TEMPLATE L
Cover Page for Offer
Attachment 4
COVER PAGE TO OFFER
Offeror’s Name (include a Doing Business As (DBA) if applicable): _______________________Sample Company_________________________ Offeror’s Address: ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ Business Size (Check all that apply) _____ Small Disadvantaged _____ 8(a) _____ HUBZone Small Business _____ Small Business _____ Woman Owned Small Business _____ Large Business _____ Woman Owned Large Business _____ “Not For Profit” Organization _____ Veteran-Owned Small Business _____ Service-Disabled Veteran-Owned Small Business Each Authorized Negotiator’s Name, Title and Phone Number: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Special Item Number(s) (SINs) Offered (Check all that apply): 874-1 874-2 874-3 874-4 874-5 874-6 874-7 874-8 874-99 Aggregate Estimated MOBIS Sales per Contract Year (in dollars): $___________________
CERTIFICATION
I hereby certify that I have not made any changes to the terms and conditions of the Request For Proposal Number TFTP-MC-000874-2. Signature Date
Attachment 4
OFFEROR CHECKSHEET/COVERPAGE TO OFFER
Item Insert Yes, No or N/A Agency Use
SECTION I/ADMINISTRATIVE
Exceptions taken to terms and conditions are noted in offeror’s cover letter Standard Form 1449, Blocks 12, 17a, 17b, 30a, 30b and 30c are completed (Page 1) Copy of Past Performance Evaluation Form sent to Open Ratings, Inc. is included Complete solicitation as follows: Completed Attachment 3, Small, Small Disadvantaged, Women-Owned Small, and HUBZone Small Business Concerns Subcontracting Plan, if applicable Completed Clause 552.216-73 Ordering Information (Page 14) Completed Clause G-FSS-900-A Contact for Contract Administration (Page 17) Completed Clause G-FSS-903, E-Mail and URL Address(es) (Page17) Completed Clause G-FSS-914-A, Contractor’s Remittance (Payment) Address and, as applicable, ordering/payment addresses of all participating dealers (Page 19) Completed Clause I-FSS-103 Scope of Contract—Worldwide (Page 25) Completed Clause I-FSS-600, Contract Price Lists, subparagraph (6) (Page29) Completed Clause 52.215-6, Place of Performance (Page 33) Completed Clause K-FSS-1, Authorized Negotiators (Page 56) Completed Clause 52.212-3, Offeror Representations and Certifications—Commercial Items (Page 58) Completed Certification, Compliance with Veterans Employment Reporting Requirements (Page 65) Completed Clause K-FSS-9 Section 8(a) Representation for the Multiple Award Schedule Program (Page 65) Complete Attachment 4 “Cover Page to Offer” sign and complete Checksheet If any proposed non-product support service is applicable to 52.222-41, Service Contract Act of 1965, As Amended, possible places of performance have been identified and included DUNS number _____________________________ (insert DUNS number) (Also on Page 1) If offering labor hour task orders rather than firm-fixed price only, does offeror have a system in place to accept labor hour task orders? Describe/identify accounting system used to track such orders, and/or provide a copy of your timesheet.
SECTION II/E XPERIENCE
Submit Executive Summary (Page 50) Submit 3 Corporate Experiences (Page 50) See Administrative Section, a copy of the Past Performance Evaluation Form sent to Open Ratings is included If offering professional services (as defined by 29 CFR 541), submit a Professional Compensation Plan in accordance with Clause 52.222-46 (Page 50) If offering professional or technical services, submit a copy of your policy that addresses uncompensated overtime in accordance with Clause 52.237-10 (Page 50)
SECTION III/PRICING
For products and product-support services, items requested in Proposal Instructions Clause L-FSS-10FT-502 (Pages 50-51) Provide an Electronic copy of the Pricing section including labor category definitions and minimum training, experience, certifications, security clearances, degrees, etc. (Page 51) For non-product support services or if you do not use a catalog, provide pricing sheets (Attachment 5) for each SIN offered Completed commercial sales practice format (Attachment 1) Supporting Documentation for the Commercial Sales Practice Format Discussion of why the offeror believes pricing is fair and reasonable and how it relates to most favored customer pricing). If GSA is not offered discounts, terms and conditions equal to or better than your most favored customer (the lowest price), provide an explanation why
Attachment 4