Proposal_Submission_Package.docx

Jean Lafitte National Historical Park & Preserve

Solicitation #140P5221R0051

Project Title:

Install New Air-Cooled Chiller System at the Prairie Acadian Cultural Center (PACC) in Eunice, LA

JELA PMIS # 303852A

REQUEST FOR PROPOSAL

(RFP)

Proposal Submission Package August 5, 2021

NATIONAL PARK SERVICE

INTERIOR REGION 1, 2 AND 4

For Technical Volume I:

1. Past Performance Questionnaire

For Business & Price Volume II:

1. Contract Price Schedule

2. General References

3. Hazardous Materials Identification Listing

4. Report on Limitation on Subcontracting

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS: Offeror to complete Sections A and B and transmit questionnaire to reference.

Reference to complete Sections C and D and transmit back to Contracting Officer listed in section E.

A. CONTRACTOR INFORMATION

B. CONTRACT INFORMATION

C. REFERENCE:

D. EVALUATION

Quality

Schedule (& Time Management)

Cost Control

Management

Small Business Subcontracting (& Labor Standards)

Regulatory Compliance

E. RETURN:

CONTRACT PRICE SCHEDULE

SOLICITATION NUMBER: 140P5221R0051

PARK - PMIS: JELA 303852A

DEVELOPED AREA: Jean Lafitte National Historical Park & Preserve, Prairie Acadian Cultural Center (PACC) PROJECT TITLE: Install New Air-Cooled Chiller System Price Schedule

Provide all labor, supervision, materials, licenses, permits, tools, insurance, transportation, and equipment to separate the Prairie Acadian Cultural Center (PACC) from the Liberty Theater building by replacing the 160-ton chiller with a new 50-60 ton air-cooled chiller system. In addition, the hot water system and all other utilities shall be separated. The Liberty Theater will be owned by the City of Eunice. The PACC Visitors Center shall be a stand-alone facility. Demolish existing water-cooled chiller, chilled and hot water pumps, condenser water pumps and associated piping. Install new air-cooled chiller and boiler, all associated pumps and piping. Provide controls upgrades and modifications to connect to existing DDC system. Relocate gas meter to the visitor center. Provide certified testing and balancing of new equipment. Project is designed to comply with a Certification Level according to the U.S. Green Building Council's Leadership in Energy & Environmental Design (LEED) Rating System, as specified in Division 01 Section "Sustainable Design Requirements."

HVAC

Materials

Labor

Equipment

ELECTRICAL

Materials

Labor

Equipment

SELECTIVE BUILDING DEMOLITION

Materials

Labor

Equipment

SITE IMPROVEMENTS

Materials

Labor

Equipment

STANDARD GENERAL CONDITIONS

Materials

Labor

Equipment

OVERHEAD

PROFIT

BONDS

TOTAL CONTRACT AMOUNT:

General References READ CAREFULLY: The purpose of this form is for the offeror to provide the Government with general references in the spaces provided as described in the Instructions, Conditions, and Notices to Offerors (Section L). Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.

It is especially important that the offeror disclose instances in which their relationships with the references may be considered less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s past performance record. Provide explanations on separate sheets as necessary.

Name of Contractor/Offeror:

Surety

Name of Surety:

Address of Surety:

Name of Agent:

Telephone Number:

Corporate Bank

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

Corporate Bank

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

Insurance Company

Name:

Address:

Name of Agent:

Telephone Number:

Types of Policies:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Material Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

Material Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

MATERIAL Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

HAZARDOUS MATERIALS IDENTIFICATION LISTING

In accordance with Clause 52.223-3, Hazardous Material Identification and Material Safety Data, of the Contract, contractor is required to identify any hazardous materials that will be delivered under this contract.

List below all known hazardous materials to be used in performance of the work and submit with the proposal. If material components are unknown at the time of submission, respond with a statement to that effect.

Report on Limitations on Subcontracting [Template - v1 - December 15, 2016]

Contract Number (PIID) Type of Set Aside Total Contract Value

Performance Period for This Report

Type of Service

[Insert PIID]

[Insert Type of Set-Aside] [Insert Total Contract Value]

[Insert Date] to [Insert Date]

Total Amount Paid by the Government to the Prime during the Performance Period

Total Amount Paid to [Insert Second SSS Name] Total Amount Paid to [Insert Third SSS Name] Total Amount Paid to [Insert Fourth SSS Name] Total Amount Paid to SSS

$0

Total Amount Paid to [Insert Second NSS Name]

Total Amount Paid to [Insert Third NSS Name] Total Amount Paid to [Insert Fourth NSS Name] Total Amount Paid to NSS

$0

Limitation on Subcontracting Percentage (Total Amount Paid to the Prime - Total Amount Total Amount Paid to NSS / Total Amount Paid to the Prime)

#DIV/0!

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