Attachment 2 - RFP Information and General Compliance Worksheet.xlsx
XLSX spreadsheet 20 KB Posted
- Solicitation number
- HTC711-23-R-R010
About this file
This document is a worksheet template for responses to solicitation number HTC711-23-R-R010 for stevedoring and related terminal services (S&RTS) port operations issued by the United States Transportation Command. The services are required across six geographic regions from June 2024 through May 2034. Offerors must complete the template providing company and point of contact information, certifications including those related to telecommunications equipment and tax status, technical experience in the regions bid, and a plan to continue essential services. The template requests acknowledgment of pricing, terms and conditions on standard forms. Responses are due by the date and time specified in block 17a of the SF1449.
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Sheet1
| SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104 (When Filled-in, this Document becomes CUI//SP-SSEL) | |
| Attatchment 2: RFP Information and General Compliance Worksheet | |
| HTC711-23-R-R010 |
| ATTACHMENT 2: RFP Information and General Compliance Worksheet |
| REQUEST FOR PROPOSAL: HTC711-23-R-R010 |
| Stevedoring & Related Terminal Services (S&RTS) PORTS |
| Period of Performance: 1 June 2024 - 31 May 2034 |
| Government Points of Contact: |
| Anthony J. Laudano, Contracting Officer Melissa S. Romagno, Contract Specialist Jenna L. Highfill, Contract Specialist |
USTRANSCOM/TCAQ-R USTRANSCOM/TCAQ-R USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W 508 Scott Drive, Bldg. 1900W 508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 Scott AFB, IL 62225 Scott AFB, IL 62225 anthony.j.laudano.civ@mail.mil melissa.s.romagno.civ@mail.mil jenna.l.highfill.civ@mail.mil
| GENERAL INFORMATION - Complete the requested information below. | |||
| COMPANY NAME: | |||
| COMPANY ADDRESS: | |||
| COMPANY TELEPHONE NUMBER: | |||
| COMPANY EMAIL ADDRESS: | |||
| BUSINESS SIZE (NAICS 488320): | |||
| CAGE CODE: | |||
| SAM NUMBER: | |||
| TAX IDENTIFICATION NUMBER: | |||
| IBAN/SWIFT CODE: | |||
| REMITTANCE ADDRESS: (Only if remittance address is different, such address must be registered in the System for Award Management (SAM) database, If not mark as N/A) | |||
| PRIMARY POC: To include title and contact information | |||
| (Person/s with authority to make decision and negotiate with respect to the | |||
| proposal and who can obligate your company contractually.) | |||
| ALTERNATE POC: To include title and contact information | |||
| (Person/s with authority to make decision and negotiate with respect to the | |||
| proposal and who can obligate your company contractually.) | |||
| PROMPT PAYMENT DISCOUNT: (If applicable, If not mark as N/A) | |||
| DATE/TIME OF SUBMISSION: | |||
| PROPOSAL VALIDITY DATE: (180 calendar days, at minimum) | |||
| REGIONS (SEE ATTACHMENT 1, PWS, APPENDIX C) | |||
| Place an "X" next to all Regions intended to participate in. | "X" | COMMENTS | |
| REGION 1: USAFRICOM | |||
| REGION 2: USCENTCOM | |||
| REGION 3: USEUCOM | |||
| REGION 4: USINDOPACOM | |||
| REGION 5: USSOUTHCOM | |||
| REGION 6: USNORTHCOM / OCONUS U.S. STATES AND TERRITORIES | |||
| CONTRACT DOCUMENTATION | |||
| GENERAL: | ACTION ITEMS | COMPLETED | COMMENTS |
| Active in SAM (Offeror must be registered as Active in SAM by proposal due date) | |||
| NAICS in SAM contains 488320 | |||
| REPRESENTATIONS AND CERTIFICATIONS (REPS & CERTS): **Please Complete within RFP if not in SAM.gov** | ACTION ITEMS | COMPLETED | COMMENTS |
| FAR 52.204-24, Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021). NOTE: FAR 52.204-24 only needs to be completed if FAR 52.204-26 is not completed in SAM.gov, or if the quoter represents it “will” provide or “does” use covered telecommunications equipment. | |||
| FAR 52.209-7, Information Regarding Responsibility Matters (Oct 2018) | |||
| FAR 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services (DEVIATION 2023-O0002) (DEC 2022), with Alternate I. NOTE: A small business joint venture offeror must submit, with its offer, the representation required in paragraph (c) of FAR solicitation provision 52.212-3, Offeror Representations and Certifications-Commercial Products and Commercial Services, and paragraph (c) of FAR solicitation provision 52.219-1, Small Business Program Representations, in accordance with 52.204-8(d) and 52.212-3(b) for the following categories: (A) Small business; (B) Service-disabled veteran-owned small business; (C) Women-owned small business (WOSB) under the WOSB Program; (D) Economically disadvantaged women-owned small business under the WOSB Program; or (E) Historically underutilized business zone small business. | |||
| FAR 52.229-11, Tax On Certain Foreign Procurements Notice & Representation (Jun 2020) NOTE: Offerors representing as a "foreign person" must also submit an IRS Form W-14. | |||
| DFARS 252.204-7017, Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services—Representation (May 2021). NOTE: DFARS 252.204-7017 only needs to be completed if DFARS 252.204-7016 is not completed in SAM.gov, or if the quoter represents it “does” provide covered defense telecommunications equipment or services in DFARS 252.204-7016. | |||
| DFARS 252.229-7001, Tax Relief (Apr 2020) | |||
| DFARS 252.247-7022, Representation of Extent of Transportation by Sea (Jun 2019) | |||
| ORGANIZATIONAL CONFLICT OF INTEREST (OCI): | ACTION ITEMS | COMPLETED | COMMENTS |
| IAW Addendum to FAR 52.212-1, paragraph (b)(7)e., if an OCI, or perceived OCI exists, information submitted on previous or ongoing work and a mitigation plan. | |||
| If an OCI, or perceived OCI, does NOT exist, a statement affiriming no OCI exists. | |||
| ANCILLARY DOCUMENTATION | |||
| SMALL BUSINESS SUBCONTRACTING PLAN: | ACTION ITEMS | COMPLETED | COMMENTS |
| Attachment 5, Small Business Subcontracting Plan, completed and submitted. (Large Businesses Only) Required for offerors who are a large business and intend to compete on Task Orders supporting Region 6 (See Attachment 1 PWS, Appendix C), OCONUS U.S. States and Territories. | |||
| TECHNICAL PROPOSAL | |||
| CORPORATE EXPERIENCE: | ACTION ITEMS | COMPLETED | COMMENTS |
| Attachment 4, Corporate Experience Questionnaire, a minimum of 3 but no more than 5 questionnaires completed and submitted per region (See Attachment 1 PWS, Appendix C) for regions Offeror intends to compete in at the Task Order level. | |||
| Each questionnaire submitted does not exceed 4 pages. (Cover page, table of contents, and acronym table will not count against page limits) | |||
| CONTINUATION OF ESSENTIAL CONTRACTOR SERVICES PLAN: | ACTION ITEMS | COMPLETED | COMMENTS |
| Attachment 3, Contractor Plan for Essential Contractor Services, completed and submitted IAW DFARS 252.237-7024. (Only one submission is requred and shall not exceed 4 pages) | |||
| ACKNOWLEDGMENTS | |||
| SF1449: | ACTION ITEMS | COMPLETED | COMMENTS |
| Completed SF 1449 Block 12 (should be completed even if no discount is offered) | |||
| Completed SF 1449 Block 17a | |||
| Completed SF 1449 Block 30a | |||
| Completed SF 1449 Block 30b | |||
| Completed SF 1449 Block 30c | |||
| Returned signed and dated on the SF 1449 (In doing so, offeror accedes to the contract terms and conditions as written in the RFP, with attachments) | |||
| Completed SF 1449 Block 17b (Only if remittance address is different, such address must be registered in the System for Award Management (SAM) database. | |||
| SF30: | ACTION ITEMS | COMPLETED | COMMENTS |
| Completed SF 30 Block 8 on each SF 30 | |||
| Completed SF 30 Block 15a on each SF 30 | |||
| Completed SF 30 Block 15b on each SF 30 | |||
| Completed SF 30 Block 15c on each SF 30 |
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