revised RFQ HDEC05-12-R-0010 - Attachment A - Offer Submission.doc

ATTACHMENT A

HDEC05-12-R-0010, Page 1 of 6

QUOTE SUBMISSION FORM

Combined Synopsis/Solicitation

Number HDEC05-12-R-0010, For

PACKAGING MATERIALS FOR CHARLESTON AFB, SC

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

(1) Solicitation Number HDEC05-12-R-0010 (2) Offers are due no later than Friday, March 30, 2012, 4:00 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:

CLIN 1001

Packaging Materials 1st Option Period of Performance: April 1, 2013 to March 31, 2014

Box, Triple Wall (1100 lb test), Regular Slotted Carton, Corrugated, Glued, and must be the following dimensions: 48” x 40” x 36”. Priced each. 450 each (estimate).

Price Per Each:

Box, Triple Wall, (1100 lb test), Regular Slotted Carton, Corrugated, Glued, and must be the following dimensions: 30” x 30” x 30”. Priced each. 200 each (estimate).

Cardboard sheet, C flute, and must be the following dimensions: 48” x 40”. Priced each. 450 each (estimate).

Plastic liner, 3.5 mil, and must be the following dimensions: 51” x 49”x 97”. 25 bags per roll. 25 rolls (estimate).

Price Per Roll:

Banding, steel, and must be the following dimensions: 5/8 in. wide x 0.20 mil thick. 100 lbs per roll. 1000 lbs (estimate).

Price Per Roll (100 lbs):

Insulation sheathing, extruded polystyrene, 4’ x 8’ x 1/2”. Priced each. 250 sheets (Estimate).

Price Per Sheet:

CLIN 2001

Packaging Materials 2nd Option Period of Performance: April 1, 2014 to March 31, 2015

Box, Triple Wall (1100 lb test), Regular Slotted Carton, Corrugated, Glued, and must be the following dimensions: 48” x 40” x 36”. Priced each. 450 each (estimate).

Box, Triple Wall, (1100 lb test), Regular Slotted Carton, Corrugated, Glued, and must be the following dimensions: 30” x 30” x 30”. Priced each. 200 each (estimate).

Cardboard sheet, C flute, and must be the following dimensions: 48” x 40”. Priced each. 450 each (estimate).

Plastic liner, 3.5 mil, and must be the following dimensions: 51” x 49”x 97”. 25 bags per roll. 25 rolls (estimate).

Banding, steel, and must be the following dimensions: 5/8 in. wide x 0.20 mil thick. 100 lbs per roll. 1000 lbs (estimate).

CLIN 3001

Box, Triple Wall (1100 lb test), Regular Slotted Carton, Corrugated, Glued, and must be the following dimensions: 48” x 40” x 36”. Priced each. 450 each (estimate).

Box, Triple Wall, (1100 lb test), Regular Slotted Carton, Corrugated, Glued, and must be the following dimensions: 30” x 30” x 30”. Priced each. 200 each (estimate).

Cardboard sheet, C flute, and must be the following dimensions: 48” x 40”. Priced each. 450 each (estimate).

Plastic liner, 3.5 mil, and must be the following dimensions: 51” x 49”x 97”. 25 bags per roll. 25 rolls (estimate).

Banding, steel, and must be the following dimensions: 5/8 in. wide x 0.20 mil thick. 100 lbs per roll. 1000 lbs (estimate).

CLIN 4001

4th Option Period of Performance: April 1, 2016 to March 31, 2017

Box, Triple Wall (1100 lb test), Regular Slotted Carton, Corrugated, Glued, and must be the following dimensions: 48” x 40” x 36”. Priced each. 450 each (estimate).

Box, Triple Wall, (1100 lb test), Regular Slotted Carton, Corrugated, Glued, and must be the following dimensions: 30” x 30” x 30”. Priced each. 200 each (estimate).

Cardboard sheet, C flute, and must be the following dimensions: 48” x 40”. Priced each. 450 each (estimate).

Plastic liner, 3.5 mil, and must be the following dimensions: 51” x 49”x 97”. 25 bags per roll. 25 rolls (estimate).

Banding, steel, and must be the following dimensions: 5/8 in. wide x 0.20 mil thick. 100 lbs per roll. 1000 lbs (estimate).

(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 (Feb 2012) (as applicable) WITH THEIR OFFER, which shall be completed electronically at http://orca.bpn.gov.

( 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 heather.jarratt@deca.mil. The following, or something similar, should be in the subject line for the email submittal:

(11) Past Performance Information:

Offerors shall 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 #1:

Company:

Point of Contact:

Address:

Phone Number:

Alternate Phone Number:

Email Address:

(12) Contractor Qualifications – Non-Manufacturing Rule:

Any firm directly providing materials under this contract must perform at least 50% of the cost of manufacturing the supplies (not including the cost of materials). A firm that is not a manufacturer may qualify as a small business on a supply contract set aside for small business if, among other things, it supplies the product of a small business made in the United States.

By checking this block, I certify that the company represented in section (3) either provides at least 50% of the cost of manufacturing the supplies (not including the cost of materials), or will supply the products of a small business made in the United States.

(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: