Attachment 4 - RFQ Information and General Compliance Worksheet_Mannheim and Regensburg.xlsx
XLSX spreadsheet 18 KB Posted
- Attached to
- Mannheim and Regensburg S&RTS
- Solicitation number
- HTC71126QE114
About this file
This is a Request for Quote (RFQ) Information and General Compliance Worksheet for solicitation HTC71126QE114, which seeks Stevedoring and Related Terminal Services (S&RTS) at the inland waterway ports of Mannheim and Regensburg, Germany. The contract period of performance runs from October 1, 2026 through September 30, 2031, supporting the Department of Defense's Defense Transportation System (DTS) for import and export cargo operations. Services must be performed in accordance with the Performance Work Statement (PWS) and consistent with best commercial practices.
The worksheet is a compliance checklist that requires offerors to complete multiple submission requirements, including: general company information (SAM registration, CAGE code, tax identification); representations and certifications (FAR 52.204-24, FAR 52.209-7, FAR 52.212-3, FAR 52.229-11, DFARS 252.204-7017, DFARS 252.229-7001); a trafficking in persons compliance plan; technical submission (15-page maximum technical worksheet); mission essential plan (5-page maximum); pricing submission via Schedule of Rates with unit prices containing only two decimal places; and acknowledgment forms (SF 1449 and SF 30). Proposal validity must extend a minimum of 180 calendar days. The contracting officer is Cassandra Range and the contract specialist is Connor Breyer, both located at USTRANSCOM/TCAQ-R at Scott Air Force Base, Illinois.
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Sheet1
| RFQ HTC71126QE114 - Attachment 4 |
| SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104 (When Filled-in, this Document becomes CUI//SP-SSEL) |
| ATTACHMENT 4: RFQ Information and General Compliance Worksheet |
| REQUEST FOR QUOTE: HTC71126QE114 |
| S&RTS Mannheim and Regensburg |
| Period of Performance: 01 October 2026 through 30 September 2031 |
| Government Points of Contact: |
| Cassandra Range, Contracting Officer |
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 cassandra.a.range.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: | |||
| 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 RFQ 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 (DEVIATION 2025-O0003 and 2025-O0004) (Mar 2025) | |||
| 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 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 SUBMISSION | |||
| 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 QUOTE, 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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