ATT6_88310321Q00061_FORM_07072021_FINAL_NHLT.doc

National Archives and Records Administration (NARA)

NPRC 1 Archive Drive, Saint Louis, MO 63138

88310321Q00061

ATTACHMENT 6

QUOTATION SUBMISSION FORM

Vendors that fail to provide the required information below in its quote will not be considered for receipt of the contract. Vendors must complete and respond to every item in the table below to show its understanding of the requirement and ability and qualifications to deliver the services under the PWS. Vendors shall sign and return this attachment and any other required documents (i.e. certifications, pricing per Attachment 1, Schedule of Prices, etc.) with the quotation. The government will determine technical acceptability based on completeness and responsiveness of the Vendors response to the requirements listed below. Please e-mail quotations to kevin.schumacher@nara.gov.

3.1.1 Task: Semi Annual Preventive Maintenance on each reader/printer. Preventive maintenance must be scheduled semi-annually and performed in accordance with the reader/printer manufacturer’s specifications. Preventive maintenance must include at a minimum: (1) Perform operational checks and correct any deficiencies noted in accordance with manufacturer’s specifications; (2) Clean, lubricate, replace, and adjust mechanical parts in accordance with the manufacturer’s specifications; (3) Replace excessively worn or defective parts. Excessively worn parts are those parts that if not replaced immediately may fail prior to the next scheduled preventive maintenance cycle; (4) Visually inspect the exterior of all readers for damage and cleanliness and report any discrepancies to the COR or his designated representatives; (5) Consult with the COR or his designated representative regarding reader performance.

Vendor certifies will meet requirement:

Yes or No

3.1.2 Task: Repair and rebuild Canon MS 400 microfiche reader/printers. The Contractor must maintain, at a minimum, a 95% (less reader preventive maintenance downtime) reader uptime or in-service rate. In order to determine the uptime or in-service rate, the COR, of his designated representative, on a daily basis, will randomly check all of the readers to verify their operability and then calculate whether the 95% uptime or in-service rate is being maintained. If the equipment uptime or in-service rate drops below 95% at any time, the Contractor must furnish functionally equivalent machines in good operating condition to maintain the 95% equipment uptime or in-service rate while defective machines are being repaired. The Contractor must use only manufacturer’s new original or factory refurbished replacement parts in the performance of this contract.

Vendor certifies will meet requirement:

3.2 Response Times. In the event of a reader malfunction, the Contractor will be notified by COR or his designated representative. The Contractor shall respond via telephone to the COR or his designated representative within 2 hours after receipt of the telephone notification. The Contractor shall arrive at the NARA location to service the equipment within the next two (2) working days (Monday through Friday).

Vendor certifies will meet requirement:

3.3 Technician Qualifications. The vendor shall use only Canon certified (or equivalent) technicians to complete the work and shall maintain proof of certification to work on Canon Microfiche Reader Printers.

Required: Attach proof of CANON certified training.

Vendor certifies he will meet the technician certification requirement:

Yes or No

Canon Certification attached:

4.3 Performance Documentation

Upon work completion for each Contractor visit, the Contractor must include: (1) Contract Number; (2) Date; (3) Reader Number; (4) Name of service technician; (5) Maintenance performed; (6) Equipment downtime; and (7) Signature and date from the COR or his designated representative.

Vendor certifies he will meet this requirement:

Vendors shall be registered in SAM at time of award to be eligible.

Yes or No

Past Performance shall address the following: Provide three (3) references, within the last three (3) years, where your work has been similar in scope to this requirement:

NOTE: Evaluation of past performance is not limited to information supplied by the vendor or on behalf of the vendor. The Government may consider past performance information from various sources including, but not limited to CPARS (Vendor Performance Assessment Reports System), PPIRS (Past Performance Information Retrieval System), other government sources, agency records and information, or publicly available information.

1. Firm:______________________________

Address:____________________________

Contact name:____________________________ Phone:_____________________________ Date:_____________________________

Description:________________________

___________________________________Dollars

2. Firm:______________________________

Address:____________________________

Contact name:____________________________

Phone:_____________________________ Date:_____________________________

Description:________________________

___________________________________Dollars

3. Firm:______________________________

Address:____________________________

Contact name:____________________________

Phone:_____________________________ Date:_____________________________

Description:________________________

Dollars

Vendors are required to provide the following:

1. Business Size: ___________________________

2. DUNS number: ___________________________

3. Payment Terms: ___________________________ (e.g. NET 30)

4. Business Name:__________________________________________________

Vendor shall complete FAR Representation below and return with quote.

8. FAR 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment. (Aug 2020) The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it “does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument” in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Items.

(a) Definitions. As used in this provision—

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services”.

(d) Representation. The Offeror represents that—

(1) It ____will, ____will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds “will” in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that

It ____does, ____does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds “does” in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded “will” in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded “does” in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of provision)