RFP 26-VSW-MNT-053.pdf

rfp-a (January 2018) DOT&PF Form 25A270 Part A - RFP Page 1 of 4

Alaska Department of Environmental Conservation Village Safe Water Program

PART

REQUEST FOR PROPOSALS PACKAGE

(Procurement per Article 3 of AS 36.30) A

TABLE OF CONTENTS

Form 25A270, Part A - Request for Proposals (RFP) Proposed Statement of Services " " Part B - Submittal Checklist " " Part C - Evaluation Criteria " " Part D - Proposal Form Certification of Eligibility (Ethics Act) Form 25A257, Pre-Audit Statement Form 25A269, Indemnification & Insurance

Other:

ISSUING OFFICE

Agency Contact & Email .................... : Evan Patterson, Procurement Specialist, evan.patterson@alaska.gov Issue Date…………………………… : 6/22/2026

PROJECT

RFP NUMBER ........................................ : 26-VSW-MNT-053

Project Numbers-State/Federal ............... : 26-VSW-MNT-053 Project Site (City, Village, etc.) ................ : Minto, Alaska Project Title & Contract Description ........ : Minto Water Source Improvements The State of Alaska, Department of Environmental Conservation, Village Safe Water Program is issuing this RFP for a contractor to provide professional engineering services to evaluate and rehabilitate existing groundwater wells in Minto, Alaska per the recommended alternative in the Preliminary Engineering Report.

Attachments:

Offerors must contact the procurement officer to receive the attachments listed in Article B1 Administrative Requirements, section 1.29 Attachments. Attachments will be sent to offerors via ZendTo.

SCHEDULE & PAYMENT

Anticipated period for performance-Begin/End: 08/15/2026 through 12/31/2028

Estimated amount of proposed contract:

Less than $200,000 $200,000 to $250,000 $250,000 to $500,000 $500,000 to $1,000,000 $1,000,000 or greater

Proposed Method(s) of Payment: Firm Fixed Price (FFP) Time and Expense

SUBMITTAL DEADLINE AND LOCATION

OFFERORS ARE RESPONSIBLE TO ASSURE DELIVERY PRIOR TO DEADLINE (2 AAC 12.250).

ONLY PROPOSALS RECEIVED PRIOR TO THE FOLLOWING DATE AND TIME WILL BE OPENED.

DATE: 7/13/2026 Alaska Standard Time: 2:00 PM Email only directly to the address listed in the following return instructions: (and person, if named).

IMPORTANT NOTICE: If you downloaded this solicitation from the State’s Website, you must self-register with the procurement officer to receive subsequent addenda. Failure to register may adversely affect your proposal. It is the Offeror’s responsibility to ensure that he has received all addenda affecting this RFP.

mailto:evan.patterson@alaska.gov https://drop.state.ak.us/drop/about.php rfp-a (January 2018) DOT&PF Form 25A270 Part A - RFP Page 2 of 5

Return Instructions:

If submitting a proposal via email, the technical proposal and cost proposal must be saved as separate PDF documents and emailed to john.mcdonald@alaska.gov as separate, clearly labeled attachments, such as “Vendor A – Technical Proposal.pdf” and “Vendor A – Cost Proposal.pdf” (Vendor A is the name of the offeror). The email must contain the RFP number in the subject line.

The maximum size of a single email (including all text and attachments) that can be received by the state is 20mb (megabytes). If the email containing the proposal exceeds this size, the proposal must be sent in multiple emails that are each less than 20 megabytes and each email must comply with the requirements described above.

Please note that email transmission is not instantaneous. Similar to sending a hard copy proposal, if you are emailing your proposal, the state recommends sending it enough ahead of time to ensure the email is delivered by the deadline for receipt of proposals.

It is the offeror’s responsibility to contact the issuing agency at john.mcdonald@alaska.gov to confirm that the proposal has been received. The state is not responsible for unreadable, corrupt, or missing attachments.

mailto:john.mcdonald@alaska.gov mailto:john.mcdonald@alaska.gov rfp-a (January 2018) DOT&PF Form 25A270 Part A - RFP Page 3 of 5

PART

SELECTION PROCEDURE A

1. Competitive Sealed Proposals will be evaluated by a committee (2 AAC 12, Article 4). Evaluation of responses to criteria set forth in Part C results in a numerical score for each proposal. Each criterion in Part C has an assigned weight for this RFP which demonstrates its relative importance. The total of all weights is 100 (100%).

2. Scoring of proposals will be accomplished as follows:

2.1 Each Evaluator will individually read and rate each Offeror's response to each criterion described in Part C - Section I - Technical Proposal. Ratings will be based solely on contents of proposal and in compliance with the Contracting Agency's standard Instructions for Evaluation Committee.

2.2 After completion of individual ratings in Part C, Section 1, Technical Proposal, the Evaluation Committee will meet to discuss proposals. Evaluators may then alter their ratings; however, any changes shall be based solely on the criteria set forth in Part C.

2.3 After scoring Part C - Section I - Technical Proposal, criteria scores for Part C - Section II - Preferences, and Section III - Price (if applicable), will be calculated based on criteria descriptions.

2.4 The total score for each Offeror will be obtained by summing the scores determined for each criterion in Sections I, II and III of Part C. The order of ranking for negotiations shall be as follows: highest scored Offeror will be ranked first, next highest scored second, and etcetera.

3. Evaluators may discuss factual knowledge of, and may investigate Offerors' and proposed Subcontractors' prior work experience and performance, including projects referenced in proposal, available written evaluations, etcetera, and may contact listed references or other persons knowledgeable of a Contractor's and/or a Subcontractor's past performance.

Factors such as overall experience relative to the proposed contract, quality of work, control of cost, and ability to meet schedules may be addressed. If any issues of significant concern to the proposed contract are discovered, the Committee may:

3.1 Provide written recommendations for consideration during contract negotiations;

3.2 Conduct discussions in accordance with paragraph 4, below.

4. The Committee may decide to conduct discussions (or "interviews") with responsible Offerors whose proposals are determined to be reasonably susceptible of being selected for award for the purpose of clarification to assure full understanding of, and responsiveness to, the solicitation requirements (AS 36.30.240 & 2 AAC 12.290). Offerors selected by the Committee for discussions may be permitted to submit Best and Final Offers (BAFO) for final Committee Evaluation.

After discussions and any BAFOs, Evaluators will determine the final scoring and ranking for contract negotiations by evaluating written and oral responses using only the criteria set forth in Part C of this RFP (2 AAC 12.260(b)).

5. All Offerors will be advised of the Offeror selected for negotiation and, after completion of negotiations, a Notice of Intent to Award will be provided to all Offerors. If contract negotiations are unsuccessful with Offeror(s) selected for negotiation, the Contracting Agency may either cancel the solicitation or negotiate with other Offerors in the order of ranking.

rfp-a (January 2018) DOT&PF Form 25A270 Part A - RFP Page 4 of 5

NOTICES

1. The Contracting Agency is an equal opportunity employer. A

2. Copies of contract documents are attached to the RFP.

General Conditions of the Professional Services Agreement are contained in the Small Procurement Standard Provisions Booklet, which is located on the Department’s website under “Procurement.”

The General Conditions are the same for both Competitive Sealed Proposals and Small Procurements.

3. Offerors are specifically advised that a contract shall not be in effect until a written agreement is executed by an authorized agent of the Contracting Agency. The Contracting Agency shall not be liable for any cost incurred by an Offeror in response to this solicitation, including any work done, even in good faith, prior to execution of a contract and issuance of a Notice to Proceed.

4. The Contracting Agency expressly reserves the right to waive minor informalities, negotiate changes or reject any and all proposals and to not award the proposed contract, if in its best interest. "Minor Informalities" means matters of form rather than substance which are evident from the submittal, or are insignificant matters that have a negligible effect on price, quantity, quality, delivery, or contractual conditions and can be waived or corrected without prejudice to other Offerors (2

AAC 12.990).

5. All proposals shall be open for public inspection (AS 36.30.230) after a Notice of Intent to Award is issued. Offerors should not include proprietary information in proposals if such information should not be disclosed to the public. Any language within a submittal purporting to render all or portions of a proposal confidential will be disregarded. Proprietary information which may be provided after selection for contract negotiations will be confidential if expressly agreed to by the Contracting Agency (AS 36.30.230).

6. Substitution for any personnel named in a proposal may result in termination of negotiations.

7. If it is discovered that a selected Offeror is in arrears on taxes due the State of Alaska, a contract may not be awarded until the Alaska Department of Revenue approves the payment provisions for the contract.

8. Offerors and proposed subcontractors shall be in compliance with the statutory requirements for Alaska business licensing and professional registrations included in the certification statement on Page 2 of Part D in this RFP package.

9. PRICE COMPETITION: Price cannot be an Evaluation Criterion in accordance with Article 3 of AS 36.30 for services that must be performed only by Architects, Engineers, Land Surveyors, or Landscape Architects (A/E, LS or LA)) licensed in the State of Alaska, UNLESS the provisions of AS 36.30.270(d) apply; i.e., unless the services required are repetitious in nature, and the nature and amount of services required are thoroughly defined by measurable and objective standards to reasonably enable firms or persons making proposals to compete with a clear understanding and interpretation of the services required. If price is a factor, a majority of the evaluation committee must be registered in Alaska to perform architectural, engineering, or land surveying services.

9.1 If the services performed do not require an A/E, LS or LA, then all Offerors including any A/E, LS or LA must provide Price Proposals in accordance with AS 36.30.270(b) and 2 AAC 12.260(c).

10. An audit of the selected Offerors' and proposed Subcontractors' cost accounting systems and business records may be required to ascertain if systems are adequate for segregating contract costs; to establish a maximum allowable Indirect Cost Rate for the Agency's negotiator; and to investigate the accuracy of proposed labor rates and unit prices.

rfp-a (January 2018) DOT&PF Form 25A270 Part A - RFP Page 5 of 5

A

11. Standard insurance provisions for Worker's Compensation, General and Automobile Liability, and Professional Liability are contained in DOT&PF Form 25A269, Indemnification and Insurance. Coverages may be modified under very limited circumstances. Offeror should not assume any modification of coverages.

12. Professional Liability Insurance for the proposed contract: is not required is required as shown on DOT&PF Form 25A269.

13. The proposed contract will will not be a Federally Assisted Program. If it will be an assisted program, then the Offeror shall insert the following notification in all subcontract solicitations for bids or proposals pertinent to this RFP:

“In accordance with Title VI of the Civil Rights Act of 1964, 78 Stat. 252, 42 USC 2000d to 2000d-4 and Title 49, CFR, U.S. Department of Transportation (U.S. DOT), Subtitle A, Office of the Secretary, Part 21, Nondiscrimination in Federally-assisted programs of the U.S. DOT issued pursuant to such Act, in any Subcontract entered into pursuant to this RFP, Disadvantaged Business Enterprise firms will be afforded full opportunity to submit bids or proposals and will not be discriminated against on the grounds of race, color, sex, or national origin, in consideration for an award.

14. Pre-proposal Conference: None As follows:

15. Special Notices:

15.1 MBE/WBE Preference:

This procurement is funded in part or fully through federal grants or cooperative agreements. It is a national policy to award a fair share of contracts to Minority Firms and Women’s Business Enterprises through affirmative action. This solicitation incorporates a five point preference for all qualified minority firms and women’s business enterprises.

15.2 Site Visit:

A pre-proposal inspection of the site is not scheduled. If offerors choose to visit the project site, they may contact the onsite coordinator Native Village of Minto (907) 798-7112 to schedule a site visit. Offerors shall direct all project questions to the procurement officer. The onsite coordinator and any other community members are not available for project questions.

The department is not responsible for travel coordination or costs.

rfp-b (January 2018) DOT&PF Form 25A270 RFP Part B - Submittal Checklist Page 1 of 2

SUBMITTAL CHECKLIST

Offeror may use left margin to check off items when completed. B

An Alaska Business License is required of Contractors who do business in Alaska at time of award (AS 36.30.210(e)).

[ ] 1. Offerors must carefully review this RFP Package for defects and questionable material and become familiar with submittal requirements. Submit written comments to the address shown under "Submittal Deadline and Location" on page 1 of Part A - RFP. Substantive issues will be addressed in a written addendum to all RFP recipients on record.

Failure to comply with directions may result in lower score and may eliminate a submittal from consideration. Protests based on alleged improprieties or ambiguities in a solicitation may be disallowed at the discretion of the Contracting Agency if the protest is not received in writing at least ten Agency work days prior to the Submittal Deadline (AS 36.30.565).

[ ] 2. Review Part A - RFP and the proposed Statement of Services and any other attached or referenced materials. If no Statement of Services is attached, telephone the Agency contact person identified on page 1 of Part A.

[ ] 3. Review Part C - Evaluation Criteria. Read each criterion in light of the proposed Statement of Services. Note any project specific criteria which may have been added or any changes to standard criteria descriptions which may have been made. Be aware of the assigned weight for each criterion. If a weight is not entered for any criterion on Part C, notify the Agency contact person. Plan your proposal to address the applicable criteria. Criteria Responses shall not exceed the number of pages stated below. Note: If weight is applied to Criterion #11, MBE/WBE Preference, that box must be checked on page 1 of Part D, rfp-d.

[ ] 4. Prepare a distinct Response for each criterion that has a weight more than zero. Failure to respond directly to any criteria weighted more than zero will result in an evaluation score of zero for that criteria. Any Responses to criteria weighted zero will be disregarded. Acceptable Responses must be specific and directly related to the Contracting Agency's proposed Statement of Services. Marketing brochures, federal SF330s, marketing resumes, and other non-project specific materials will be discarded without evaluation and should not be submitted.

[ ] 5. Each criterion Response must be titled, numbered and assembled in the order in which the criteria are listed in Part C, so the criterion to which information applies shall be plainly evident. Material not so identified or assembled may be discarded without evaluation.

[ ] 6. Price is is not an evaluation criterion for the proposed contract.

If Price is a Criterion, prepare Billing Rates and/or Price Proposals as described in Criteria #12 and/or #13.

[ ] 7. Complete all entries on Part D - Proposal Form. Note the statutory requirements for Alaska business licenses and professional registrations, and be sure to sign and date the Certification. Copies of licenses and registrations may be provided with submittal, and will not count in the requirements of #8 below.

[ ] 8. Attach Criteria Responses (except any Billing Rates or Price Proposals) to Part D - Proposal Form. The maximum number of attached pages (each printed side equals one page) for Criteria Responses shall not exceed:

See RFP Part C. Attached page limit does not include the four-page Part D - Proposal Form, or any Billing Rates or Price Proposals.

Criteria Responses shall be presented in 8-1/2" X 11" format, except for a minimal number of larger sheets (e.g., 11" x 17") that may be used (e.g., for schedules).

CAUTION: Criteria Responses which do not comply with the required page limit or presentation size, may result in disqualification. Further, small print or typeface that is difficult to read may negatively influence evaluation of your submittal and affect scoring for "Quality of Proposal."

CHECKLIST IS CONTINUED NEXT PAGE

rfp-b (January 2018) DOT&PF Form 25A270 RFP Part B - Submittal Checklist Page 2 of 2

B

[ ] 9. Cover Letter:

Offerors must include a 1 page cover letter that provides a brief high level overview of the offerors firm. The cover letter must include a statement that the offeror meets Request for Proposal, Statement of Services, Appendix B, section 1.2 Minimum Requirements.

[ ] 10. Parts A, B and C of Form 25A270 and the proposed Statement of Services shall not be returned to the

Contracting Agency. Submittals shall consist of the following applicable items assembled as follows and in the order listed:

[ ] 10.1 Completed Part D - Proposal Form (generally at least one copy with original signature) and Responses to all evaluation criteria -- except Billing Rates, Price Proposals – attached.

[ ] 10.2 Number of copies of Part D (all pages) and Criteria Responses (except Billing Rates, and Price Proposals) required is: 1 PDF

[ ] 10.3 If Billing Rates and/or Price Proposals are required, one PDF copy in accordance with the Part A Return

Instructions. Each Billing Rates or Price Proposal must be signed and dated by the person who prepares it (may be different signatures for each Subcontractor).

[ ] 10.4 N/A

[ ] 10.5 N/A

[ ] 10.6 CAUTION: If you replicate (other than by photocopy) Part D or any form in lieu of completing the forms provided by the Contracting Agency, provide a signed certification that lists such forms and attests that they are exact replicas of that issued by the Contracting Agency. Changed forms may result in rejection at the Contracting Agency's discretion. Any alteration – other than completion of the required entries – may be cause for rejection without recourse.

[ ] 11. Deliver submittals in accordance with Part A - RFP. Proposals must be received prior to the specified date and time. Late proposals will not be opened (2 AAC 12.250).

rfp-c (January 2018) DOT&PF Form 25A270 RFP Part C - Evaluation Criteria Page 1 of 4

EVALUATION CRITERIA

Criteria with a weight of zero are not applicable and should be disregarded. If a weight is not indicated for any criterion, telephone the Agency Contact person identified at the top of page 1 of Part A - RFP.

SECTION I – TECHNICAL PROPOSAL

1. Project Understanding 1. Weight:15 Page limit: 1 page

Responses must demonstrate comprehension of the objectives and services for the proposed contract. Do not merely duplicate the Statement of Services provided with this RFP. Additionally, consider if the Statement of Services is sufficiently explicit; if expressed or implied schedules are attainable/economically feasible; and if the overall approach will achieve the desired outcome. Explain any issues identified and propose solutions. Define any assumptions made in formulating responses to the evaluation criteria described herein. Describe any identified or perceived risks that could negatively impact achievement of the stated or implied goals.

2. Project Approach 2. Weight: 20 Page limit: 1 page

Responses must outline the methods for accomplishing the proposed contract objectives, or if the methodology is contained in the proposed Statement of Services address its adequacy. Describe your firm’s approach to executing and managing the project. Describe what, when, where, how, and in what sequence the work will be done. Explain if your firm is able to accomplish the project based on the department’s schedule in RFP Statement of Services, Appendix B, section 1.6 Project Schedule. Explain if any overtime would be needed to meet the department’s proposed schedule.

3. Project Manager Experience 3. Weight:15 Page limit: 3 pages

Describe the qualifications and experience of the proposed Project Manager in all required aspects of the proposed project. In addition to an overall description, provide a list of relevant experiences. Depending upon the project scope of work, examples may include “Construction Administration,” “Construction Management,” “Design of Public Water System Infrastructure in Rural Alaska,” “Groundwater/Hydrogeology Study,” “Design of Wastewater Systems in Rural Alaska,” or any other relevant experience to the proposed contract. List each relevant experience and provide information outlined below for each.

Experience 1. _________________________(fill in type of experience):

a) Project title;

b) Project description;

c) Project start and end dates;

d) Client name, telephone number and email address.

4. Project Team Qualifications and Experience 4. Weight: 20 Page limit: 8 pages

Describe the qualifications and experience of the proposed project team that will directly work on the project. Identify each proposed team member and their role. Offerors must include all personnel acting in “responsible charge” (reference AS 08.48) for all Architectural, Engineering, Land Surveying, and Landscape Architecture functions and provide their Alaska Professional Registration license number.

Team Summary: Introduce the project team, including any sub consultants, by providing one or two paragraphs about each key team member, summarizing their qualifications and relevant project experience to the proposed contract work. Provide a chart that shows the organization structure and lines of authority of the project team.

Offerors may provide resumes (2-page maximum per team member) for the project manager and key staff as an attachment

C rfp-c (January 2018) DOT&PF Form 25A270 RFP Part C - Evaluation Criteria Page 2 of 4 that does not count towards the technical proposal page count. The resumes must only provide relevant project experience of the individual.

List relevant experience for each team member utilizing the following format:

Experience 1:____________________(name the type of experience, i.e. “construction management,” “construction administration,” “geotechnical investigation,” design of rural water/wastewater infrastructure,” etc.)

a) Project title;

b) Project description;

c) Project start and end dates;

d) Client name, telephone number and email address.

5. Workload, Resources, and Quality Control 5. Weight: 15 Page limit: 2 pages

Describe the capacity of staff that will work on the project. Offerors may choose to provide a narrative description of personnel availability and/or provide a table that details the estimated availability of project staff who will work on the project. Offerors may: (1) discuss current and potential time commitments of your proposed Project Staff to all clients and (2) demonstrate adequate support personnel, facilities and other resources to provide the services required.

Include in your response a description of your firm’s quality control process and how this process has affected the quality of your deliverables. Use specific examples.

6. Quality of Proposal 6. Weight: 10 Page limit: N/A

Offerors do not respond to this criterion. Committee members will rate this criterion based on their perception of the clarity, completeness and presentation of submittal. Note: This criterion is NOT used to evaluate color, graphics or other visual techniques except as they may detract from legibility.

7. Custom Criteria – TBD 7. Weight: 0 If no description is provided here, and if the weight is set at zero, offers may consider this criterion unused.

8. Custom Criteria – TBD 8. Weight: 0

If no description is provided here, and if the weight is set at zero, offers may consider this criterion unused rfp-c (January 2018) DOT&PF Form 25A270 RFP Part C - Evaluation Criteria Page 3 of 4

SECTION II - PREFERENCES

9. MBE/WBE Preference – 40 CRF §33.202 9. Weight: 5 To be granted this preference:

Offeror must claim the MBE/WBE Preference on page one of Part D Proposal Form. In claiming the MBE/WBE Preference on page one of Part D, the Offeror is certifying that they, or subcontractor(s) meet the following requirements per 40 CFR §33.202 and/or §33.203:

In order to qualify for the Women’s Business Enterprises (WBE) or Minority Business Enterprises (MBE), the business must obtain certification from any of the following organizations:

• United States Small Business Administration,

• United States Department of Transportation,

• Indian Tribal Governments,

• State/local Governments,

• Independent private organizations.

To qualify for the federal Environmental Protection Association, Disadvantaged Business Enterprises program, an entity must be certified, and such certification must meet the criteria as stipulated in 40 CFR §33.202 and/or §33.203. If a subcontractor is used to meet the preference then the offeror claiming eligibility for this preference must pledge in their proposal that the eligible subcontractor will be guaranteed the proposed work.

Offerors may provide their MBE/WBE certification number on the proposal form. If a certification number is not available then the offeror must provide a letter from the certifying agency verifying the offerors certification status within 10 days of the State’s request.

MBE/WBE Preference will be scored: Rating x Number of Evaluators x Weight = Criterion Score.

Rating will be as follows:

MBE/WBE preference (i.e., a Rating of 5) will be assigned to the proposal of an Offeror who certifies (by claiming the preference on page one of Part D) that they are a MBE/WBE as described above.

No MBE/WBE preference (i.e., a Rating of 0) will be assigned to the proposal of an Offeror who does not certify (by failure to claim the preference on page one of Part D) that it qualifies as a MBE/WBE as described above.

No narrative response to this criterion is required within the Offeror’s Proposal.

rfp-c (January 2018) DOT&PF Form 25A270 RFP Part C - Evaluation Criteria Page 4 of 4

SECTION III - PRICE

See item #9, under Notices in Part A – RFP, regarding statutory and regulatory provisions about price competition and item #10.3, in Part B – Submittal Checklist, regarding procedure for submittal of Billing Rates and/or Price Proposals.

CAUTION: Submittal of Offeror's or Subcontractor's "standard" rate schedules or other pricing documents which are not in required format will be non-responsive if they do not allow direct comparison with other responsive proposals.

Rates and costs proposed by the Offeror selected for contract negotiations may be investigated for reasonableness and allowability in accordance with AS 36.30.400, .420 & .480, 2 AAC 12.550 and the contract cost principles in 48 CFR Part

31. Unsupported rates and costs may be disallowed or result in termination of negotiations, or contract award. All proposed rates and the negotiated contract rates will be public information.

10. Labor Billing Rates and Price Proposal 10. Weight: 0 Labor billing rates and price proposal shall be submitted using the attached VSW Estimate Template (template).

Subcontractor(s) shall also use this template. Offerors may request the Microsoft Excel version at any time. Otherwise, it will be provided with the Notice of Intent to Negotiate.

The Department has pre-populated some fields as an example. The offeror is responsible for entering all rates, hours, personnel and sub-tasks. Offeror may insert columns in the task tabs to include more personnel. Offerors may insert more rows to add more sub-tasks. See below and template instruction tab for more information.

Within the VSW Estimate Template, the following shall be evident:

• Official Title and First and Last Name of each staff member (including subcontractor staff) working on the project.

• The DCDL rate for each staff member.

• The indirect cost rate for the Offeror.

• The fee that will be applied to total DCDL costs and the basis by which this fee was tabulated based on the project schedule, size, duration, complexity, and special factors.

• List each task and subtask that corresponds with the scope of work stated in this RFP. The Offeror shall list all subtasks they believe are required even if they’re not outlined in the scope of work.

• The estimated number of hours each staff member will allocate towards each subtask.

• If applicable, include any travel or other expense costs.

• Total hours and cost for each task (subtotal) and total hours and cost for the project (total). Note that these quantities will be calculated automatically based on other populated fields within the VSW Estimate Template.

• The fully loaded hourly rate for all staff who will work on the project. The fully loaded hourly rate shall include DCDL, indirect costs, and the DCDL-based fee. Fully loaded rates will be the basis for any work performed on a Time and Expense (T&E) basis. The fully loaded rates will be populated automatically based on the entries an Offeror makes for DCDL, the DCDL Fee Rate, and the Indirect Cost Rate.

The Department anticipates that costs for all project phases will be identified upon contract execution. Price proposals for any additional contract amendments shall comply with this section. See Compensation, Appendix C, exhibit C-1 Methods of Payment for further information.

Price is not an Evaluation Criterion and weights for both Criterion #12 and #13 shall be “0”. State of Alaska preferences are removed from this solicitation in accordance with AS 36.30.890 and 2 CFR 200.319(c).

rfp-d (January 2018) DOT&PF Form 25A270 Part D - Proposal Form Page 1 of 5

Alaska Department of Environmental Conservation Village Safe Water Program

PROPOSAL FORM

THIS FORM MUST BE THE FIRST PAGE OF PROPOSAL. Attach criteria responses as explained in Part B - Submittal Checklist. No transmittal letter or cover sheet will be used. D

PROJECT

Project Numbers-State/Federal .................... : 26-VSW-MNT-053 Project Title .................................................. : Minto Water Source Improvements RFP No. ........................................................ : 26-VSW-MNT-053

OFFEROR (CONTRACTOR)

Contractor ..................................................... :

Street ............................................................ :

P.O. Box ....................................................... :

City, State, Zip .............................................. :

Alaska Business License Number .............. :

Federal Tax Identification No. ...................... :

DOT&PF DBE Certification No. (if any) ....... :

Individual(s) to sign contract ........................ :

Title(s) .......................................................... :

Type of business enterprise (check one) ..... : [ ] Corporation in the state of . :

[ ] Individual [ ] Partnership [ ] Other(specify) .................... :

FEDERAL FUNDING PREFERENCES

Check the applicable preferences that you claim for the proposed contract (reference Criteria 11, 12 & 13 in Part C):

[ ] MBE / WBE Preference

PROPOSED SUBCONTRACTOR(S)

Service, Equipment, etc. Subcontractor & Office Location AK Business DOT&PF DBE License No. Certification No.

CERTIFICATIONS

I certify: that I am a duly authorized representative of the Contractor; that this Submittal accurately represents capabilities of the Contractor and Subcontractors identified herein for providing the services indicated; and that the requirements of the Certifications on pages 2 through 4 of this Part D for 1) Alaska Licenses/Registrations, 2) Insurance, 3) Federal-Aid Contracts exceeding $100,000, 4) Cost and Pricing Data, 5) Trade Restrictions/Suspension/Debarment, 6) Foreign Contracting, 7) DBE Commitment, 8) Former Public Officer, 9) Telecom Prohibition, and 10) Clean Air Act – will be complied with in full. These Certifications are material representations of fact upon which reliance will be placed if the proposed contract is awarded. Failure to comply with these Certifications is a fraudulent act. The Contracting Agency is hereby authorized to request any entity identified in this proposal to furnish information deemed necessary to verify the reputation and capabilities of the Contractor and Subcontractors. This proposal is valid for at least ninety days.

Signature ............ :

Name ................. : Date:

Title .................... : Telephone (voice):

(fax):

Email Address:

rfp-d (January 2018) DOT&PF Form 25A270 Part D - Proposal Form Page 2 of 5

CERTIFICATION FOR ALASKA BUSINESS LICENSES AND REGISTRATIONS

Contractor and all Subcontractors shall comply with the following applicable requirements of Alaska Statutes: D

1. Alaska Business License (Form 08-070 issued under AS 43.70) at the time contract is awarded as required by AS 36.30.210(e) for Contractor and all Subcontractors. In accordance with Administrative Manual, Section 81.120, proof of application for an Alaska Business license will satisfy this requirement. Per AAM 81.120, acceptable evidence that the offeror possesses a valid Alaska business license consists of any one of the following:

a. Copy of the Alaska business license.

b. A canceled check that demonstrates payment for the Alaska business license fee.

c. A copy of the Alaska business license application with a receipt stamp from the State's business license office.

d. A sworn notarized affidavit that the bidder/offeror applied and paid for the Alaska business license.

e. Other forms of evidence acceptable to the Department of Law.

2. Certificate of Registration for each individual to be in "responsible charge" (AS 08.48.341(11-14)) for Architecture, Engineering, Land Surveying, or Landscape Architecture (Form 08-2407 issued under AS 08.48.211) issued prior to submittal of proposal. Associates, consultants, or specialists under the supervision of a registered individual in "responsible charge" are exempt from registration requirements (AS 08.48.331).

3. Certificate of Authorization for Corporations, Limited Liability Companies, and Limited Liability Partnerships for Contractors and Subcontractors for Architecture, Engineering, Land Surveying, or Landscape Architecture (Form 08-2407 issued under AS 08.48.241). Entities offering to provide Architectural, Engineering or Land Surveying services do not need to be registered for such disciplines at the time proposal is submitted provided they obtain registration prior to contract award (AS 08.48.241).

4. Certificate of Incorporation (Alaska firms) or Certificate of Authorization for Foreign Firm ("Out-of-State" firms). All corporations, regardless of type of services provided, must have one of the certificates (AS 10.06.218 and other sections of Title 10.06 - Alaska Corporations Code).

5. Current Board of Director's Resolution for incorporated Contractors and incorporated Subcontractors for Architecture, Engineering, Land Surveying or Landscape Architecture (reference AS 08.48.241) that names the person(s) designated in "responsible charge" for each discipline. Such persons shall be licensed in Alaska and shall participate as project staff in the Contract/Subcontracts.

6. All partners in a Partnership to provide Architectural, Engineering, Land Surveying, or Landscape Architecture must be legally registered in Alaska prior to submittal of proposal for at least one of those disciplines (AS 08.48.251) which the Partnership offers.

7. Joint Ventures, regardless of type of services provided, must be licensed/registered in the legal name of the Joint Venture as used in this proposal (AS 43.70.020 and 43.70.110(4)).

8. Contracts for Architecture, Engineering, Land Surveying, or Landscape Architecture may not be awarded to individuals, corporations or partnerships not in compliance, respectively, with the provisions of paragraph 2, 3, and 6, above (AS 36.90.100).

For information about licensing, Offerors may contact the Alaska Department of Commerce, Community, and Economic Development, Division of Corporations, Business and Professional Licensing at P.O. Box 110806, Juneau, AK 99811-0806, or at Telephone (907) 465-2550, or at Internet address:

https://www.commerce.alaska.gov/web/cbpl

CERTIFICATION FOR INSURANCE

Contractor will ensure that it and all Subcontractors have insurance coverage to effectuate the requirements of DOT&PF Form 25A269, Indemnification and Insurance.

CERTIFICATION FOR FEDERAL-AID CONTRACTS EXCEEDING $100,000

The individual signing this proposal certifies to the best of his or her knowledge and belief, that:

(1) No federal appropriated funds have been paid, by or on behalf of the Contractor, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the Contractor shall complete and submit Standard Form-LLL, Disclosure of Lobbying Activities, in accordance with its instructions. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

This certification is a material representation of fact upon which reliance will be placed if the proposed contract is awarded. Submission of this certification is a prerequisite for making or entering into the proposed contract imposed by Section 1352, Title 31, U.S. Code. The Contractor also agrees by submitting this proposal that Contractor shall require that the language of this certification be included in all lower tier subcontracts which exceed $100,000 and that all such Subcontractors shall certify and disclose accordingly.

rfp-d (January 2018) DOT&PF Form 25A270 Part D - Proposal Form Page 3 of 5

CERTIFICATION – COST AND PRICING DATA

In accordance with AS 36.30.400, any cost and pricing data submitted herewith, or in any future price proposals for the proposed contract, will be accurate, complete and current as of the date submitted and will continue to be accurate and complete during the performance of the contract, if awarded.

The Contractor certifies that all costs submitted in a current or future price proposal are allowable In accordance with the cost principles of the Federal Acquisition Regulations of Title 48, Code of Federal Regulations (CFR), Part 31 and that the price proposal does not include any costs which are expressly unallowable under the cost principles of the FAR of 48 CFR 31. In addition, all known material transactions or events that have occurred affecting the firm’s ownership, organization and indirect costs rates have been disclosed.

CERTIFICATION – TRADE RESTRICTIONS AND SUSPENSION AND DEBARMENT

The individual signing this proposal certifies to the best of his or her knowledge that the Contractor and any subcontractors are in compliance with DOT&PF 25A262 Appendix A, General Conditions, Article A25 and Article A26.

CERTIFICATION - FOREIGN CONTRACTING

By signature on this solicitation, the offeror certifies that all services provided under this contract by the contractor and all subcontractors shall be performed in the United States. If the offeror cannot certify that all work is being performed in the United States, the offeror must contact the Contracts Officer to request a waiver at least 10 days prior to proposal deadline. The offeror must provide with their submission a detailed description of the portion of work being performed outside the United States, where, by whom, and the reason the waiver is necessary. Failure to comply with this requirement may cause the state to reject the bid or proposal as non-responsive, or cancel the contract.

CERTIFICATION – DBE COMMITMENT

For federal-aid projects with DBE goals: if the Contractor submits a utilization report that proposes to use certified DBE’s in the performance of work, the Contractor certifies that every effort will be made to meet or exceed the proposed percentage.

In addition, the Contractor certifies that a Consultant Registration form shall be submitted to the DBE/Civil Rights Office for their firm and each subconsultant prior to award.

CERTIFICATION – FORMER PUBLIC OFFICER

Any proposer listing as a member of the proposer’s team a current public officer or a former public officer who has left state service within the past two years must submit a sworn statement from that individual that the Alaska Executive Branch Ethics Act does not prohibit his or her participation in this project. If a proposer fails to submit a required statement, the proposal may be deemed nonresponsive or nonresponsible, and rejected, depending upon the materiality of the individual’s proposed position.

The Ethics Act bars a public officer who leaves State service from representing, advising or assisting a person for compensation regarding a matter that was under consideration by the administrative unit in which the officer served, and in which the officer participated personally and substantially through the exercise of official action, for two years after leaving state service. See AS 39.52.180(a). “Public officer” includes a state employee, a member of a state board and commission, and a trustee of the Exxon Valdez Oil Spill Trust. “Official action” means a recommendation, decision, approval, disapproval, vote, or other similar action or inaction. Possible remedies for violating the bar include penalties against the former public officer and voiding the state grant, contract or lease in which the former public officer is involved.

Additionally, former public officers may not disclose or use information acquired in the course of their official duties that could in any way result in a benefit to the former public officers or their families, if the information has not been disseminated to the public or is confidential by law, without appropriate authorization. See AS 39.52.140.

Each current or former public officer is responsible for determining whether he or she may serve in the listed capacity on this project without violating the Ethics Act. A form that a former public officer may use to certify their eligibility is attached. Current public officers may seek advice from their designated ethics supervisors concerning the scope and application of the Ethics Act. Former public officers may, in writing, request advice from the Office of the Attorney General, Ethics Attorney concerning the application of the Ethics Act to their participation in this project. It is the responsibility of the individual and the proposer to seek resolution in a timely manner of any question concerning the individual’s eligibility.

PROHIBITION ON CERTAIN TELECOMMUNICATION AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT On projects using federal funds, the Contractor shall comply with the requirements of 2 CFR 200.216, as amended effective August 13, 2020, Federal Register, Vol. 85, No. 157, 49506 - 49582, Prohibition on certain telecommunication and video surveillance services or equipment.

By signature of this solicitation, the Contractor certifies the Contractor and subcontractors have not entered into a contract nor extended or renewed a contract to procure or obtain equipment, services, or systems that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system produced by:

a. Huawei Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities).

b. Hera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or affiliate of such entities).

c. Any entity that the Secretary of Defense, in consultation with the Director of the National Intelligence or the Director of the Federal

Bureau of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise connected to, the government of a covered foreign country.

rfp-d (January 2018) DOT&PF Form 25A270 Part D - Proposal Form Page 4 of 5

The Contractor shall further certify that it has complied the requirements of 2 CFR 200.216, as amended effective August 13, 2020, Federal Register, Vol. 85, No. 157, 49506- 49582 and that it will continue to do so throughout the term of the Contract.

Clean Air Act The contractor and subcontractors shall comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA).

https://www.govinfo.gov/link/uscode/42/7401 https://www.govinfo.gov/link/uscode/33/1251

RFP #____________________

Former Employee’s Certification of Eligibility Under the Alaska Executive Branch Ethics Act

(AS 39.52.140, AS 39.52.180)

I am a former employee of the State of Alaska and left state service within the last two years.

My last position with the state was [job title] with the [name of state agency and administrative unit].

I propose to work on [describe state contract or other matter] on behalf of [name of current employer].

This work will not involve any matter (a) that was under consideration by the state administrative unit that I served, and (b) in which I participated personally and substantially during my state service through the exercise of official action (“official action” means a recommendation, decision, approval, disapproval, vote, or other similar action or inaction). I am therefore eligible to participate in this [contract or matter] under the Alaska Executive Branch Ethics Act. I also understand that as a former public officer I may not disclose or use information acquired in the course of my official duties that could in any way result in a benefit to me or my family, if the information has not been disseminated to the public, or that is confidential by law, without appropriate authorization.

I certify under penalty of perjury that the foregoing is true.

Dated: ________________________, 20__, at __________, Alaska.

[name of former state employee]

STATE OF ALASKA )

) ss.

_______ JUDICIAL DISTRICT )

On this ______ day of ____________, 20__, [name of former state employee], whom I know to be the individual described in and who executed this certification, personally appeared before me and acknowledged that [s]he signed the certification as [her or his] free and voluntary act.

IN WITNESS WHEREOF, I have placed my signature and affixed my official seal.

Notary Public in and for Alaska My commission expires: ___________

If no notary or other official (judge, magistrate, U.S. postmaster or municipal clerk) is available, omit the notary certificate and include the following statement in the text: A notary or other official empowered to administer oaths is unavailable.

psa (January 2018) DOT&PF Form 25A261 Agreement Page 1 of 2

PROFESSIONAL

SERVICES AGREEMENT

Agreement No: 26-VSW-MNT-053 IRIS Program No: N/A Federal Project No: N/A

Project Title: Minto Water Source Improvements

To this Agreement between THE STATE OF ALASKA, DEPARTMENT OF ENVIRONMENTAL CONSERVATION, VILLAGE SAFE WATER PROGRAM hereafter the CONTRACTING AGENCY, and hereafter the CONTRACTOR, effective on the last date executed by its parties, in consideration of the terms, conditions and promises of Articles 1 through 7 in this document, the parties hereby agree.

CONTRACTOR

Signature: Signature:

Name: Date Name: Date Title: Title:

CONTRACTING AGENCY

Contract Manager Contracting Officer

Signature: Signature:

Name: Date Name: Date Title: Title: Procurement Specialist

ARTICLE 1 - PURPOSE

1.1 The purpose of this contract is for the contractor to provide professional engineering services to evaluate and rehabilitate existing groundwater wells in Minto, Alaska per the recommended alternative in the Preliminary Engineering Report. See Appendix B Statement of Services for more information.

ARTICLE 2 - COMPENSATION

2.1 The maximum amount payable under this Agreement as set out in Appendix C, shall not exceed:

ARTICLE 3 - PERIOD OF PERFORMANCE

3.1 CONTRACTOR shall commence services under this Agreement as authorized by written Notice(s) to Proceed and shall complete the services in accordance with any time schedule required by Appendices. This Agreement is of no force or effect until executed by the CONTRACTOR and the CONTRACTING AGENCY and no services shall be undertaken or performed until a Notice to Proceed is issued.

3.2 The Period of Performance under this Agreement shall end: 12/31/2028 psa (January 2018) DOT&PF Form 25A261 Agreement Page 2 of 2

ARTICLE 4 - APPENDICES

4.1 The following Appendices are attached to this document and incorporated herein:

Appendix Title Date Prepared No. Pages

A General Conditions, Form 25A262 B Statement of…