SPECIALTIME_BOXES_in_Word.doc

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Attached to
Maritime Support Vessel Federal contract opportunity
Solicitation number
N00033-13-R-2015
Issued by
Department of the Navy Military Sealift Command

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Specialtime Boxes in Word Format

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SPECIALTIME BOXES – N00033-13-R-2015

SPECIALTIME BOXES

Vessel(s):

Owner Name:

Owner DUNS:

Owner CAGE:

Owner TIN (and TIN of parent, if applicable):

Solicitation Number:

N00033-13-R-2015

Contract Number (date):

TBD (TBD)

1. Vessel Required:

See RFP Section C

2. Place/Range of Delivery:

Little Creek, VA

3. Place/Range of Redelivery:

Little Creek, VA

4. Charter Period

The firm period of the Charter shall commence following the conclusion of the approximately 216 day ramp-up period, and conclude approximately twelve (12) months after contract award. The Charter shall also include four (4) one-year option periods.

5. Laydays:

Commencing: 09 December 2013 Cancelling: 13 December 2013

Laydays may be changed after award.

6. Terms/Conditions/Attachments added, deleted or modified:

Vessel:

7. Vessel/Flag/Year Built:
8. Proposal Firm Until:

UNLESS OTHERWISE SPECIFIED, PROPOSAL IS FIRM FOR 60 DAYS FROM THE DUE DATE FOR OFFERS

9. Amendments Acknowledged (amendment numbers and dates)

10. Owner (style, address, phone, cell phone, pager, e-mail, fax)
11. Broker (address, phone, e-mail, fax)

12. Remittance address for hire (if other than box 10)

13. — 17. RESERVED

Vessel:

PER DIEM RATES

FIRM PERIOD

FULL OPERATIONAL STATUS RATES
REDUCED OPERATIONAL STATUS RATE

(ROS 10 DAYS AND LONGER, IN CONUS OR HAWAII)

REDUCED OPERATIONAL STATUS RATE

(ROS 10 DAYS AND LONGER, OUTSIDE CONUS AND HAWAII)

18A.

USD per diem
19A.
USD per diem
20A.

USD per diem

FIRST OPTION PERIOD

FULL OPERATIONAL STATUS RATES
REDUCED OPERATIONAL STATUS RATE

(ROS 10 DAYS AND LONGER, IN CONUS OR HAWAII)

REDUCED OPERATIONAL STATUS RATE

(ROS 10 DAYS AND LONGER, OUTSIDE CONUS AND HAWAII)

18B.

USD per diem
19B.
USD per diem
20B.

USD per diem

SECOND OPTION PERIOD

FULL OPERATIONAL STATUS RATES
REDUCED OPERATIONAL STATUS RATE

(ROS 10 DAYS AND LONGER, IN CONUS OR HAWAII)

REDUCED OPERATIONAL STATUS RATE

(ROS 10 DAYS AND LONGER, OUTSIDE CONUS AND HAWAII)

18C.

USD per diem
19C.
USD per diem
20C.

USD per diem

THIRD OPTION PERIOD

FULL OPERATIONAL STATUS RATES
REDUCED OPERATIONAL STATUS RATE

(ROS 10 DAYS AND LONGER, IN CONUS OR HAWAII)

REDUCED OPERATIONAL STATUS RATE

(ROS 10 DAYS AND LONGER, OUTSIDE CONUS AND HAWAII))

18D.

USD per diem
19D.
USD per diem
20D.

USD per diem

FOURTH OPTION PERIOD

FULL OPERATIONAL STATUS RATES
REDUCED OPERATIONAL STATUS RATE

(ROS 10 DAYS AND LONGER, IN CONUS OR HAWAII)

REDUCED OPERATIONAL STATUS RATE

(ROS 10 DAYS AND LONGER, OUTSIDE CONUS AND HAWAII)

18E.

USD per diem
19E.
USD per diem
20E.

USD per diem

21. Indicate crewing arrangements during ROS (10 Days and Longer, in CONUS or Hawaii) and ROS (10 Days and Longer, outside CONUS and Hawaii):

22. Other Costs:

22. Other Costs (continued):

Cancellation Fee (see Section H-43): In the event the Government does not exercise an option to extend the term of the contract or terminates the contract for convenience, the contractor shall be entitled to not-to-exceed cancellation costs subject to the conditions in Section H-43 and according to the following schedule:

Prior to Delivery of Vessel
$
During Firm Charter Performance Period
$
During 1st Optional Performance Period
$
During 2nd Optional Performance Period
$
During 3rd Optional Performance Period
$
During 4th Optional Performance Period
$

NOTE: As defined in the cancellation clause in Section H-43, only prior to delivery of the vessel may the cancellation fee include the cost of ramp-up period vessel modifications, only to the extent that such modification or conversion costs were incurred in order for the vessel to meet contract requirements. Cancellation fees for cancellation during the firm or any optional charter period shall not include the cost of these vessel modifications.

Ramp-Up Period:

Program Management Support for Ramp-Up Period (see Sections B-2.1 and C-2.0): Program management support for the time charter ramp-up period, as described in Section C-2.0, shall be payable at the firm-fixed-price daily rate listed below.

Program Management Support

Vessel Modifications (See Sections B-2.2 and C-2.10): Modifications necessary to meet the vessel requirements shall be payable at the firm-fixed-price sum listed below.

Vessel Modifications $

Vessel Redelivery Bonus: $

Vessel(s):

23. Laydays Proposed:
24. Estimated Readiness Date (see Section L-4.1.2(2):

(1)

(2)

GENERAL

25. Vessel type and, if applicable, MARAD design type:

26. Place built:
27. Year built:
28. INMARSAT Ident.:
29. Vessel's e-mail/Fax:
30. Call Letters:
31. Official number:
32. Net registered tonnage:
33. Panama Canal tonnage:
34. Gross registered tonnage:
35. Suez Canal tonnage:
36. Beam (extreme):
37. Length Overall:

a. (ft)

b. (m)

a. (ft)

b. (m)

38. Reserved
39. Length between perpendiculars:

a. (ft)

b. (m)

40. Summer mean draft:
41. Reserved

a. (ft)

b. (m)

42. Displacement, loaded (on draft in Box 34):
43. Summer Load Line Freeboard:

a (LT)

b. (M)

a. (ft)

b. (m)

44. Shaft Horsepower/kilowatts
45. Brake Horsepower/kilowatts

a. (hp)

b. (kW)

a. (hp)

b. (kW)

46. Nationality of Master/Officers/Crew:
47. Number of persons other than crew that can be carried:

48. Classification society entered and class assigned:

49. Insured value of vessel (USD)
50. Vessel's present position/destination:
51. Last dry-dock date (mm/dd/yy):
52. Next dry-dock date (mm/dd/yy):
53. MARAd subsidized vessel:
Yes

No

Vessel(s):

GEAR

54. Number/location/SWL capacity of winches, derricks, booms, and cranes

CASUALTIES/DEFICIENCIES

55. Has vessel been involved in any serious grounding or collision within a period of twelve months from the submission date of this proposal? (include full description if "yes")

56. Are any deficiencies lodged by any regulatory body outstanding against the Vessel (include full description if "yes")

Vessel(s):

FUEL CONSUMPTION AT SERVICE SPEEDS

57. Average warranted speed (knots, for laden, moderate weather)
58. Reserved.
59. Average fuel consumption (net bbls at 60 deg F and grade(s): for laden, moderate weather passage as speed identified in Box 57; not including auxiliaries)
60. Average fuel consumption at loiter/anchor(net bbls at 60 deg F and grade(s))
61. Auxiliaries underway fuel consumption (net bbls at 60 deg F and grade(s), only if not elsewhere identified)
62. Inport fuel consumption (net bbls at 60 deg F and grade(s))

FUEL CONSUMPTION AT VARIABLE SPEEDS

63: Average fuel consumption (net bbls at 60 deg F for all grades and all engines/auxiliaries utilized while underway over moderate-weather passages

63A: Grades Consumed:

63 B. LADEN TO SUMMER MARKS

Knots

(NM)

Net bbls per mile Net bbls per day Operating

Range

01>

02>

03>

PLEASE COMPLETE BOX 63B IN ENTIRETY

04>

05>

06>

07>

08>

09>

10>

11>

12>

13>

14>

15>

16>

17>

18>

19>

20>

21>

22>

23>

24>

25>

Vessel(s):

FUEL GRADE

64. Minimum vessel fuel specifications

Vessel(s):

Box #
CONTINUATION

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