Attachment 4 - RFP Information and General Compliance Worksheet_Guam SRTS.xlsx

XLSX spreadsheet 19 KB Posted

Attached to
Guam S&RTS Solicitation
Solicitation number
HTC711-26-R-E133
Issued by

About this file

This is an RFP Information and General Compliance Worksheet for a Stevedoring and Related Terminal Services (S&RTS) contract at the Ports of Guam. The RFP number is HTC71126RE133, with a five-year period of performance from October 1, 2026 through September 30, 2031. The contracting officer is Laura Tebbe and the contract specialist is Otto Roberts, both at USTRANSCOM/TCAQ-R located at Scott Air Force Base, Illinois. The NAICS code is 488320, and offerors must be registered as active in the System for Award Management (SAM) database by the proposal due date.

The worksheet is a compliance checklist that outlines all required submissions and documentation for offerors responding to this RFP. Key requirements include: completion of representations and certifications per FAR and DFARS regulations addressing price evaluation preferences for HUBZone small businesses, trafficking in persons compliance, foreign procurement taxes, and covered defense telecommunications equipment; submission of a Technical Worksheet (maximum 15 pages) and Mission Essential Plan (maximum 5 pages); a completed Schedule of Rates with detailed cost breakdowns for gang labor, equipment, and other commodities with documented methodology; a Small Business Subcontracting Plan for large businesses; properly completed SF 1449 forms with all required blocks and signed acknowledgments; and SF 30 forms with designated blocks completed. Unit prices must be submitted without formulas to two decimal places for all specified quantities. Proposal validity must extend a minimum of 180 calendar days.

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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: HTC71126RE133
Stevedoring & Related Terminal Services (S&RTS) Guam
Period of Performance: 01 October 2026 - 30 September 2031
Government Points of Contact:
Laura Tebbe, Contracting Officer

USTRANSCOM/TCAQ-R

508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 laura.b.tebbe.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 Complete in RFP if not in SAM.gov**ACTION ITEMSCOMPLETEDCOMMENTS
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 52.222-56, Certification Regarding Trafficking in Persons Compliance Plan (Feb 2026). The Offeror shall submit a certification implementing a compliance

plan for prohibiting trafficking in person or trafficking-related activities in accordance with FAR 52.222-56.

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
SMALL BUSINESS SUBCONTRACTING PLAN:ACTION ITEMSCOMPLETEDCOMMENTS
Attachment 6, Small Business Subcontracting Plan, completed and submitted. (Large Businesses Only)
TECHNICAL WORKSHEET
TECHINCAL 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.
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 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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