RFP Development Form Complete - Carlin Youth challenge HVAC replacement V2.docx

NEVADA STATE PURCHASING DIVISION

NON-IT PROJECT

REQUEST FOR PROPOSAL (RFP) DEVELOPMENT FORM

Instructions for Completing the Non-IT RFP Development Form:

1) For questions regarding completion of this form, please contact your agency’s assigned Purchasing Officer. For a list of assigned Purchasing Officers please visit http://purchasing.nv.gov/contact/Who_is_my_Purchasing_Officer/.

2) Complete all information required in the following tables. If not applicable or not required, please put ‘N/A’ in the appropriate section. The information provided will be included in the appropriate sections of the RFP.

3) The Purchasing Officer will provide you with a draft of the RFP once all information from this form has been incorporated into the RFP template.

4) Reach out to your assigned Purchasing Officer if you need a copy of the RFP template for reference while completing this form.

5) Note: If a previous RFP was done, agencies should review the Q&A from the previous solicitation as well as any negotiated items to make sure everything is covered in the new RFP.

DEPARTMENT / AGENCY INFORMATION

Issued by:

Previous Purchasing Contact, if applicable:

Please attach a copy for reference of the previous RFP or Contract if done by agency

AGENCY BUDGET INFORMATION

Note: Those items marked with an asterisk (*) must be provided.

FUNDING SOURCE PERCENTAGE(s)

CONTRACT INFORMATION

Identify the names and titles of the individuals that will sign the contract:

Identify the name of the individual to whom the insurance documents should be sent:

FINANCIAL STABILITY

Please check what information you would like the evaluation committee to use when evaluating each vendor’s financial stability.

FINANCIAL STABILITY

Please provide the following information as to who will be reviewing, on behalf of the evaluation committee, the profit and loss and balance statements provided by the vendor for the committee’s final determination of financial stability for each vendor.

BUSINESS REFERENCES

The Purchasing Officer will provide a copy of the Business Reference Template in the draft RFP for review

VENDOR STAFF RESUMES

Vendors must include resumes for key personnel to be responsible for performance of any contract resulting from the RFP.

The Purchasing Officer will provide a copy of the Vendor Staff Resume Template in the draft RFP for review

WRITTEN QUESTIONS AND ANSWERS

Check the appropriate box

Note: Each additional question and answer period will add additional time to the procurement timeline.

Three

PROJECT OVERVIEW

The Project Overview Section should include, at a minimum:

· A brief synopsis of the project and requirements;

· Anticipated project start and end dates;

· Agency responsible for administering the project; and

· Other pertinent information.

GOALS AND OBJECTIVES

The Goals and Objectives Section should include, at a minimum:

· High level goals and objectives of the project

Note: The Goals and Objectives can be incorporated into the Project Overview Section. More specific Goals and Objectives should be included in the Scope of Work (SOW) Section.

Replace end od life cycle HVAC heat pumps with more energy efficient units.

SCOPE OF WORK (SOW) AND DELIVERABLES

The Scope of Work and Deliverables Section should include:

· Tasks with a defined Objective;

· Activities to meet the Objective; and

· Deliverables tied to each of the Activities.

The State of Nevada, Office of the Military, is seeking bids/proposals from qualified contractors to provide to replace five-wall mounted Marvair units are original to the buildings and not energy efficient. The systems are beyond their useful life. This project would provide for the installation of five new wall mounted packaged units and to include connections to all utilities and removal and disposal of the old units.

The older units would be replaced with new Marvair units as followed 2qty -Model# MAA1024HA050N++R+1EA+A11++++++ and 3qty Model# MMA1060HC060N++R+1EA+B11++++++.

The contractor shall furnish all labor, supervision, materials, equipment, tools, transportation, and incidentals necessary to effectively and efficiently fulfill all the requirements of this contract. The geographical locations that you are willing to serve must be specified in your bid proposal. The Office of the Military is currently seeking bids for the following locations: Las Vegas, North Las Vegas, Henderson, Reno, Reno

PROJECT SPECIFIC TERMS AND CONDITIONS

The Project Specific Terms and Conditions Section should include:

· Any project specific terms and conditions that need to be included in the RFP.

N/A

AGENCY SPECIFIC TERMS AND CONDITIONS

The Agency Specific Terms and Conditions Section should include:

· Any agency specific terms and conditions that need to be included in the RFP; and

· Any federal requirements that need to be included.

1. FEDERAL FUNDING. In the event federal funds are used for payment of all or part of this Contract, Contractor agrees to comply with all applicable federal laws, regulations and executive orders, including, without limitation the following:

A. Contractor certifies, by signing this Contract, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from participation in this transaction by any federal department or agency. This certification is made pursuant to Executive Orders 12549 and 12689 and Federal Acquisition Regulation subpart 9.4, and any relevant program-specific regulations. This provision shall be required of every subcontractor receiving any payment in whole or in part from federal funds.

B. Contractor and its subcontracts shall comply with all terms, conditions, and requirements of the Americans with Disabilities Act of 1990 (P.L. 101-136), 42 U.S.C. 12101, as amended, and regulations adopted thereunder, including 28 C.F.R. Section 35, inclusive, and any relevant program-specific regulations.

C. Contractor and it subcontractors shall comply with the requirements of the Civil Rights Act of 1964 (P.L. 88-352), as amended, the Rehabilitation Act of 1973 (P.L. 93-112), as amended, and any relevant program-specific regulations, and shall not discriminate against any employee or offeror for employment because of race, national origin, creed, color, sex, religion, age, disability or handicap condition (including AIDS and AIDS-related conditions.)

D. Contractor certifies, by signing this Contract, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from participation in this transaction by any federal department or agency. This certification is made pursuant to the regulations implementing Executive Order 12549, Debarment and Suspension, 28 C.F.R. pt 67, Section 67.510, as published as pt. VII of the May 26, 1988, Federal Register (pp. 19160-19211), and any relevant program-specific regulations. This provision shall be required of every subcontractor receiving any payment in whole or in part from federal funds. A contract award (see 2 CFR 180.220) must not be made to parties listed on the governmentwide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549.

E. Contractor and its subcontracts shall comply with all terms, conditions, and requirements of the Americans with Disabilities Act of 1990 (P.L. 101-136), 42 U.S.C. 12101, as amended, and regulations adopted there under contained in 28 C.F.R. 26.101-36.999, inclusive, and any relevant program-specific regulations.

F. Equal Employment Opportunity. During the performance of this contract, the contractor agrees as follows:

1. The contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, or national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, sexual orientation, gender identity, or national origin. Such action shall include, but not be limited to the following: Employment, upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause.

2. The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

3. The contractor will not discharge or in any other manner discriminate against any employee or applicant for employment because such employee or applicant has inquired about, discussed, or disclosed the compensation of the employee or applicant or another employee or applicant. This provision shall not apply to instances in which an employee who has access to the compensation information of other employees or applicants as a part of such employee's essential job functions discloses the compensation of such other employees or applicants to individuals who do not otherwise have access to such information, unless such disclosure is in response to a formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or is consistent with the contractor's legal duty to furnish information.

4. The contractor will send to each labor union or representative of workers with which it has a collective bargaining agreement or other contract or understanding, a notice to be provided by the agency contracting officer, advising the labor union or workers' representative of the contractor's commitments under section 202 of Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment.

5. The contractor will comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.

6. The contractor will furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders.

7. In the event of the contractor's non-compliance with the nondiscrimination clauses of this contract or with any of such rules, regulations, or orders, this contract may be canceled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further Government contracts in accordance with procedures authorized in Executive Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law.

8. The contractor will include the provisions of paragraphs (1) through (8) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The contractor will take such action with respect to any subcontract or purchase order as may be directed by the Secretary of Labor as a means of enforcing such provisions including sanctions for noncompliance: Provided, however, that in the event the contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction, the contractor may request the United States to enter into such litigation to protect the interests of the United States.

G. For contracts in excess of $150,000, Contractor agrees to 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). Contractor agrees to report all violations to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA).

H. Byrd Anti-Lobbying Amendment (31 U.S.C. 1352)-Contractors that apply or bid for an award exceeding $100,000 must file the certification that it will not and has not used federally appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Contractor must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Disclosures will be forwarded to the appropriate agencies.

I. Contractors must comply with section 6002 of the Solid Waste Disposal Act (42 U.S. Code § 6962), as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired by the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines.

J. Contactor understands and will comply with all other applicable provisions contained in 2 U.S. Code of Federal Regulations Part 200, Appendix II

GENERAL INFORMATION/COMMENTS

The General Information/Comments Section should include:

· Any additional information that should be included in the RFP.

AGENCY ATTACHMENTS

· Does your agency have any specific attachments that should be included within the RFP?

· If so, please identify them below and attach them when submitting the Non-IT RFP Development Form to Purchasing.

Conditions to Work on BBYCA Property:

All vendors are hereby notified that prior to entering any BBYCA site that they are subject to have their persons, vehicles, and equipment searched at any time. All vendors must have a valid, government issued ID (State Driver’s License) to gain entrance to BBYCA sites and they must keep it on their persons at all times while on BBYCA property. Vendors are also required to have their vehicles legally registered and insured and to be prepared to show the vehicles registration and insurance to gain access to the base. Vendors with employees who have felonies, sex offences, and/or warrants may be denied access to the base. The BBYCA reserves the right to deny access to any person at any time. Vendors who are awarded contracts will be required to have a BBYCA Personal Security Questionnaire (Attachment M) form filled out, submitted and approved by the BBYCA before entry onto the base to perform services. This form is required for all personnel who will be working on site.

COST SCHEDULE

The Cost Schedule should be developed and finalized after the Scope of Work and Deliverables Sections are completed.

· How do you want the vendor to submit their proposed cost/pricing?

· Provide the type of cost schedule to be utilized so that vendors submit cost/pricing in the same format in order to facilitate a good cost comparison.

· The Cost Schedule can be in an Excel spreadsheet or in a table format.

EVALUATION COMMITTEE

The evaluation committee must comply with NAC 333.162

EVALUATION CRITERIA

The evaluation criteria must comply with NRS 333.335

Note: If you want additional criteria enter it in the ‘Other’ Section.

Other:

VENDOR PRESENTATIONS

Vendor presentations will add additional time to the evaluation process.

VENDOR PRESENTATIONS EVALUATION CRITERIA

Vendor presentations may be scored based on the original evaluation criteria or new evaluation criteria and weights may be assigned.

Non-IT RFP Development Form – September 2019 Page 2 of 5 image2.emf

Personal Security Questionnaire.docx

NVARNG PERSONAL SECURITY QUESTIONNAIRE

1. Name: ________________, ________________, _________________

Last First Middle (full name)

2. Date of Birth: __________________________ (Month Day, Year)

3. Social Security Number: _________ - ______ - _________

4. Sex: MALE____FEMALE___

5. Driver’s License Number______________________________________

6. Driver’s License State of Issue_________________________________

7. Home Address_____________________________________________

8. City______________________________________________________

9. State_____________________________________________________

10. Place of Birth:__________________________ (City, State, Zip, Country)

11. Employer/Command:________________________________________

12. Phone Numbers: Employer (____) ____-____ Home (____) ____-____

YES

NO

NA

Are you a U.S. Citizen?

Are you a legal resident alien?

Have you ever been barred from any federal government facility or base?

Have you ever been convicted of a felony?

Do you have any outstanding warrants or are you a fugitive from justice?

Are you currently pending trial?

Are you on an approved Dept. of Prisons program? (probation, parole, work release etc.)

Have you ever been convicted on a weapons charge or Theft

Are you now or have you EVER been a member of an organization dedicated to terrorism or extremism?

13. Individual Requesting Access. I certify that the above information is correct and I agree to allow NVARNG Provost Marshal and/or local commands to perform a local/national security check on me as required.

Signature: ________________________Date:_________________

14. Employer Supervisor/Manager. I certify that the above information has been verified with the individual’s documents; to include a United States issued birth certificate and a United States issued picture identification (e.g., driver’s license, U.S. military ID, Resident Alien Registration Card, Foreign Passport, Foreign Military ID etc.)

Signature: __________________________Date:_________________

15. FMO/NVNG Representative – Print Name_______________________

Signature: __________________________Date:_________________

Project:________________________Location:_________________________

Contract start date:____________ Contract end date:_______________ Indefinite:____(check if applicable)

ANNEX D

Appendix 3

TAB 3

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Nevada Army National Guard Environmental Policy Statement.pdf

DEPARTMENT OF THE ARMY

OFFICE OF THE ADJUTANT GENERAL

2460 FAIRVIEW DRIVE

CARSON CITY, NV 89701

NGNV-ZAZ (IE) 7 January 2021

POLICY MESSAGE (21-003) FOR ALL UNITS AND ACTIVITES, NEVADA ARMY

NATIONAL GUARD

SUBJECT: Nevada Army National Guard Environmental Policy Statement.

1. References:

a. AR 200-1, Environmental Protection and Enhancement, 13 December 2007.

2. The Nevada Army National Guard (NVARNG) is dedicated to providing units and Soldiers trained and ready for any contingency as directed by the Governor of Nevada, the President and Secretary of Defense. Sustainable readiness is our top priority. The NVARNG ability to accomplish the mission is enhanced through adequate personnel strength, training proficiency, and equipment serviceability. Military activities occur at NVARNG facilities and training lands across the State, Nation, and OCONUS.

3. The NVARNG integrates sound environmental management practices into our overall strategic mission goals. We in the Nevada Army National Guard are dedicated to:

a. Maximizing the availability of training lands and facilities to enable Soldier training through the application of environmental stewardship into our strategic goals;

b. Continually improving through our Management Review process. This process allows objectives and targets to be identified and reviewed;

c. Improving the effectiveness of our environmental programs through risk management techniques;

d. Minimizing pollution of our land, water, and air;

e. Maintaining compliance with all applicable U.S. Army, Federal, State or local environmental laws and regulations, and those other requirements to which we subscribe;

f. Considering environmental requirements and impacts early in our force management, training, equipment fielding, and construction planning processes.

NGNV-ZAZ (IE)

SUBJECT: Nevada Army National Guard Environmental Policy Statement.

4. Adherence to these commitments is vital to NVARNG sustainable readiness and mission accomplishment.

5. Point of contact for this memorandum is the NVARNG Environmental Office at 775- 887-7298 or 702-694-4484.

TROY E. ARMSTRONG

Colonel, USA Commanding

2021-01-10T20:07:53-0800

ARMSTRONG.TROY.EVAN.1146456550