Attachment_11_-_Proposal_Submission_Package.docx

CHOH WALL LEVEL 33 ATTACHMENT 11

PROPOSAL SUBMISSION PACKAGE

INSTRUCTIONS: The following forms may be used to prepare proposals for the subject solicitation as applicable.

CONTENTS:

For Technical Volume:

1. Project Experience Form

2. Customer Rating Questionnaire

For Business & Price Volume:

3. General Information

4. Biobased Certification

Project Experience Form (Offerors must complete this form for evaluation purposes)

TELEPHONE NO.

FAX NO.

PRIOR PROJECT EXPERIENCE

(TO BE COMPLETED BY THE OFFEROR - LIST UP TO FIVE (5) INDIVIDUAL PROJECTS)

PROJECT DESCRIPTION

(USE BLANK PAGE IF NECESSARY)

1.

2.

3.

(YES/NO)

IF NOT, WHAT WAS THE REASON?

(USE BLANK PAGE IF NECESSARY)

(USE BLANK PAGE IF NECESSARY)

HAVE YOU EVER

BEEN DEFAULTED?

(YES/NO)

IF SO, WHAT WAS THE REASON?

(USE BLANK PAGE IF NECESSARY)

Notice to Contractor Information provided in this questionnaire is intended for use as source selection information and as such is deemed Source Selection Sensitive. Statements or comments provided in the questionnaire do not signify an express or implied endorsement of any product, supply, service, or enterprise.

This information shall not be construed as an endorsement by the Government or its employee(s) of the contractor for advertising purposes or in a manner that implies the contractor, its products, or services, are approved, endorsed, or considered by the Government to be superior to other products or services.

The contractor shall not be permitted to use any information provided in this questionnaire to publicize, or otherwise circulate, promotional materials that state or imply Governmental, organizational, group, expert, or individual endorsement or consumer testimonial of a product, service, or position which the contractor represents.

CUSTOMER RATING QUESTIONNAIRE – CHOH WALL LEVEL 33

Reference is provided for: _____________________

Please provide information for the primary individuals completing this survey.

Name: ____________________________________________________________________

Office Identifier: _____________________________________________________________

Telephone Number: __________________________________________________________

Mailing Address: _____________________________________________________________

E-Mail Address: ______________________________________________________________

Contract # and Title, and Relation to Contract: ______________________________________

THE QUESTIONNAIRE SHOULD BE SUBMITTED BY THE FOLLOWING MEANS:

Return via e-mail to craig_madison@nps.gov RATING DESCRIPTIONS: Use the following descriptions as guidance in providing ratings.

SOURCE SELECTION SENSITIVE WHEN COMPLETED

REMARKS:

REMARKS:

REMARKS:

REMARKS:

(5) How flexible, cooperative, and reasonable was the contractor in meeting mission Requirements, particularly when faced with short-notice mission changes?

REMARKS:

REMARKS:

REMARKS:

REMARKS:

(10) Please Provide Any Additional Information You Feel Is Important Not Covered Elsewhere:

Thank you for your remarks. Be sure to return to the Contracting Agency and not to the Contractor referenced with the Reference ID Form you were provided.

Signature: ____________________________________ Date Completed:___________________________

General References READ CAREFULLY: The purpose of this form is for the offeror to provide the Government with general references in the spaces provided. Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.

It is especially important that the offeror disclose instances in which their relationships with the references may be considered less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s past performance record. Provide explanations on separate sheets as necessary.

Name of Contractor/Offeror:

Surety

Name of Surety:

Address of Surety:

Name of Agent:

Telephone Number:

Corporate Bank

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

Corporate Bank

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

Insurance Company

Name:

Address:

Name of Agent:

Telephone Number:

Types of Policies:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Material Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

Material Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

MATERIAL Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

SAM Unique Entity ID #:

TIN #:

Biobased Certification

1. Offerors shall identify the Biobased products to be purchased and used under this contract. For each Biobased product. the offeror shall specify the percentage of Biobased content, and for the USDA-designated Biobased content products, the offeror shall demonstrate that the products to be used under this contract will contain the percentage specified in the USDA recommendations or the highest level of Biobased material practicable, consistent with USDA's recommended percentages of Biobased content Product Description % Biobased Content

2. The offeror shall document prior experience in specifying, purchasing, using, and installing Biobased products. The offeror shall provide a list for all relevant contracts over the past two years involving the specification, purchase, and/or use of Biobased products. The offeror shall include a list of the Biobased products specified, purchased, used, and installed.

The BioBased Products Identified in Base ID/IQ and shall be required throughout performance and at the Task Order Level:

· 2-Cycle Engine Oils – 34% Minimum BioBased Content

· Asphalt Restorers – 68% Minimum BioBased Content

· Asphalt and Tar Removers – 80% Minimum BioBased Content

· Cleaning Tools – 22% Minimum BioBased Content

· Concrete Curing Agents – 59% Minimum BioBased Content

· Concrete Repair Materials – 23% Minimum BioBased Content

· Concrete and Asphalt Cleaners – 70% Minimum BioBased Content

· Concrete and Asphalt Release Fluids – 87% Minimum BioBased Content

· Corrosion Preventatives – 53% Minimum BioBased Content

· Diesel Fuel Additives – 90% Minimum BioBased Content

· Erosion Control Materials – 77% Minimum BioBased Content

· Exterior Paints and Coating – 83% Minimum BioBased Content

· Fuel Conditioners – 64% Minimum BioBased Content

· Greases – Truck – 71% Minimum BioBased Content

· Hand Cleaners and Sanitizers - Hand Sanitizers – 73% Minimum BioBased Content

· Inks – Printer Toner (Greater Than 25 Pages Per Minute) – 20% Minimum BioBased Content

· Inks – Printer Toner (Less Than 25 Pages Per Minute) – 34% Minimum BioBased Content

· Intermediates – Paint and Coating Components – 22% Minimum BioBased Content

· Mobile Equipment Hydraulic Fluids – 44% Minimum BioBased Content

· Mulch and Compost Materials – 95% Minimum BioBased Content

· Multipurpose Cleaners – 56% Minimum BioBased Content

· Multipurpose Lubricants – 88% Minimum BioBased Content

· Pneumatic Equipment Lubricants – 67% Minimum Biobased Content

· Wood and Concrete Sealers – Membrane Concrete Sealers – 11% Minimum Biobased Content

· Wood and Concrete Sealers – Penetrating Liquids – 79% Minimum Biobased Content

· Wood and Concrete Stains – 39% Minimum BioBased Content

Other BioBased Products not stated above that may be used as identified by Contractor, but not included above: