Attachment 4 - PWS Compliance Form.docx

This is a Performance Work Statement Compliance Form for solicitation SP7000-25-Q-1044. The form is a template requiring vendors to certify their agreement to comply with all sections of the Performance Work Statement without any caveats or deviations. The document includes blank fields for vendor name, address, signature, and point of contact information, with a completion date of March 5, 2026. The form is marked as Source Selection Information per FAR 2.101 and 3.104.

This compliance form is associated with a Defense Logistics Agency (DLA) solicitation for fork truck maintenance services at Rock Island, Illinois. The requirement involves preventive maintenance and repair services for six fork trucks over a 36-month period consisting of one 12-month base period and two optional 12-month periods. One truck requires significant repairs to restore operational status per a provided service estimate. The contractor must provide all labor, tools, equipment, materials, parts, and services to maintain the vehicles in safe operational condition while complying with OSHA, ANSI, and manufacturer standards. This is a 100% Small Business Set-Aside solicitation.