Attachment 4 - RFP Information and General Compliance Worksheet 1-20-2026.xlsx

XLSX spreadsheet 26 KB Posted

Attached to
S&RTS Cape Canaveral, Florida Federal contract opportunity
Solicitation number
HTC71126RE123
Issued by
Department of Defense United States Transportation Command

About this file

This file is an RFP Information and General Compliance Worksheet that serves as a submission checklist and data collection form for the Stevedoring & Related Terminal Services (S&RTS) contract opportunity at Port of Cape Canaveral. The contract (RFP HTC71126RE123) is issued by the Department of Defense United States Transportation Command (USTRANSCOM) with a five-year period of performance from May 19, 2026, through May 18, 2031. The primary government points of contact are Becky Molloy (Contracting Officer), Katherine Alexander (Contract Specialist), and Otto Roberts (Contract Specialist), all based at USTRANSCOM/TCAQ-R in Scott AFB, Illinois.

The worksheet requires offerors to complete company registration information, representations and certifications per FAR and DFARS requirements, technical proposals (limited to 15 pages), mission essential plans (limited to 5 pages), detailed price proposals with schedules of rates, and applicable collective bargaining agreements. Large businesses must submit small business subcontracting plans. Key compliance requirements include active SAM registration with NAICS code 488320, completion of FAR 52.204-24 and 52.212-3 representations, DFARS telecommunications equipment prohibitions, SF 1449 acknowledgment forms with required block completions, and SF 30 amendment forms if applicable. Unit prices must be provided without formulas and to two decimal places, with detailed breakdowns of gang costs, labor, equipment, and other cost components supporting the commodity rates. Offerors must maintain proposal validity for a minimum of 180 calendar days.

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Text version

Sheet1

RFP HTC71126RE123 - Attachment 4
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: HTC71126RE123
Stevedoring & Related Terminal Services (S&RTS) Port of Cape Canaveral
Period of Performance: 19 May 2026 - 18 May 2031
Government Points of Contact:
Becky Molloy, Contracting Officer

USTRANSCOM/TCAQ-R

508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 becky.s.molloy.civ@mail.mil Katherine Alexander, Contract Specialist

USTRANSCOM/TCAQ-R

508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 katherine.f.alexander.civ@mail.mil

Otto Roberts, Contract Specialist

USTRANSCOM/TCAQ-R

508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 otto.d.roberts.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 ITEMSCOMPLETEDCOMMENTS
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 fully complete each action item in the RFP and acknowledge on Attachment 4, if not in SAM.gov**ACTION ITEMSCOMPLETEDCOMMENTS
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 offeror 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 (DEVIATION 2025-O0003 and 2025-O0004) (Mar 2025)
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 offeror represents it “does” provide covered defense telecommunications equipment or services in DFARS 252.204-7016.
ANCILLARY DOCUMENTATION
SMALL BUSINESS SUBCONTRACTING PLAN:ACTION ITEMSCOMPLETEDCOMMENTS
Attachment 6, Small Business Subcontracting Plan, completed and submitted. (Large Businesses Only)
TECHNICAL PROPOSAL
TECHNICAL WORKSHEETACTION ITEMSCOMPLETEDCOMMENTS
Attachment 5, Technical Worksheet, completed and submitted.
Technical Worksheet did not exceed the page requirement - 15 pages.
MISSION ESSENTIAL PLANACTION ITEMSCOMPLETEDCOMMENTS
Attachment 3, Mission Essential Plan, completed and submitted.
Mission Essential Plan did not exceed the page requirement - 5 pages.
PRICE PROPOSAL, SCHEDULE OF RATES (SOR)
ACTION ITEMSCOMPLETEDCOMMENTS
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.
Submitted breakdown of gang costs, other labor costs, equipment costs associated with Contractor Furnished Equipment (CFE) and all other costs used to develop the commodity rates.
Submitted applicable Collective Bargaining Agreements (CBA) or Union contracts as required by the Addendum to FAR 52.212-1(8)(d)
ACKNOWLEDGMENTS
SF1449:ACTION ITEMSCOMPLETEDCOMMENTS
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 RFP, 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 ITEMSCOMPLETEDCOMMENTS
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

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