Attachment_4_-_Quote_Submission_Package.pdf

CHOH LOCKHOUSES 28, 31, 49, AND DAM 4 WINCH HOUSE SOLICITATION ATTACHMENT 4

PROPOSAL SUBMISSION PACKAGE

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

CONTENTS:

For Technical Volume:

1. Project Experience Form

2. Customer Rating Questionnaire

For Business & Price Volume:

3. General Information

4. Biobased Certification

Project Experience Form

(Offerors must complete this form for evaluation purposes)

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

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Address:

Name of Contact:

Telephone Number:

Address:

Name of Contact:

Telephone Number:

MATERIAL SUPPLIER

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:

DUNS #:

TIN #:

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 Corrosion Preventatives – 53% Minimum BioBased Content Diesel Fuel Additives – 90% Minimum BioBased Content Exterior Paints and Coatings – 83% Minimum BioBased Content Fuel Conditioners – 64% Minimum BioBased Content Gasoline Fuel Additives – 92% Minimum BioBased Content Hand Cleaners and Sanitizers - Hand Cleaners – 64% 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 – Chemicals – 22% Minimum BioBased Content Intermediates – Paint and Coating Components – 22% Minimum BioBased Content Mobile Equipment Hydraulic Fluids – 44% Minimum BioBased Content Paint Removers – 41% Minimum BioBased Content Pneumatic Equipment Lubricants – 67% 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:

Types of Material: