Attachment 004 Pre-Award Survey Form.docx

DOCX document 33 KB Posted

Attached to
Bathroom Renovation - Manhattan KS Federal contract opportunity
Solicitation number
12805B24R0030
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area

About this file

This document is a Pre-Award Survey Form that is part of the solicitation requirements for the federal contract opportunity "Bathroom Renovation - Manhattan KS". The form includes representations and statements the offeror must complete and submit, such as confirming compliance with telecommunications and video surveillance equipment restrictions, equal opportunity compliance, biobased product requirements, and insurance coverage.

The related federal contract opportunity is for a bathroom renovation project at the USDA Center for Grain and Animal Health Research in Manhattan, Kansas. The solicitation has a mandatory site visit on June 21, 2024, and the registration deadline is June 20, 2024. The solicitation number is 12805B24R0030 and it is being issued by the Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area. The procurement requires the use of biobased products and provides information on the REE policies and procedures regarding equitable adjustments for change orders under construction contracts.

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Other files for this federal contract opportunity

Other files attached to Bathroom Renovation - Manhattan KS, newest first.
File Type Posted
Amendment 0001 SF30 RFP 12805B24R0030.pdf PDF
Attachment 006 QandA Document.pdf PDF
RFP 12805B24R0030 Bathroom Renovations.pdf PDF
Attachment 001 Wage Determination.pdf PDF
Attachment 002 SOW Bathroom Renovation.pdf PDF
Attachment 003 SF24 Bid Bond.pdf PDF
Attachment 005 12805B24R0030 Site Visit Information.pdf PDF

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Text version

ATTACHMENT 004 PRE-AWARD SURVEY

PRE-AWARD SURVEY INFORMATION – Instructions, please complete, save document as a PDF and submit with business entity representative signature. If a check box is required, delete the box and put a text “X” in that space.

Solicitation Representations – For FAR References see Acquisition.gov for full context.

1.0. FAR 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment.

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.

1.1. FAR 52.222-22 Previous Contracts and Compliance Reports.

The offeror represents that-

It □ has, □ has not participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation;

It □ has, □ has not filed all required compliance reports; and

Representations indicating submission of required compliance reports, signed by proposed subcontractors, will be obtained before subcontract awards.

1.2. Statement confirming review of Section H.15 BIOBASED PRODUCTS REQUIREMENTS. [insert business entity name] has reviewed solicitation section H.15 BIOBASED PRODUCTS REQUIREMENTS.”

1.3. Statement confirming compliance with the clause at AGAR 452.228-71 Insurance Coverage, see section H.1. [insert business entity name] can present evidence to show, as a minimum, the amounts of insurance coverage indicated by the clause at AGAR 452.228-71 Insurance Coverage.

Signature/Date of Business Entity Representative

File details come from the government source that posted it. Updated .