Attachment_4_Forms_to_Return_with_Quote.docx

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Attached to
OLYM-FIRE & SECURITY ITM & MONITORING Federal contract opportunity
Solicitation number
140P8324Q0028
Issued by
Department of the Interior National Park Service Pacific West Region

About this file

This document is a Request for Quotation (RFQ) for fire/security inspection, testing, maintenance (ITM), and monitoring services at facilities located in Olympic National Park. The period of performance is 1 base year from 8/15/2024 to 8/14/2025, with up to 4 additional option years. The contractor will be required to provide all labor, equipment, parts, and materials necessary to perform the required ITM and monitoring services. The contract will be awarded as a firm-fixed price purchase order to a single small business vendor under NAICS code 561621. The RFQ provides a detailed pricing schedule with contract line items for the base and option years. Offerors must submit a list of relevant past performance projects and references. The Government will evaluate past performance in the areas of quality, timeliness, and business relations.

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Other files attached to OLYM-FIRE & SECURITY ITM & MONITORING, newest first.
File Type Posted
Sol_140P8324Q0028_Amd_0001.pdf PDF
Attachment_2_DOL_SCA_WD2015-5545.pdf PDF
Attachment_1_Scope_of_Work_.pdf PDF
Sol_140P8324Q0028.pdf PDF
Attachment_3_Device_Inventory.xlsx XLSX spreadsheet

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RFQ. 140P8324Q0028Fire/Security ITM & Monitoring
Attachment 4 Forms to Return with QuoteOlympic National Park

PRICE SCHEDULE - INSTRUCTIONS

Quoter shall fill in price in all line items; do not add line items or costs elsewhere. Failure to do so may render the quote ineligible from further consideration. In case of errors in summations, the total of the corrected amounts governs. Round totals and extended prices to whole dollars. Quoter shall factor prices quoted to include all labor, travel, equipment, materials, transportation, overhead and profit necessary for completing all work performed in accordance with Attachment 1 Scope of Work (SOW), Attachment 2 DOL SCA Wage Determination for 2015-5545, and terms, provisions, and clauses. Payment for services may be requested on one invoice after every four weeks of service (in arrears).

CLIN
Period of Performance
Description
Unit of Measure
Quantity
Total
CLIN 00010
Base Year:

8/15/2024 through 8/14/2025

Inspection, Testing, and Maintenance (ITM) for 13 facilities, and monitoring of 5 facilities
Lump Sum
12 months
$
CLIN 00020
Base Year:

8/15/2024 through 8/14/2025

Unscheduled Repairs if needed
Hourly Rate
N/A
$
CLIN 00030
Option Year One:

8/15/2025 through 8/14/2026

Inspection, Testing, and Maintenance (ITM) for 13 facilities, and monitoring of 5 facilities
Lump Sum
12 months
$
CLIN 00040
Option Year One:

8/15/2025 through 8/14/2026

Unscheduled Repairs if needed
Hourly Rate
N/A
$
CLIN 00050
Option Year Two:

8/15/2026 through 8/14/2027

Inspection, Testing, and Maintenance (ITM) for 13 facilities, and monitoring of 5 facilities
Lump Sum
12 months
$
CLIN 00060
Option Year Two:

8/15/2026 through 8/14/2027

Unscheduled Repairs if needed
Hourly Rate
N/A
$
CLIN 00070
Option Year Three: 8/15/2027 through 8/14/2028
Inspection, Testing, and Maintenance (ITM) for 13 facilities, and monitoring of 5 facilities
Lump Sum
12 months
$
CLIN 00080
Option Year Three: 8/15/2027 through 8/14/2028
Unscheduled Repairs if needed
Hourly Rate
N/A
$
CLIN 00090
Option Year Four: 8/15/2028 through 8/14/2029
Inspection, Testing, and Maintenance (ITM) for 13 facilities, and monitoring of 5 facilities
Lump Sum
12 months
$
CLIN 00100
Option Year Four: 8/15/2028 through 8/14/2029
Unscheduled Repairs if needed
Hourly Rate
N/A
$
Total for Base & Four Option Years for ITM and Monitoring (do not include hourly rates in this total)
$

Business Name:_______________________________________________________________________

SAM Unique Identity Number (UEI):____________________________________________________ (Contractor must list UEI number; DUNS are no longer acceptable. UEI numbers may be found on contractor’s SAM registration)

Business Mailing Address:______________________________________________________________

Point of Contact Name:________________________________________________________________

Point of Contact Email Address:_________________________________________________________

Point of Contact Phone Number:________________________________________________________

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (NOV 2021)

This section requires contractor to fill in and submit with quote unless the offeror has already responded “does not” in Paragraphs (c)(1) and (c)(2) of 52.204–26, Covered Telecommunications Equipment or Services—Representation (OCT 2020) in SAM.

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Products or Commercial Services. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision— Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019,from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to—
(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, orinterconnection arrangements; or
(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.
(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Thisprohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to—
(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, orinterconnection arrangements; or
(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) ( https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services".

(d) Representation. The Offeror represents that—

(1) It □ will, □ will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that— It □ does, □ does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror hasresponded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:
(i) For covered equipment—
(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);
(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and
(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.
(ii) For covered services—
(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable);or
(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.
(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror hasresponded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:
(i) For covered equipment—
(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);
(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and
(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.
(ii) For covered services—
(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable);or
(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

LIST OF RELEVANT EXPERIENCE (LIST OF PROJECTS) & PAST PERFORMANCE REFERENCES:

The purpose of this form is for the quoter to list projects (preferably performed during the past five (5) years) that are similar to the work described in this solicitation. The number of projects listed shall not exceed five (5) and shall be numbered consecutively, beginning with the most recent project. Use this form to address your familiarity with the Scope of Work described in the plans and specifications and with the capability criteria described in the Request for Quotes. Include area codes with all telephone numbers. Type or print legibly.

The Government may contact the entities listed herein to obtain past performance reviews of the quoter’s team. Past performance is a measure of the degree to which the Quoter satisfied its customers in the past and complied with federal, state, and local laws and regulations. The past performance of the quoter, key personnel (if applicable), and proposed subcontractors on projects similar in scope and complexity (i.e. relevant to the current project) will be evaluated in the areas of quality, timeliness, and business relations. It is especially important that the quoter disclose instances in which their past performance may be considered by others to be less than fully satisfactory. The quoter 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 a quoter has been less than candid with the Government, which could result in an unfavorable assessment of the quoter’s past performance record.

1) Project Title: ___________________________ Contract # (if known): _________________________ Agency/Owner: ___________________________ $ Amount: __________________________________ Performance Period: ___________________________________________________________________ Past Performance Reference (Name & Title): ________________________________________________ Phone Number: ___________________________ Email: ______________________________________ Briefly describe how this project is similar in nature and scope to current advertised requirement:

2) Project Title: ___________________________ Contract # (if known):__________________________ Agency/Owner: ___________________________ $ Amount: ___________________________________ Performance Period: ____________________________________________________________________ Past Performance Reference (Name & Title): ________________________________________________ Phone Number: ___________________________ Email: ______________________________________ Briefly describe how this project is similar in nature and scope to current advertised requirement:

3) Project Title: ___________________________ Contract # (if known):__________________________ Agency/Owner: ___________________________ $ Amount: ___________________________________ Performance Period: ____________________________________________________________________ Past Performance Reference (Name & Title): ________________________________________________ Phone Number: ___________________________ Email: ______________________________________ Briefly describe how this project is similar in nature and scope to current advertised requirement:

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