Attachment 4 - RFP Info and General Compliance Worksheet Okinawa.xlsx
XLSX spreadsheet 18 KB Posted
- Attached to
- S&RTS Ports of Okinawa
- Solicitation number
- HTC711-25-R-R004
About this file
This is an RFP Information and General Compliance Worksheet (Attachment 4) for solicitation HTC71125RR004 covering Stevedoring & Related Terminal Services at Okinawa, Japan. The contract period of performance runs from April 1, 2025 through March 31, 2030. The contracting office is USTRANSCOM/TCAQ-R at Scott AFB, with Brita M. Dorsey as the Contracting Officer and Nashae Perez as the Contract Specialist.
The worksheet requires offerors to provide company information, POCs, and complete various compliance items including SAM registration verification, representations and certifications, and submission of required documentation such as an Essential Contractor Services Plan, Hazmat certifications, business licenses, and KPA authorization letter for working at Okinawa ports. Technical proposals are limited to 25 pages and must be submitted using Attachment 5. Pricing must be submitted using Attachment 2 (Schedule of Rates) with unit prices to two decimal places. The proposal validity period must be at least 180 calendar days, and offerors must operate under NAICS code 488320.
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Sheet1 SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104 (When Filled-in, this Document becomes CUI//SP-SSEL)
| ATTACHMENT 4: RFP Information and General Compliance Worksheet |
| REQUEST FOR PROPOSAL: HTC71125RR004 |
| Stevedoring & Related Terminal Services (S&RTS) Okinawa, Japan |
| Period of Performance: 1 April 2025 thru 31 March 2030 |
| Government Points of Contact: |
| Brita M. Dorsey, Contracting Officer |
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 brita.m.dorsey.civ@mail.mil Nashae Perez, Contract Specialist
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 nashae.j.perez.civ@mail.mil
| GENERAL INFORMATION - Complete the requested information below. | |||
| COMPANY NAME: | |||
| COMPANY ADDRESS: | |||
| COMPANY TELEPHONE NUMBER: | |||
| COMPANY EMAIL ADDRESS: | |||
| BUSINESS SIZE (NAICS 488320): | |||
| CAGE CODE: | |||
| SAM NUMBER: | |||
| TAX IDENTIFICATION NUMBER: | |||
| IBAN/SWIFT CODE: | |||
| REMITTANCE ADDRESS: (Only if remittance address is different, such address must be registered in the System for Award Management (SAM) database, If not mark as N/A) | |||
| 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) | |||
| 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 | |||
| REPRESENTATIONS AND CERTIFICATIONS (REPS & CERTS): **Please Complete in RFP if not in SAM.gov** | ACTION ITEMS | COMPLETED | COMMENTS |
| FAR 52.204-24, Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021). NOTE: FAR 52.204-24 only needs to be completed if FAR 52.204-26 is not completed in SAM.gov, or if the quoter represents it “will” provide or “does” use covered telecommunications equipment. | |||
| FAR 52.209-7, Information Regarding Responsibility Matters (Oct 2018) | |||
| FAR 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services (May 2024) | |||
| FAR 52.229-11, Tax On Certain Foreign Procurements Notice & Representation (Jun 2020) NOTE: Offerors representing as a "foreign person" must also submit an IRS Form W-14. | |||
| 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 DFARS 252.204-7016 is not completed in SAM.gov, or if the quoter represents it “does” provide covered defense telecommunications equipment or services in DFARS 252.204-7016. | |||
| DFARS 252.229-7001, Tax Relief (Apr 2020) | |||
| ANCILLARY DOCUMENTATION | |||
| CONTINUATION OF | ACTION ITEMS | COMPLETED | COMMENTS |
| ESSENTIAL CONTRACTOR | |||
| SERVICES PLAN: | |||
| Attachment 3, Contractor Plan for Essential Contractor Services, completed and submitted. | |||
| Hazmat Certifications, Current Certification or signed Self-Certified Letter (2 personel). | |||
| Evidence of valid and current business license or work permit for prime contractor and/or subcontractors. | |||
| Signed authorization letter from KPA dated within 30 days of proposal submission giving ability to work at the Okinawa ports. | |||
| TECHNICAL WORKSHEET | |||
| ACTION ITEMS | COMPLETED | COMMENTS | |
| Attachment 5, Technical Worksheet, completed and submitted. | |||
| Technical Worksheet did not exceed the page requirement - 25 pages. | |||
| PRICE PROPOSAL, SCHEDULE OF RATES (SOR) | |||
| ACTION ITEMS | COMPLETED | COMMENTS | |
| Attachment 2, Schedule of Rates, completed and 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. | |||
| ACKNOWLEDGMENTS | |||
| 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 |
File details come from the government source that posted it. Updated .