Attachment 3 Technical Certification Form Amendment 3.docx

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Attached to
4K Electric Forklifts
Solicitation number
SP4510-26-Q-1017
Issued by

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This is a Technical Certification Form that vendors must complete and submit with their bids for the DLA Disposition Services 4K Electric Forklifts solicitation (SP4510-26-Q-1017). The form requires vendors to certify their technical capability to meet specifications for four line items (CLINs): CLIN 0001 (4K Electric Reach Truck Forklift), 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). Vendors must provide the make and model of quoted forklifts, delivery lead times, place of manufacture/country of origin for equipment and batteries, and manufacturer technical guides/brochures with specifications.

Each CLIN has specific technical requirements that vendors must confirm as "Yes" or "No," including lifting capacity (4,000 lbs), lift height minimums (13 feet for CLINs 0001 and 0002; 3-stage high visibility mast for CLINs 0003 and 0004), electric power, safety features (fire extinguisher, LED strobe lights, audible reverse alarms), tire specifications (solid rubber or solid polyurethane), maintenance-free batteries rated for 8-hour continuous use, complete forklift charger packages, and overhead guards meeting ANSI/ITSDF B56.1 standards. CLIN 0003 and 0004 also require open cabs, hydraulic fork positioners, hydraulic side shifters, side mirrors, and full suspension seats. The form must be completed, signed, and returned with the quote; any blank answers will render the submission ineligible for award.

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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) Solid Rubber Tires (Solid polyurethane steer tires are also acceptable)

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 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 (Solid polyurethane steer tires are also acceptable)

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) Fork length – 36” (+/-1”)

3) Open Cab

4) 3-Stage high visibility mast

5) Hydraulic fork positioner

6) Hydraulic side shifter

7) Visible amber LED strobe light – continuously activated, overhead guard mounted

8) Audible reverse activated 82-102 dB(A) self-adjusting alarm

9) Side Mirrors

10) Full suspension seat

11) Solid rubber tires

12) Fire Extinguisher

13) Forklift Charger (All items necessary to power/charge/recharge forklift. Electrical chargers, docking station, cables, plugs, batteries, voltage meters, etc.)

14) 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)

15) The battery shall be rated to provide 8-hours of continuous use.

16) 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) Fork length – 42” (+/-1”)

3) Minimum 36-inch carriage back rest

4) Open Cab

5) 3-Stage high visibility mast

6) Hydraulic fork positioner

7) Hydraulic side shifter

8) Visible amber LED strobe light – continuously activated, overhead guard mounted

9) Audible reverse activated 82-102 dB(A) self-adjusting alarm

10) LED Work Lights (Two front, one rear work light and two brake/tail backup lights)

11) Side Mirrors

12) Full suspension seat

13) Solid rubber tires

14) Fire Extinguisher

15) Forklift Charger (All items necessary to power/charge/recharge forklift. Electrical chargers, docking station, cables, plugs, batteries, voltage meters, etc.)

16) 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)

17) The battery shall be rated to provide 8-hours of continuous use.

18) 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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