Attachment 1 DLA Energy Form 4.23 Authorization and Mine Description SPE604-20-R-0405.pdf
PDF 48 KB Posted
- Attached to
- SPE604-20-R-0406 Alaska Coal Requirement Federal contract opportunity
- Solicitation number
- SPE604-20-R-0406
- Issued by
- Defense Logistics Agency Energy
About this file
This document contains an authorization and mine description form as well as details of a federal contract opportunity for coal. The form is to be completed by an authorized representative of a proposed coal mine to authorize a company to sell coal from that mine to the Defense Logistics Agency Energy under solicitation SPE604-20-R-0405. The related federal contract opportunity is solicitation SPE604-20-R-0406, through which DLA Energy is soliciting proposals to supply sub-bituminous coal for Fort Wainwright and Eielson Air Force Base in Alaska. Offerors would need to complete the authorization form for any mines proposed to supply coal under the contract.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SF30 Amendment 001.pdf | ||
| Attachment 5 OSP SPE604-20-R-0406.pdf | ||
| Attachment 4 Coal Bidders Memorandum Army TARDEC Ltr.pdf | ||
| Attachment 3 DLA Energy form 2019 SubK Plan SPE604-20-R-0406 (2).pdf | ||
| Attachment 2 Contractor Performance Data Sheet (CPDS) - SPE604-20-R-0406.pdf | ||
| SF 1449 COAL RFP.pdf |
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Text version
PROCUREMENT SENSITIVE - SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104
ATTACHMENT 1
AUTHORIZATION AND MINE DESCRIPTION (To be completed by authorized representative at proposed mine. Please submit one form for each mine offered)
1. THIS WILL AUTHORIZE THE FOLLOWING COMPANY TO SELL COAL FROM THE MINE LISTED IN BLOCK 3 TO THE DEFENSE LOGISTICS AGENCY (DLA) ENERGY’S COAL DIVISION UNDER THE ABOVE SOLICITATION NUMBER.
2. I HEREBY AGREE TO FURNISH ____________________________(NET TONS (NTS))
MEETING OR EXCEEDING THE MINIMUM SPECIFICATIONS FOR LINE ITEM(S):_____________
TO (COMPANY NAME AND ADDRESS):
(Insert above, name of company, agent, broker, or individual authorized to sell your coal to DLA ENERGY)
COMPANY POINT OF CONTACT:________________________________________________________________
TELEPHONE NUMBER ____________________________/E-MAIL:______________________________________
3. MINE NAME ________________________________ STATE PERMIT NUMBER ___________________ (Insert current and previous names, if known) (May be continued in Para. 6., Remarks)
LOCATION __________________ COUNTY ____________________ STATE ______________
SEAM NAME _________________ SEAM NUMBER _______________ TYPE _____________
(Deep, Slope, Strip, Shaft, Auger)
MINE BUSINESS SIZE: ( ) Large Business(500 employees or more) ( ) Small Business (Fewer than 500 employees)
4. TIPPLE NAME ____________________________ STATE PERMIT NUMBER _____________
(Insert current and previous names, if known)
LOCATION ___________________ COUNTY _________________ STATE _________________
5. SHIPPING POINT ___________________________ CAR SIDING CAPACITY ____________
LOCATION _____________________________ RAILROAD(S) ___________________________
6. REMARKS: ______________________________________________________________________________
7. OPERATING COMPANY: _______________________________________________________
(Insert name of the company which is operating the MINE described above)
ADDRESS: _________________________________________________________________
8. ______________________________________________________________________________________ NAME AND TITLE OF AUTHORIZED OFFICIAL OF OPERATING COMPANY (Type or Print)
_________________________________________________________________ DATE ______________
SIGNATURE OF AUTHORIZED OFFICIAL OF OPERATING COMPANY
TELEPHONE NUMBER ____________________________/E-MAIL:______________________________________ DLA Energy Form 4.23 Revised JUNE 2012
File details come from the government source that posted it. Updated .