TIQ-Attach_0004_(Toy_LC_Amb)_19R0267.doc
DOC document 183 KB Posted
- Solicitation number
- W56HZV-19-R-0267
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Technical Information Questionnaire (TIQ) Toy Amb (Attachment 0004)
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Other files
| File | Type | Posted |
|---|---|---|
| RFP_W56HZV19R0267-0001.pdf | ||
| Exhibit_A-SparesToyLC_(Somalia_7L-UWI)_19R0267.xls | XLS spreadsheet | |
| Spec_ATTACH_0001_Toy_LC_PU-19R0267.doc | DOC document | |
| Spec_ATTACH_0002_Toy_LC_Amb-19R0267.doc | DOC document | |
| Exhibit_B-SparesToyLC_(Somalia_7L-UGA)_19R0267.xls | XLS spreadsheet | |
| TIQ-Attach_0003_(Toy_LC_PU)_19R0267.doc | DOC document | |
| RFP_W56HZV19R0267.pdf |
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Solicitation W56HZV-19-R-0267 Attachment 0004
Technical Information Questionnaire (TIQ) August 23, 2019
FAILURE TO PROVIDE ALL OF THE INFORMATION REQUIRED BELOW MAY RENDER YOUR PROPOSAL INELIGIBLE FOR AWARD.
TOYOTA LAND CRUISER AMBULANCE
The purpose of this questionnaire is to determine the suitability of your equipment to satisfy the requirements as stated in the specification. YOU MUST PROVIDE A RESPONSE TO ALL QUESTIONS, BLANKS, AND REQUIRED SUPPPORTING DOCUMENTATION REFERENCES. IF ANY OF YOUR ANSWERS REQUIRE FURTHER EXPLANATION, YOU MUST ALSO INCLUDE THAT IN THE APPLICABLE COMMENT SECTION. Failure to provide a response may result in the rejection of your proposal.
Units: The data provided in the response to the TIQ shall be provided in English units, unless otherwise specified. Metric units may be provided if clearly defined and identified.
All written information shall be in English.
In addition to responding to the questions below, the offeror shall provide the following:
(a) Supporting documentation is required, see paragraphs 2(a)(1), 2(j)(7), 6(a)(1), 9(a)(1), 9(c)(3), 9(k)(10), 10(a)2 and 10(a)4.
(b) Identification of all modifications and/or redesigns to the previously manufactured base vehicle necessary to meet the requirements of the specifications. The offeror shall also explain in detail the reasons for the modifications or redesigns.
Information Notes:
(a) For components procured by the vehicle manufacturer, the component manufacturer’s name and model or part number shall be shown.
(b) Curb weight shall be the weight of the vehicle offered, completely equipped with coolant, fuel and lubricants, but excluding any weight amount for the operator, passengers or cargo.
(c) Gross Vehicle Weight (GVW) shall include curb weight of the vehicle, and the full payload weight of the operator, passenger, medic, and patient (175 pounds each x 4 = 700 pounds).
GENERAL INFORMATION REQUIRED:
Personnel Responding to Questionnaire:
(a) Name:
(b) Job Title:
(c) Company Name:
(d) Telephone/Fax Numbers:
(e) E-mail address:
(f) Mailing address:
(g) Company Website:
Comments:
TOYOTA LAND CRUISER AMBULANCE
1. CONFIGURATION
(a) Is the vehicle provided with all new parts? FORMDROPDOWN
(b) Is the vehicle a Toyota Land Cruiser HZJ78 hard top 4x4 ambulance? FORMDROPDOWN
(c) Is the vehicle a built to Tropical (General) specifications? FORMDROPDOWN , if yes;
1) Toyota model code
(d) Is the vehicle a 2018 model year or later? FORMDROPDOWN
Comments:
2. EQUIPMENT
Is the vehicle equipped with: (yes/no and briefly expand in comment section, as needed)
(a) All of the standard equipment found on a Toyota Land Cruiser HZJ78? FORMDROPDOWN
1) SUPPORTING DOCUMENTATION REQUIRED: A brochure or specification sheet(s) listing all standard equipment found on a Toyota Land Cruiser HZJ78 must be provided. State where this is provided in your proposal (e.g. page number, paragraph, etc.)
(b) Air conditioning? FORMDROPDOWN
(c) Fog lights? FORMDROPDOWN
(d) Storage for the first aid kit, three triangles, tow rope and portable 12 volt air compressor kit? FORMDROPDOWN , describe:
(e) A brush guard or bull bar? FORMDROPDOWN , Manufacturer: Model:
(f) Front and rear tow hooks for vehicle recovery? FORMDROPDOWN describe:
(g) Heavy duty skid plate(s) covering the engine at a minimum? FORMDROPDOWN , describe:
(h) Front row rubber floor mats? FORMDROPDOWN
(i) Two 90 liter fuel tanks? FORMDROPDOWN , describe:
(j) A front mounted self recovery winch:
1) Manufacturer:
2) Rated capacity (First line pull):
3) Cable diameter: inches Cable length: inches
4) Safety factor of cable:
5) Roller fairlead? FORMDROPDOWN
6) Remote control provided? FORMDROPDOWN , if yes describe:
7) SUPPORTING DOCUMENTATION REQUIRED: A brochure or specification sheet(s) must be provided. State where this is provided in your proposal (e.g. page number, paragraph, etc.)
(k) Are all instructions, control panels, diagrams, and warning labels bilingual in both English and Arabic or universal symbols? FORMDROPDOWN
1) Are they permanently affixed to the vehicle? FORMDROPDOWN
(l) Are fuel filler caps or area close to the fuel filler cap provided with labels stating type of fuel that is compatible with the vehicle in both English and or Arabic or universal symbols? FORMDROPDOWN
(m) Are manuals provided for each vehicle in both English and Arabic? FORMDROPDOWN
(n) Do all manuals contain an amendment in both English and Arabic stating the ability of the vehicle’s engine to operate on high sulfur content diesel fuel (5,000 ppm or 1/2%)? FORMDROPDOWN
Comments:
3. RATINGS
(a) Are the ratings for the vehicles the manufacturer’s published ratings at the time of the offer? FORMDROPDOWN
(b) Do all individual component ratings meet or exceed the requirements? FORMDROPDOWN
(c) Gross Vehicle Weight Rating (GVWR)? pounds Comments:
WEIGHTS (pounds) AND DIMENSIONS (inches):
(d) Curb weight:
1) Curb weight, front axle:
2) Curb weight, rear axle:
(e) Weight of occupants (driver, co-driver, paramedic, and patient; 4 x 175 lbs) = 700 pounds
(f) Remaining payload:
(g) GVW (total of (d), (e), and (f) above):
Weight distribution at GVW (total 1 and 2 below must equal to (g))
1) Weight distribution at GVW, front axle:
2) Weight distribution at GVW, rear axle:
Comments:
DIMENSIONS
(h) Ground clearance:
(i) Overall Dimensions
Length:
Width (excluding mirrors):
Height:
(j) Overall width (including mirrors):
Comments:
4. ENGINE
(a) Can the vehicle be operated on high sulfur content diesel fuel (5,000 ppm or 1/2%)? FORMDROPDOWN
1) If so, please describe any degradation in performance from operation on high sulfur content diesel fuel (5,000 ppm or 1/2%):
(b) Is an air cleaner snorkel system provided for deep-water fording? FORMDROPDOWN
(c) Is the vehicle provided with an Exhaust Gas Recirculation (EGR) valve, Diesel Particulate Filter (DPF), Diesel oxidation Catalyst (DOC), Selective Catalytic Reduction Catalyst (SCR) or any other emission control device? FORMDROPDOWN , if yes list emission control device(s):
(d) Have any vehicle modifications and/or alterations been made to allow the vehicle to operate on high sulfur content diesel fuel (5,000 ppm or 1/2%)? FORMDROPDOWN
1) If so, please list the vehicle modifications and/or alterations:
(e) Are the cooling system and air filtration system for the engine designed for a very hot (+130°F), dusty environment? FORMDROPDOWN
1) Provide description of cooling system:
2) Describe air filtration system:
Comments:
5. STEERING
(a) Is left-hand drive (LHD) provided? FORMDROPDOWN
Comments:
6. WHEEL ASSEMBLY (TIRE AND WHEEL)
(a) Are all tires provided either Yokohama 7.50R16 08YS402 (Y402B), Michelin XS 7.50R16, or equivalent sand tires? FORMDROPDOWN , if no:
1) SUPPORTING DOCUMENTATION REQUIRED: Provide OEM brochures, specification sheet(s) and a comparision matrix showing that they are equivalent. State where this is provided in your proposal (e.g. page number, paragraph, etc.)
(b) Tires: Manufacturer: Model: ;
Tires: Size and load rating: Front: ; Rear: ; Spare:
Tread design: Front:
(c) Are all tires, including spare, the same size, load rating and tread design and are all wheel assemblies, including the spare, interchangeable? FORMDROPDOWN
(d) Is a full size spare wheel assembly with holder provided? FORMDROPDOWN
(e) Wheels: Manufacturer: ; Model:
1) Wheels: Size and load rating: ; Front: ; Rear: ; Spare:
Comments:
7. ELECTRICAL SYSTEM
(a) Is a warning siren provided? FORMDROPDOWN , if yes:
1) Manufacturer: Model:
2) Location:
3) Rating:
4) Location of speaker(s):
(b) Is a public address system provided? FORMDROPDOWN
(c) Is the vehicle provided with a minimum 120 amp alternator? FORMDROPDOWN
1) Manufacturer:
2) Part number:
(d) Are two heavy-duty, maintenance-free batteries provided? FORMDROPDOWN
1) Manufacturer:
2) Model:
3) Rating(each): amp hr
(e) Is a split charge battery isolator provided? FORMDROPDOWN
1) Manufacturer: Model:
(f) Is a switch on the dash provided to alternate between both batteries? FORMDROPDOWN
(g) Are emergency warning lights provided? FORMDROPDOWN if yes:
1) Type:
2) Manufacturer: Model:
3) Color:
4) Quantity: ; Location(s):
5) Are the lights visible from all sides of the vehicle including the rear? FORMDROPDOWN
Comments:
8. COLOR AND MARKINGS
(a) Is the color of the vehicle (cab and ambulance body) aftermarket flat dark olive green? FORMDROPDOWN
(b) Is all mirror housings, door handles, wiper arms (not blades), body/glass moldings, snorkels, emblem/nameplates, gas caps, grilles, bumpers, bull bars, running boards, wheel rims, wheel wells, mud flaps, skid plates and total underbody painted the same as the body color? FORMDROPDOWN
(c) Are high-performance reflective decals provided? FORMDROPDOWN
1) Quantity:
2) Locations of decals:
3) Decals size (diameter):
4) Are the decals securely affixed or adhered to the vehicle, with a smooth surface and no air pockets? FORMDROPDOWN ; please describe:
5) Minimum life of decals:
6) Can the decals be removed in one piece once applied? FORMDROPDOWN
7) Do the decals depict a red crescent? FORMDROPDOWN
Comments
9. AMBULANCE BODY (PATIENT COMPARTMENT)
(a) Company providing the ambulance conversion:
1) SUPPORTING DOCUMENTATION REQUIRED: Exterior and interior photographs, computer aided drawings (CAD), or concept sketches of the finished Toyota Land Cruiser Ambulance must be provided. State where this is provided in your proposal (e.g. page number, paragraph, etc.)
(b) Patient compartment interior size:
1) Length:
2) Width:
3) Height:
(c) Is there an opening from the patient compartment to the cab? FORMDROPDOWN , if yes:
1) Is there a curtain or other means for maintaining patient privacy? FORMDROPDOWN , if yes, describe: FORMTEXT
2) Is communication possible between the patient compartment and the cab? FORMDROPDOWN
3) SUPPORTING DOCUMENTATION REQUIRED: A layout drawing or picture showing the opening must be provided. State where this is provided in your proposal (e.g. page number, paragraph, etc.)
(d) If the patient compartment is permanently closed off from the cab is the patient compartment provided with a separate heating and air conditioning system(s)? FORMDROPDOWN
1) Manufacturer
2) Cooling capacity:
3) Heating capacity:
4) Are the HVAC controls independent from the controls on the HVAC unit in the cab? FORMDROPDOWN
(e) Are side and rear windows provided in the patient compartment? FORMDROPDOWN
1) Are the windows tinted? FORMDROPDOWN
(f) Is the vehicle provided with loading lights at the rear of the ambulance? FORMDROPDOWN , if yes, describe:
(g) Is the vehicle provided with a foldable ramp? FORMDROPDOWN , if yes, describe:
(h) Is seamless sheet flooring provided that is appropriate for ambulances? FORMDROPDOWN , if yes:
1) Describe:
2) Is the floor easy to clean and sanitize? FORMDROPDOWN
(i) Are interior lights provided? FORMDROPDOWN
1) Describe how the interior lights are controlled:
2) Describe interior lighting, include power requirements:
(j) Is a securely mounted two person bench with seatbelts provided in the patient compartment? FORMDROPDOWN
1) Is the bench located adjacent to the stretcher such that the medic can provide patient care with the vehicle in motion? FORMDROPDOWN
(k) Are the following items provided in the patient compartment:
1) A medical cabinet? FORMDROPDOWN ; if yes, describe:
2) An oxygen supply kit with oxygen regulator and mask? FORMDROPDOWN
(i) Manufacturer: ; Model:
3) A secured oxygen cylinder(s) capable of supplying 2.64 gallons of oxygen? FORMDROPDOWN
(i) Manufacturer: ; Model:
4) A main wheeled stretcher? FORMDROPDOWN
(i) Manufacturer:
5) A litter? FORMDROPDOWN ; if yes, describe:
6) A first aid EMT first responder kit? FORMDROPDOWN
(i) Manufacturer: ; Model: Number of pieces provided:
7) A hook for an IV (Intravenous) drip bag? FORMDROPDOWN
8) A waste basket suitable for medical waste? FORMDROPDOWN
9) Two 12 volt power sockets? FORMDROPDOWN
10) SUPPORTING DOCUMENTATION REQUIRED: Brochures or specification sheet(s) and a layout drawing depicting the interior layout arrangement with the items above must be provided. State where this is provided in your proposal (e.g. page number, paragraph, etc.)
(l) Patient compartment electrical requirements:
1) Are the patient compartment electrical requirements capable of being powered by the vehicles electrical system? FORMDROPDOWN
2) Is the patient compartment electrical system sufficient to operate standard ambulance medical equipment? FORMDROPDOWN
3) Provide description:
Comments:
10. BALLISTIC BLANKETS
(a) Is the vehicle provided with ballistic blankets installed underneath the original vehicle carpet? FORMDROPDOWN
1) Manufacturer:
2) SUPPORTING DOCUMENTATION REQUIRED: A brochure or specification sheet(s) must be provided. State where this is provided in your proposal (e.g. page number, paragraph, etc.)
3) What is the expected Ballistic blanket protection level
4) SUPPORTING DOCUMENTATION REQUIRED: Pictures and proposals documenting past ballistic blanket installation projects that were completed must be provided. State where this is provided in your proposal (e.g. page number, paragraph, etc.)
5) What is the expected vehicle protection level after ballistic blankets are installed?
Comments
SOURCE SELECTION SENSITIVE, SEE FAR 3.104
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