Attachment 4. Contractor Responsibility Verification.pdf

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NAF Laundry Services for the Westwind Inn & Fisher House Lodging (Travis AFB, CA)
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FA442726R0006
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This is a contractor responsibility verification form that documents the criteria and supporting documentation requirements for federal contract awards under FAR 9.104-1.

The form requires contractors to demonstrate responsibility across six key factors. For financial resources, contractors must provide recent profit/loss statements, balance sheets, lines of credit, or certification from a financial institution confirming adequate resources. For delivery requirements, contractors must confirm their ability to meet proposed schedules considering existing commitments. For performance record, contractors must provide minimum two past performance examples within three years or a capability statement for new entrants, with exemptions for contractors having prior CPARS or SPRS ratings. For business integrity and ethics, contractors must certify that their SAM.gov responsibility/qualification section information is current and accurate, including any active or inactive exclusions. For organizational structure, contractors must confirm adequate experience, accounting controls, and technical skills to perform the contract. For production capabilities, contractors must provide technical equipment and facilities information or document their ability to obtain such resources. A company representative must certify the accuracy of all submitted information. This form serves as documentation that prospective contractors meet the affirmative determination of responsibility standard required by federal contracting regulations, ensuring contracts are awarded only to qualified vendors capable of satisfactory performance.

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Contractor Responsibility Verification

FAR 9.103 Policy:

(a) Purchases shall be made from, and contracts shall be awarded to, responsible prospective contractors only.

(b) No purchase or award shall be made unless the contracting officer makes an affirmative determination of responsibility. In the absence of information clearly indicating that the prospective contractor is responsible, the contracting officer shall make a determination of nonresponsibility. If the prospective contractor is a small business concern, the contracting officer shall comply with subpart 19.6, Certificates of Competency and Determinations of Responsibility. (If Section 8(a) of the Small Business Act ( 15 U.S.C. 637) applies, see subpart 19.8.)

(c) The award of a contract to a supplier based on lowest evaluated price alone can be false economy if there is subsequent default, late deliveries, or other unsatisfactory performance resulting in additional contractual or administrative costs. While it is important that Government purchases be made at the lowest price, this does not require an award to a supplier solely because that supplier submits the lowest offer. A prospective contractor must affirmatively demonstrate its responsibility, including, when necessary, the responsibility of its proposed subcontractors.

In accordance with FAR 9.104-1, General Standards, to be determined responsible, a prospective contractor must –

To be determined responsible, a prospective contractor must-

(a) Have adequate financial resources to perform the contract, or the ability to obtain them (see 9.104- 3(a));

(b) Be able to comply with the required or proposed delivery or performance schedule, taking into consideration all existing commercial and governmental business commitments;

(c) Have a satisfactory performance record (see 9.104-3 (b) and subpart 42.15). A prospective contractor shall not be determined responsible or nonresponsible solely on the basis of a lack of relevant performance history, except as provided in 9.104-2;

(d) Have a satisfactory record of integrity and business ethics (for example, see subpart 42.15);

(e) Have the necessary organization, experience, accounting and operational controls, and technical skills, or the ability to obtain them (including, as appropriate, such elements as production control procedures, property control systems, quality assurance measures, and safety programs applicable to materials to be produced or services to be performed by the prospective contractor and subcontractors).

(See 9.104-3(a).)

(f) Have the necessary production, construction, and technical equipment and facilities, or the ability to obtain them (see 9.104-3(a)); and

(g) Be otherwise qualified and eligible to receive an award under applicable laws and regulations (see also inverted domestic corporation prohibition at 9.108).

For each factor, please provide the following information or submit supporting documentations as applicable in order to verify the Contractor’s Responsibility IAW FAR 9.104-1:

(a) FINANCIAL RESOURCES

Most recent Profit/Loss statement, most recent Balance Sheet, Available Line of Credit from a bank, OR any proof of the contractor’s ability to obtain the required financial resources to perform the contract.

Alternatively, the Offeror may provide a statement from their financial institution or a responsible company official on business letterhead confirming that the offeror currently has sufficient financial resources, or the ability to obtain them, to meet this requirement.

___ I confirm that a responsible company official will provide documentation of adequate financial resources to support this requirement.

(b) MEETING DELIVERY REQUIREMENT

___ I confirm that my company is able to comply with the required or proposed delivery or performance schedule, taking into consideration all existing commercial and governmental business commitments

(c) PERFORMANCE RECORD

Provide in the submission two (2), at a minimum, past performance record within the last 3 years OR a capability statement for a satisfactory performance for new entrants. Exemption: Contractors that had previously satisfied contracts with the Government for which CPARS (Contractor Performance Assessment Reporting System) and SPRS (Supplier Performance Risk System) ratings were received.

___ I confirm that my company has satisfactorily performed similar Government contracts in the past 3 years via contract (1)_____________________ and (2) ____________________.

___ I confirm that my company has, or can, provide a capability statement.

___ My company is exempt from this requirement.

(d) BUSINESS INTEGRITY AND ETHICS

I, _________________________, (Company Representative) certify that the information within the Responsibility/Qualification section in SAM.gov of __________________________(Company Name), which includes a summary report of any Active or Inactive Exclusions, Proceedings, and Other Responsibility & Integrity Information, are recent, correct, and accurate.

(e) ORGANIZATIONAL STRUCTURE

___ I confirm that my company currently has an adequate organizational structure (experience, accounting and operational controls, and technical skills), the ability to correct any potential deficiencies, and/or the ability to obtain them.

(f) PRODUCTION CAPABILITIES Provide in the submission production information on technical equipment and facilities, or the ability to obtain them.

___ I confirm that my company currently has the adequate production, construction, and technical equipment and facilities, and/or the ability to obtain them to fulfil this requirement.

I, , (Company Representative) certify that the information provided for factors

(a) to (f) are correct and accurate.

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