Attachment 3 Technical Certification Form Amendment 2.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 bids for a DLA Disposition Services solicitation for 4K electric forklifts (Solicitation #SP4510-26-Q-1017). The form requires vendors to provide business information, including company name, CAGE code, address, and point of contact details, along with the date of submittal.
The form addresses four Contract Line Items (CLINs): CLIN 0001 (4K Electric Reach Truck Forklift with 42" tines), CLIN 0002 (4K Electric Stand-Up with 48" tines), CLIN 0003 (4K Electric Sit-Down with 36" tines), and CLIN 0004 (4K Electric Sit-Down with 42" tines). For each CLIN, vendors must specify the make and model of the quoted forklift, provide the manufacturer's technical guide/brochure, state delivery lead time, and identify the place of manufacture and battery origin. Vendors must certify whether each quoted forklift meets approximately 19-20 minimum required specifications by marking "Yes" or "No." Common specifications across all models include 4,000-pound lifting capacity, electric power, solid rubber tires, maintenance-free batteries rated for 8-hour continuous use, a complete forklift charger with all necessary equipment, fire extinguisher, audible reverse alarm, visible amber LED strobe light, LED work lights, and an ANSI/ITSDF B56.1-compliant overhead guard with FOPS. Reach truck models (CLINs 0001-0002) require a 13-foot minimum lift height and 75-inch minimum turning radius, while sit-down models (CLINs 0003-0004) require a 3-stage high visibility mast and open cab with hydraulic fork positioner and side shifter. The form must be completed, signed, and returned with the quote, with any blank answers rendering the submission ineligible for award.
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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 1 SOW 4K Elec Forklifts Amendment 1.pdf | ||
| Attachment 3 Technical Certification Form Amendment 1.docx | DOCX document | |
| Attachment 2 Price Schedule .xlsx | XLSX spreadsheet | |
| Attachment 1 SOW 4K Elec Forklifts.pdf | ||
| 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) 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 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) Audible reverse activated alarm
14) LED Work Lights (Two front, one rear work light and two brake/tail backup lights)
15) Solid Rubber Tires
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 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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