Attachment 1 DLA Energy Form 4.23 Authorization and Mine Description SPE604-23-R-0404.pdf
PDF 75 KB Posted
- Attached to
- SPE604-23-R-0404 Alaska Coal Requirement Federal contract opportunity
- Solicitation number
- SPE604-23-R-0404
- Issued by
- Defense Logistics Agency Energy
About this file
This document contains an authorization and mine description form to be completed by coal mine operators in response to Defense Logistics Agency Energy solicitation SPE604-23-R-0404. The solicitation requests proposals for sub-bituminous coal to supply two installations in Alaska, Fort Wainwright and Eielson Air Force Base. The form authorizes a specified company to sell coal from the listed mine to DLA Energy under the solicitation and agrees to furnish a stated quantity meeting or exceeding the minimum specifications for listed line items. It requires information about the mine location, permits, seam data, tipple, shipping point, and operating company. An authorized official of the operating company must sign and date the form.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SPE604-23-R-0404 Amendment 0004.PDF | ||
| SPE604-23-R-0404 Amendment 0004.PDF | ||
| SPE604-23-R-0404 Amendment 0003.PDF | ||
| SPE604-23-R-0404 Amendment 0002.PDF | ||
| SPE604-23-R-0404 Amendment 0001.PDF | ||
| Attachment 2 Contractor Performance Data Sheet (CPDS) - SPE604-23-R-0404.pdf | ||
| Attachment 5 OSP SPE604-23-R-0404.pdf | ||
| Attachment 3 DLA Energy SB Subcontracting Plan Form.pdf | ||
| SF1449 SPE604-23-R-0404.PDF | ||
| Attachment 4 Coal Bidders Memorandum Army TARDEC Ltr.pdf |
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Text version
UCI - SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104
AUTHORIZATION AND MINE DESCRIPTION
SPE604-23-R-0404
ATTACHMENT 1
(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
UCI
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