Attachment 2 - Contractor Submittal Form.docx
DOCX document 21 KB Posted
- Solicitation number
- FA251720Q0059
About this file
This document contains a contractor submittal form and request for quote for fire alarm maintenance and repair services at Peterson Air Force Base. The contractor submittal form requests company identifying and contact information, payment terms, and pricing for base and option year services including a minimum of 288 hours per year of scheduled maintenance and repairs, and parts and equipment. The request for quote seeks maintenance, testing, repairs, troubleshooting, upgrades and training for Edwards fire alarm and building control systems in accordance with the performance work statement. Offerors must follow instructions in the attached solicitation. The Department of the Air Force Space Command is the contracting agency.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1 - Performance Work Statement (PWS) PAFB Fire Alarm System Maintenance dated 23 July 2020.docx | DOCX document | |
| Request for Quote (RFQ) PAFB Fire Alarm Systems Maintenance.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment 2 Contractor Submittal Form RFQ FA2517-20-Q-0059 for PAFB Fire Alarm Systems Maintenance
Please complete the following:
| 1 |
| Contractor Name |
| 2 |
| DUNS Number |
| 3 |
| CAGE Code |
| 4 |
| NAICS Code (Must match para. 1 of the RFQ and offeror must be registered in SAM under this NAICS in order to be considered responsive) |
| 5 |
| Point of Contact |
| 6 |
| Address |
| 7 |
| Phone Number |
| 8 |
| Email address |
| 9 |
| Payment Terms (Net 30 unless any discount terms are offered) |
| 10 |
| GSA Contract # (if applicable) |
CLIN Information
| CLIN |
| Extended Item Description |
| Unit |
| Unit Price ($) |
| Total Amount ($) |
| 0001 |
| Routine Maintenance & Repairs at a minimum of 288 hours per year (24 hours per month) of scheduled visits of a Fire Alarm Technician IAW PWS |
| 12 Mth |
| 0002 |
| Fire Alarm Maintenance Parts and Equipment – Base Year |
Parts and equipment in support of Base fire alarm systems maintenance and upgrades IAW the PWS. Materials will be reimbursed at cost and shall not include profit, G&A, overhead and fee’s
| 12 Lot |
| $ |
| $36,000.00 |
Not to Exceed (NTE)
Base Year Total
| CLIN |
| Extended Item Description |
| Unit |
| Unit Price ($) |
| Total Amount ($) |
| 1001 |
| Routine Maintenance & Repairs at a minimum of 288 hours per year (24 hours per month) of scheduled visits of a Fire Alarm Technician IAW the PWS |
| 12 Mth |
| 1002 |
| Fire Alarm Maintenance Parts and Equipment – Option Year 1 |
Parts and equipment in support of Base fire alarm systems maintenance and upgrades IAW the PWS. Materials will be reimbursed at cost and shall not include profit, G&A, overhead and fee’s
| 12 Lot |
| $ |
| $36,720.00 |
Option Year 1 Total
| CLIN |
| Extended Item Description |
| Unit |
| Unit Price ($) |
| Total Amount ($) |
| 2001 |
| Routine Maintenance & Repairs at a minimum of 288 hours per year (24 hours per month) of scheduled visits of a Fire Alarm Technician IAW the PWS |
| 12 Mth |
| 2002 |
| Fire Alarm Maintenance Parts and Equipment – Option Year 2 |
Parts and equipment in support of Base fire alarm systems maintenance and upgrades IAW the PWS. Materials will be reimbursed at cost and shall not include profit, G&A, overhead and fee’s
| 12 Lot |
| $ |
| $37,454.00 |
Option Year 2 Total
| Total Base + All Option Years |
| $ |
Please complete the following:
FAR 52.212-3 -- Offeror Representations and Certifications -- Commercial Items (Jan 2017) **Note to Offerors: Please reference http://farsite.hill.af.mil/vffara.htm for full text of this provision.
The offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site accessed through http://www.sam.gov/portal. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (u) of this provision.
(b)
(1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the SAMwebsite.
(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representation and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ____________.
[Offeror to identify the applicable paragraphs at (c) through (u) of this provision that the offeror has completed for the purposes of this solicitation only, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]
Offeror to complete the following:
DFARS 252.209-7999, Representation by Corporations Regarding an Unpaid Delinquent Tax Liability or a Felony Conviction under any Federal Law (Class Deviation 2012-O0004) (January 23, 2012)
1. In accordance with sections 8124 and 8125 of Division A of the Consolidated Appropriations Act, 2012, (Pub. L. 112-74), none of the funds made available by this or any other Act may be used to enter into a contract with any corporation that-
0. Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless the agency has considered suspension or debarment of the corporation and made a determination that this further action is not necessary to protect the interests of the Government; or
0. Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless the agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.
1. The Offeror represents that-
0. It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability,
0. It is [] is not [] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.
(End of provision)
Company Name
Name
Title
| ___________________________________ | ________________ | |
| Signature | Date |
File details come from the government source that posted it. Updated .