Attch 13 DLA Form 2503 Transporter Application MAR 2022.pdf
DLA Form Mar 2022 PDF 2 MB Posted
- Solicitation number
- SP450024R0020
- Issued by
-
Defense Logistics Agency
About this file
This document is a DLA Form 2503, Application for Qualified Transporter List (QTL), which must be completed by carriers seeking to provide transportation services for a federal contract opportunity. The form collects information about the carrier's regulatory and financial assurance requirements, including safety records, insurance coverage, hazardous material transportation authority, and contact details. The carrier must provide supporting documentation as requested.
The related federal contract opportunity is for the removal, transportation, and disposal of various hazardous wastes in the New England region, with a 30-month base period and 30-month option period. The solicitation is a competitive 8(a) set-aside, with proposals due 30 calendar days from distribution. Pricing will be evaluated against a fair market price, and the award will be based on a best value determination considering price, technical capability, and past performance. The contractor must provide pricing, representations and certifications, and past performance information as part of the proposal.
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Other versions and copies of DLA Form 2503
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Who attaches DLA Form 2503
| Agency | Files |
|---|---|
| Defense Logistics Agency | 14 |
| Defense Logistics Agency Disposition Services | 12 |
Other files
| File | Type | Posted |
|---|---|---|
| Attch 12 DLA Form 2507 Facility Application Nov 2023.pdf | ||
| Attch 11 SOL Questions and Answers.docx | DOCX document | |
| Attch 4 ICS Contractor Work Surveilance Checklist .pdf | ||
| Attch 5 ROB Contractor Work Surveilance Checklist.pdf | ||
| Attch 3 Pickup_Service Locations.pdf | ||
| Attch 2 Performance Work Statement_Description of Requirement.docx | DOCX document | |
| Attch 7 CAC Application Process.docx | DOCX document | |
| Attch 9 CLAUSES PROVISIONS.docx | DOCX document | |
| Attch 1 Price Schedule VER2.xlsx | XLSX spreadsheet | |
| Attch10 PPI Questionnaire.pdf | ||
| Attch 6 Invoice DLA Form 2505 v02JAN24.xlsx | XLSX spreadsheet | |
| Attch 8 Offeror Representations and Certifications and 6-4 PWS info.docx | DOCX document |
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PDF (DLA)
DLA FORM 2503, MAR 2022
APPLICATION FOR QUALIFIED TRANSPORTER LIST (QTL)
Prescribed by: DLAI 4140.12 Sponsor: Disposition Services
PREVIOUS EDITIONS OBSOLETE
8. REGULATORY AND FINANCIAL ASSURANCE
REQUIREMENT
SUBMITTED
APPLICANT COMMENTS
A. Does the carrier have a Federal Motor Carrier Safety Administration(FMCSA) or State DOT rating of satisfactory or equivalent?
B. Has the carrier had any hazardous materials incidents within the last three years? If yes,provide enforcement agency copies of the hazardous materials incident report.
C. Does the carrier maintain general, property, bodily injury, and pollution liability insurance coverage(maritime insurance if applicable)? If no, please explain. If yes, provide copy of insurance certificates.
D. Are all loads transported by the carrier using owned/leased vehicles? If no, submit DLA Form (2503) and all required documentation for additional contracted transporters.
E. Will carrier be providing transportation services using marine vessels? If yes, provide copies of training and proof of IMDG notification if applicable.
F. Will carrier be required to transport material outside of the United States or is this an overseas transporter? If yes provide list of countries and submit foreign country license documentation.
G. If the carrier is authorized to to transport hazardous material/hazardous waste, provide latest DOT Hazardous Material Certificate of Registration or country equivalent.
H. Current carrier POC with phone number and e-mail address.
I. Name, company, phone number, and email address of POC submitting this request.
APPLICANT INSTRUCTIONS
Transporter Name Provide name of carrier as it is assigned on any regulatory permits. Designate if using a dba.
Transporter EPA I.D. Number Provide assigned US EPA I.D. number if the carrier is in the USA. If the carrier does not have a US EPA I.D. or an assigned transporter I.D. number from DLA, leave blank.
Transporter Address List the carrier's complete address.
Transporter USDOT Number This number will be an assigned registration number with the United States Department of Transportation.
DLA Prime Contractor Name Provide the current DLA prime contractor's company name.
Contract Number Provide the contract number that the DLA prime contractor is working under for waste that would be shipped using this carrier.
Regulatory and Financial Assurance Many of the requirements in this section are designed for carriers located in the USA. If the carrier is located outside the USA and the regulatory system does not support the requirement, please indicate so in the comments box. Do not leave a requirement unanswered and always provide the supporting documentation where requested. Not providing the requested information and supporting documentation will slow down the review process and may result in a rejection.
Application Submitter Print name and contact information of carrier representative completing the application. The application will not be accepted without this information. Once the form is complete, submit it to the DLA Disposition Services by clicking on the "Submit Form" link at the top of the form.
11. DLA USE ONLY - VERIFICATIONS AND QFL RECOMMENDATION
CLAUSE
RESULTS
VERIFIER COMMENTS
A. Has the Contractor submitted all required documentation and information?
B. SAFER report reviewed?
C. Has the carrier exhibited a history of safety or hazardous material incidents?
12. RECOMMENDATION
After conducting the review and verifying documentation, I recommend the following:
AS THE VERIFIER, I CERTIFY THAT THE INFORMATION PROVIDED ON THIS FORM IS TRUE AND CORRECT.
9.0.0.2.20100902.2.720808 http://www.dla.mil/officialforms/files1/dl0033.pdf none
DL0000
functional title
MONTH 2014
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