RFQ HDEC05-11-T-0019 - Attachment A - Offer Submission.doc

ATTACHMENT A

HDEC05-11-T-0019, Page 3 of 5

QUOTE SUBMISSION FORM

SOLICITATION NUMBER HDEC05-11-T-0019

FOR DRY, REFRIGERATOR, & FREEZER TRAILERS

For transportation Support at New Orleans NAS-JRB

(1) Solicitation Number HDEC05-11-T-0019 (2) Offers are due no later than Tuesday, January 25, 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:

Transport/Tractor:

A. CLIN 0001. Cost each: One (1) each, 53’ freeze/chill trailer with tractor and driver for February 15, 2011 services as described in the Statement of Work:

1. Cost per Tractor/Trailer:

/ Trailer

B. CLIN 0002. Cost each: Two (2) each, 53’ dry trailers with tractor and driver for February 17, 2011 services as described in the Statement of Work:

C. CLIN 0003. Cost each: One (1) each, 53’ dry trailers with tractor and driver for February 18, 2011 services as described in the Statement of Work (as needed*):

/ Trailer

*The presence of this CLIN does not guarantee that the services described herein will be needed. A determination will be made by the Commissary main point of contact as to the necessity of the services for February 18, 2011. The determination shall be made and the contractor notified as soon as possible.

D. CLIN 0004. Cost each: Up to Two (2) each*, 53’ dry trailers with tractor and driver for February 24, 2011 services as described in the Statement of Work:

/ Trailer

*The presence of this CLIN does not guarantee that two dry trailers will be needed. A determination will be made by the Commissary main point of contact as to the necessity of the use of either one (1) or two (2) trailers and tractors. The determination shall be made and the contractor notified no later than February 22, 2011.

E. CLIN 0005 (Option) Cost each: Trailer, 53’, chill, delivered on or about January 31, 2011 as coordinated with Commissary personnel. Dates represent an estimated timeframe in which trailer may be requested. To be used for storage of meat product as needed during the estimated period of performance as described in the Statement of Work:

1. Delivery / Pick up Cost:

2. Weekly Rental Cost:

3. Daily Rental Cost:

4. Daily Chill Trailer Rate:

/ Day

Pricing Evaluation Scenario

(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: