Attachment 5 - RFQ QUOTATION FORM.docx
DOCX document 25 KB Posted
- Solicitation number
- 36C24726Q0772
About this file
This is a Request for Quotations (RFQ) Vendor Quotation Form for a commercial construction project to replace generators at the Carl Vinson VA Medical Center in Dublin, Georgia. The solicitation (36C24726Q0772) is a 100% Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside under NAICS code 236220 (Commercial and Institutional Building Construction) with a $45 million size standard. The project involves temporary and permanent generator installation, replacement fuel tanks, automatic transfer switches, switchboards, electrical panels, day tanks, load banks, civil site work, physical enclosures, fire alarm and sprinkler modifications, and electronic security systems based on provided design drawings and specifications. The contract is firm-fixed-price with a 455 calendar day performance period from Notice to Proceed, and award will be made on a Lowest Price Technically Acceptable (LPTA) basis. Quotes are due September 14, 2026 at 1:00 PM EST and must be submitted to Contracting Officer Zaire Naylor at Zaire.Naylor@VA.GOV.
Vendors must complete all sections of the form, including certification of SDVOSB status through SBA VetCert, active SAM.gov registration, Davis-Bacon prevailing wage compliance for Laurens County, Georgia, and acknowledgment of all solicitation requirements. A bid guarantee of 20% of the total quoted price (not to exceed $3,000,000) is required in the form of a bid bond, irrevocable letter of credit, certified check, or cashier's check from a Treasury Circular 570-listed surety. The quotation must be presented as a lump-sum firm-fixed-price in Section 3, with all labor, materials, equipment, overhead, profit, bonds, insurance, and indirect costs included. An itemized cost breakdown worksheet must accompany the quote, and performance and payment bonds (each 100%) must be provided within 10 days of award. Failure to complete all required representations and acknowledgments, submit required documentation, or provide a valid bid guarantee will result in rejection of the quote as non-responsive.
View the file
Other files
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT 5
REQUEST FOR QUOTATIONS -- VENDOR QUOTATION FORM
Project 557-23-103 | Replace Building 2 & 4 Generators | Carl Vinson VA Medical Center, Dublin, GA Solicitation No.: 36C24726Q0772 | INSTRUCTIONS: Complete all sections. Sign and date Section 6. Submit with Volume II of your quote package. Incomplete forms will be deemed non-responsive.
SECTION 1 -- VENDOR INFORMATION
Legal Company Name
DBA / Trade Name (if different)
Unique Entity Identifier (UEI)
CAGE Code
Business Address (Street)
City, State, ZIP
Point of Contact Name
Title
Phone Number
Email Address
State of Incorporation
| Business Type |
| [ ] Corporation [ ] LLC [ ] Partnership [ ] Sole Proprietor [ ] Joint Venture |
SECTION 2 -- ELIGIBILITY AND CERTIFICATIONS
| Item |
| Response |
| SAM.gov Registration Status: |
| [ ] Active Registration Expiration Date: _______________ |
| SDVOSB Verification (SBA VetCert): |
| [ ] Verified SDVOSB VetCert ID No.: _______________ Expiration: _______________ |
| NAICS 236220 -- Size Standard $45.0M: |
| [ ] Small Business [ ] Other Than Small Avg. Annual Receipts (last 3 yrs): $_______________ |
| Limitations on Subcontracting (FAR 52.219-14): |
| [ ] Acknowledged -- Prime will perform a minimum of 15% of the contract cost for personnel with its own employees |
| Davis-Bacon Wage Determination Reviewed: |
| [ ] Yes -- Prevailing wage rates for Laurens County, GA are incorporated in quoted price [ ] No |
| Pre-Bid Site Visit: |
| [ ] Attended [ ] Did Not Attend -- site conditions independently assessed and priced |
| VETS-4212 Report (Title 38 U.S.C. 4212(d)): |
| [ ] Filed for current fiscal year -- Confirmation No.: _______________ [ ] Will file in accordance with 38 U.S.C. 4212(d) upon contract award |
| FAPIIS / Debarment / Suspension: |
| [ ] Not debarred, suspended, proposed for debarment, or ineligible for award |
SECTION 3 -- PRICE QUOTATION
| CLIN |
| Description |
| QTY |
| Unit |
| Total Quoted Price (Firm-Fixed-Price) |
| 0001 |
| Project Number 557-23-103: Work will include but is not limited to temporary generator, replacement fuel tanks, installation of new generators and all associated automatic transfer switches, switchboards, electrical panels, day tanks, load banks, civil site work, physical enclosures, fire alarm and sprinkler modifications, and electronic security based on provided A/E design drawings and specifications. All work will be done in compliance with Federal, State, and local regulations within 455 Calendar Days from NTP. |
| 1 |
| Lump Sum |
| $ |
TOTAL QUOTED PRICE
NOTE: The total quoted price must include all labor (at Davis-Bacon prevailing wage rates), materials, equipment, overhead, profit, bid bond, performance bond, payment bond, insurance, and all other direct and indirect costs required to complete the full scope of work. Prices must be Firm-Fixed-Price. Any qualifications, exceptions, exclusions, or conditions to the quoted price may result in rejection of the quote. Complete and submit Itemized Cost Breakdown Worksheet attachment as part of Volume II. Division totals must sum to the CLIN 0001 total quoted price above.
SECTION 4 -- BID GUARANTEE
A bid guarantee is required pursuant to FAR 52.228-1. Failure to submit a bid guarantee in the proper form and amount is cause for rejection of the quote as non-responsive.
Bid Guarantee Information
| Form of Bid Guarantee: |
| [ ] Bid Bond (SF 24) [ ] Irrevocable Letter of Credit (ILOC) [ ] Certified Check [ ] Cashier's Check |
| Amount of Bid Guarantee: |
| $___________________________ (must equal 20% of total quoted price; not to exceed $3,000,000) |
Surety Company Name (if bid bond):
| Surety NAIC Code / Treasury Circular 570: |
| [ ] Surety is listed on Treasury Circular 570 (https://fiscal.treasury.gov/surety-bonds/list-certified-companies.html) |
| Bid Guarantee Enclosed: |
| [ ] YES -- Attached to this quote package [ ] NO -- (Quote will be rejected as non-responsive) |
SECTION 5 -- REPRESENTATIONS AND ACKNOWLEDGMENTS
IMPORTANT: Initial each item below. Failure to initial all representations will result in rejection of your quote as incomplete. By initializing each item below, the authorized representative confirms the representations and acknowledgments:
| Initials |
| Representation / Acknowledgment |
| _____ |
| The quoter has read, understands, and agrees to comply with all terms, conditions, and requirements of Solicitation No. 36C24726Q0772 and all attachments, including the Statement of Work, construction drawings, and specifications. |
| _____ |
| The quoted price reflects the quoter's complete understanding of the scope of work and includes all costs to complete the project, including all Davis-Bacon prevailing wage rates for Laurens County, GA. |
| _____ |
| The quoter is a verified Service-Disabled Veteran-Owned Small Business (SDVOSB) under the SBA VetCert program and will maintain verified status through contract performance. |
| _____ |
| The quoter's SAM.gov registration is active and all representations and certifications in SAM are current, accurate, and complete as of the date of this quote. |
| _____ |
| The Itemized Cost Breakdown Attachment is accurate and complete. All division totals sum to the CLIN 0001 Total Quoted Price in Section 3. |
| _____ |
| Performance Bond (100%) and Payment Bond (100%) will be furnished within 10 calendar days of Notice of Award from a surety listed on Treasury Circular 570. |
| _____ |
| The quoter has not attached any qualifications, exceptions, exclusions, or conditions to this quote that would preclude the Government from evaluating it. |
| _____ |
| The quoter acknowledges receipt of all solicitation amendments issued (if any). Amendment Nos. received: _______________. If none, enter N/A. Note: Before submitting your quote, confirm you have received all amendments posted to SAM.gov for Solicitation 36C24726Q0772. List amendment numbers above. Quoters who fail to acknowledge amendments risk rejection. |
SECTION 6 -- AUTHORIZED SIGNATURE
By signing below, the quoter makes a quote to the Government of the United States to perform all work described in Solicitation No. 36C24726Q0772 for the total quoted price stated in Section 3, subject to all terms and conditions of this solicitation. This quote shall remain valid for 120 calendar days from the quote due date.
The undersigned certifies under penalty of law that all representations, certifications, and information contained in this Quotation Form are accurate, current, and complete.
Authorized Signature:
Printed Name:
Date:
Title:
Company:
Email:
Phone:
FOR GOVERNMENT USE ONLY
Quote Received Date/Time:
| Received via Email: |
| [ ] YES [ ] NO |
| Price Rank: |
| _____ of _____ quotes received |
| Bid Guarantee Verified: |
| [ ] YES [ ] NO |
| VetCert Verified by CO: |
| [ ] YES [ ] NO Date: ___________ |
| SAM.gov Active: |
| [ ] YES [ ] NO |
| Technical Rating (F1/F2/F3/F4): |
| F1: ___________ F2: ___________ F3: ___________ F4: ___________ |
| Overall Technical Rating: |
| [ ] ACCEPTABLE [ ] UNACCEPTABLE |
| Reviewed by CO: |
| _______________ Date: ___________ |
TOTAL SDVOSB SET-ASIDE | NAICS 236220 | Page 1 | FAR Parts 12 and 36 | LPTA
File details come from the government source that posted it. Updated .