Technical Exhibit G - CAP Purchase Request.pdf

Technical Exhibit G - Contractor Acquired Property (CAP) Purchase Request

Use of this document by the contractor is a contractual requirement. This document is provided as a CAP purchase request format to expedite review and approval of purchase requests by the

Contracting Officer (KO}.

Contract #:

Note: All blue text in this document is guidance or a placeholder intended to be replaced (filled-in) by the contractor.

Requirement Description & Justification:

Provide a description of the materials/supplies/equipment and quantities required and why they are needed.

locations/Training Areas Supported:

If additional space is required, you may provide a general description in this block and refer to an included attachment.

Date KO Approval is Required: Requires sufficient lead time for KO review and approval (within 5 days, sooner if critical need).

Date Required & Impact Statement:

Provide a statement that answers:

- What is the no later than date for delivery of the materials/supplies/equipment?

- What is the impact of this request not being approved?

Mandatory Sources of Supply:

In compliance with Performance Work Statement and FAR 52.208-9, mandatory sources of supply per FAR Part 8 were checked for availability of the required supplies:

□ Inventories of the Requiring Agency

□ Excess from other agencies (Contractor Checks through Range COR Only)

□ Federal Prison Industries (UNICOR)

□ U.S. AbilityOne Program

□ Wholesale Supply Sources (GSA Advantage)

State whether the required supplies were available from any of the mandatory sources of supply. If so, explain which supplies were available from which mandatory source.

Attached Documents Checklist:

□ List of sources (vendors) solicited:

Include date of request for quote (RFQ), date quotes were due, Vendor Name, e-mail address and small business classification (WOSB, EDWOSB, SDVOSB, 8(a), HUBZone, Small Business, Large Business)

□ Detailed requirement document of what supplies are needed and (if applicable) any technical specifications that must be met by the offeror to be technically acceptable.

□ A copy of all quotes received. Verify the following:

o Quotes are valid from the date they were provided.

o Quotes are itemized, showing a breakout of all materials/supplies/equipment.

□ The 'winning' vendor's SAM Reps & Certs/FAR & DFARS Report (PDF file)

Quotes Received (In order of price lowest to highest/ Minimum 3 Quotes):

Total Price

Quoted

Quoted

Delivery Date Company Name

Small Business

Classification

Selected "Winning" Quote: Vendor Name & Quote Total Price

Source Selection. Price Fair & Reasonable Determination:

Quote Meets

Requirement?

Explain why the selected vendor's quote was chosen and how the contractor determined their quoted price to be fair and reasonable. Most often this will be based on competitive quotations. See FAR

13.106-3{a) for a full list of Fair & Reasonable determination methods.

Justifications:

If less than three quotes are provided/attached:

or

If proprietary (brand name only) supplies are required:

If Jess than three estimates were included, explain why the three quote requirement could not be met.

If the supplies are proprietary, explain why only a propriety solution will meet the need, or if any extenuating circumstances exist. Complete and attach Technical Exhibit (TE B - Sample J&AJ.

If three quotes are included and requirement is not brand-name only; mark "N/A" in this box.

If the selected offeror is not a small business:

The contractor requests authorization to purchase from '<Vendor Name>', which is not a small business. The justification for not selecting a small business is ...

If the selected offeror is a small business; mark "NIA" in this box.

Funding (FAR 52.232-20 'Limitation of Cost' and 52.232-22 'Limitation of Funds'):

State whether funding is available for this requirement, on which CUN, and how this determination was reached. If funds must first be added to the contract via modification prior to the approval of this request, state that here.

CAP to GFP: Property Management System:

State how this purchase will affect the current property management system. How will this material be received and tracked? Non-serialized? Serialized?

Labor (FAR 52.232-20 'Limitation of Cost' and 52.232-22 'Limitation of Funds'):

State whether this CAP purchase may incur additional labor (not already funded under the existing contract). If so, explain and provide an estimated dollar value.

Contractor Confirms Compliance with the following Contract Terms & Conditions:

By my signature below, as the contractor() representative, I certify the information I provided on and in connection with this form is true, accurate and complete in good faith.

Date of Name of Contractor Signature

Request () Representative dd-mm-yyyy First M. Last

Contracting Officer Representative (COR):

□ Attachment: Independent Government Cost Estimate (IGCE): $00,000.00

Comments:

Phone Number

254-XXX-XXXX

As the COR for Contract W91151-17-C-0001, I validate the above information provided on and in connection with this form is true, accurate and complete. I confirm this is a valid requirement.

Date Validated Signature Phone Number dd-mm-yyyyy

Name of COR

Contracting Officer (KO):

Approved Date Name of KO Signature Phone Number by KO

YES

KO Comments:

References ("How To" Guides):

How to find local small businesses registered with the Small Business Association (SBA):

1.

2.

3.

4.

Go to the SBA D�namic Small Business Search (DSBS) website:

httQ://dsbs.sba.gov LdsbsLsearchLdsQ mL dsbs.cf

Narrow the search (as necessary) such as to the state of Texas, local Killeen Congressional Districts 25, 31, or a specific zip code.

Enter the NAICS OR Keywords of the supply needed.

Note: In this example, a search for the keyword "Ready Mix Concrete" is used;

returning 3 results. However, better results are found searching by NA/CS instead of keyword. A search for NA/CS 327320 "Ready-

Mix Concrete Manufacturing," returns 25 results.

Scroll to the bottom of the webpage and click the "Search" button.

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Displaying profiles 1 - 3 {of 3 profiles matching criteria):

View Name a�� ;i���e Name Contact I Address and City, State Zip I Capabilities Narrative

KEE Concrete and 1 Constructi'on lnc.

- KEE Road and Bridge

Consulting

Kelley 5601 Bridge St Ste 300

Eubanks Fort Worth TX 76101-2355 Design/Bulld, Concrete batching, hauling, rock crushing, rip rap and other stone placement

No more matches I Refine Search I

I Save E-mail Addresses for All !

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5. A list of (likely/ self-certified) small businesses that may provide the supplies necessary will appear.

Note: This is a list of companies that claim (self-certify) they are a small business. Prior to selecting a "winning" offeror, the company making the offer must be checked in the System for

Award Management (SAM). SAM is the official record to determine if a company is a small business and their specific socio-economic category.

6. Click on the "Save Email Addresses for All" button to view a list of e-mail addresses for all companies listed. Use this list of e-mail addresses to send your request for quote (RFQ) via e mail:

The e-mail query took 0.05 seconds.

E-mail Address Listing, where the profile location is in: Texas;

the profile's status is Active;

at least one word of the Capabilities Narrative, Special EquipmenVMaterials or Keywords is Ready Mix Concrete;

and the profile has an e-mail address.

Due to the 4K limit in the size of a "mailto" URL in Microsoft Internet Explorer 6, we are no longer generating a mail message containing the e-mail addresses. Instead, copy and paste the following into your e-mail client (outgoing mail message recipient list or personal distribution list), spreadsheet or database:

ke@designconstructbykee.com; mcm@miniconcrete.com; terrygraham@newbostonconcrete.com

How to determine a company's small business classification in SAM: Through the System for Award

Management (SAM), a registered company's small business classification can be verified through the following process.

1. Go to the SAM website:

https://www.sam.gov/

2. Click on the "Search Records" Menu

Option

3. Under quick search, enter the company's

Name, DUNS, or CAGE Code.

4. Click the "Search Button"

5. If registered in SAM, the company searched for will appear. Click the

"View Details" button next to the company of interest.

CAUTION: Search by company name can return several results of companies with the same or similar names. The only sure method of performing this search is with the company's DUNS or

Cage Code.

6. Click on the "Reps & Certs" link.

7. Click on the "FAR Report" link to download the company's FAR Report and save the report to your computer.

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Reference this chart to determine if the company is considered 'small' for the

CAP purchase being considered.

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