Attachment 7 DHS Form 700-21Fillable508.pdf
PDF 202 KB Posted
- Attached to
- High Frequency Radio System (HFRS)
- Solicitation number
- DRAFT70Z04421R21000900
About this file
This document includes a draft request for proposal and special notice for a high frequency radio system. The United States Coast Guard is seeking to replace aging HF radio transceiver systems aboard large cutters over 110 feet in length and at shore facilities used for engineering and training. The replacement effort requires a commercially available HF radio system comprising various numbers of HF transceivers, receivers, remote control units, high power amplifiers, medium power amplifiers, low power amplifiers, antenna tuning units, and power supplies depending on cutter class operational requirements. Interested parties are requested to provide company information and any comments on specifications, evaluation criteria, or terms and conditions in the draft RFP by December 8, 2020. Feedback will be used to develop the final combined synopsis/solicitation and acquisition strategy.
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Other files
| File | Type | Posted |
|---|---|---|
| Combined Synopsis_Solicitation_210009 11042020.doc | DOC document | |
| Attachment 6_ MarkingsPackagingDeliveryInspect.doc | DOC document | |
| Attachment 3 HFRS IDD v1_0-20AUG20.docx | DOCX document | |
| Attachment 2 HFRS Specification-10NOV20.docx | DOCX document | |
| Attachment 11_FAR Provision 52.212-3_180023.pdf | ||
| Attachment 1 HFRBS kit pricing.xlsx | XLSX spreadsheet | |
| Attachment 9_PPQ_HFRS 210009.pdf | ||
| Attachment 4 HFRS TMCR.docx | DOCX document | |
| Attachment 12_Logistics Plan Requirements.docx | DOCX document | |
| Attachment 10 HFRBS Crosswalk - V3.xls | XLS spreadsheet | |
| Attachment 8 DHS-Form-700-3.pdf |
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Text version
DATE
1. CONTRACT NO. AND LATEST
MODIFICATION NO.
2. ORDER NO. 3. REPORT NO.
4. MATERIAL AND/OR SERVICES INSPECTED
5. CONTRACTOR
7. MANUFACTURER
8. PLACE OF INSPECTION
DHS Form 700-21 (12/03)
PREVIOUS
16. SUBMITTED
17. REJECTED
18. ACCEPTED
19. QUANTITY ON
22. REMARKS (Use Continuation Sheet for Additional Entries)
23. INSPECTED BY 24. TITLE AND TELEPHONE NUMBER
The materials and/or services listed herein have been inspected or certified test data has been examined, by me or under my supervision. The materials and/or services listed above as accepted conform to contract requirements. Those listed as rejected do not conform and may not be delivered, except as authorized under "Remarks."
25. SIGNATURE AND PRINTED NAME 26. TITLE AND TELEPHONE NUMBER 27. DATE
MATERIAL INSPECTION ACCEPTANCE AND RECEIVING REPORT
DEPARTMENT OF HOMELAND SECURITY
CONTRACT LINE9.
15. ACCEPTED14. REJECTED
QUANTITY
13. COMPLETED12. STARTED11. READY10. RECEIVED
INSPECTION DATES
ORDER
DATE
20. ACCEPTED TO
21. BALANCE
ITEM NO(S)
(If applicable)
REPORTS REPORT
THIS
DATE
TOTAL TO
REMAINING
6. LOCATION WHERE ITEMS WERE DELIVERED OR
CONTRACTOR PERFORMED
INSPECTION DATES QUANTITY8.
9. RECEIVED 10. READY 11. STARTED 12. COMPLETED 13. REJECTED 14. ACCEPTED
3. REPORT NO.
DEPARTMENT OF HOMELAND SECURITY
MATERIAL INSPECTION ACCEPTANCE AND RECEIVING REPORT (Continued)
DHS Form 700-21 (12/03) Page 2
ITEM NO(S)
(If applicable)
CONTRACT LINE
DHS- 700- 21
Pam Washingtonq
MATERIAL INSPECTION & RECEIVING REPORT
D:20040317145138- 05'00' D:20051012110539- 04'00'
DATE
1. CONTRACT NO. AND LATEST
MODIFICATION NO.
2. ORDER NO.
3. REPORT NO.
4. MATERIAL AND/OR SERVICES INSPECTED
5. CONTRACTOR
7. MANUFACTURER
8. PLACE OF INSPECTION
DHS Form 700-21 (12/03)
PREVIOUS
16. SUBMITTED
17. REJECTED
18. ACCEPTED
19. QUANTITY ON
22. REMARKS (Use Continuation Sheet for Additional Entries)
23. INSPECTED BY
24. TITLE AND TELEPHONE NUMBER
The materials and/or services listed herein have been inspected or certified test data has been examined, by me or under my supervision. The materials and/or services listed above as accepted conform to contract requirements. Those listed as rejected do not conform and may not be delivered, except as authorized under "Remarks."
The materials and/or services listed herein have been inspected or certified test data has been examined, by me or under my supervision. The materials and/or services listed above as accepted conform to contract requirements. Those listed as rejected do not conform and may not be delivered, except as authorized under Remarks.
25. SIGNATURE AND PRINTED NAME
26. TITLE AND TELEPHONE NUMBER
27. DATE
MATERIAL INSPECTION ACCEPTANCE AND RECEIVING REPORT
DEPARTMENT OF HOMELAND SECURITY
CONTRACT LINE
9.
15. ACCEPTED
14. REJECTED
QUANTITY
13. COMPLETED
12. STARTED
11. READY
10. RECEIVED
INSPECTION DATES
ORDER
DATE
20. ACCEPTED TO
21. BALANCE
ITEM NO(S)
(If applicable)
REPORTS
REPORT
THIS
DATE
TOTAL TO
REMAINING
6. LOCATION WHERE ITEMS WERE DELIVERED OR
CONTRACTOR PERFORMED
INSPECTION DATES
QUANTITY
8.
9. RECEIVED
10. READY
11. STARTED
12. COMPLETED
13. REJECTED
14. ACCEPTED
3. REPORT NO.
DEPARTMENT OF HOMELAND SECURITY
MATERIAL INSPECTION ACCEPTANCE AND RECEIVING REPORT (Continued) DHS Form 700-21 (12/03)
ITEM NO(S)
(If applicable)
CONTRACT LINE
| 8. CONTRACT LINE ITEM NUMBER(S) (If applicable) Line 38 of 38.: |
| 14. Quantity Accepted: |
| 13. Quantity REJECTED: |
| Inspection Dates. 12. Completed Date. Enter 2-digit month, 2-digit day and 4-digit year.: |
| Inspection Dates. 11. Started Date. Enter 2-digit month, 2-digit day and 4-digit year.: |
| Inspection Dates. 10. Ready Date. Enter 2-digit month, 2-digit day and 4-digit year.: |
| Inspection Dates. 9. Received Date. Enter 2-digit month, 2-digit day and 4-digit year.: |
| Date. Enter 2-digit month, 2-digit day and 4-digit year.: |
| 1. CONTRACT NUMBER and Latest Modification Number: |
| 2. ORDER NUMBER: |
| 4. MATERIAL AND/OR SERVICES INSPECTED: |
| 5. CONTRACTOR: |
| 6. MANUFACTURER: |
| 8. PLACE OF INSPECTION: |
| 16. SUBMITTED. PREVIOUS REPORTS: |
| 16. SUBMITTED. THIS REPORT: |
| 16. SUBMITTED. TOTAL TO DATE: |
| 17. REJECTED. TOTAL TO DATE: |
| 17. REJECTED. THIS REPORT: |
| 17. REJECTED. PREVIOUS REPORTS: |
| 18. ACCEPTED. TOTAL TO DATE: |
| 18. ACCEPTED. THIS REPORT: |
| 18. ACCEPTED. PREVIOUS REPORTS: |
| 22. REMARKS (Use Continuation Sheet for Additional Entries) : |
| 23. INSPECTED BY: |
| 24. TITLE: |
| 26. TITLE : |
| 27. DATE. Enter 2-digit month, 2-digit day and 4-digit year.: |
| 25. SIGNATURE. This is a protected field.: |
| 19. QUANTITY ON ORDER: |
| 20. ACCEPTED TO DATE: |
| 21. BALANCE REMAINING: |
| 25. PRINTED NAME: |
| 3. REPORT NUMBER: |
| 6. LOCATION WHERE ITEMS WERE DELIVERED OR CONTRACTOR PERFORMED: |
| 24. Telephone Number: |
| 26. Telephone Number: |
| 3. REPORT NUMBER. Pre filled from page 1.: |
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