Notification of Services Rendered Form.pdf

PDF 157 KB Posted

Attached to
Fluorescent Penetrant Inspection (FPI) Wastewater Treatment System with Closed-Loop Water Recycler (WWTS)
Solicitation number
70Z03824QK0000024
Issued by

About this file

This document is a Combined Synopsis/Solicitation for a Fluorescent Penetrant Inspection (FPI) Wastewater Treatment System with Closed-Loop Water Recycler (WWTS) for the U.S. Coast Guard (USCG) in Elizabeth City, North Carolina. The USCG is seeking to purchase, install, and receive start-up support for the WWTS system. The solicitation is a Request for Quotation (RFQ) set-aside for small businesses with North American Industry Classification System (NAICS) code 333310 and a size standard of 1,000 employees.

The required delivery date for the WWTS system and start-up support is September 26, 2024. The solicitation also includes requirements for Extran A4A Membrane, Bag Filters, and Replacement Carbon. Offers are due by July 5, 2024, and the anticipated award date is on or about July 12, 2024. Pricing shall include delivery and installation, with installation meaning the WWTS is fully operational. A detailed Statement of Work (SOW) is provided as an attachment along with other documents outlining the salient characteristics and evaluation criteria.

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Other files

File Type Posted
Responses to Questions Amend 3.pdf PDF
Responses to Questions Amend 2.pdf PDF
Responses to Questions Amend 1.pdf PDF
Statement of Work (SOW).pdf PDF
SOW Attachment 1 ALC Visitor Contractor Brochure.pdf PDF
SOW Exhibit 1.pdf PDF
Terms and Conditions.pdf PDF
Schedule of Supplies and Services.xlsx XLSX spreadsheet
Instructions to Offerors.pdf PDF

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Text version

Combined Synopsis/Solicitation 70Z03824QK0000024 Notification of Services Rendered Form

Attachment 7

JUL 2018

Government POC:

Government POC Signature:

Date:

The service described in Block F has been complete in accordance with the requirements of the contract or order listed in Block A. By signing below, I certify as the Government POC that I accept the service provided by the Contractor listed in Block G and give the Contracting Officer approval to pay the invoice associated with this service.

The service described in Block F has NOT been complete in accordance with the requirements of the contract listed in Block A. As the Government POC I DO NOT accept the service provided by the Contractor listed in Block G. (If this is block is checked, the Government POC shall provide additional information below detailing why the service is unacceptable)

Notification of Services Rendered Form

The Contractor and Government POC shall complete this form upon completion of an "onsite contractual service". The Contractor and Government POC shall submit the signed form to the Contracting Officer or their representative listed in block C below within two (2) business days of contractual service completion.

For the purpose of this form, "onsite contractual service" is defined as any service performed at the Aviation Logistics Center with a period of performance of less than 90 days or as deemed necessary by the Contracting Officer. Example of onsite services meeting this definition include, calibration services, equipment troubleshooting / maintenance / repair and IT services.

E) Building or Location of Service:

G) Contractor Company:

H) Contractor Company Representative:

I) Contractor Company Representative Signature:

F) Description of the Service:

J) Government POC Acceptance or Rejection of the Service: (Check One of the Boxes Below)

A) Contract or Order Number:

B) Date of Service Completion:

C) Contracting Officer or Representative:

D) Division:

Sheet1

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