11 - Summary Of Offer R21

599 - Travel Services Solutions QMAD-CY-090001-B (Refresh #21)

SUMMARY OF OFFER

Offeror shall complete this form and submit with its proposal.

Offeror’s Name and address will be exactly as eOffer pulls by your DUNS number from SAM.

Offeror’s FAX Number:____________________

Offeror’s Website Address:_______________________________

Offeror does not have a website (Check here if company does not have a website)

Tax Identification Number (TIN):____________________

Business Size will be what your firm has certified in ORCA and SAM for the company’s primary NAICS Code for preponderance of work.

Please check the appropriate NAICS Code below:

NAICS 481211 NAICS 541618 NAICS 721110 NAICS 336411

NAICS 481219 NAICS 561510 NAICS 721199

NAICS 541611 NAICS 561599 NAICS 812930

Please indicate company’s primary NAICS Code for preponderance of work: ______________

Business Size (check all that apply):

Small Business “Not for Profit” Organization

HUBZone Small Business Large Business/Other than Small Business

8(a) Firm Veteran-Owned Small Business

Small Disadvantaged Business Woman Owned Large Business

Woman Owned Small Business Joint Venture

Service-Disabled Veteran-Owned Small Business

Special Item Number(s) (SINs) Offered (check all that apply):

SIN 599-1 Travel Consulting Services SIN 599-5 Air Charter Services - Brokers

SIN 599-2 Travel Agent Services SIN 599-6 Specialized Conference Facilities and Services

SIN 599-3 Lodging Negotiations and Management Services SIN 599-99 Introduction to New Services/Products

SIN 599-4 Air Charter Services – Owner Operated SIN 599-1000 Contract Support Items

What are the offeror’s total projected annual sales to the Government under each SIN for the contract base period

(excluding optional contract renewals)? SIN #_______ $__________

Scope of Contract (552.238-78 Alternate 1) Select the following:

Contractor will provide domestic and overseas delivery (Refer to clause I-FSS-108, Clauses for Overseas Coverage)

Contractor will provide overseas delivery only (Refer to clause I-FSS-108, Clauses for Overseas Coverage)

Contractor will provide domestic delivery only

Information Regarding Responsibility Matters (February 2012) FAR 52.209-7

The offeror has does not have current active Federal contracts and grants with total value greater than $10,000,000.

599 - Travel Services Solutions QMAD-CY-090001-B (Refresh #21)

Security Clearances:

The Contractor has personnel with current security clearances or has personnel with inactive clearances eligible for reinstatement.

The Contractor has no personnel with security clearances (current or inactive)

Employment Eligibility Verification

As per the FAR, Clause 52.222-54 Employment Eligibility Verification (July 2012), Federal contractors and subcontractors are required to begin using the U.S Citizenship and Immigration Services E-Verify system to verify their employees’ eligibility to legally work in the United States:

Yes No

An adequate and auditable labor hour recording and invoicing system will be required for all awardees accepting labor-hour or time-and-materials task orders. Awardees must possess such a system at the time of award. This accounting system will be subject to review and examination by the Government as appropriate. Please identify below the accounting system used by your firm and state if it meets these requirements:

Offeror’s Accounting System (Identify Brand name): ___________________________________________________________

Capable of meeting requirements noted above: Yes No

Governmentwide Commercial Purchase Card:

Clause 552.232-79, Payment by Credit Card, requires all contractors to accept the Government-wide Commercial Purchase Card for purchases at or below the micro-purchase threshold. Please indicate if you will accept the government credit card for purchases above the micro-purchase threshold: Yes No

Disaster Recovery Purchasing Participation:

See clauses 552.238-78 Alternate I, SCOPE OF CONTRACT (ELIGIBLE ORDERING ACTIVITIES), and 552.238-80, USE OF FEDERAL

SUPPLY SCHEDULE CONTRACTS BY CERTAIN ENTITIES—RECOVERY PURCHASING.

The Offeror voluntarily agrees to participate in Recovery Purchasing.

The Offeror does not agree to participate in Recovery Purchasing.

Offeror’s Estimated Aggregate Sales under this solicitation per contract year (U.S. dollars) if an award is made: $_______

NOTE 1: Include rationale for the estimate with Section III Price Proposal (see provision SCP-FSS-002).

NOTE 2: This estimate must match the aggregate of estimated sales per SIN proposed on the Commercial Sales

Practices Format (CSP) you have submitted.

*If applying for SIN 599-4 or 599-5, by submitting this offer you acknowledge that your firm, at your own expense, carries the required insurance as outlined in this solicitation.

STATEMENT

By submitting this offer I hereby state that I fully understand and shall comply with clause 552.238-74, INDUSTRIAL FUNDING FEE

AND SALES REPORTING, and that I have not made any changes to the terms and conditions of the “Request for Proposal Number

QMAD-CY-090001-B (Refresh #20)”.

Signature Title Date