Attachment 4 - RFP Information and General Compliance Worksheet.xlsx
XLSX spreadsheet 19 KB Posted
- Attached to
- S&RTS, Gdansk, Poland
- Solicitation number
- HTC711-26-R-E135
About this file
This is a Request for Proposal (RFP) compliance and submission worksheet for Stevedoring and Related Terminal Services (S&RTS) at the Port of Gdansk, Poland. The contract is solicitation number HTC711-26-R-E135, issued by USTRANSCOM, with a primary five-year period of performance from November 28, 2026 through November 27, 2031, and an optional six-month extension through May 27, 2032. The contracting officer is Becky S. Molloy and the contract specialist is Melissa S. Romagno, both located at USTRANSCOM/TCAQ-R in Scott AFB, Illinois.
The worksheet serves as a comprehensive checklist for offerors submitting proposals and covers multiple submission requirements across several categories. Offerors must complete company registration information including CAGE code, SAM registration status, and tax identification details, with NAICS code 488320 required in SAM. Proposals must include representations and certifications addressing FAR and DFARS requirements covering responsibility matters, HUBZone price evaluation preferences, foreign procurement taxes, telecommunications equipment prohibitions, and tax relief provisions. Additionally, offerors must submit a trafficking in persons compliance plan per FAR 52.222-56, a technical proposal not exceeding 15 pages, a mission essential plan not exceeding 5 pages, a completed Schedule of Rates with unit prices limited to two decimal places and detailed cost breakdowns for labor and equipment, and completed SF 1449 and SF 30 forms with required signature and date certifications. Proposal validity must extend for a minimum of 180 calendar days.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation Amendment HTC71126RE1350004 SF 30.pdf | ||
| Questions and Answers_Gdansk_Round 3.xlsx | XLSX spreadsheet | |
| SOR - Gdansk Poland_updated 4 Jun 26.xlsx | XLSX spreadsheet | |
| Attachment 2 - SOR - Gdansk Poland_25 May 26.xlsx | XLSX spreadsheet | |
| Solicitation Amendment HTC71126RE1350003 SF 30.pdf | ||
| Questions and Answers_Gdansk_Round 2.xlsx | XLSX spreadsheet | |
| Attachment 1 - Performance Work Statement_Updated 27 May 26.pdf | ||
| Solicitation Amendment HTC71126RE1350002 SF 30.pdf | ||
| Questions and Answers_Gdansk.xlsx | XLSX spreadsheet | |
| SOR - Gdansk Poland Schedule of Rates_11 May 26.xlsx | XLSX spreadsheet | |
| Solicitation Amendment HTC71126RE1350001 SF 30.pdf | ||
| Attachment 2 - Schedule of Rates.xlsx | XLSX spreadsheet | |
| Attachment 5 - Technical Worksheet.docx | DOCX document | |
| Attachment 1 - Performance Work Statement.pdf.pdf | ||
| Solicitation - HTC71126RE135.pdf | ||
| Attachment 3 - Mission Essential Plan.docx | DOCX document |
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Text version
Gdansk
| RFP HTC71126RE135 - 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: HTC71126RE135 |
| Stevedoring & Related Terminal Services (S&RTS) Gdansk, Poland |
| Period of Performance: 28 Nov 2026 - 27 Nov 2031 |
(Optional Period of Performance 28 Nov 2031 - 27 May 2032)
| Government Points of Contact: |
| Becky S. Molloy, Contracting Officer |
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 becky.s.molloy.civ@mail.mil Melissa S. Romagno, Contract Specialist
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 melissa.s.romagno.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 fully complete each action item in the RFP and acknowledge on Attachment 4, if not in SAM.gov** | ACTION ITEMS | COMPLETED | COMMENTS |
| FAR 52.209-7, Information Regarding Responsibility Matters (Feb 2026) | |||
| FAR 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (Feb 2026) (Deviation) | |||
| FAR 52.229-11, Tax On Certain Foreign Procurements Notice & Representation (Feb 2026) 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 (Feb 2026). 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. | |||
| DFARS 252.229-7001, Tax Relief (Feb 2026) | |||
| ANCILLARY DOCUMENTATION | |||
| CERTIFICATION REGARDING | ACTION ITEMS | COMPLETED | COMMENTS |
| TRAFFICKING IN PERSONS (CTIP) | |||
| COMPLIANCE PLAN: | |||
| In accordance with FAR 52.222-56, offerors shall submit an English certification implementing a compliance plan for prohibiting trafficking in person or trafficking-related activities. More details and instructions are found within the aforementioned FAR clause. (Feb 2026) | |||
| TECHNICAL PROPOSAL | |||
| TECHNICAL WORKSHEET | ACTION ITEMS | COMPLETED | COMMENTS |
| Attachment 5, Technical Worksheet, completed and submitted. | |||
| Technical Worksheet did not exceed the page requirement - 15 pages. | |||
| MISSION ESSENTIAL PLAN | ACTION ITEMS | COMPLETED | COMMENTS |
| 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 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. | |||
| A breakdown of gang costs, other labor costs, equiment costs associated with CFE and other costs used to develop the commodity rates was provided. | |||
| The breakdown was accompanied by a detailed description of the method(s) used to develop the commodity rates. | |||
| A breakdown was provided for all proposed manhour rates. | |||
| 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 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 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 |
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