Attachment 3 Technical Certification Form Amendment 1.docx
DOCX document 31 KB Posted
- Attached to
- 4K Electric Forklifts
- Solicitation number
- SP4510-26-Q-1017
- Issued by
-
Defense Logistics Agency
About this file
This is a Technical Certification Form that vendors must complete and submit with their bid packages for solicitation SP4510-26-Q-1017, a DLA Disposition Services procurement for 4,000-pound capacity electric forklifts. The form requires vendors to provide business information, delivery lead times, manufacturing locations for equipment and batteries, and technical capability certifications across four Contract Line Item Numbers (CLINs): CLIN 0001 (4K Electric Reach Truck Forklift with 42-inch tines), CLIN 0002 (4K Electric Stand-Up Forklift with 48-inch tines), CLIN 0003 (4K Electric Sit-Down Forklift with 36-inch tines), and CLIN 0004 (4K Electric Sit-Down Forklift with 42-inch tines). For each model, vendors must certify whether their equipment meets detailed minimum specifications by marking Yes or No, including capacity, lift height, power type, safety features (fire extinguisher, LED strobe light, reverse alarm, work lights), tire type, charging equipment, maintenance-free batteries rated for 8-hour continuous use, and overhead guards meeting ANSI/ITSDF B56.1 standards.
This is a small business set-aside procurement under NAICS 333924 with a 900-employee size standard, structured as an Indefinite Delivery Indefinite Quantity (IDIQ) contract with FOB Destination terms. Quotes must be submitted by 1:00 p.m. Eastern Standard Time on the specified closing date via email to matthew.wonch@dla.mil, with the completed Technical Certification Form required for eligibility. The solicitation requires vendors to identify the country of origin for equipment and batteries and comply with applicable trade agreement certifications. Submissions with blank answers on the certification form will be deemed ineligible for award, and the Government will not accept late, partial, or incomplete quotes. Any contract awarded will be published on www.sam.gov, and offerors are responsible for monitoring the site for modifications and system award notices.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 3 Technical Certification Form Amendment 4.docx | DOCX document | |
| Attachment 3 Technical Certification Form Amendment 4.docx | DOCX document | |
| Attachment 1 SOW 4K Elec Forklifts Amendment 3.pdf | ||
| Attachment 3 Technical Certification Form Amendment 3.docx | DOCX document | |
| Attachment 1 SOW 4K Elec Forklifts Amendment 2.pdf | ||
| Attachment 3 Technical Certification Form Amendment 2.docx | DOCX document | |
| Attachment 1 SOW 4K Elec Forklifts Amendment 1.pdf | ||
| Attachment 1 SOW 4K Elec Forklifts.pdf | ||
| Attachment 2 Price Schedule .xlsx | XLSX spreadsheet | |
| Attachment 3 Technical Certification Form.docx | DOCX document |
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Text version
| Attachment 3: Technical Certification Form | |
| Solicitation# SP4510-26-Q-1017 |
Part I. Business Information:
Name of Company:
CAGE:
Address:
Point of Contact:
Title of Contact:
Email Address:
Phone Number:
Date of Submittal:
Business Size:
Part II. Technical Capability:
CLIN 0001 4K ELECTRIC REACH TRUCK FORKLIFT
Make and model of the quoted forklift:
* Provide the Manufacturer’s technical guide / brochure with specifications listed.
Delivery lead time:
Place of manufacture/ country of origin:
Battery place of manufacture / country of origin:
Please indicate if the quoted Forklift meets the below specifications by marking Yes or No.
| Minimum Required Specifications: |
| Yes |
| No |
1) Forklift Type: Reach Truck Forklift
2) 4000 lb. lifting capacity
3) Lift Hight Minimum 13’
4) Load Center 24 inches
5) Power: Electric
6) Tilt (forward/back): 3/4 degrees
7) Overall Maximum Length 77 inches
8) Height to Top of Overhead Guard 95 inches Maximum
9) Minimum turning radius 75 inches
10) Reach stroke – 24 inches Minimum
11) Fork length – 42” (+/-1”)
12) Fire Extinguisher
13) Visible amber LED strobe light– continuously activated, overhead guard mounted
14) Side Mirrors
15) Audible reverse activated alarm
16) LED Work Lights (Two front, one rear work light and two brake/tail backup lights)
17) Solid Rubber Tires
18) Forklift Charger (All items necessary to power/charge/recharge forklift. Electrical chargers, docking station, cables, plugs, batteries, voltage meters, etc.)
19) Maintenance Free batteries (Types of maintenance free batteries include Sealed Lead-Acid (SLA) Batteries, Gel Batteries, Lithium-ion (Li-ion) Batteries, Thin Plate Pure Lead (TPPL) Batteries)
20) The battery shall be rated to provide 8-hours of continuous use
21) An overhead guard shall be furnished. The overhead guard shall meet all of the requirements of ANSI/ITSDF B56.1 including falling object protective structure (FOPS) and inside clearances.
CLIN 0002 4K ELECTRIC STAND-UP WITH 48: TINES
Make and model of the quoted forklift:
* Provide the Manufacturer’s technical guide / brochure with specifications listed.
Delivery lead time:
Place of manufacture/ country of origin:
Battery place of manufacture / country of origin:
Please indicate if the quoted Forklift meets the below specifications by marking Yes or No.
| Minimum Required Specifications: |
| Yes |
| No |
1) Forklift Type: Reach Truck Forklift
2) 4000 lb. lifting capacity
3) Lift Hight Minimum 13’
4) Load Center 24 inches
5) Power: Electric
6) Tilt (forward/back): 3/4 degrees
7) Overall Maximum Length 77 inches
8) Height to Top of Overhead Guard 95 inches Maximum
9) Minimum turning radius 75 inches
10) Fork length – 48” (+/-1”)
11) Fire Extinguisher
12) Visible amber LED strobe light– continuously activated, overhead guard mounted
13) Side Mirrors
14) Audible reverse activated alarm
15) LED Work Lights (Two front, one rear work light and two brake/tail backup lights)
16) Solid Rubber Tires
17) Forklift Charger (All items necessary to power/charge/recharge forklift. Electrical chargers, docking station, cables, plugs, batteries, voltage meters, etc.)
18) Maintenance Free batteries (Types of maintenance free batteries include Sealed Lead-Acid (SLA) Batteries, Gel Batteries, Lithium-ion (Li-ion) Batteries, Thin Plate Pure Lead (TPPL) Batteries)
19) The battery shall be rated to provide 8-hours of continuous use
20) An overhead guard shall be furnished. The overhead guard shall meet all of the requirements of ANSI/ITSDF B56.1 including falling object protective structure (FOPS) and inside clearances.
CLIN 0003 4K ELECTRIC FORKLIFT SIT-DOWN WITH 36” TINES
Make and model of the quoted forklift:
* Provide the Manufacturer’s technical guide / brochure with specifications listed.
Delivery lead time:
Place of manufacture/ country of origin:
Battery place of manufacture / country of origin:
Please indicate if the quoted Forklift meets the below specifications by marking Yes or No.
| Minimum Required Specifications: |
| Yes |
| No |
1) 4,000-pound lifting capacity
2) 3-inch Tines
3) Fork length – 36” (+/-1”)
4) Open Cab
5) 3-Stage high visibility mast
6) Overall Lowered Mast Height 82 inches or under
7) Hydraulic fork positioner
8) Hydraulic side shifter
9) Visible amber LED strobe light – continuously activated, overhead guard mounted
10) Audible reverse activated 82-102 dB(A) self-adjusting alarm
11) LED Work Lights (Two front, one rear work light and two brake/tail backup lights)
12) Side Mirrors
13) Full suspension seat
14) Solid rubber tires
15) Fire Extinguisher
16) Forklift Charger (All items necessary to power/charge/recharge forklift. Electrical chargers, docking station, cables, plugs, batteries, voltage meters, etc.)
17) Maintenance Free batteries (Types of maintenance free batteries include Sealed Lead-Acid (SLA) Batteries, Gel Batteries, Lithium-ion (Li-ion) Batteries, Thin Plate Pure Lead (TPPL) Batteries)
18) The battery shall be rated to provide 8-hours of continuous use.
19) An overhead guard shall be furnished. The overhead guard shall meet all of the requirements of ANSI/ITSDF B56.1 including falling object protective structure (FOPS) and inside clearances.
CLIN 0004 4K ELECTRIC FORKLIFT SIT-DOWN WITH 42” TINES
Make and model of the quoted forklift:
* Provide the Manufacturer’s technical guide / brochure with specifications listed.
Delivery lead time:
Place of manufacture/ country of origin:
Battery place of manufacture / country of origin:
Please indicate if the quoted Forklift meets the below specifications by marking Yes or No.
| Minimum Required Specifications: |
| Yes |
| No |
1) 4,000-pound lifting capacity
2) 3-inch Tines
3) Fork length – 42” (+/-1”)
4) 36-inch carriage back rest
5) Open Cab
6) 3-Stage high visibility mast
7) Overall Lowered Mast Height 82 inches or under
8) Hydraulic fork positioner
9) Hydraulic side shifter
10) Visible amber LED strobe light – continuously activated, overhead guard mounted
11) Audible reverse activated 82-102 dB(A) self-adjusting alarm
12) LED Work Lights (Two front, one rear work light and two brake/tail backup lights)
13) Side Mirrors
14) Full suspension seat
15) Solid rubber tires
16) Fire Extinguisher
17) Forklift Charger (All items necessary to power/charge/recharge forklift. Electrical chargers, docking station, cables, plugs, batteries, voltage meters, etc.)
18) Maintenance Free batteries (Types of maintenance free batteries include Sealed Lead-Acid (SLA) Batteries, Gel Batteries, Lithium-ion (Li-ion) Batteries, Thin Plate Pure Lead (TPPL) Batteries)
19) The battery shall be rated to provide 8-hours of continuous use.
20) An overhead guard shall be furnished. The overhead guard shall meet all of the requirements of ANSI/ITSDF B56.1 including falling object protective structure (FOPS) and inside clearances.
Part II. Technical Capability:
Authorized Signature:
Date:
This certification shall be completed, signed, and returned with your quote. Submissions with an answer that is blank will not be evaluated further and will be ineligible for award.
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