Attachment 4 - RFP Information and General Compliance Worksheet_Israel.xlsx
XLSX spreadsheet 29 KB Posted
- Attached to
- Israel S&RTS
- Solicitation number
- HTC71127RE125
About this file
This is a compliance and submission worksheet for a Request for Proposal (RFP) for Stevedoring and Related Terminal Services (S&RTS) in Israel. The contract opportunity (RFP HTC71126RE138) is issued by the Department of Defense United States Transportation Command (USTRANSCOM) and covers stevedoring, longshoring, cargo management, warehousing, and related terminal services at the Ports of Ashdod and Haifa. The contract period of performance runs from March 1, 2027, through February 29, 2032, with a five-year term. The contracting officer is Laura Tebbe, and the contract specialist is Otto Roberts, both located at USTRANSCOM/TCAQ-R at Scott Air Force Base, Illinois.
The worksheet functions as a compliance checklist requiring offerors to complete multiple submission requirements including company registration details (SAM, CAGE code, tax identification number, IBAN/SWIFT code), representations and certifications (FAR 52.209-7, FAR 52.219-4, FAR 52.229-11, DFARS 252.204-7017, DFARS 252.204-7998, DFARS 252.229-7001), a trafficking in persons compliance plan, technical and mission essential plan submissions (not exceeding 20 and 5 pages respectively), a properly formatted Schedule of Rates with unit prices, hazmat certifications, business licenses, and completed SF 1449 and SF 30 forms. Offerors must maintain active SAM registration with NAICS code 488320, and proposals must remain valid for a minimum of 180 calendar days. The worksheet also includes reminder items regarding CMMC Level 1 status and continuous compliance verification for subcontractors handling federal contract information or controlled unclassified information.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment 3 - Mission Essential Plan_Israel.docx | DOCX document | |
| Solicitation - HTC71127RE125.pdf | ||
| Attachment 2 - Israel SOR.xlsx | XLSX spreadsheet | |
| Attachment 1 - Israel PWS.pdf | ||
| Attachment 5 - Technical Worksheet_Israel.docx | DOCX document |
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Text version
Sheet1
| RFP HTC71126RE138 - Attachment 4 |
| SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104 (When Filled-in, this Document becomes CUI//SP-SSEL) |
| ATTACHMENT 4: RFP Information and General Compliance Worksheet |
| REQUEST FOR PROPOSAL: HTC71126RE138 |
| Stevedoring & Related Terminal Services (S&RTS) Israel |
| Period of Performance: 01 March 2027 through 29 February 2032 |
| Government Points of Contact: |
| Laura Tebbe, Contracting Officer |
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 laura.b.tebbe.civ@mail.mil Otto Roberts, Contract Specialist
USTRANSCOM/TCAQ-R
508 Scott Drive, Bldg. 1900W Scott AFB, IL 62225 otto.d.roberts.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 RFP and acknowledge on Attachment 4, if not in SAM.gov** | ACTION ITEMS | COMPLETED | COMMENTS |
| FAR 52.209-7, Information Regarding Responsibility Matters (Oct 2018) | |||
| FAR 52.219-4, Notice of Price Evaluation preference for HUBZone Small Business Concerns (Feb 2026) (Deviation 2026-O0038) | |||
| 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 252.204-7998, Alternate A, Annual Representations and Certifications (Deviation 2026-O0043) | |||
| 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 PROPOSAL | |||
| TECHNICAL WORKSHEET | ACTION ITEMS | COMPLETED | COMMENTS |
| Attachment 5, Technical Worksheet, completed and submitted. | |||
| Technical Worksheet did not exceed the page requirement - 20 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. | |||
| Attached HAZMAT Certifications or Self-Certified Letter | |||
| Attached Business License or Work Permit | |||
| PRICE PROPOSAL, 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 RFP, 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 | |||
| SPRS/CMMC (DFARS 252.204-7021): | ACTION ITEMS | COMPLETED | COMMENTS |
| *These three (3) items are for reminder purposes and will not be reviewed as part of compliance. See DFARS Clause 252.204-7025. | Hold a current CMMC Level 1 (Self) status in SPRS for systems that will handle FCI/CUI. | ||
| Have a current self-assessment and affirmation of continuous compliance in SPRS. | |||
| Prepared to flow down CMMC Level 1 requirements to any subcontractors handling FCI/CUI and verify their status before subcontract award. |
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