Attachment 4 - RFP Information and General Compliance Worksheet.xlsx

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Request for Proposal_Republic of South Korea Ports
Solicitation number
HTC711-22-R-R008
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Sheet1 SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

ATTACHMENT 4: RFP Information and General Compliance Worksheet
REQUEST FOR PROPOSAL: HTC71122RR008
Stevedoring & Related Terminal Services (S&RTS) Republic of South Korea
Period of Performance: 1 November 2022 - 31 October 2027
Government Points of Contact:
Carrie Yearian, Contracting Officer

USTRANSCOM/TCAQ-R

508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 carrie.e.yearian.civ@mail.mil Terry Lewin, Contract Specialist

USTRANSCOM/TCAQ-R

508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 terry.j.lewin.civ@mail.mil Elizabeth Holten, Contract Specialist

USTRANSCOM/TCAQ-R

508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 elizabeth.l.holten.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 Complete in RFP 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 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 2022), with Alternate I
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)
DFARS 252.247-7022, Representation of Extent of Transportation by Sea (Jun 2019)
ANCILLARY DOCUMENTATION
CONTINUATION OF ESSENTIAL CONTRACTOR SERVICES PLAN:ACTION ITEMSCOMPLETEDCOMMENTS
Attachment 3, Contractor Plan for Essential Contractor Services, completed and submitted.
TECHNICAL WORKSHEET
ACTION ITEMSCOMPLETEDCOMMENTS
Attachment 5, Technical Worksheet, completed and submitted.
Technical Worksheet did not exceed the page requirement - 25 pages.
PRICE QUOTE, 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.
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 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 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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