Attachment III- Notification of Services Rendered Form.pdf
PDF 105 KB Posted
- Attached to
- Restroom Trailer Liquid and Solid Waste Removal Federal contract opportunity
- Solicitation number
- 70Z03824QK0000019
About this file
This document is a Combined Synopsis/Solicitation for a contract to provide restroom trailer liquid and solid waste removal services for the US Coast Guard. The solicitation is a Request for Quotation (RFQ) with an applicable NAICS code of 562111 and a small business size standard of $47 million. It is a 100% small business set-aside contract, with a firm-fixed price requirements structure consisting of a one-year base period and up to three one-year option periods, for a total contract duration of up to four years. The solicitation includes attachments with the schedule of services, statement of work, notification of services rendered form, terms and conditions, and applicable wage determination. Offers are due by June 24, 2024 at 4:30pm Eastern, with an anticipated award date around July 1, 2024 and a performance start date of September 25, 2024. The document provides information on the Coast Guard Ombudsman Program for filing agency protests as an alternative dispute resolution process.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Responses to Questions Amend 2.pdf | ||
| Responses to Questions Amend 1.pdf | ||
| Attachment II - Statement of Work (SOW).pdf | ||
| Attachment V - WAGE DETERMINATION 2015-4405 REV.26.pdf | ||
| Attachment I - Schedule of Services.xlsx | XLSX spreadsheet | |
| Attachment IV - Terms and Conditions.pdf |
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Text version
Combined Synopsis/Solicitation 70Z03824QK0000019 Notification of Services Rendered Form
Attachment III
JUL 2018
Government POC:
Government POC Signature:
Date:
The service described in Block F has been complete in accordance with the requirements of the contract or order listed in Block A. By signing below, I certify as the Government POC that I accept the service provided by the Contractor listed in Block G and give the Contracting Officer approval to pay the invoice associated with this service.
The service described in Block F has NOT been complete in accordance with the requirements of the contract listed in Block A. As the Government POC I DO NOT accept the service provided by the Contractor listed in Block G. (If this is block is checked, the Government POC shall provide additional information below detailing why the service is unacceptable)
Notification of Services Rendered Form
The Contractor and Government POC shall complete this form upon completion of an "onsite contractual service". The Contractor and Government POC shall submit the signed form to the Contracting Officer or their representative listed in block C below within two (2) business days of contractual service completion.
For the purpose of this form, "onsite contractual service" is defined as any service performed at the Aviation Logistics Center with a period of performance of less than 90 days or as deemed necessary by the Contracting Officer. Example of onsite services meeting this definition include, calibration services, equipment troubleshooting / maintenance / repair and IT services.
E) Building or Location of Service:
G) Contractor Company:
H) Contractor Company Representative:
I) Contractor Company Representative Signature:
F) Description of the Service:
J) Government POC Acceptance or Rejection of the Service: (Check One of the Boxes Below)
A) Contract or Order Number:
B) Date of Service Completion:
C) Contracting Officer or Representative:
D) Division:
Sheet1
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