Attachment_3_FORMS_TO_RETURN_WITH_QUOTE.docx

PRICE SCHEDULE - INSTRUCTIONS

The contractor shall factor the lump sum price to include all labor, tools, equipment, materials, mobilization-in, mobilization-out, liability insurance, contract administration, project management, overhead and profit (applicable to prime contractor subcontractor) necessary for completing all work. All work shall be performed in accordance with the following additional attachments to the solicitation: Attachment 2, Terms Provisions Clauses, Attachment 4 Dept. of Labor Davis-Bacon Act wage rates, and Attachment 5, Statement of Work.

The Offeror/Quoter shall submit a price for all line items below. Failure to do so may render the quote ineligible. In case of errors in summations, the total of the corrected amounts govern. Round totals to whole dollars. The Government anticipates being able to evaluate solely based upon the prices quoted. Award will be made to one contractor in accordance with Sections L and M.

Complete this page and return with other documents described in Section L of Attachment 2.

Business name: _________________________________________ Phone number: ____________________

UEI: __________________________________________________ CAGE code: ______________________

Point of contact name: ____________________________________ E-mail: __________________________

The representations and certifications in SAM apply to this proposal (see FAR provision 52.204-8(b)(2)): __yes __no.

QUOTER NAME:

K.2 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. Quoter shall refer to Attachment no. 3, “Forms to Submit with Quote” to fill in this provision.

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.

(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—

(e) Disclosures.

Solicitation no.(Request for Quote) 140P8322Q0055 – Attachment no. 3, Forms to Submit with Quote Interior Painting Two Office Suites, OLYM

Relevant Experience READ CAREFULLY: The purpose of this form is for the quoter to list construction projects (preferably performed during the past five (5) years) that are similar to the work described in this solicitation and from whom the government may gather past performance information. The number of projects listed shall not exceed ten (10) and shall be numbered consecutively, beginning with the most recent project. Use this form to address your familiarity with the specifications and with the capability criteria described in the Request for Quote.

It is especially important that the offeror 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 an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the quoter’s past performance record.

NAME OF CONTRACTOR/QUOTER:

PROJECT NAME:

Project Location:

Name of Owner:

Address of Owner:

Telephone Number:

Project Value:

Dates of Construction:

DESCRIPTION OF THE PROJECT AND SCOPE OF OFFEOR/QUOTER’S WORK

PERFORMANCE REMARKS

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