Attachment_3_-_Proposal_Submission_Package.docx

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Attached to
REGILD FIRST DIVISION MONUMENT Federal contract opportunity
Solicitation number
140P3022R0023
Issued by
Department of the Interior National Park Service National Office

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Attachment 3 - PROPOSAL SUBMISSION PACKAGE SOLICITATION No. 140P3022R0023

REGILD FIRST DIVISION MONUMENT

President’s Park (White House) (WHHO)

INSTRUCTIONS: The following forms may be used to prepare proposals for the subject solicitation as applicable.

CONTENTS:

For Technical Volume:

1. Project Experience Form

For Business/Price Volume

2. General Information

3. Biobased Certification

PROJECT EXPERIENCE (Offerors must complete this form for evaluation puposes)

NAME OF FIRM
POINT OF CONTACT

TELEPHONE NO.

FAX NO.

PRIOR PROJECT EXPERIENCE

(TO BE COMPLETED BY THE OFFEROR - LIST UP TO FIVE (5) INDIVIDUAL PROJECTS)

PROJECT DESCRIPTION

(USE BLANK PAGE IF NECESSARY)

CONTRACT/PROJECT NO.
LOCATION
CONTRACT AMOUNT (ROUND TO NEAREST DOLLAR)
ORIGINAL
FINAL

1.

$
$

2.

$
$

3.

$
$
NAME OF CLIENT/AGENCY
POINT OF CONTACT
TELEPHONE NO.
FACSIMILE NO.

ORIGINAL PROJECT DATES

WERE YOU A PRIME CONTRACTOR OR SUBCONTRACTOR?
WERE THERE CONTRACT MODIFICATIONS? (YES/NO)
HOW MANY?
WHO INITIATED THEM? CLIENT, CONTRACTOR OR BOTH?
START
COMPLETION
WERE THERE ANY TIME EXTENSIONS? (YES/NO)
IF SO, INDICATE NEW COMPLETION DATE?
WAS THE SCHEDULE MET?

(YES/NO)

IF NOT, WHAT WAS THE REASON?

(USE BLANK PAGE IF NECESSARY)

HAVE YOU EVER ENTERED INTO A DISPUTE? (YES/NO)
IF SO, WHAT WAS THE REASON?

(USE BLANK PAGE IF NECESSARY)

HAVE YOU EVER

BEEN DEFAULTED?

(YES/NO)

IF SO, WHAT WAS THE REASON?

(USE BLANK PAGE IF NECESSARY)

GENERAL REFERENCES

READ CAREFULLY: The purpose of this form is for the offeror to provide the Government with general references in the spaces provided. Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.

It is especially important that the offeror disclose instances in which their relationships with the references may be considered less than fully satisfactory. The offeror 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 offeror’s past performance record. Provide explanations on separate sheets as necessary.

Name of Contractor/Offeror:

Surety

Name of Surety:

Address of Surety:

Name of Agent:

Telephone Number:

Corporate Bank

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

Corporate Bank

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

Insurance Company

Name:

Address:

Name of Agent:

Telephone Number:

Types of Policies:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Material Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

Material Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

MATERIAL Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

TYPES OF MATERIAL

SAM UNIQUE ENTITY IDENTIFIER

TAXPAYER IDENTIFICATION NUMBER

Biobased Certification

1. Offerors shall identify the Biobased products to be purchased and used under this contract. For each Biobased product. the offeror shall specify the percentage of Biobased content, and for the USDA-designated Biobased content products, the offeror shall demonstrate that the products to be used under this contract will contain the percentage specified in the USDA recommendations or the highest level of Biobased material practicable, consistent with USDA's recommended percentages of Biobased content.

Product Description % Biobased Content

2. The offeror shall document prior experience in specifying, purchasing, using, and installing Biobased products. The offeror shall provide a list for all relevant contracts over the past two years involving the specification, purchase, and/or use of Biobased products. The offeror shall include a list of the Biobased products specified, purchased, used, and installed.

The BioBased Products Identified in Base ID/IQ and shall be required throughout performance and at the Task Order Level:

· 2-Cycle Engine Oils – 34% Minimum BioBased Content

· Adhesives – 24% Minimum BioBased Content

· Cleaning Tools – 22% Minimum BioBased Content

· Concrete and Asphalt Cleaners – 70% Minimum BioBased Content

· Corrosion Preventatives – 53% Minimum BioBased Content

· Epoxy Systems – 23% Minimum BioBased Content

· Exterior Paints and Coatings – 83% Minimum BioBased Content

· Fuel Conditioners – 64% Minimum BioBased Content

· Gasoline Fuel Additives – 92% Minimum BioBased Content

· Graffiti and Grease Removers – 34% Minimum BioBased Content

· Greases – Truck – 71% Minimum BioBased Content

· Hand Cleaners and Sanitizers - Hand Cleaners – 64% Minimum BioBased Content

· Hand Cleaners and Sanitizers - Hand Sanitizers – 73% Minimum BioBased Content

· Industrial Cleaners – 41% Minimum BioBased Content

· Inks - Printer Toner (Greater Than 25 Pages Per Minute) – 20% Minimum BioBased Content

· Inks - Printer Toner (Less Than 25 Pages Per Minute) – 34% Minimum BioBased Content

· Intermediates – Binders – 47% Minimum BioBased Content

· Intermediates - Cleaner Components – 55% Minimum BioBased Content

· Intermediates – Paint and Coating Components – 22% Minimum BioBased Content

· Metal Cleaners and Corrosion Removers - Corrosion Removers – 71% Minimum BioBased Content

· Metal Cleaners and Corrosion Removers - Other Metal Cleaners – 56% Minimum BioBased Content

· Multipurpose Cleaners – 56% Minimum BioBased Content

· Paint Removers – 41% Minimum Biobased Content

· Wood and Concrete Sealers – Membrane Concrete Sealers – 11% Minimum Biobased Content

· Wood and Concrete Sealers – Penetrating Liquids – 79% Minimum Biobased Content

Other BioBased Products not stated above that may be used as identified by Contractor, but not included above:

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