Attachment 4 - RFQ Information and General Compliance Worksheet_Rev. 4 Feb 2026.xlsx
XLSX spreadsheet 17 KB Posted
- Solicitation number
- HTC711-26-Q-E119
About this file
This file is an RFQ Information and General Compliance Worksheet for Stevedoring & Related Terminal Services (S&RTS) at ports in Malaysia. It serves as a submission checklist and template for offerors responding to RFQ HTC71126QE119, issued by U.S. Transportation Command (USTRANSCOM) with a contract period of performance from May 1, 2026 through April 30, 2031, with an optional six-month extension through October 31, 2031. The contracting officer is Becky Molloy and the contract specialist is Melissa Romagno, both located at Scott Air Force Base in Illinois.
The worksheet requires offerors to complete multiple submission sections including company information (CAGE code, SAM registration, tax identification number, IBAN/SWIFT code for international payments), points of contact with contracting authority, representations and certifications (including FAR and DFARS clauses addressing telecommunications equipment, tax matters, and trafficking in persons compliance), technical submission requirements (15-page maximum technical worksheet and 5-page maximum Mission Essential Plan), pricing documentation (Schedule of Rates with unit prices formatted to two decimal places without formulas), and acknowledgments via SF 1449 and SF 30 forms. All offerors must be registered as active in the System for Award Management (SAM) database with NAICS code 488320 prior to the proposal submission deadline. The document functions as a comprehensive compliance checklist to ensure all required documentation and certifications are submitted with the proposal.
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Other files
| File | Type | Posted |
|---|---|---|
| Synopsis of Award_Malaysia.pdf | ||
| Malaysia PWS 17 March.docx | DOCX document | |
| Solicitation Amendment HTC71126QE1190004 SF 30.pdf | ||
| Questions and Answers_Malaysia_as of 17 Mar 26.xlsx | XLSX spreadsheet | |
| Solicitation Amendment HTC71126QE1190003 SF 30.pdf | ||
| Questions and Answers_Malaysia_as of 19 Feb 26.xlsx | XLSX spreadsheet | |
| Solicitation Amendment HTC71126QE1190002 SF 30.pdf | ||
| Questions and Answers_Malaysia_as of 4 Feb 26.xlsx | XLSX spreadsheet | |
| Solicitation Amendment HTC71126QE1190001 SF 30.pdf | ||
| Attachment 1 - Performance Work Statement.pdf | ||
| Attachment 2 - Schedule of Rates.xlsx | XLSX spreadsheet | |
| Attachment 4 - RFQ Information and General Compliance Worksheet.xlsx | XLSX spreadsheet | |
| Solicitation - HTC71126QE119.pdf | ||
| Attachment 3 - Mission Essential Plan.docx | DOCX document | |
| Attachment 5 - Technical Worksheet.docx | DOCX document |
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Text version
Malaysia
| RFQ HTC71126QE119- 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: HTC71126QE119 | |
| Stevedoring & Related Terminal Services (S&RTS) Ports in Malaysia | |
| Period of Performance: 01 May 2026 - 30 April 2031 | |
| (Optional 6-month extension 01 May 2031 - 31 October 2031) | |
| Government Points of Contact: | |
| Becky Molloy, Contracting Officer |
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 becky.s.molloy.civ@mail.mil Melissa Romagno, Contract Specialist
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 melissa.s.romagno.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: | |||
| SAM NUMBER: | |||
| 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 fully complete each action item in the RFQ and acknowledge on 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 offeror 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 2025-O0003 and 2025-O0004) (Mar 2025) | |||
| FAR 52.229-11, Tax On Certain Foreign Procurements Notice & Representation (Jun 2020) NOTE: Offerors 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 offeror represents it “does” provide covered defense telecommunications equipment or services in DFARS 252.204-7016. | |||
| DFARS 252.229-7001, Tax Relief (Apr 2020) | |||
| ANCILLARY DOCUMENTATION | |||
| CERTIFICATION REGARDING | ACTION ITEMS | COMPLETED | COMMENTS |
| TRAFFICKING IN PERSONS (CTIP) | |||
| COMPLIANCE PLAN: | |||
| In accordance with FAR 52.222-56, offerors shall submit an English 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 SUBMISSION | |||
| TECHNICAL WORKSHEET | ACTION ITEMS | COMPLETED | COMMENTS |
| Attachment 5, Technical Worksheet, completed and submitted. | |||
| Technical Worksheet did not exceed the page requirement - 15 pages. | |||
| MISSION ESSENTIAL PLAN | ACTION ITEMS | COMPLETED | COMMENTS |
| Attachment 3, Mission Essential Plan, completed and submitted. | |||
| Mission Essential Plan did not exceed the page requirement - 5 pages. | |||
| PRICE QUOTE, 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 | |||
| SF1449: | ACTION ITEMS | COMPLETED | COMMENTS |
| Completed SF 1449 Block 12 (should be completed even if no discount is offered) | |||
| Completed SF 1449 Block 17a | |||
| Completed SF 1449 Block 30a | |||
| Completed SF 1449 Block 30b | |||
| Completed SF 1449 Block 30c | |||
| Returned signed and dated on the SF 1449 (In doing so, offeror accedes to the contract terms and conditions as written in the RFQ, with attachments) | |||
| Completed SF 1449 Block 17b (Only if remittance address is different, such address must be registered in the System for Award Management (SAM) database. | |||
| SF30: | ACTION ITEMS | COMPLETED | COMMENTS |
| Completed SF 30 Block 8 on each SF 30 | |||
| Completed SF 30 Block 15a on each SF 30 | |||
| Completed SF 30 Block 15b on each SF 30 |
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