Attachment_3_Forms_to_Return_with_Quote_140P8324Q0030.docx

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Attached to
CUSTODIAL AND GROUNDS CARE SERVICES NEPE Federal contract opportunity
Solicitation number
140P8324Q0030
Issued by
Department of the Interior National Park Service Pacific West Region

About this file

This document is an Attachment 3 "Forms to Return with Quote" associated with Solicitation No. 140P8324Q0030 for Custodial and Grounds Care Services at Nez Perce National Historical Park.

The solicitation is a firm-fixed price purchase order set aside for small businesses under NAICS code 561720 Custodial Services, with a $22 million size standard. The contractor shall provide custodial and grounds care services three times per week until 10/31/2024, then two times per week from 11/1/2024 through 4/30/2025, at three different sites: Canoe Camp, Heart of the Monster, and White Bird Battlefield. The price schedule provides line items for the various service frequencies and locations. The document also includes representations regarding the use of covered telecommunications equipment or services. Past performance information is required to be submitted with the quote.

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Other files for this federal contract opportunity

Other files attached to CUSTODIAL AND GROUNDS CARE SERVICES NEPE, newest first.
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Attachment_4_Q_A__140P8324Q0030_0001.pdf PDF
Sol_140P8324Q0030_Amd_0001.pdf PDF
Attachment_2_DOL_SCA_WD_2015-5511.pdf PDF
Sol_140P8324Q0030.pdf PDF
Attachment_1_Statement_of_Work_140P8324Q0030.pdf PDF

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Solicitation No. 140P8324Q0030Custodial & Grounds Care Services
Attachment 3 Forms to Return with QuoteNez Perce National Historical Park

PRICE SCHEDULE - INSTRUCTIONS

Quoter shall fill in price in all line items; do not add line items or costs elsewhere. Failure to do so may render the quote ineligible from further consideration. In case of errors in summations, the total of the corrected amounts governs. Round totals and extended prices to whole dollars. Quoter shall factor prices quoted to include all labor, travel, equipment, materials, transportation, overhead and profit necessary for completing all work performed in accordance with Attachment 1 Scope of Work (SOW), Attachment 2 DOL SCA Wage Determination for 2015-5511, terms, provisions, and clauses. Payment for services may be requested on one invoice after every four weeks of service (in arrears).

Provide Custodial and Grounds Care services at identified location noted in Attachment 1, SOW, with service three times per week until 10/31/2024, then service two times per week from 11/1/2024 through 4/30/2025.

Price Schedule Line Item Number
Description
Quantity
Unit of Measure
Unit Price
Total Price per 4 week cycle
1
Canoe Camp Site: Custodial Services three (3) times per week until 10/31/2024
1.00
LS
3
Canoe Camp Site: Grounds Care Services three (3) times per week until 10/31/2024
1.00
LS
2
Canoe Camp Site: Custodial Services two (2) times per week 11/1/2024 through 4/30/2025
1.00
LS
4
Canoe Camp Site: Grounds Care Services two (2) times per week 11/1/2024 through 4/30/2025
1.00
LS

Total Price for Canoe Camp Site Custodial and Grounds Care Services (Sum lines 1-4)

Provide Custodial and Grounds Care services at identified location noted in Attachment 1, SOW, with service three times per week until 10/31/2024, then service two times per week from 11/1/2024 through 4/30/2025.

Price Schedule Line Item Number
Description
Quantity
Unit of Measure
Unit Price
Total Price per 4 week cycle
5
Heart of the Monster Site: Custodial Services three (3) times per week until 10/31/2024
1.00
LS
6
Heart of the Monster Site: Grounds Care Services three (3) times per week until 10/31/2024
1.00
LS
7
Heart of the Monster Site: Custodial Services two (2) times per week 11/1/2024 through 4/30/2025
1.00
LS
8
Heart of the Monster Site: Grounds Care Services two (2) times per week 11/1/2024 through 4/30/2025
1.00
LS

Total Price for Heart of the Monster Site Custodial and Grounds Care Services (Sum lines 5-8)

Provide Custodial and Grounds Care services at identified location noted in Attachment 1, SOW, with service three times per week until 10/31/2024.

Price Schedule Line Item Number
Description
Quantity
Unit of Measure
Unit Price
Total Price per 4 week cycle
9
White Bird Battlefield Site: Custodial Services three (3) times per week until 10/31/2024
1.00
LS
10
White Bird Battlefield Site: Grounds Care Services three (3) times per week until 10/31/2024
1.00
LS

Total Price for White Bird Battlefield Site Custodial and Grounds Care Services (Sum lines 9-10)

Total Price for all Custodial and Grounds Care Services (Sum lines 1-10)
$

Business Name:_______________________________________________________________________

SAM Unique Identity Number (UEI):____________________________________________________

Business Mailing Address:_____________________________________________________________

Point of Contact Name:________________________________________________________________

Point of Contact Email Address:________________________________________________________

Point of Contact Phone Number:________________________________________________________

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (NOV 2021)

This section requires contractor to fill in and submit with quote unless the offeror has already responded “does not” in Paragraphs (c)(1) and (c)(2) of 52.204–26, Covered Telecommunications Equipment or Services—Representation (OCT 2020) in SAM.

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Products or Commercial Services. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision— Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019,from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to—
(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, orinterconnection arrangements; or
(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.
(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Thisprohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to—
(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, orinterconnection arrangements; or
(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) ( https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services".

(d) Representation. The Offeror represents that—

(1) It □ will, □ will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that— It □ does, □ does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror hasresponded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:
(i) For covered equipment—
(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);
(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and
(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.
(ii) For covered services—
(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable);or
(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.
(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror hasresponded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:
(i) For covered equipment—
(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);
(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and
(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.
(ii) For covered services—
(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable);or
(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

LIST OF RELEVANT EXPERIENCE (LIST OF PROJECTS) & PAST PERFORMANCE REFERENCES:

The purpose of this form is for the quoter to list projects (preferably performed during the past five (5) years) that are similar to the work described in this solicitation. The number of projects listed shall not exceed five (5) and shall be numbered consecutively, beginning with the most recent project. Use this form to address your familiarity with the Scope of Work described in the plans and specifications and with the capability criteria described in the Request for Quotes. Include area codes with all telephone numbers. Type or print legibly.

The Government may contact the entities listed herein to obtain past performance reviews of the quoter’s team. Past performance is a measure of the degree to which the Quoter satisfied its customers in the past and complied with federal, state, and local laws and regulations. The past performance of the quoter, key personnel (if applicable), and proposed subcontractors on projects similar in scope and complexity (i.e. relevant to the current project) will be evaluated in the areas of quality, timeliness, and business relations. It is especially important that the quoter disclose instances in which their past performance may be considered by others to be less than fully satisfactory. The quoter 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 a quoter has been less than candid with the Government, which could result in an unfavorable assessment of the quoter’s past performance record.

1) Project Title: ___________________________ Contract # (if known): _________________________ Agency/Owner: ___________________________ $ Amount: __________________________________ Performance Period: ___________________________________________________________________ Past Performance Reference (Name & Title): ________________________________________________ Phone Number: ___________________________ Email: ______________________________________ Briefly describe how this project is similar in nature and scope to current advertised requirement:

2) Project Title: ___________________________ Contract # (if known):__________________________ Agency/Owner: ___________________________ $ Amount: ___________________________________ Performance Period: ____________________________________________________________________ Past Performance Reference (Name & Title): ________________________________________________ Phone Number: ___________________________ Email: ______________________________________ Briefly describe how this project is similar in nature and scope to current advertised requirement:

3) Project Title: ___________________________ Contract # (if known):__________________________ Agency/Owner: ___________________________ $ Amount: ___________________________________ Performance Period: ____________________________________________________________________ Past Performance Reference (Name & Title): ________________________________________________ Phone Number: ___________________________ Email: ______________________________________ Briefly describe how this project is similar in nature and scope to current advertised requirement:

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