Attachment 4 - RFP Information and General Compliance Worksheet_Romania.xlsx
XLSX spreadsheet 18 KB Posted
- Attached to
- S&RTS- Ports of Livorno and Tombolo Dock Italy
- Solicitation number
- HTC711-25-R-E119
About this file
This is an RFP (Request for Proposal) for Stevedoring & Related Terminal Services (S&RTS) located in Constanta, Romania. The contract is solicited by the United States Transportation Command (USTRANSCOM) with a performance period from 14 December 2025 through 13 December 2030. The RFP includes a comprehensive compliance worksheet requiring offerors to complete multiple action items across categories such as general information, representations and certifications, technical proposal submission, Schedule of Rates, and standard form acknowledgments. Key submission requirements include being active in the System for Award Management (SAM), completing various federal acquisition regulation (FAR) representations, submitting a Trafficking in Persons (CTIP) compliance plan, and providing a technical worksheet and essential contractor services plan. Proposals must be submitted with a 180-calendar day validity period, and offerors must provide detailed company information including NAICS code, CAGE code, DUNS number, and contact details for primary and alternate points of contact who can negotiate and obligate the company contractually.
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RFP Compliance RFP HTC71125RE118 - 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: HTC71125RE118 |
| Stevedoring & Related Terminal Services (S&RTS) Constanta, Romania |
| Period of Performance: 14 December 2025 through 13 December 2030 |
| Government Points of Contact: |
| Kelsy Burris, Contracting Officer |
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 kelsy.l.burris.civ@mail.mil Connor Breyer, Contract Specialist
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 connor.n.breyer.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: | |||
| DUNS NUMBER: | |||
| SAM NUMBER: (Replaces the DUNS Number as of 1 April 2022.) | |||
| 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 52.204-24, 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 (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 offeror 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 a 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. | |||
| CONTINUATION OF | ACTION ITEMS | COMPLETED | COMMENTS |
| ESSENTIAL CONTRACTOR | |||
| SERVICES PLAN | |||
| Attachment 3, Contractor Plan for Essential Contractor Services, completed and submitted. | |||
| Contractor Plan for Essential Contractor Services did not exceed the page requirement - 5. | |||
| 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 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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