ATTACHMENT_3___LPTA_TECHNICAL_ACCEPTABILITY___PRICE_SUBMISSION_TEMPLATE_(SERVICES).docx

ATTACHMENT 3 — LPTA TECHNICAL ACCEPTABILITY & PRICE SUBMISSION TEMPLATE (SERVICES) Project Name: Re‑Commission Visitor Center HVAC System to Ensure High Efficiency Park Location: Mammoth Cave National Park Visitor Center, Mammoth Cave, KY 42259

RFQ No.: 140P5326Q0016______________________

INSTRUCTIONS (READ FIRST):

Quoter shall complete and submit this template with its quotation. To be rated Technically Acceptable (PASS), the quotation must include all required entries below. Omission of any required entry will result in Technically Unacceptable (FAIL) and ineligibility for award. The Government will make award on a Lowest Price Technically Acceptable (LPTA) basis; no tradeoffs. Evaluation will be on the basis established in the solicitation.

1) Quoter Information (Required) Legal name: Click or tap here to enter text.

UEI (if applicable):Click or tap here to enter text.

CAGE (if applicable): Click or tap here to enter text.

Primary POC (name/title): Click or tap here to enter text.

Email / Phone: Click or tap here to enter text.

2) Relevant Experience (PASS/FAIL) — Two (2) completed projects within last five (5) years Each project must be relevant to HVAC preventative maintenance, troubleshooting, and recommissioning of central plant and terminal equipment (e.g., chillers, AHUs, VAVs, FCUs) in occupied commercial or institutional facilities. Complete all fields:

Project 1 Customer/Owner: Click or tap here to enter text.

Location (city/state): Click or tap here to enter text.

Relevance (check):

☐ HVAC recommissioning of central plant ☐ HVAC preventative maintenance (chillers/AHUs/VAVs/FCUs) ☐ Both ☐ Other (explain):Click or tap here to enter text.

Brief scope (1–3 sentences):

Timing evidence (required):

☐ Month/Year–Month/Year ☐ Year completed; Enter: Click or tap here to enter text.

Contract/PO No. (if applicable): Click or tap here to enter text.

POC name/title + email/phone: Click or tap here to enter text.

Project 2 Customer/Owner: Click or tap here to enter text.

Location (city/state): Click or tap here to enter text.

Relevance (check):

☐ HVAC recommissioning of central plant ☐ HVAC preventative maintenance (chillers/AHUs/VAVs/FCUs) ☐ Both ☐ Other (explain): Click or tap here to enter text.

Brief scope (1–3 sentences):

Timing evidence (required):

☐ Month/Year–Month/Year ☐ Year completed; Enter: Click or tap here to enter text.

Contract/PO No. (if applicable): Click or tap here to enter text.

POC name/title + email/phone: Click or tap here to enter text.

3) Key Subcontractor Identification (PASS/FAIL) — As applicable Will specialized work be subcontracted (e.g., controls integration, TAB, electrical)? ☐Yes ☐ No If yes, identify subcontractor(s) and role(s):

Subcontractor name: Click or tap here to enter text.

Trade/role: Click or tap here to enter text.

City/state + phone/email: Click or tap here to enter text.

(Repeat as needed.)

4) SOW/Specs Compliance Checklist (PASS/FAIL) Mark one box per row (no blanks). Notes optional.

(You can trim to 5–6 rows depending on your local template rules.)

Period of Performance:

The quoter acknowledges the period of performance and agrees to complete all services required by the Statement of Work within 180 calendar days from the Award Notice. The quoter has identified below any known or anticipated schedule constraints, material lead times, or other factors that could affect meeting this period of performance.

Known or anticipated delays/constraints: ☐N/A Click or tap here to enter text.

5) Quoter Certification (Required) Authorized representative name/title: Click or tap here to enter text.

Signature: _______________________________________________ Date: Click or tap to enter a date.

By signing above, the quoter certifies that the information provided in this template is accurate and that the quoter’s quotation fully complies with the Statement of Work and specifications for this HVAC service contract.