RFP HDEC05-11-T-0060 - Attachment A - Offer Submission.doc

ATTACHMENT A

HDEC05-11-T-0060, Page 3 of 3

QUOTE SUBMISSION FORM

Combined Synopsis/Solicitation

Number HDEC05-11-T-0060, For

TENT RENTAL SERVICES AT MIRAMAR MCAS, CA

**note: ALL PORTIONS OF THIS DOCUMENT MUST BE COMPLETED PRIOR TO BEING CONSIDERED FOR VALUATION**

(1) Solicitation Number HDEC05-11-T-0060 (2) Offers are due no later than Tuesday, April 26, 2011, 1:00 PM EDT (3) Name, address, point of contact, fax number, and telephone number of the offeror:

Company Name:

Address:

Point of Contact:

Fax:

Phone:

DUNS Number:

Cage Code:

Tax ID Number:

(4) Terms of any express warranty:

(5) Price:

Provide prices for CLIN 0001.

CLIN 0001

Rental Cost for all items (May 6, 2011 to May 23, 2011)

(6) Credit Card Payment Point of Contact:

Name:

Phone:

Email:

(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) Technical

Provide a description of the proposed equipment:

(12) Contractor Qualifications:

Contractor shall furnish all licensure and/or proof of insurance before contract award if requested, 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 (MUST BE SIGNED):

Signature:

Date:

printed name:

Title: