Atch 3 - RFQ Information and General Compliance Worksheet - Bahrain.xlsx
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- S&RTS Ports of Bahrain
- Solicitation number
- HTC711-22-Q-R006
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Sheet1 SOURCE SELECTION INFORMATION (Once Completed) - See FAR 2.101 and 3.104
| ATTACHMENT 3: RFQ Information and General Compliance worksheet |
| REQUEST FOR QUOTE: HTC711-22-Q-R006 |
| Stevedoring & Related Terminal Services (S&RTS) Ports of Bahrain |
| Period of Performance: 6 June 2022 through 5 June 2027 |
Optional Extension of Services, FAR 52.217-8: 6 June 2027 through 5 December 2027
| Government Points of Contact: |
| Ms. Carrie Yearian, Contracting Officer |
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 carrie.e.yearian.civ@mail.mil Mr. Terry Lewin, Contract Specialist
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 terry.j.lewin.civ@mail.mil
| GENERAL INFORMATION - Complete the requested information below. | |||
| COMPANY NAME: | |||
| COMPANY ADDRESS: | |||
| COMPANY TELEPHONE NUMBER: | |||
| COMPANY EMAIL ADDRESS: | |||
| BUSINESS SIZE: | |||
| CAGE CODE: | |||
| DUNS NUMBER: | |||
| TAX IDENTIFICATION NUMBER: | |||
| IBAN/SWIFT CODE: | |||
| PRIMARY POC: To include title and contact information | |||
| (Person/s with authority to make decision and negotiate with respect to the | |||
| proposal and who can obligate your company contractually.) | |||
| ALTERNATE POC: To include title and contact information | |||
| (Person/s with authority to make decision and negotiate with respect to the | |||
| proposal and who can obligate your company contractually.) | |||
| PROMPT PAYMENT DISCOUNT: (If applicable, If not mark as N/A) | |||
| DATE/TIME OF SUBMISSION: | |||
| PROPOSAL VALIDITY DATE: (180 calendar days, at minimum) | |||
| A. CONTRACT DOCUMENTATION | |||
| GENERAL: | ACTION ITEMS | COMPLETED | COMMENTS |
| Active in SAM (Offeror must be registered as Active in SAM by proposal due date) | |||
| NAICS in SAM contains 488320 | |||
| SF1449: | ACTION ITEMS | COMPLETED | COMMENTS |
| Completed SF 1449 Block 12 (should be completed even if no discount is offered) | |||
| Completed SF 1449 Block 17a | |||
| Completed SF 1449 Block 30a | |||
| Completed SF 1449 Block 30b | |||
| Completed SF 1449 Block 30c | |||
| Returned signed and dated on the SF 1449 (In doing so, offeror accedes to the contract terms and conditions as written in the RFQ, with attachments) | |||
| Completed SF 1449 Block 17b (Only if remittance address is different, such address must be registered in the System for Award Management (SAM) database. | |||
| SF30: | ACTION ITEMS | COMPLETED | COMMENTS |
| Completed SF 30 Block 8 on each SF 30 | |||
| Completed SF 30 Block 15a on each SF 30 | |||
| Completed SF 30 Block 15b on each SF 30 | |||
| REPRESENTATION AND CERTIFICATIONS (REPS & CERTS): **Please Complete in RFQ if not in SAM.gov** | ACTION ITEMS | COMPLETED | COMMENTS |
| FAR 52.204-24, Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021). Note: FAR 52.204-24 only needs to be completed if FAR 52.204-26 is not completed in SAM.gov, or if the quoter represents it “will” provide or “does” use covered telecommunications equipment. | |||
| FAR 52.209-7, Information Regarding Responsibility Matters (Oct 2018) | |||
| FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, (Nov 2021) | |||
| FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, Alt 1 (Oct 2014) | |||
| 52.229-11, Tax On Certain Foreign Procurements Notice & Representation. (Jun 2020). | |||
| DFARS 252.204-7017, Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services—Representation (May 2021). NOTE: DFARS 252.204-7017 only needs to be completed if DFARS 252.204-7016 is not completed in SAM.gov, or if the quoter represents it “does” provide covered defense telecommunications equipment or services in DFARS 252.204-7016. | |||
| DFARS 252.247-7022, Representation of Extent of Transportation by Sea (Jun 2019) | |||
| ANCILLARY DOCUMENTATION | |||
| DOCUMENTARY EVIDENCE: | ACTION ITEMS | COMPLETED | COMMENTS |
| Submitted appropriate documentary evidence (licensure, registration, and certification that the quoter or its intended subcontractor(s) is capable of performing the required series at the specified location(s) including: i. Proof of current Host Nation commercial registration for shipping, freight forwarding, import/export of cargo, cargo handling or equivalent services. | |||
| Submitted proof of current certification or signed self-certified letter stating at least two (2) proposed personnel are trained and tested in the following: i. Handling Hazardous Material per the requirements of the Code of Federal Regulation (CFR) Title 49, Section 172.702 or Host Nation equivalent. ii. Rigging to inspect and rig, heavy lift slings used in all vessels, rail, and truck lifting operations. | |||
| CONTINUATION OF | ACTION ITEMS | COMPLETED | COMMENTS |
| ESSENTIAL CONTRACTOR | |||
| SERVICES PLAN | |||
| Attachment 5, Contractor Plan for Essential Contractor Services completed and submitted. | |||
| B. Part I - Technical Worksheet Proposal_Attachment 4 | |||
| ACTION ITEMS | COMPLETED | COMMENTS | |
| Part I, Technical Worksheet Proposal was submitted | |||
| Part I, Technical Worksheet Proposal did not exceed the page requirement on Attachment 4 - 15 Pages | |||
| C. Part II - Price Proposal, Schedule of Rates (SOR)_Attachment 2 | |||
| ACTION ITEMS | COMPLETED | COMMENTS | |
| Price proposal was submitted on the correct SOR. (If the SOR was Amended, it must be on the last Amended SOR) | |||
| Unit prices were free of formulas. | |||
| Unit prices were only two decimal places. | |||
| All unit prices were completed for each quantity. |
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