Attachment 4 - RFP Information and General Compliance Worksheet_Qatar.xlsx
XLSX spreadsheet 18 KB Posted
- Attached to
- Qatar S&RTS
- Solicitation number
- HTC711-25-R-R012
About this file
This is an RFP Information and General Compliance Worksheet (Attachment 4) for solicitation HTC71125RR012 for Stevedoring & Related Terminal Services in Qatar. The period of performance is September 21, 2025 through September 20, 2030, managed by USTRANSCOM at Scott AFB.
The worksheet requires offerors to provide company information, POC details, and complete various compliance items including SAM registration verification, representations and certifications, and submission of required documentation such as an Essential Contractor Services Plan, CTIP Compliance Plan, and Technical Worksheet (limited to 15 pages). Offerors must acknowledge contract terms, minimum productivity rates, and amendments. The worksheet also requires completion of Schedule of Rates (Attachment 2) with specific formatting requirements for unit prices. Key government contacts are Douglas Otten (Contracting Officer) and Connor Breyer (Contract Specialist). Proposals must be valid for at least 180 calendar days, and offerors must be registered under NAICS code 488320.
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Sheet1 RFP HTC71125RR012 - Attachment 4 - SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104 (When Filled-in, this Document becomes CUI//SP-SSEL)
| ATTACHMENT 4: RFQ Information and General Compliance Worksheet |
| REQUEST FOR QUOTE: HTC71125RR012 |
| Stevedoring & Related Terminal Services (S&RTS) Qatar |
| Period of Performance: 21 September 2025 through 20 September 2030 |
| Government Points of Contact: |
| Douglas Otten, Contracting Officer |
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 douglas.d.otten.civ@mail.mil Connor Breyer, Contract Specialist
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 connor.n.breyer.civ@mail.mil
| GENERAL INFORMATION - Complete the requested information below. | |||
| COMPANY NAME: | |||
| COMPANY ADDRESS: | |||
| COMPANY TELEPHONE NUMBER: | |||
| COMPANY EMAIL ADDRESS: | |||
| BUSINESS SIZE (NAICS 488320): | |||
| CAGE CODE: | |||
| DUNS NUMBER: | |||
| SAM NUMBER: (Replaces the DUNS Number as of 1 April 2022.) | |||
| TAX IDENTIFICATION NUMBER: | |||
| IBAN/SWIFT CODE: | |||
| REMITTANCE ADDRESS: (Only if remittance address is different, such address must be registered in the System for Award Management (SAM) database, If not mark as N/A) | |||
| PRIMARY POC: To include title and contact information | |||
| (Person/s with authority to make decision and negotiate with respect to the | |||
| proposal and who can obligate your company contractually.) | |||
| ALTERNATE POC: To include title and contact information | |||
| (Person/s with authority to make decision and negotiate with respect to the | |||
| proposal and who can obligate your company contractually.) | |||
| PROMPT PAYMENT DISCOUNT: (If applicable, If not mark as N/A) | |||
| DATE/TIME OF SUBMISSION: | |||
| PROPOSAL VALIDITY DATE: (180 calendar days, at minimum) | |||
| CONTRACT DOCUMENTATION | |||
| GENERAL: | ACTION ITEMS | COMPLETED | COMMENTS |
| Active in SAM (Offeror must be registered as Active in SAM by proposal due date) | |||
| NAICS in SAM contains 488320 | |||
| REPRESENTATIONS AND CERTIFICATIONS (REPS & CERTS): **Please Complete in RFQ Attachment 4 if not in SAM.gov** | ACTION ITEMS | COMPLETED | COMMENTS |
| FAR 52.204-24, Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021). NOTE: FAR 52.204-24 only needs to be completed if FAR 52.204-26 is not completed in SAM.gov, or if the quoter represents it “will” provide or “does” use covered telecommunications equipment. | |||
| FAR 52.209-7, Information Regarding Responsibility Matters (Oct 2018) | |||
| FAR 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services (DEVIATION 2023-O0002) (DEC 2022) , with Alternate I. NOTE: A small business joint venture must submit, with its quote, the representation required in paragraph (c) of FAR solicitation provision 52.212-3, Offeror Representations and Certifications-Commercial Products and Commercial Services, and paragraph (c) of FAR solicitation provision 52.219-1, Small Business Program Representations, in accordance with 52.204-8(d) and 52.212-3(b) for the following categories: (A) Small business; (B) Service-disabled veteran-owned small business; (C) Women-owned small business (WOSB) under the WOSB Program; (D) Economically disadvantaged women-owned small business under the WOSB Program; or (E) Historically underutilized business zone small business. | |||
| FAR 52.229-11, Tax On Certain Foreign Procurements Notice & Representation (Jun 2020) NOTE: Quoters representing as a "foreign person" must also submit an IRS Form W-14. | |||
| DFARS 252.204-7017, Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services—Representation (May 2021). NOTE: DFARS 252.204-7017 only needs to be completed if DFARS 252.204-7016 is not completed in SAM.gov, or if the quoter represents it “does” provide covered defense telecommunications equipment or services in DFARS 252.204-7016. | |||
| DFARS 252.229-7001, Tax Relief (Apr 2020) | |||
| DFARS 252.247-7022, Representation of Extent of Transportation by Sea (Jun 2019) | |||
| ANCILLARY DOCUMENTATION | |||
| CONTINUATION OF | ACTION ITEMS | COMPLETED | COMMENTS |
| ESSENTIAL CONTRACTOR | |||
| SERVICES PLAN: | |||
| Attachment 3, Contractor Plan for Essential Contractor Services, completed and submitted. | |||
| CERTIFICATION REGARDING | ACTION ITEMS | COMPLETED | COMMENTS |
| TRAFFICKING IN PERSONS (CTIP) | |||
| COMPLIANCE PLAN: | |||
| In accordance with FAR 52.222-56, Offerors shall submit a certification implementing a compliance plan for prohibiting trafficking in person or trafficking-related activities. More details and instructions are found within the aforementioned FAR clause. | |||
| TECHNICAL WORKSHEET | |||
| ACTION ITEMS | COMPLETED | COMMENTS | |
| Attachment 5, Technical Worksheet, completed and submitted. | |||
| Technical Worksheet did not exceed the page requirement - 15. | |||
| SCHEDULE OF RATES (SOR) | |||
| ACTION ITEMS | COMPLETED | COMMENTS | |
| Attachment 2, Schedule of Rates, completed and submitted on the correct SOR. (If the SOR was Amended, it must be on the last Amended SOR.) | |||
| Unit prices were free of formulas. | |||
| Unit prices were only two decimal places. | |||
| All unit prices were completed for each quantity. | |||
| ACKNOWLEDGMENTS | |||
| ACTION ITEMS | Acknowledgement | COMMENTS | |
| The contractor accedes to the contract terms and conditions as written in the RFQ, with attachments. | |||
| The contractor acknowledges and certifies it is able to meet or exceed the minimum productivity rates specified in Attachment 1, Performance Work Statement. The productivity rates are the required minimum levels acceptable to meet mission schedules. | |||
| The contractor acknowledges all RFP Amendments. |
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