.
(2) Compatibility characteristics of receiving facsimile equipment (e.g., make and model number, receiving speed, communications protocol): _____________________
TECHNICAL CAPABILITY, EXPERIENCE AND PAST/PRESENT PERFORMANCE QUESTIONNAIRE
Instructions: Complete by inserting information or Xing box, as indicated. If extra space is needed to complete an item, use the remarks block (indicate item number in remarks block) .
1. Contractor Name, Address, and Telephone Number
DUNS Number:
FEDERAL TAX ID NO.:
2. Submitted to (Office Name & Address) George Washington & Jefferson NFs Attn: Sherry D. Helmick 5162 Valleypointe Parkway Roanoke VA 24019-3050 RE: Solicitation #AG-3395-S-10-0010
3. Business
· Company Partnership
· Corporation Individual
· Non-profit Organization
4. How many years do you or your firm have in the line of work contemplated by this solicitation? ________ Years
5. How many years experience in contracting have you or your business had as a (a) prime contractor ________ and/or
(b) sub-contractor ______ for same/similar services.
6. List below the projects your business has completed within the last three years (continue on separate sheet if necessary):
Contract Amount
Type of Project
Date Completed Point of Contact, Business/Agency Name, Street Address, Email address, Telephone Nbr and Fax Nbr.
7. List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation (continue on separate sheet if necessary):
Contract Amount Dollar…
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