Attachment 3 - RFQ Information and General Compliance Worksheet.xlsx
XLSX spreadsheet 18 KB Posted
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- S&RTS Yokohama and East Japan
- Solicitation number
- HTC711-21-Q-R019
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Sheet1 SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104
| ATTACHMENT 3: RFQ Information and General Compliance worksheet |
| REQUEST FOR QUOTE: HTC711-21-Q-R019 |
| Stevedoring & Related Terminal Services (S&RTS) Ports of Yokohama and East Japan |
| Period of Performance: 01 April 2022 - 30 September 2027 (includes six month extension) |
| Government Points of Contact: |
| Mr. Caleb Higgerson |
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 caleb.j.higgerson.civ@mail.mil Ms. Janice King, Contracting Specialist
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 janice.b.king2.civ@mail.mil
| GENERAL INFORMATION - Complete the requested information below. | |||
| COMPANY NAME: | |||
| COMPANY ADDRESS: | |||
| COMPANY TELEPHONE NUMBER: | |||
| COMPANY EMAIL ADDRESS: | |||
| BUSINESS SIZE: | |||
| CAGE CODE: | |||
| DUNS NUMBER: | |||
| TAX IDENTIFICATION NUMBER: | |||
| IBAN/SWIFT CODE: | |||
| 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) | |||
| A. 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 | |||
| 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 RFQ, 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 | |||
| REPRESENTATION AND CERTIFICATIONS (REPS & CERTS): **Please Complete in RFQ if not in SAM.gov** | ACTION ITEMS | COMPLETED | COMMENTS |
| FAR 52.204-24, Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Oct 2020). Note: FAR 52.204-24 shall be completed if the offeror respresents that it "will" provide, or "does" use Covered Telecommunications Equipment. | |||
| FAR 52.209-5, Certification Regarding Responsibility Matters (Aug 2020). | |||
| FAR 52.209-7, Information Regarding Responsibility Matters (Oct 2018) | |||
| FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, Alt 1 (Oct 2014) | |||
| 52.229-11, Tax On Certain Foreign Procurements Notice & Representation. (Jun 2020). | |||
| DFARS 252.204-7016, Covered Defense Telecommunications Equipment or Services—Representation (Dec 2019) | |||
| 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 the quoter represents it “does” provide covered defense telecommunications equipment or services in DFARS 252.204-7016. | |||
| DFARS 252.247-7022, Representation of Extent of Transportation by Sea (Jun 2019) | |||
| ANCILLARY DOCUMENTATION | |||
| DOCUMENTARY EVIDENCE: | ACTION ITEMS | COMPLETED | COMMENTS |
| Submitted proof of current certification of at least two (2) proposed personnel trained and tested in handling Hazardous Material per the requirements of the Code of Federal Regulation (CFR) Title 49, Section 172.702 or Host Nation equivalent. | |||
| CONTINUATION OF | ACTION ITEMS | COMPLETED | COMMENTS |
| ESSENTIAL CONTRACTOR | |||
| SERVICES PLAN | |||
| Attachment 5, Contractor Plan for Essential Contractor Services completed and submitted. | |||
| B. Part I - Technical Worksheet Proposal_Attachment 4 | |||
| ACTION ITEMS | COMPLETED | COMMENTS | |
| Part I, Technical Worksheet Proposal was submitted | |||
| Part I, Technical Worksheet Proposal did not exceed the page requirement on Attachment 4 - 20 Pages | |||
| C. Part II - Price Proposal, Schedule of Rates (SOR)_Attachment 2 | |||
| ACTION ITEMS | COMPLETED | COMMENTS | |
| Price proposal was submitted on the correct SOR. (If the SOR was Amended, it must be on the last Amended SOR) | |||
| Unit prices were free of formulas. | |||
| Unit prices were only two decimal places. | |||
| All unit prices were completed for each quantity. |
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