Solicitation Attach 134569.pdf

DTFH61-11-R-00028

Attachment No. 1

FORMAT

for

MONTHLY PROGRESS REPORTS

A. Accomplishments/Significant Findings this Period:

B. Work Planned for Next Period:

C. Effort Expended by Key Personnel:

Effort (Staff-Hours)

Employee Name Contract Time Cumulative Cumulative

Allocated Last Period This Period

Senior Project Manager:

Other Key People:

D. Identification of Problems/Recommended Solutions:

Attachment No.3

INSTRUCTIONS FOR COMPLETING CONTRACT PRICING SUMMARY

Offerors are instructed to prepare their cost proposals in sufficient detail to permit thorough and complete evaluation by the Government. A separate DOT F 4220.44 is required for the basic and each option period (if applicable). The supporting data for the DOT F 4220.44 shall be as follows. (NOTE: The DOT F 4220.44 shall be used to implement the requirements of the SF 1411 and does not relieve offerors from complying with FAR 15.804-6 requirements.)

(a) The basis for all proposed rates (including a copy of the indirect cost pool and a computational trail used to arrive at the proposed rate shall be clearly identified when the proposed rates are not approved by a Government audit agency for use in proposals; or approved by the Government audit agency, but the approval is 12 months or more old. State rather an approved (within 12 months) Government audit agency rate was used.

(b) The information below clarifies FAR 15.804-6 requirements for specific cost elements. The cost elements listed below shall be supported, as a minimum, with the following:

1. DIRECT MATERIAL.

A. Purchased Parts: Provide a consolidated priced summary of individual material quantities included in the various tasks, orders, or contract line items being proposed and the basis for pricing (vendor quotes, invoices prices, etc.). Give details on an attached schedule.

B. Subcontracted Items: Show the total cost of subcontract effort and provide a separate SF

1411 and supporting DOT F 4220.44 for each subcontractor or written quotations from the prospective subcontractor in accordance with FAR 15.806-2.

C. Other.

(1) Raw Material: Consists of material in a form or state that requires further processing.

Provide priced quantities of items required for the proposal. Show total cost and give details on an attached schedule.

(2) Standard Commercial Items: Consists of items that the offeror normally fabricates, in whole or in part, and that are generally stocked in inventory. Provide an appropriate explanation of the basis for pricing. If price is based on cost, provide a cost breakdown; if priced at other than cost, provide justification for exemption from submission of cost or pricing data, as required by FAR 15.804-3(e). Show total cost and give details on an attached schedule.

Attachment No. 3

2. MATERIAL OVERHEAD.

Show cost here only if your accounting system provides for such cost segregation and only if this cost is not computed as part of labor overhead (item 4) or General and Administrative (G&A) (item 6).

3. DIRECT LABOR.

Show the hourly rate and the total hours for each individual (if known) and discipline of direct labor proposed. Indicate whether actual rates or escalated rates are used. If escalation is included, state the degree (percent) and rationale used.

4. LABOR OVERHEAD.

See paragraph (a) above.

5. OTHER DIRECT COSTS

(A) Special Tooling/Equipment. Identify and support specific equipment and unit prices. Use a separate schedule if necessary.

(B) Travel. Identify and support each trip proposed and the persons (or disciplines) designated to make each trip. Identify and support transportation and per diem rates.

(C) Individual Consultant Services. Identify and support the proposed contemplated consultants.

State the amount of service estimated to be required and the consultant's quoted daily or hourly rate.

(D) Other Costs. List all other direct charge costs not otherwise included in the categories described above (e.g., services of specialized trades, computer services, preservation, packaging and packing, leasing of equipment) and provide bases for pricing.

6. GENERAL AND ADMINISTRATIVE EXPENSE.

See paragraph (a) above and base approved by a Government audit agency for use in proposals.

7. ROYALTIES.

If more than $250, provide the following information on a separate page for each separate royalty or license fee; name and address of licensor; date of license agreement; patent numbers, patent

Attachment No. 3 application serial numbers, or other basis on which the royalty is payable; brief description (including any part of model numbers of each contract item or component on which the royalty is payable); percentage or dollar rate of royalty per unit; unit price of contract item; number of units; and total dollar amount of royalties. In addition, if specifically requested by the Contracting Officer, provide a copy of the current license agreement and identification of applicable claims of specific patents. (See FAR 27.204 and 31.205-37)

8. SUBTOTAL ESTIMATED COST.

Enter the total of all direct and indirect costs excluding Contract Facilities Capital and Cost of Money and Fee or Profit.

9. CONTRACT FACILITIES CAPITAL AND COST OF MONEY.

Show total cost on line 9 and attach supporting calculations on the CASB-CMF forms. (See FAR 31.205- 10).

10. SUBTOTAL ESTIMATED COST

Enter the total of all proposed costs excluding Fee or Profit and insert this amount in Section 6.A. of SF 1411.

11. FEE OR PROFIT.

Enter this proposed Fee or Profit and insert this amount in Section 6.B. of SF 1411.

12. TOTAL ESTIMATED COST AND FEE OR PROFIT.

Enter the total estimated cost including Fee or Profit.

(a) Under the column entitled, "Reference," identify the attachment where information supporting the specific cost element may be found.

Attachment No. 4

DISCLOSURE OF LOBBYING ACTIVITIES

Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See reverse for public burden disclosure)

1. Type of Federal Action:

____a. contract ____b. grant ____c. cooperative agreement ____d. loan ____e. loan guarantee ____f. loan insurance

2. Status of Federal Action:

____a. bid /offer/application ____b. initial award ____c. post award

3. Report Type:

____a. initial filing ____b. material change For Material Change Only:

year _____ quarter ______ date of last report___________

4. Name and Address of Reporting Entry:

___Prime ___Subawardee Tier ________, if known:

Congressional District, if known: ______________

5. If Reporting Entry in No. 4 is Subawardee, Enter Name and Address of Prime:

Congressional District, if known: ________________

6. Federal Department/Agency:

7. Federal Program Name/Description:

CFDA Number, if applicable: ____________________

8. Federal Action Number, if known:

9. Award Amount, if known:

10. a. Name and Address of Lobbying Entity (if individual, last name, first name, MI):

(attach Continuation Sheet(s) SF-LLL-A, if necessary)

b. Individuals Performing Services (including address if different from No. 10a) (last name, first name, MI):

11. Amount of Payment (check all that apply):

$___________________ ___actual ___planned

12. Form of Payment (check all that apply):

____a. cash ____b. in-kind; specify: nature_________________ value _________________

13. Type of Payment (check all that apply):

____a. retainer ____b. one-time fee ____c. commission ____d. contingent fee ____e. deferred ____f. other; specify: _________________________

14. Brief Description of Services Performed or to be Performed and Date(s) of Service, including officer(s), employee(s) or Member(s) contacted, for Payment Indicate in Item 11:

15. Continuation Sheet(s) SF-LLL-A attached: Yes_____ No____

16. Information requested through this form is authorized by Title 31 U.S.C. Section 1352.

This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Signature: ___________________________________

Print Name: __________________________________

Title: _______________________________________

Telephone No.: _____________ Date: _____________

Federal Use Only:

Authorized for Local Reproduction Standard Form-LLL Approved by OMB 0348-0046

DISCLOSURE OF LOBBYING ACTIVITIES

CONTINUATION SHEET

Reporting Entity:

INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES

This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action . Use the SF-LLL-A Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.

1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered

Federal action.

2. Identify the status of the covered Federal action.

3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action.

4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.

5. If the organization filing the report in item 4 checks Subawardee then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known.

6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transportation, United States Coast Guard.

7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments.

8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., RFP-DE-90-001.

9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in items 4 or 5.

10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influence the covered Federal action.

(b) Enter the full names of the individual(s) performing services, and include full address if different from 10 (a). Enter Last Name, First Name, and Middle Initial (MI).

11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10).

Indicate whether the payment has been made (actual) or will be made (planned). Check all boxed that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made.

12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment.

13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature.

14. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal official(s) or employee(s) contacted or the officer(s), employee(s), or Member(s) of Congress that were contacted.

15. Check whether or not a SF-LLL-A Continuation Sheet(s) is attached.

16. The certifying official that sign and date the form, print his/her name, title, and telephone number.

Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, DC 20503.

Attachment No.5

PAST PERFORMANCE QUESTIONNAIRE

Referencee Information: Provide the following information for the Organization that performed the referenced work:

Referencee Information:

Offeror’s (Prime Name: __________________________________________________________________

Referencee’s Name:______________________________________________________________________

Solicitation Number & Title:_______________________________________________________________

Organization/Person Providing the Reference Information: Provide the following information for the Organization and Person/Point of Contact (POC) providing the reference (to assist us in tracking responses received and resolving any conflicts in the evaluation process if necessary):

Reference Information:

Organization Name: _______________________________________________________________

Questionnaire Completion Date:___________________________________________________________

Name of Contact: _______________________________________________________________________

Contact Numbers: Telephone:_______________________Facsimile:_______________________

Organization/Office: _______________________________________________________________

Position Title: ______________________________________________________________________

Reference Project Information: Provide the following information about the referenced project.

Reference Project Information:

Customer Organization/Office: ________________________________________________________

Project Title: ______________________________________________________________________

POC Period of Involvement:_____________________________________________________________

Type of Contract:______________________________________________________________________ Start Period of Performance: Date: _____________________ Length_____________________

Contract Value: Initial____________________ Current____________________

Attachment No.5

PAST PERFORMANCE QUESTIONNAIRE

For the following questions, please circle/check the appropriate rating. Comment lines are provided for additional information if the #2 or #1 rating is given (however the comment lines may be used to provide any additional information deemed noteworthy).

High

Low

1.

QUALITY OF SERVICE:

This area deals with compliance of contract requirements, to include appropriateness of personnel and technical excellence.

2.

TIMELINESS OF PERFORMANCE:

This area deals with the contractors ability to meet milestones and delivery schedules, to include responsiveness to technical direction, completion of efforts on time including wrap-up and contract administration.

3.

PRICE/COST CONTROL:

This area deals with the contractors ability to control price/cost escalation during performance to include appropriate budgetary estimates, current/accurate/complete billings/invoices, relationship of negotiated costs to actual, claim submissions, cost efficiencies, and change order issues.

4.

CUSTOMER SATISFACTION:

This area deals with the contractors commitment to satisfaction and cooperative/reasonable businesslike behavior with own staff and customers to include: effective management, responsiveness to contract requirements, operates with honesty and integrity, prompt notification of problems, flexible and proactive qualities, effective contractor-recommended solutions, and effective subcontracting and teaming arrangements.

Comments (attach additional pages as necessary):

GENERAL INFORMATION: Please provide answers to the following questions.

1. Has the contractor ever been given a cure notice, show cause notice, suspension of progress payments, or other letters directing the correction of a performance problem; or has this contract been partially or completely terminated, or is there any pending termination actions?

( ) No ( ) Yes If yes: ( ) Default ( ) Convenience; and please explain:

Attachment No. 5

2. Changes in contract dollar value throughout the life of the contract are/were attributable, for the most part, to:

( ) Government-issued change orders ( ) claims submitted by the contractor ( ) other Government actions ( ) other contractor actions (please explain below)

3. Based on this contractor’s overall performance, would you award this contractor another

Government contract?

( ) Yes ( ) No If no, please explain:

4. If any of the above responses are based on adverse past performance, have you discussed it with the contractor and has the contractor had an opportunity to comment?

( ) Not Applicable ( ) Yes ( ) No If yes or no, please explain:

Attachment No. 6

OF-17 (12/93) Offer Label FAR (48) CFR 53.214(g)) FAR (48) CFR 53.215-

1(h))

NOTICE TO OFFEROR

1. This label may only be used on envelopes larger than 156 mm (6 1/8 inches) in height and 292 mm (11 Ѐ inches) in length.

2. Print or type your name and address in the UPPER left corner of the envelope containing your offer.

3. Complete the bottom portion of this form and paste it on the LOWER left corner of the envelope, unless the envelope is 156 mm by 292 mm ( 6 1/8 inches by 11 inches) or smaller.

D

OFFER

SAMPLE

SOLICITATION NO.: DTFH61-11-R-00014

DATE FOR RECEIPT OF OFFERS: June 6, 2011 TIME FOR RECEIPT OF OFFERS: 3:00 p.m. EST.

OFFICE DESIGNATED TO RECEIVE OFFERS

Federal Highway Administration Office of Acquisition Management 1200 New Jersey Avenue, SE, #E65-101 Washington, DC 20590

Attention: Lise S. Lyles, HAAM-40

Attachment No. 9

CERTIFICATION OF DATA

(MAY 2005)

NOTICE: The Secretary of Transportation has determined that this certification shall be retained in accordance with Section 4301(b)(1)(B)(i)(II) of the Federal Acquisition Reform Act (Public Law 104-106, 41 U.S.C. 425, note) and DOT Memorandum dated July 17, 1996.

(a) The offeror represents and certifies that to the best of its knowledge and belief, the information and/or data (e.g., company profile; qualifications; background statements;

brochures) submitted with its offer is current, accurate, and complete as of the date of its offer.

(b) The offeror understands that any inaccurate data provided to the Department of Transportation may subject the offeror, its subcontractors, its employees, or its representatives to: (1) prosecution for false statements pursuant to 18 U.S.C. 1001 and/or; (2) enforcement action for false claims or statements pursuant to the Program Fraud Civil Remedies Act of 1986, 31 U.S.C. 3801-3812 and 49 CFR Part 31 and/or; (3) termination for default under any contract resulting from its offer and/or; (4) debarment or suspension.

(c) The offeror agrees to obtain a similar certification from its subcontractors.

Signature: ______________________________________________________________

Date: __________________________________________________________________

Typed Name and Title: ____________________________________________________

Company Name: _________________________________________________________

This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.