Attachment 6 RFQ Quotation Form - 36C24726Q0729.docx
DOCX document 25 KB Posted
- Solicitation number
- 36C24726Q0729
About this file
This is a Request for Quotation (RFQ) quotation form for commercial construction services to renovate Sterile Processing Service (SPS) spaces at the Ralph H. Johnson VA Medical Center in Charleston, South Carolina. The solicitation (36C24726Q0729) is a 100% Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside issued under FAR Parts 12 and 36, with an estimated contract value between $5 million and $10 million and a 360-calendar-day performance period. Award will be made on a firm-fixed-price basis using Lowest Price Technically Acceptable (LPTA) procedures. Quoters must submit both technical and price volumes by August 3, 2026 at 1300 EST via email to be considered for award.
The quotation form serves as the template for interested vendors to submit their proposals in response to this construction renovation solicitation. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7 is the issuing agency. As a combined synopsis and solicitation document, this RFQ contains all necessary solicitation requirements and represents the complete government procurement document. Eligible Service-Disabled Veteran-Owned Small Businesses must meet all technical and pricing submission requirements outlined in the form to qualify for evaluation and potential contract award.
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COMBINED SYNOPSIS/SOLICITATION | Project 534-24-102 | Renovate SPS Spaces | RHJVAMC | NCO 7
ATTACHMENT 6
ATTACHMENT 6 -- REQUEST FOR QUOTATIONS -- VENDOR QUOTATION FORM
Project 534-24-102 | Renovate SPS Spaces | Ralph H. Johnson VAMC, Charleston, SC Solicitation No.: 36C24726Q0729 | Response Deadline: August 3, 2026 at 1300 EST INSTRUCTIONS: Complete all sections. Sign and date Section 6. Submit Volume II of your quote package via email to the Contract Specialist by the deadline above. 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 Charleston County, SC 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 |
| Renovate SPS Spaces -- All labor, supervision, materials, equipment, and incidentals to complete Project 534-24-102 per Statement of Work, drawings, and specifications. Includes all Davis-Bacon prevailing wages, performance bond, payment bond, and all other costs. |
| 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 within 360 calendar days of Notice to Proceed. 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 Attachment 9 (Itemized Cost Breakdown Worksheet) as part of Volume II. All CSI 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 initialing 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. 36C24726Q0729 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 within the 360-calendar-day period of performance, including all Davis-Bacon prevailing wage rates for Charleston County, SC. |
| _____ |
| 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 in Attachment 9 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 36C24726Q0729. 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. 36C24726Q0729 for the total quoted price stated in Section 3, subject to all terms and conditions of this solicitation. This quote shall remain valid for 60 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
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