Attachment 6_Qualification and Certification_RFP 75A50226R000024.docx
DOCX document 44 KB Posted
- Attached to
- Emergency Response Wraparound Services
- Solicitation number
- 75A50226R00024
About this file
This is a Qualification and Certification attachment template for RFP 75A50226R00024, which is part of the Department of Health and Human Services Administration for Strategic Preparedness and Response (ASPR) solicitation for Emergency Response Wraparound Services. The document instructs offerors to complete four sections: Background (providing official company name, address, DUNS number, and primary/alternate points of contact), Qualifications (submitting verification documents including FPDS-NG reports and past performance information as specified in Section M.1 of the RFP), Certifications (accepting all terms and conditions while certifying that cost/price proposals reflect estimates or actual costs), and Authorized Signature (requiring a signed certification by an authorized representative).
The template does not specify substantive requirements for the services themselves but rather serves as a qualification submission format. Offerors must ensure their official company information matches their SAM.gov DUNS registration and provide authorized representatives capable of committing the company contractually. The document includes standard FAR certifications regarding record examination and warnings about falsification of proposal documents. Proposal submission was due September 24 at 5PM eastern time, with questions due September 22 at 12PM eastern time.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP75A50226R00024.pdf | ||
| Attachment 1_SOW_RFP 75A50226R00024.pdf | ||
| Attachment 2_Offerors Proposal Checklist_RFP 75A50226R00024.docx | DOCX document | |
| Attachment 3_Self Scoring Worksheet_RFP 75A50226R00024.xlsx | XLSX spreadsheet | |
| Attachment 5_ Past Performance Rating Form_RFP 75A50226R00024.docx | DOCX document | |
| Attachment 3A_Self Scoring Worksheet SAMPLE_RFP 75A50226R00024.xlsx | XLSX spreadsheet | |
| Attachment 4_Cost Price Template_RFP75A50226R00024.xlsx | XLSX spreadsheet | |
| Attachment 8_Relevant Experience_RFP 75A50226R00024.docx | DOCX document | |
| Attachment 9_NAICS or PSC Code Change Letter_RFP 75A50226R00024.docx | DOCX document | |
| Attachment 7_ Industry Questions Template_RFP 75A50226R00024.xlsx | XLSX spreadsheet |
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Text version
SOLICITATION NO. 75A50226R00024
ATTACHMENT (6)
QUALIFICATION AND CERTIFICATION
In accordance with RFP section M.2, Qualification Projects, the Offeror is instructed to complete Section I, Background; Section II, Qualification; Section III, Certification; and Section IV, Authorized Signature.
I. BACKGROUND:
A. Offeror Information:
The Offeror is instructed to provide the official Company Name, Address, and DUNS Number of the legal bidding entity as specified on the SF1449. The DUNS Number must be located in the SAM.gov website and the Company’s Official Name and Address must match the Company’s Name and Address with the corresponding DUNS Number.
| Official Company Name: |
| Click here to enter text. |
| Official Company Address: |
| Click here to enter text. |
| Official Company DUNS Number: |
| Click here to enter text. |
B. Primary Point of Contact:
The Offeror is instructed to provide the Name, Title, Telephone Number, and E-Mail Address of an authorized representative with authority to commit the Offeror to contractual obligations for this contract.
| Name: |
| Click here to enter text. |
| Title: |
| Click here to enter text. |
| Office Phone: |
| Click here to enter text. |
| Mobile Phone: |
| Click here to enter text. |
| E-Mail: |
| Click here to enter text. |
C. Alternate Point of Contact:
The Offeror is instructed to provide the Name, Title, Telephone Number, and E-Mail Address of an authorized representative with authority to commit the Offeror to contractual obligations for this contract.
| Name: |
| Click here to enter text. |
| Title: |
| Click here to enter text. |
| Office Phone: |
| Click here to enter text. |
| Mobile Phone: |
| Click here to enter text. |
| E-Mail: |
| Click here to enter text. |
II. QUALIFICATIONS
To be able to qualify for this Solicitation, the Offeror must include all verification documents such as FPDS-NG reports, past performance information, and other additional verification documentation specified in Section M.1 in the Volume 1 folder of your proposal submission. There are no page limitations for these documents. See Section L for file naming instructions.
III. CERTIFICATIONS:
Offeror accepts all Terms, Conditions, and Provisions included in the solicitation.
The Cost/Price proposal reflects our estimates and/or actual costs as of the date of proposal submission. By submitting this proposal, we grant the PCO and authorized representative(s) the right to examine, at any time before award, those records, which include books, documents, accounting procedures and practices, and other data, regardless of type and form or whether such supporting information is specifically referenced or included in the proposal as the basis for pricing, that will permit an adequate evaluation of the proposed price in accordance with FAR 15.403-3.
Offeror acknowledges that the falsification of any proposal submission documents or statements may subject the Offeror to civil or criminal prosecution under Section 1001 of Title 18 of the United States Code.
IV. AUTHORIZED SIGNATURE:
An authorized representative must sign below.
Type Name
Signature
Title
Date
SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104
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