Attachment_5_Forms_to_Return_with_Quote_140P8323Q0067.docx
DOCX document 42 KB Posted
- Attached to
- Refinish Hardwood Flooring, MORA Federal contract opportunity
- Solicitation number
- 140P8323Q0067
About this file
This document contains forms and templates for a solicitation seeking quotes for refinishing hardwood flooring at Mount Rainier National Park. Key details include a price schedule requiring lump sum pricing to refinish the floors per the statement of work. Offerors must have a Unique Entity Identifier and System for Award Management registration. The representation asks if offerors will use covered telecommunications equipment or services as defined in the Federal Acquisition Regulation. Forms are included for offeror information, relevant experience on similar past projects, proposed subcontractor details, and subcontractor references. The related opportunity is solicitation number 140P8323Q0067 from the Department of Interior National Park Service Pacific West Region to refinish hardwood floors at Mount Rainier National Park.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P8323Q0067_Amd_0001.pdf | ||
| Attachment_3_Photos_140P8323Q0067.pdf | ||
| Attachment_4_Paradise_Area_Map.pdf | ||
| Attachment_1_Scope_of_Work_140P8323Q0067.pdf | ||
| Attachment_2_Wage_Determination_Construction_Building_WA20230093.pdf | ||
| Sol_140P8323Q0067.pdf |
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Text version
| Solicitation (RFQ) no. 140P8323Q0067 | Refinish Hardwood Flooring | |
| Attachment 5, Forms to Return with Quote | Mount Rainier National Park (MORA) |
1. PRICE SCHEDULE - INSTRUCTIONS
Quoter shall fill in price. Failure to do so may render the quote ineligible from further consideration. In case of errors in summations, the total of the corrected amounts governs. Round totals and extended prices to whole dollars. Quoter shall factor prices quoted to include all labor, travel, equipment, materials, transportation, disposal, overhead and profit necessary for completing all work performed in accordance with the Scope of Work, terms, provisions, and clauses.
| Price Schedule Line Item Number |
| Line Item Title/Description |
BASE REQUIREMENT
| Quantity |
| Unit of Measure |
| Total Price |
| 1 |
| Provide all labor, materials, tools, and other equipment, services, and supervision required to refinish hardwood flooring as per the Statement of Work. |
| 1 |
| Lump Sum |
TOTAL PRICE:
2. In accordance with the Federal Acquisition Regulation (FAR) provision, 52.204-07, Quoters must have a Unique Entity Identifier (UEI) number and an active registration in the System for Award Management database (SAM.gov) at time of submitting quote. Information about obtaining a UEI and registration in SAM.gov can be found at:
| https://sam.gov/content/entity-registration |
| https://sam.gov |
Fill out the following and submit with quote:
Business Name:_______________________________________________________
SAM.gov UEI (Not DUNS):_____________________________________________
Point of Contact Name:_________________________________________________
Mailing Address:______________________________________________________
Email Address:________________________________________________________
Phone Number:________________________________________________________
Answer the Question: Will you self-perform this project or will you hire a subcontractor?
_____ Self-perform _____ hire subcontractor (fill out subcontractor information at the end of this document) Explain:______________________________________________________________________________
3. 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (NOV 2021) The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Products or Commercial Services. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.
(a) Definitions. As used in this provision— Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.
(b) Prohibition.
| (1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year | 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, | from procuring or obtaining, or extending or renewing a contract to procure or obtain, any | equipment, system, or service that uses covered telecommunications equipment or services as a | substantial or essential component of any system, or as critical technology as part of any system. | Nothing in the prohibition shall be construed to— | ||||||
| (i) Prohibit the head of an executive agency from procuring with an entity to provide a | service that connects to the facilities of a third-party, such as backhaul, roaming, or | interconnection arrangements; or | |||||||||
| (ii) Cover telecommunications equipment that cannot route or redirect user data traffic | or cannot permit visibility into any user data or packets that such | equipment transmits or otherwise handles. | |||||||||
| (2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year | 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2020, from | entering into a contract | or extending or renewing a contract with an entity that uses any equipment, | system, or service that uses covered | telecommunications equipment or services as a substantial or | essential component of any system, or as critical | technology as part of any system. This | prohibition applies to the use of covered telecommunications equipment or | services, regardless of | whether that use is in performance of work under a Federal contract. Nothing in the prohibition | shall be construed to— |
| (i) Prohibit the head of an executive agency from procuring with an entity to provide a | service that | connects to the facilities of a third-party, such as backhaul, roaming, or | interconnection arrangements; or | ||||||||
| (ii) Cover telecommunications equipment that cannot route or redirect user data traffic | or cannot permit visibility into any user data or packets that such equipment transmits | or otherwise handles. |
(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) ( https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services".
(d) Representation. The Offeror represents that—
| (1) It □ will, □ will not provide covered telecommunications equipment or services to the | Government in the performance of any contract, subcontract or other contractual instrument | resulting from this solicitation. The Offeror shall provide the additional disclosure information | required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this | section; and | ||
| (2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents | that— | |||||
| It □ does, □ does not use covered telecommunications equipment or services, or use any | equipment, system, or service that uses covered telecommunications equipment or services. The | Offeror shall provide the additional | disclosure information required at paragraph (e)(2) of this | section if the Offeror responds "does" in paragraph (d)(2) of this section. |
(e) Disclosures.
| (1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has | responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall | provide the following information as part | of the offer: | |||||||
| (i) For covered equipment— | ||||||||||
| (A) The entity that produced the covered telecommunications equipment (include | entity name, unique entity identifier, CAGE code, and whether the entity was the | original equipment manufacturer (OEM) or a distributor, if known); | ||||||||
| (B) A description of all covered telecommunications equipment offered (include | brand; model number, such as OEM number, manufacturer part number, or | wholesaler number; and item description, as applicable); and | ||||||||
| (C) Explanation of the proposed use of covered telecommunications equipment | and any factors relevant to determining if such use would be permissible under | the prohibition in paragraph (b)(1) of this provision. | ||||||||
| (ii) For covered services— | ||||||||||
| (A) If the service is related to item maintenance: A description of all covered | telecommunications services offered (include on the item being maintained: | Brand; model number, such as OEM number, manufacturer part number, or | wholesaler number; and item description, as applicable); | or | ||||||
| (B) If not associated with maintenance, the Product Service Code (PSC) of the | service being provided; and explanation of the proposed use of covered | telecommunications services and any factors relevant to determining if such use | would be permissible under the prohibition in paragraph (b)(1) of this provision. | |||||||
| (2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has | responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall | provide the following information as part | of the offer: | |||||||
| (i) For covered equipment— | ||||||||||
| (A) The entity that produced the covered telecommunications equipment (include | entity name, unique entity identifier, CAGE code, and whether the entity was the | OEM or a distributor, if known); | ||||||||
| (B) A description of all covered telecommunications equipment offered (include | brand; model number, such as OEM number, manufacturer part number, or | wholesaler number; and item description, as applicable); and | ||||||||
| (C) Explanation of the proposed use of covered telecommunications equipment | and any factors relevant to determining if such use would be permissible under | the prohibition in paragraph (b)(2) of this provision. | ||||||||
| (ii) For covered services— | ||||||||||
| (A) If the service is related to item maintenance: A description of all covered | telecommunications services offered (include on the item being maintained: | Brand; model number, such as OEM number, manufacturer part number, or | wholesaler number; and item description, as applicable); | or | ||||||
| (B) If not associated with maintenance, the PSC of the service being provided; | and explanation of the proposed use of covered telecommunications services and | any factors relevant to determining if such use would be permissible under the | prohibition in paragraph (b)(2) of this provision. |
(End of provision)
Relevant Experience The purpose of this form is for the offeror to list construction projects (preferably performed during the past five (5) years) that are similar to the work described in this solicitation. The number of projects listed shall not exceed three (3) and shall be numbered consecutively, beginning with the most recent project. Use this form to address your familiarity with the Scope of Work described in the plans and specifications and with the capability criteria described in the Request for Proposal. Include area codes with all telephone numbers. Type or print legibly.
The Government may contact the entities listed herein to obtain past performance reviews of the offeror’s team. Past performance is a measure of the degree to which the Offeror satisfied its customers in the past and complied with federal, state, and local laws and regulations. The past performance of the offeror, key personnel (if applicable), and proposed subcontractors on projects similar in scope and complexity (i.e. relevant to the current project) will be evaluated in the areas of quality, timeliness, and business relations. It is especially important that the offeror disclose instances in which their past performance may be considered by others to be less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s past performance record.
NAME OF CONTRACTOR/QUOTER:
PROJECT NAME:
Project Location:
Name of Owner:
Address of Owner:
Telephone Number:
Project Value:
Dates of Service/ Supply:
DESCRIPTION OF THE PROJECT AND SCOPE OF QUOTER’S WORK
DESCRIPTION OF THE PROJECT AND SCOPE OF QUOTER’S WORK:
PERFORMANCE REMARKS (Leave blank: to be filled out by NPS evaluator)
Relevant Experience The purpose of this form is for the offeror to list construction projects (preferably performed during the past five (5) years) that are similar to the work described in this solicitation. The number of projects listed shall not exceed three (3) and shall be numbered consecutively, beginning with the most recent project. Use this form to address your familiarity with the Scope of Work described in the plans and specifications and with the capability criteria described in the Request for Proposal. Include area codes with all telephone numbers. Type or print legibly.
The Government may contact the entities listed herein to obtain past performance reviews of the offeror’s team. Past performance is a measure of the degree to which the Offeror satisfied its customers in the past and complied with federal, state, and local laws and regulations. The past performance of the offeror, key personnel (if applicable), and proposed subcontractors on projects similar in scope and complexity (i.e. relevant to the current project) will be evaluated in the areas of quality, timeliness, and business relations. It is especially important that the offeror disclose instances in which their past performance may be considered by others to be less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s past performance record.
NAME OF CONTRACTOR/QUOTER:
PROJECT NAME:
Project Location:
Name of Owner:
Address of Owner:
Telephone Number:
Project Value:
Dates of Service/ Supply:
DESCRIPTION OF THE PROJECT AND SCOPE OF QUOTER’S WORK
DESCRIPTION OF THE PROJECT AND SCOPE OF QUOTER’S WORK:
PERFORMANCE REMARKS (Leave blank: to be filled out by NPS evaluator)
List of proposed subcontractors The purpose of this form is for the Quoter to list the proposed subcontractors who will perform on the contract. Include a brief description of the work they will perform. Fill in the information by typing or printing legibly.
NAME OF CONTRACTOR/VENDOR/QUOTER: _______________________________
SUBCONTRACTOR NAME:
UEI:
Small Business
Yes
No
Address and website/email address:
DESCRIPTION OF PROPOSED SUBCONTRACTOR WORK:
SUBCONTRACTOR NAME:
UEI:
Small Business
Yes
No
Address and website/email address:
DESCRIPTION OF PROPOSED SUBCONTRACTOR WORK:
SUBCONTRACTOR NAME:
UEI:
Small Business
Yes
No
Address and website/email address:
DESCRIPTION OF PROPOSED SUBCONTRACTOR WORK:
SUBCONTRACTOR NAME:
UEI:
Small Business
Yes
No
Address and website/email address:
DESCRIPTION OF PROPOSED SUBCONTRACTOR WORK:
Subcontractor Reference/Experience
READ CAREFULLY: The purpose of this form is for the quoter to provide references for key subcontractors who are considered critical to the successful accomplishment of the project. Use as many sheets as necessary. These subcontractor references should include additional relevant projects similar to the work described in the scope of work (SOW). Include area codes with all telephone numbers and email addresses. Fill in the information by typing or printing legibly.
SUBCONTRACTOR (PROPOSED):
ADDRESS:
TELEPHONE NUMBER:
PROJECT NAME:
Name of Owner:
Location:
Prime Contractor:
Telephone Number:
Email Address:
Subcontract $ Value:
Dates of Performance:
Customer/Reference Name, telephone and email address
DESCRIPTION & DETAILS OF WORK
SPECIFIC AREAS OF EXPERIENCE (SEE QUOTE INSTRUCTIONS CONTENTS FOR THE SUBMISSION OF QUOTES AND OTHER INFORMATION)
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