Attachment 3 Technical Certification Form.docx
DOCX document 31 KB Posted
- Attached to
- 4K Electric Forklifts
- Solicitation number
- SP4510-26-Q-1017
- Issued by
-
Defense Logistics Agency
About this file
This is a Technical Certification Form that vendors must complete and submit with their bid packages to be eligible for award under solicitation SP4510-26-Q-1017 for 4K Electric Forklifts issued by the Defense Logistics Agency (DLA Disposition Services). The form requires vendors to provide company business information, point of contact details, and delivery lead times, along with the manufacturer's technical guides and specifications for the quoted equipment.
The solicitation encompasses four line items (CLINs) for electric forklifts, each with specific technical requirements: CLIN 0001 is a 4K Electric Reach Truck Forklift with 42-inch tines; CLIN 0002 is a 4K Electric Stand-Up Forklift with 48-inch tines; CLIN 0003 is a 4K Electric Sit-Down Forklift with 36-inch tines; and CLIN 0004 is a 4K Electric Sit-Down Forklift with 42-inch tines. All units must meet common specifications including 4,000-pound lifting capacity, electric power, maintenance-free batteries rated for 8-hour continuous use, solid rubber tires, comprehensive LED lighting and safety features, fire extinguishers, complete charging equipment, and ANSI/ITSDF B56.1-compliant overhead guards with falling object protective structures. Vendors must certify via Yes/No responses whether each quoted forklift meets all minimum required specifications and must identify the place of manufacture and country of origin for both the equipment and batteries. The form explicitly states that submissions with blank answers will be deemed ineligible for award, and all completed, signed forms must be returned with the vendor's quote.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 3 Technical Certification Form Amendment 4.docx | DOCX document | |
| Attachment 3 Technical Certification Form Amendment 4.docx | DOCX document | |
| Attachment 1 SOW 4K Elec Forklifts Amendment 3.pdf | ||
| Attachment 3 Technical Certification Form Amendment 3.docx | DOCX document | |
| Attachment 1 SOW 4K Elec Forklifts Amendment 2.pdf | ||
| Attachment 3 Technical Certification Form Amendment 2.docx | DOCX document | |
| Attachment 1 SOW 4K Elec Forklifts Amendment 1.pdf | ||
| Attachment 3 Technical Certification Form Amendment 1.docx | DOCX document | |
| Attachment 2 Price Schedule .xlsx | XLSX spreadsheet | |
| Attachment 1 SOW 4K Elec Forklifts.pdf |
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Text version
| Attachment 3: Technical Certification Form | |
| Solicitation# SP4510-26-Q-1017 |
Part I. Business Information:
Name of Company:
CAGE:
Address:
Point of Contact:
Title of Contact:
Email Address:
Phone Number:
Date of Submittal:
Business Size:
Part II. Technical Capability:
CLIN 0001 4K ELECTRIC REACH TRUCK FORKLIFT
Make and model of the quoted forklift:
* Provide the Manufacturer’s technical guide / brochure with specifications listed.
Delivery lead time:
Place of manufacture/ country of origin:
Battery place of manufacture / country of origin:
Please indicate if the quoted Forklift meets the below specifications by marking Yes or No.
| Minimum Required Specifications: |
| Yes |
| No |
1) Forklift Type: Reach Truck Forklift
2) 4000 lb. lifting capacity
3) Load Center 24 inches
4) Power: Electric
5) Tilt (forward/back): 3/4 degrees
6) Overall Maximum Length 77 inches
7) Height to Top of Overhead Guard 95 inches Maximum
8) Minimum turning radius 75 inches
9) Reach stroke – 24 inches Minimum
10) Fork length – 42” (+/-1”)
11) Fire Extinguisher
12) Visible amber LED strobe light– continuously activated, overhead guard mounted
13) Side Mirrors
14) Audible reverse activated alarm
15) LED Work Lights (Two front, one rear work light and two brake/tail backup lights)
16) Solid Rubber Tires
17) Forklift Charger (All items necessary to power/charge/recharge forklift. Electrical chargers, docking station, cables, plugs, batteries, voltage meters, etc.)
18) Maintenance Free batteries (Types of maintenance free batteries include Sealed Lead-Acid (SLA) Batteries, Gel Batteries, Lithium-ion (Li-ion) Batteries, Thin Plate Pure Lead (TPPL) Batteries)
19) The battery shall be rated to provide 8-hours of continuous use
20) An overhead guard shall be furnished. The overhead guard shall meet all of the requirements of ANSI/ITSDF B56.1 including falling object protective structure (FOPS) and inside clearances.
CLIN 0002 4K ELECTRIC STAND-UP WITH 48: TINES
Make and model of the quoted forklift:
* Provide the Manufacturer’s technical guide / brochure with specifications listed.
Delivery lead time:
Place of manufacture/ country of origin:
Battery place of manufacture / country of origin:
Please indicate if the quoted Forklift meets the below specifications by marking Yes or No.
| Minimum Required Specifications: |
| Yes |
| No |
1) Forklift Type: Reach Truck Forklift
2) 4000 lb. lifting capacity
3) Load Center 24 inches
4) Power: Electric
5) Tilt (forward/back): 3/4 degrees
6) Overall Maximum Length 77 inches
7) Height to Top of Overhead Guard 95 inches Maximum
8) Minimum turning radius 75 inches
9) Fork length – 48” (+/-1”)
10) Fire Extinguisher
11) Visible amber LED strobe light– continuously activated, overhead guard mounted
12) Side Mirrors
13) Audible reverse activated alarm
14) LED Work Lights (Two front, one rear work light and two brake/tail backup lights)
15) Solid Rubber Tires
16) Forklift Charger (All items necessary to power/charge/recharge forklift. Electrical chargers, docking station, cables, plugs, batteries, voltage meters, etc.)
17) Maintenance Free batteries (Types of maintenance free batteries include Sealed Lead-Acid (SLA) Batteries, Gel Batteries, Lithium-ion (Li-ion) Batteries, Thin Plate Pure Lead (TPPL) Batteries)
18) The battery shall be rated to provide 8-hours of continuous use
19) An overhead guard shall be furnished. The overhead guard shall meet all of the requirements of ANSI/ITSDF B56.1 including falling object protective structure (FOPS) and inside clearances.
CLIN 0003 4K ELECTRIC FORKLIFT SIT-DOWN WITH 36” TINES
Make and model of the quoted forklift:
* Provide the Manufacturer’s technical guide / brochure with specifications listed.
Delivery lead time:
Place of manufacture/ country of origin:
Battery place of manufacture / country of origin:
Please indicate if the quoted Forklift meets the below specifications by marking Yes or No.
| Minimum Required Specifications: |
| Yes |
| No |
1) 4,000-pound lifting capacity
2) 3-inch Tines
3) Fork length – 36” (+/-1”)
4) Open Cab
5) 3-Stage high visibility mast
6) Overall Lowered Mast Height 82 inches or under
7) Hydraulic fork positioner
8) Hydraulic side shifter
9) Visible amber LED strobe light – continuously activated, overhead guard mounted
10) Audible reverse activated 82-102 dB(A) self-adjusting alarm
11) LED Work Lights (Two front, one rear work light and two brake/tail backup lights)
12) Side Mirrors
13) Full suspension seat
14) Solid rubber tires
15) Fire Extinguisher
16) Forklift Charger (All items necessary to power/charge/recharge forklift. Electrical chargers, docking station, cables, plugs, batteries, voltage meters, etc.)
17) Maintenance Free batteries (Types of maintenance free batteries include Sealed Lead-Acid (SLA) Batteries, Gel Batteries, Lithium-ion (Li-ion) Batteries, Thin Plate Pure Lead (TPPL) Batteries)
18) The battery shall be rated to provide 8-hours of continuous use.
19) An overhead guard shall be furnished. The overhead guard shall meet all of the requirements of ANSI/ITSDF B56.1 including falling object protective structure (FOPS) and inside clearances.
CLIN 0004 4K ELECTRIC FORKLIFT SIT-DOWN WITH 42” TINES
Make and model of the quoted forklift:
* Provide the Manufacturer’s technical guide / brochure with specifications listed.
Delivery lead time:
Place of manufacture/ country of origin:
Battery place of manufacture / country of origin:
Please indicate if the quoted Forklift meets the below specifications by marking Yes or No.
| Minimum Required Specifications: |
| Yes |
| No |
1) 4,000-pound lifting capacity
2) 3-inch Tines
3) Fork length – 42” (+/-1”)
4) 36-inch carriage back rest
5) Open Cab
6) 3-Stage high visibility mast
7) Overall Lowered Mast Height 82 inches or under
8) Hydraulic fork positioner
9) Hydraulic side shifter
10) Visible amber LED strobe light – continuously activated, overhead guard mounted
11) Audible reverse activated 82-102 dB(A) self-adjusting alarm
12) LED Work Lights (Two front, one rear work light and two brake/tail backup lights)
13) Side Mirrors
14) Full suspension seat
15) Solid rubber tires
16) Fire Extinguisher
17) Forklift Charger (All items necessary to power/charge/recharge forklift. Electrical chargers, docking station, cables, plugs, batteries, voltage meters, etc.)
18) Maintenance Free batteries (Types of maintenance free batteries include Sealed Lead-Acid (SLA) Batteries, Gel Batteries, Lithium-ion (Li-ion) Batteries, Thin Plate Pure Lead (TPPL) Batteries)
19) The battery shall be rated to provide 8-hours of continuous use.
20) An overhead guard shall be furnished. The overhead guard shall meet all of the requirements of ANSI/ITSDF B56.1 including falling object protective structure (FOPS) and inside clearances.
Part II. Technical Capability:
Authorized Signature:
Date:
This certification shall be completed, signed, and returned with your quote. Submissions with an answer that is blank will not be evaluated further and will be ineligible for award.
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