DJJ-16-R-EOA02-0001-Attachments.doc

Attachment 1 List of authorized individuals designated to place work orders under this contract

Attachment 2

SAMPLE COURT REPORTING/WORK ORDER

Date:_____________

Contract Number:_________________

Order Number: ___________________

Services Required:

Time, Place and Duration of Services:

Special Packaging or Shipping Requirements (if any):

USAO Designated Authorized Individual

Contractor

I hereby accept the services requested.

Attachment 3 RFP Check List

This check list is provided to assist offerors prepare a complete proposal. Details of each item can be found in Sections K and L of the solicitation.

SF-1449 (Blocks # 12, 17a, #30a, #30b, #30c filled out?)

Duns # (on SF-1449 Block 20) filled out?

Tax ID # (on SF-1449 Block 20) filled out?

Volume I - Resumes of all prospective key personnel along with up to 3 professional references for each proposed person.

Volume II- Past Performance references for work within the last three (3) years of the Solicitation Issue Date (See Standard Form 1449, Block 6) with all information as required. Older references will be accepted but considered less relevant.

Volume III- Summary of Experience - not to exceed two pages. Specifically address the type of recording method/equipment information being proposed and knowledge/implementation of Grand Jury security measures and staffing accessibility.

Volume IV – Price proposal (see Section B for price tables and include all calculations)

Are you registered in SAM (Systems for Award Management)? In order to be an eligible for award, the Offeror must be registered in SAM before the time of award. There is a 7-10 business day processing period for new registrants. Registration is free.

https://www.sam.gov/portal/public/SAM/

FAR 52.212-3 Offeror Representations and Certifications Commercial Items (May 2014)

-SAM registered offerors shall only complete only paragraphs (b) of this provision.

-If an offeror has not completed the annual representations and certifications electronically at the System for Award Management (SAM) website, the offeror shall complete only paragraphs (c) through (o) of this provision.

FAR 52.209-5 Certification Regarding Responsibility Matters (Apr 2010) filled out online in SAM https://www.sam.gov/portal/public/SAM/ (INCLUDE IF ONLY IF >SAT)

FAR 52.209-7 Information Regarding Responsibility Matters (Jul 2013) filled out? Fill out manually. (INCLUDE IF ONLY >$500K)

Are you a Small Business under NAICS code 561492? Your average annual receipts must not exceed $15.0 million.

Is the Offeror's name on every page of the proposal? Each page must have a unique page number. Please do not duplicate page numbers between different volumes.

Do you plan on using more than 5 Court Reporters/Key Personnel for this Contract?

Are you submitting a fully completed Contractor Determination of Responsibility (Attachment 4 - both top AND bottom portions) with a point of contact information (name, phone number, email address) of the financial institution representative that will verify he/she filled out the “To be completed by financial institution” portion?

Attachment 4 SEQ CHAPTER \h \r 1CONTRACTOR DETERMINATION OF RESPONSIBILITY

(FINANCIAL INFORMATION)

TO BE COMPLETED BY CONTRACTOR

Solicitation Information: Offeror:

Date:

Solicitation:

Requirement:

Contract Amount:

Financial Reference Contacted:

Financial Institution Name & Address:

Financial Institution Phone:

Financial Institution Contact:

Name/ Title/ Email Address (all mandatory information):

TO BE COMPLETED BY FINANCIAL INSTITUTION:

Questions:

1. When was the account opened? _______________________________________

2. How is the account maintained?

(Excellent Fair Poor)

3. What is the average monthly balance?

(High

Medium Low)

4. Number of figures of balance (Example: If the company has $1,000.00, the number of figures would be a 4). (7 6 5 4 3 2 1)

5. Any account overdrafts? (Yes) (No)

6. Has offeror ever filed for bankruptcy? (Yes) (No)

7. Is the credit standing sufficient to obtain loans from your bank? (Yes) (No)

8. Comments/Further Explanations of Items Above: ____________________________________________________________________________________________________________________________________________________________

Solicitation DJJ-16-R-EOA02-0001 USAO-Eastern District of Arkansas