Attachment 4 - RFP Information and General Compliance Worksheet_Indonesia.xlsx
XLSX spreadsheet 18 KB Posted
- Attached to
- Indonesia S&RTS
- Solicitation number
- HTC71126RE113
About this file
This document is an RFP Information and General Compliance Worksheet for Solicitation HTC71126RE113, a five-year Stevedoring and Related Terminal Services (S&RTS) contract for the Port of Indonesia. The contract period runs from May 1, 2026, through April 30, 2031, and is issued by USTRANSCOM/TCAQ-R. The contract encompasses stevedoring, longshoring, cargo management, warehousing, and related terminal operations at multiple Indonesian ports including Banyuwangi, Jakarta (Tanjung Priok), Surabaya, Semarang, and Panjang. Services must be available 24 hours a day, seven days a week, year-round and must accommodate all classes of Department of Defense cargo, including military vehicles, ammunition, explosives, hazardous materials, and sensitive items transported via vessel, truck, rail, and aircraft.
The worksheet serves as a compliance checklist for offerors and requires completion of company information (CAGE code, SAM registration, tax identification), representations and certifications (FAR and DFARS clauses), and submission of three attachments: a Technical Worksheet (not exceeding 15 pages), a Contractor Plan for Continuation of Essential Services (not exceeding 5 pages), and a Schedule of Rates pricing proposal with unit prices limited to two decimal places. Offerors must be registered as active in SAM with NAICS code 488320, and proposals must remain valid for a minimum of 180 calendar days. The document references Points of Contact Laura Tebbe (Contracting Officer) and Casey Schuette (Contract Specialist) for questions, and requires signed and dated acknowledgment on SF 1449 and SF 30 forms indicating acceptance of contract terms and conditions.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation Amendment HTC71126RE1130002 SF 30.pdf | ||
| Questions and Answers_Round 2.xlsx | XLSX spreadsheet | |
| Attachment 2 - Schedule of Rates (SOR)_Indonesia_REVISED_03.11.26.xlsx | XLSX spreadsheet | |
| Questions and Answers_Round 1.xlsx | XLSX spreadsheet | |
| Solicitation Amendment HTC71126RE1130001 SF 30.pdf | ||
| Solicitation - HTC71126RE113.pdf | ||
| Attachment 5 - Technical Worksheet - Indonesia.docx | DOCX document | |
| Synopsis_Indonesia.pdf | ||
| Attachment 1 - Performance Work Statement_Indonesia.pdf | ||
| Attachment 2 - Schedule of Rates (SOR)_Indonesia.xlsx | XLSX spreadsheet | |
| Attachment 3 - Contractor Plan for Continuation of Essential Contractor Services_Indonesia.docx | DOCX document |
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Text version
Sheet1
| RFP HTC71126RE113 - 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: HTC71126RE113 |
| Stevedoring & Related Terminal Services (S&RTS) Indonesia |
| Period of Performance: 01 May 2026 through 30 April 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 Casey Schuette, Contract Specialist
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 casey.d.schuette.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 Reps & Certs - Commercial Products and Commercial Services (Mar 2025) (DEVIATION 2025-O0003 AND 2025-O0004) | |||
| 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 | |||
| 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. | |||
| 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. | |||
| CONTRACTOR PLAN FOR CONTINUATION OF ESSENTIAL CONTRACTOR SERVICES | ACTION ITEMS | COMPLETED | COMMENTS |
| Attachment 3, Contractor Plan for Continuation of Essential Contractor Services, completed and submitted. | |||
| Contractor Plan for Continuation of Essential Contractor Services 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. | |||
| 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 |
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