Attachment_J.4_(Pool_Application_and_Certification)_Amendment_01.xlsm
XLSM spreadsheet 45 KB Posted
- Attached to
- Human Capital and Training Solutions (HCaTS) Federal contract opportunity
- Solicitation number
- GS02Q15CRR0001
- Issued by
- GSA Federal Acquisition Service
About this file
This document contains a pool application template for the Human Capital and Training Solutions (HCaTS) contract vehicle. Key details include:
The pool application requests information on the offeror's entity status, size, key personnel, and certifications. Offerors may apply to Pool 1 for size standard $11M or Pool 2 for size standard $15M, covering NAICS codes in professional and management training, vocational rehabilitation, consulting, and educational support services. The template also requests whether the offeror seeks consideration for cost reimbursement task orders and has an audited accounting system. Responses are due by the date specified to be considered for the HCaTS contracts under Solicitation Number GS02Q15CRR0001.
The related federal contract opportunity notice expands on a previous sources sought notice, with the General Services Administration anticipating releasing two requests for proposals around May 19, 2015. One will be unrestricted and the other a total small business set-aside. The contracts will provide training, human capital, and organizational services across government agencies. A pre-solicitation conference and draft RFP are scheduled on the dates listed. Comments on the draft RFP are due by March 30, 2015 to the specified email.
Attachment J.4 (Pool Application and Certification) Amendment 01
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Text version
Pool Application Pool Application and Certification Human Capital and Training Solutions (HCaTS)
Solicitation Number: GS02Q15CRR0001 Attachment J.4 Amendment #: 01
All sections must be completed before submission.
| SECTION I - BACKGROUND |
| A. Offeror Information: The Offeror shall provide herein this Section I its official Name, Address, and DUNS Number of the bidding entity as specified on the SF33 and for which the Offeror has a corresponding active profile at www.sam.gov. |
| Offeror Name: |
| Offeror Address: |
| DUNS Number: |
| Entity Type: |
B. Entity Size Status: If an Offeror is Other than Small Business, leave this section blank. If the Offeror is a Small Business, the Offeror shall select the applicable socio-economic subgroup(s) it certifies itself as for purposes of this Solicitation. The Offeror's SAM record shall reflect the same selections.
C. Authorized Representative: The Offeror shall indicate the individual with authority to commit and bind the Offeror for purposes of this Solicitation.
| Name: |
| Title: |
| Office Phone: |
| Mobile Phone: |
| Email: |
| D. Alternative Authorized Representative: The Offeror shall indicate an alternative point of contact who shall also have the authority to commit and bind the Offeror for purposes of this Solicitation. |
| Name: |
| Title: |
| Office Phone: |
| Mobile Phone: |
| Email: |
| SECTION II - HCaTS POOL QUALIFICATION | |
| Pool Selection: The Offeror shall indicate which Pool(s) it seeks consideration for purposes of this Solicitation. | |
| POOL 1 - Size Standard $11M | POOL 2 - Size Standard $15M |
NAICS:
611430 (Professional & Management Development Training) 611699 (All Other Miscellaneous Schools and Instruction) 624310 (Vocational Rehabilitation Services) NAICS:
541611 (Administrative Management and General Management Consulting Services) 541612 (Human Resources Consulting Services) 541613 (Marketing Consulting Services) 541618 (Other Management Consulting Services) 611710 (Educational Support Services)
| Contractor Key Personnel #1 | ||
| (Corporate HCaTS Program Manager): | Contractor Key Personnel #1 |
(Corporate HCaTS Program Manager):
| Name: | Name: | ||
| Title: | Title: | ||
| Contractor Key Personnel #2 | |||
| (Corporate HCaTS Contract Manager): | Contractor Key Personnel #2 |
(Corporate HCaTS Contract Manager):
| Name: | Name: |
| Title: | Title: |
| SECTION III - Eligibility for Cost Reimbursable Task Orders |
| Cost Reimbursement Election: The Offeror shall indicate herein if it seeks consideration for cost reimbursement task orders. |
Does the Offeror elect to be considered for cost reimbursable task orders under HCaTS?
| Only answer the questions below, if the answer to the previous questions is yes. |
| Is the Offeror's current accounting system audited in accordance with Section L.5.1.5? |
If the Offeror's current accounting system is not audited in accordance with Section L.5.1.5, does it elect to have its accounting system audited by the DCAA?
| SECTION IV - CERTIFICATIONS/AUTHORIZATIONS |
| BY SUBMITTING THIS FORM, OFFEROR AGREES TO AND ACKNOWLEDGES THE FOLLOWING TERMS AND CONDITIONS: |
1) Offeror accepts all Terms, Conditions, Provisions, and Clauses included in the solicitation.
2) Offeror accepts the performance standards identified in Section F.5, and acknowledges that it is the Government’s unilateral right to invoke Dormant Status or Off-Ramp procedures for failure to meet the stated standards.
3) The Price proposal reflects the Offeror's rates and estimates as of the date of proposal submission. By submitting this proposal, the Offeror grant the Contracting Officer and Authorized Representative(s) the right to examine, at any time before award, those records, which include books, documents, accounting procedures and practices, and other data, regardless of type and form or whether such supporting information is specifically referenced or included in the proposal as the basis for pricing, that will permit an adequate evaluation of the proposed price in accordance with FAR Subsection 15.403-3.
4) Offeror acknowledges that the falsification of any proposal submission, documents or statements may subject the Offeror to civil or criminal prosecution under Section 1001 of Title 18 of the United States Code.
Small Business HUBZone Small Business Service Disabled Veteran Owned Small Business 8(a) Small Business Economically Disadvantaged Woman Owned Small Business Woman Owned Small Business The Offeror identifies as small business for Pool 1.
The Offeror identifies as small business for Pool 2.
ImportSheet
| Offeror Name | Offeror Address | DUNS | Individual | CTA | SB | SDVOSB | EDWOSB | HUBZone | 8(a) | WOSB | Name | Title | O.Phone | M.Phone | Name | Title | O.Phone | M.Phone | Pool 1 | SB Pool1 | Pool 2 | SB Pool 2 | CKP#1 Name | CKP#1 Title | CKP#2 Name | CKP#2 Title | CKP#1 Name | CKP#1 Title | CKP#2 Name | CKP#2 Title | Yes | No | Has Audit | Needs Audit | ||
| 0 | 0 | 0 | FALSE | FALSE | FALSE | FALSE | FALSE | FALSE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | FALSE | FALSE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | FALSE | FALSE | FALSE | FALSE |
Not applicable, for Evaluation purposes.
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