RFP HDEC05-11-T-0016 - Attachment A - Offer Submission.doc

ATTACHMENT A

HDEC05-11-T-0016, Page 3 of 6

QUOTE SUBMISSION FORM

SOLICITATION NUMBER HDEC05-11-T-0016

FOR DRY, REFRIGERATOR, & FREEZER TRAILERS

For Support at Fort Benning, GA

(1) Solicitation Number HDEC05-11-T-0016 (2) Offers are due no later than Tuesday, January 18, 2011, 4:00 PM EST

(3) Name, address, point of contact, fax number, and telephone number of the offeror:

Company Name:

Address:

Point of Contact:

Fax:

Phone:

Tax ID Number:

(4) Terms of any express warranty:

(5) Price:

Provide prices for the ordering periods for each service type as specified on this attachment. Please note that quotes for all services below must be provided to be considered for award:

Base Period: February 1, 2011 to September 30, 2011 (8 months)

Option Period: October 1, 2011 to February 29, 20012 (5 months) A. Rental/Lease for Freeze/Chill Trailers and Hourly Freeze/Chill Rate:

1) Daily Cost of 53’ Freeze/Chill Trailer Rental:

/ Day

2) Monthly Cost of 53’ Freeze/Chill Trailer Rental:

/ Month

3) Quarterly Cost of 53’ Freeze/Chill Trailer Rental:

/ Quarter

4) Hourly Rate Cost of 53’ Freeze/Chill Trailer Unit:

/ Month

B. Rental/Lease for Dry Trailers:

1) Daily Cost of 53’ Dry Trailer Rental (Equipment):

/ Day

2) Monthly Cost of 53’ Dry Trailer Rental (Equipment):

/ Quarter

3) Quarterly Cost of 53’ Dry Trailer Rental (Equipment):

/ Year

C. Transport/Tractor:

ASSUME A PRICE PER GALLON FOR DIESEL FUEL OF $3.50 FOR EVALUATION PURPOSES ONLY.

1) Delivery Cost to Transport Trailer from your hub to Ft. Gillem (Driver and Tractor):

/ Trailer*

Number of Miles from hub to Ft. Gillem (see Attachment D for address):

Vehicle Mile Per Gallon:

*(Number of Miles/Miles Per Gallon) x Economic Indicator Price Per Gallon at Time of Transport (assume $3.50 per gallon)

2) Delivery Cost to Transport Trailer from your hub to

Ft. Benning (Driver and Tractor):

Number of Miles from hub to Ft. Benning (see Attachment D for address):

*(Number of Miles/Miles Per Gallon) x Economic Indicator Price Per Gallon at Time of Transport (assume $3.50 per gallon)

3) Cost to transport Trailer from Ft. Gillem to Ft. Benning (Driver and Tractor):

Number of Miles: Fixed at 117.00 miles

*(Number of Miles/Miles Per Gallon) x Economic Indicator Price Per Gallon at Time of Transport (assume $3.50 per gallon)

4) Cost to transport Trailer from Ft. Benning to Chattanooga Guard and Reserve Center (Driver and Tractor), or reverse:

Number of Miles:

Fixed at 225.00 miles

*(Number of Miles/Miles Per Gallon) x Economic Indicator Price Per Gallon at Time of Transport (assume $3.50 per gallon) Price Evaluation:

The following methodology will be used by the Contracting Officer for determining final evaluated price based on the scenario provided in the solicitation document at line ix. “Provision at 52.212-4501 (FAR 52.212-2) EVALUATION--COMMERCIAL ITEMS.” Offerors DO NOT have to complete this table.

Scenario, Part (a)

Base Period

Option Period

Total, Part (a)

Scenario, Part (b)

Base Period

Option Period

Total, Part (b)

Scenario, Part (c)

Base Period

Option Period

(6) “Remit to” address.

Contractor’s e-mail address:

Dun and Bradstreet (DUNS) or DUNS + 4 Number:

(7)

OFFERORS SHALL INCLUDE A COMPLETE COPY OF THE PROVISION AT FAR 52.212-3

(Alt 1), OFFEROR REPRESENTATIONS AND CERTIFICATIONS-COMMERCIAL ITEMS (Jan 2005) (as applicable) WITH THEIR OFFER, which may be completed electronically at http://orca.bpn.gov. CHECK ONE:

( FAR 52.212-3 has been completed and is attached (ATTACHMENT C).

( Requirement has been completed through registration in ORCA.

(8) Signed acknowledgment of all Solicitation Amendments (if applicable). CHECK IF APPLICABLE:

( Signed acknowledgment of all Solicitation Amendments is/are attached.

( n/a (please check fedbizops for possible amendments before submitting quote).

(9) A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation.

“The undersigned agrees with all terms, conditions, and provisions included within this solicitation.”

Signature

Date

Printed Name

Title

(10) Offer Submissions: Offers shall be submitted in electronic format by an authorized representative of the Offeror. Hand written portions and those including signatures shall be scanned into pdf format as one (1) document and emailed to jason.reedy@deca.mil. The following, or something similar, should be in the subject line for the email submittal:

(11) Past Performance Information:

Provide reference information, to include the name of the reference company, and contact information (phone number(s) and email address) of at least one (1) individual that can be asked to provide past performance information. References should represent previous work of similar scope to the requirements in this solicitation and should be current or prior customers (within the past 3 years).

Reference:

Description of Work Provided:

Reference Company:

Point of Contact:

Phone Number:

Alternate Phone Number:

Email Address:

(12) Contractor Qualifications:

Contractor shall furnish all required driving licensure before contract award, or at any time during the contract period upon the request (verbal or written) of the Contracting Officer.

(13) Complete the following provision (DFAR 252.212-7000):

252.212-7000, oFFEROR REPRESENTATIONS AND CERTIFICATIONS-COMMERCIAL ITEMS;

(a) Definitions. As used in this clause—

(1) “Foreign person” means any person other than a United States person as defined in Section 16(2) of the Export Administration Act of 1979 (50 U.S.C. App. Sec. 2415).

(2) “United States” means the 50 States, the District of Columbia, outlying areas, and the outer Continental Shelf as defined in 43 U.S.C. 1331.

(3) “United States person” is defined in Section 16(2) of the Export Administration Act of 1979 and means any United States resident or national (other than an individual resident outside the United States and employed by other than a United States person), any domestic concern (including any permanent domestic establishment of any foreign concern), and any foreign subsidiary or affiliate (including any permanent foreign establishment) of any domestic concern which is controlled in fact by such domestic concern, as determined under regulations of the President.

(b) Certification. By submitting this offer, the Offeror, if a foreign person, company or entity, certifies that it—

(1) Does not comply with the Secondary Arab Boycott of Israel; and

(2) Is not taking or knowingly agreeing to take any action, with respect to the Secondary Boycott of Israel by Arab countries, which 50 U.S.C. App. Sec. 2407(a) prohibits a United States person from taking.

(c) Representation of Extent of Transportation by Sea. (This representation does not apply to solicitations for the direct purchase of ocean transportation services).

(1) The Offeror shall indicate by checking the appropriate blank in paragraph (c)(2) of this provision whether transportation of supplies by sea is anticipated under the resultant contract. The term “supplies” is defined in the Transportation of Supplies by Sea clause of this solicitation.

(2) Representation. The Offeror represents that it—

___________Does anticipate that supplies will be transported by sea in the performance of any contract or subcontract resulting from this solicitation.

___________Does not anticipate that supplies will be transported by sea in the performance of any contract or subcontract resulting from this solicitation.

(3) Any contract resulting from this solicitation will include the Transportation of Supplies by Sea clause. If the Offeror represents that it will not use ocean transportation, the resulting contract will also include the Defense Federal Acquisition Regulation Supplement clause at 252.247-7024, Notification of Transportation of Supplies by Sea.

(End of provision)

Proposal Signed and Submitted by:

Signature:

Date:

printed name:

Title: