Vendor Response Document.pdf

VENDOR RESPONSE DOCUMENT

RFQ: 47QMCA25Q0035

1. CONTRACTOR INFORMATION

Company Name:

Address:

Telephone:

Email:

DUNS:

TIN:

2. CONTACT FOR BLANKET PURCHASE AGREEMENT ADMINISTRATION

Name:

Title:

Address:

Telephone:

Email:

3. CONTRACTOR SHOP FOREMAN TO CORRESPOND WITH CONTRACTING OFFICER’S

REPRESENTATIVE (COR) WITH REGARD TO PERFORMANCE OF WORK

Address:

4. REMITTANCE (PAYMENT) ADDRESS

Payment by electronic funds transfer (EFT) is the Government’s preferred method of payment. However, under certain conditions, the Government may elect to make payment by check. Please indicate below the payment (remittance) address to which Government checks should be mailed for payment of proper invoices submitted under a resultant Blanket Purchase Agreement.

Payment Address:

NOTE: If the payment address shown on an invoice differs from that shown above, the address above will govern.

Payment to any other address, except as provided for through EFT payment methods, will require an administrative change to the Blanket Purchase Agreement.

5. AUTHORIZED NEGOTIATOR

Provide person authorized to negotiate with the Government in connection with this request for quotation.

Address:

6. CORPORATE EXPEREINCE AND PAST PERFORMANCE REFERENCES

Provide three (3) references for similar services performed within the past five (5) years. References should include:

brief description of services, organization, contact name, phone number, email address, and contract value.

Reference # 1 Contact Name:

Email Address:

Phone Number:

Business Name or Government Organization:

Description of Services:

Value of contract or agreement:

Reference # 2

Email Address:

Phone Number:

Reference # 3

Email Address:

Phone Number:

7. EXCEPTIONS / ASSUMPTIONS

List any assumptions or exceptions taken to any requirements listed in the SOW(s), clauses, or other terms and conditions.

8. SAM REGISTRATION

If you have not completed current annual representations and certifications electronically in SAM, you must include a completed copy of the attached provision FAR 52.212-3, Offeror Representations and Certifications-Commercial Items, with your quotation.

Y/N SAM Registration Status Company is registered in SAM Annual representations and certifications are current If annual representations and certifications are not current, a copy of FAR 52.212-3 Offeror Representations and Certifications-Commercial Items is attached with the quotation.

9. FAR 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment. (Nov 2021)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Products or Commercial Services. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a)Definitions. As used in this provision— Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b)Prohibition.

(1)Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to—

(i)Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or (ii)Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2)Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to—

(i)Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or (ii)Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c)Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) ( https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services".

(d)Representation. The Offeror represents that— (1)It □ will, □ will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation.

The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and (2)After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that— It □ does, □ does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e)Disclosures.

(1)Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i)For covered equipment— (A)The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B)A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and (C)Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii)For covered services— (A)If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or (B)If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2)Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i)For covered equipment— (A)The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B)A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and (C)Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii)For covered services—

(A)If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or (B)If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of provision)

10. VEHICULAR AND GENERAL PUBLIC LIABILITY INSURANCE

During performance under this agreement you must maintain the following vehicular and general public insurance liability limits. GSA must be listed as a certificate holder and a copy of the certificate of insurance must be provided to the Contracting Officer within 30 days of award.

Bodily injury of not less than $500,000 for each person and $500,000 for each occurrence; and Property damage of not less than $50,000 for each accident and $300,000 in the aggregate.

Workers’ compensation and other legally required insurance with respect to the Contractor’s own employees and agents.

Y/N Confirmation I acknowledge and will comply with this requirement.

I am unable to meet this requirement.