Forms_to_return_with_quote_140P8321Q0054.docx

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Amendmen 0002 SLIP LINING PROJECT AT LARO
Solicitation number
140P8321Q0054
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SECTION B: Contract Price Schedule

INSTRUCTIONS

Submit price for all line items; failure to do so may render the offer non-responsive. On lump-sum-priced line items, provide the total price only. If no specific line item exists for a portion of the work, include the costs in a related item. In case of errors in summations, the total of the corrected amounts governs. Round totals to whole dollars.

CONTRACT PRICE SCHEDULE

All work shall be performed in accordance with the attached specifications, drawings and wage determination. All lines are “lump sum.” Refer to Attachment 1.

Item 1:
Mobilization and Demobilization
$
___________
Item 2:
755 lf of 6” Sewer Line located between the Comfort Station in the southern most loop of the upper campground, running north approximately 506 lf to the RV trailer dump station then approximately 182 lf to the east to the manhole adjacent to the septic tank.
$
___________
Item 3:
625 lf of 8” Sewer Line located between the Comfort Station in the lower campground loop running north to the manhole adjacent to the septic tank located in the day use area.
$
___________
Item 4:
Point Repair on 6” Sewer Line-dig the line up in two locations.
$
___________
Item 5:
Visual Sewer Line Inspection and Sewer Line Cleaning Prior to Sewer Line Being Sleeved
$
___________
TOTAL PRICE FOR BASE ITEMS 1-5
$
___________

The Government reserves the right to unilaterally award any or no options at or after time of award. See paragraph M for details.

Option A:
487 lf of 8: Sewer Line - runs west between the Administration Building and the Day Use Bath House then to the manhole adjacent to the septic tank.
$
___________
Option B:
47 lf of 4” Sewer Line - runs from Spring Canyon Fish Cleaning Station to the manhole adjacent to the septic tank. Payment is made on actual lineal feet of pipe completed and accepted, measured from center points of manholes.
$
___________
Option C
Visual Sewer Line Inspection and Sewer Line Cleaning Prior to Sewer Lines Being Sleeved for the Option A and B Sewer Lines.
$
___________
TOTAL FOR ALL ITEMS AND ALL OPTIONS:
$
___________
Business name: _____________________________________Phone number: ____________________
DUNS number: _____________________________________and CAGE code: __________________

Point of contact name: ______________________________ and e-mail: __________________________ This business’ registration is active in SAM __yes __no (check one).

The representations and certifications in SAM apply to this quote (see FAR provision 52.204-8(b)(2)): __yes __no

Experience and Past Performance READ CAREFULLY: The purpose of this form is for the quoter to list construction projects performed during the past five (5) years that are similar to the work described in this solicitation. The number of projects listed shall not exceed four (4) and shall be numbered consecutively, beginning with the most recent project. Use this form to address your familiarity with the Scope of Work described in the plans and specifications and with the capability criteria described in the Request for Quote (RFQ). Include area codes with all telephone numbers. Fill in the information by typing or printing legibly.

It is especially important that the quoter disclose instances in which their past performance may be considered by others to be less than fully satisfactory. The quoter should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an quoter has been less than candid with the Government, which could result in an unfavorable assessment of the quoter’s past performance record.

Name of Contractor/quoter:

Project Name:

Project Location:

Name of Owner:

Address of Owner:

Telephone Number:

Project Value:

Dates of Construction:

Description of the Project and Scope of quoter’s Work

Performance Remarks

Description of the Project and Scope of quoter’s Work (continuation)

Performance Remarks (continuation)

Key Personnel Qualifications-Optional READ CAREFULLY: The purpose of this form is for the Quoter to list the qualifications of all key personnel as described in the solicitation.

Experience and qualifications include those jobrelated training courses; certificates and licenses; honors; performance awards; and specialty skills that are relevant to the proposed project. Provide dates, but do not send documents.

Provide the state in which registration or license is held and the registration or license number. Fill in the information by typing or printing legibly.

NAME OF CONTRACTOR/QUOTER:

PERSONNEL INFORMATION:

Name:

Job Title:

Years of Experience With This Firm:
Years of Experience With Other Firms:

EDUCATION AND PROFESSIONAL REGISTRATION:

Top Educational Level Obtained:

Year:

Area of Specialization:

Professional Registrations:

EXPERIENCE AND QUALIFICATIONS

List of proposed subcontractors

READ CAREFULLY: The purpose of this form is for the Quoter to list the proposed subcontractors who will perform on the contract.

Include a brief description of the work they will perform. Fill in the information by typing or printing legibly.

NAME OF CONTRACTOR/QUOTER:

SUBCONTRACTOR NAME:

DUNS:

HUBZone?
__yes; __no.

Address and website (if applicable):

DESCRIPTION OF PROPOSED SUBCONTRACT WORK:

SUBCONTRACTOR NAME:

DUNS:

HUBZone?
__yes; __no.

Address and website (if applicable):

DESCRIPTION OF PROPOSED SUBCONTRACT WORK:

SUBCONTRACTOR NAME:

DUNS:

HUBZone?
__yes; __no.

Address and website (if applicable):

DESCRIPTION OF PROPOSED SUBCONTRACT WORK:

SUBCONTRACTOR NAME:

DUNS:

HUBZone?
__yes; __no.

Address and website (if applicable):

DESCRIPTION OF PROPOSED SUBCONTRACT WORK:

Subcontractor Reference READ CAREFULLY: The purpose of this form is for the quoter to list certain subcontractors identified in the Instructions, Conditions, and Notices to Quoters (Section L) who are considered critical to the successful accomplishment of the project. Use as many sheets as necessary. These subcontractor references should include additional relevant projects similar to the work described in the plans and specifications. Include area codes with all telephone numbers. Fill in the information by typing or printing legibly.

SUBContractor (PROPOSED):

ADDRESS:

TELEPHONE NUMBER:
( )

Project Name:

Name of Owner:

Location:

Prime Contractor

Telephone Number:

Subcontract $ Value:

Dates of Construction:

Reference Name and Telephone Number:
( ) .

Dates of Construction:

Description & Scope of Work specific areas of experience (SEE INSTRUCTIONS FOR THE SUBMISSION OF quotes AND OTHER INFORMATION – capability CRITERIA):

Description & Scope of Work {continuation} specific areas of experience (SEE INSTRUCTIONS FOR THE SUBMISSION OF quotes AND OTHER INFORMATION – capability CRITERIA) {continuation}:

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Items. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision— Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services".

(d) Representation. The Offeror represents that—

(1) It will, will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that— It does, does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

File details come from the government source that posted it. Updated .