request for quotation request for quotation … request for proposal tetra tech is requesting...

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Tetra Tech, Inc. Grant Street, Framingham, MA USA 01701 Tel 508.903.2000 Fax 508.903.2001 www.tetratech.com REQUEST FOR QUOTATION Request for Quotation No 2015-0005: Project No. 127-1298-12001 USAID / Afghanistan Engineering Support Program In support of the U.S. Agency for International Development Prime Contract # EDH-I-00-08-00027-00 Task Order # 01 STATEMENT OF REQUIREMENTS October 5, 2015, 2015 Request for Quotation - RFQ # 2015-0006 Tetra Tech-AESP Year 7- Stationery Supplies, Kabul, Afghanistan Reference: USAID/Tetra Tech Contract No. EDH-I-00-08-00027-00, Task Order No. 1 Office of Economic, Growth & Infrastructure (OEGI), Kabul, Afghanistan. Date This Request for Quotation Issued October 5, 2015 time 2:00PM RFQ available for Distribution to Vendors until October 12, 2015 time 04:30PM RFQ must be returned to AESP no later than October 15, 2015 time 04:30PM RFQ opening and Review Date October 2015 1.0 Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for the supply of Stationary to its offices in Kabul-Afghanistan. TetraTech is funded by the U.S. Agency for International Development (USAID) under Contract No. EDH-I-08-00027- 00, Task Order No. 1) Project, in the Central Region of Afghanistan. 2.0 Details Required in the Proposal Stationary Supplies The supplier shall provide stationary supplies readily available in sufficient quantities to support Tetra Tech Office located within Kabul for a twelve (12) month period. The supplier shall provide following stationary supplies on as need basis to Tetra Tech as requested in accordance with the terms of this RFP. Bidder shall provide the specification (brand name, country made, type, size, make/model, color) unit delivered and cost of each unit. Bidder shall also provide high quality supplies. Bidder understands that TetraTech may request supplies that are outside supply list shown in (APPENDIX B) and that bidder will be expected to provide a reasonable cost for the requested supplies. Tetra Tech reserves the right to check and inspect quality and quantity of each delivery and reject disqualified supplies immediately. The seller must replace the items immediately.

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Page 1: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

Tetra Tech, Inc. Grant Street, Framingham, MA USA 01701

Tel 508.903.2000 Fax 508.903.2001 www.tetratech.com

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

October 5, 2015, 2015

Request for Quotation - RFQ # 2015-0006 Tetra Tech-AESP Year 7- Stationery

Supplies, Kabul, Afghanistan

Reference: USAID/Tetra Tech Contract No. EDH-I-00-08-00027-00, Task Order No. 1 – Office of

Economic, Growth & Infrastructure (OEGI), Kabul, Afghanistan.

Date This Request for Quotation Issued October 5, 2015 time 2:00PM

RFQ available for Distribution to Vendors until October 12, 2015 time 04:30PM

RFQ must be returned to AESP no later than October 15, 2015 time 04:30PM

RFQ opening and Review Date October 2015

1.0 Request for Proposal

Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit

Best-Offers for the supply of Stationary to its offices in Kabul-Afghanistan. TetraTech is funded

by the U.S. Agency for International Development (USAID) under Contract No. EDH-I-08-00027-

00, Task Order No. 1) Project, in the Central Region of Afghanistan.

2.0 Details Required in the Proposal

Stationary Supplies The supplier shall provide stationary supplies readily available in sufficient quantities to support

Tetra Tech Office located within Kabul for a twelve (12) month period. The supplier shall provide

following stationary supplies on as need basis to Tetra Tech as requested in accordance with the

terms of this RFP.

Bidder shall provide the specification (brand name, country made, type, size, make/model, color)

unit delivered and cost of each unit. Bidder shall also provide high quality supplies. Bidder

understands that TetraTech may request supplies that are outside supply list shown in (APPENDIX

B) and that bidder will be expected to provide a reasonable cost for the requested supplies.

Tetra Tech reserves the right to check and inspect quality and quantity of each delivery and reject

disqualified supplies immediately. The seller must replace the items immediately.

Page 2: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

2

3.0 Quotation Format

In order to qualify for this procurement, all bidders are requested to provide the following

information, and format their bids as follows:

1. Basic information on the Bidder,

2. Copy of work license of Legal Operation documents

3. Support documents to confirm the company has worked with International NGOs.

4. Cost Proposal - a detailed fixed cost proposal in USD should be submitted using the form in

Appendix B.

5. Exceptions to the RFQ –In accordance with FAR 52.211, variations in the quantity or

specified type of any item called for in this RFQ and described in your proposal will not be

accepted unless the variation has been caused by conditions of loading, shipping, or packing.

Allowances in manufacturing processes must be approved in writing by TetraTech,

Operations Manager. Any exceptions to the RFQ should be noted by the Bidder here.

6. Delivery Schedule –a brief confirmation of vendors, statement on last page of Appendix B

indicating their ability to deliver to Tetra Tech Villa.

7. Tetra Tech requests all bidders to confirm that they can meet proposed delivery schedules or

otherwise bidders may propose a delivery schedule in which they can deliver the items in

Appendices A and B of this RFQ.

8. Completed Representations & Certifications as requested in Appendix E and confirmation

of your willingness to comply with Tetra Tech’s standard Terms and Conditions from

USAID (available upon request).

4.0 Submission Requirements

4.1 Submission of Proposal

All responses must be in English, in PDF or word format and sent via e-mail (all documents

that need signature/stamp should be scanned) indicating the RFP number and closing date to:

Contracts and Procurement Department via email [email protected].

Proposals can also be submitted in hard copy to the Tetra Tech - AESP Office. Please call

for the address mobile: 0729 131 975. The proposal should be in a sealed envelope, clearly

labeled with the subject RFP number and to the attention of the Contracts & Procurement

Department.

The bidder shall submit its best price offer/Proposal as per the following requirements:

1. Proposal Cover Letter signed by a person authorized to sign on behalf of the bidder. Use

the template in Appendix A.

2. All Prices shall be quoted in United States (US) Dollars Only

3. Bidder shall submit quotes in prescribed Format of Appendix B.

Page 3: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

3

4. In case of price discrepancy between unit price and SUBTOTAL price, the unit price

shall prevail.

5. The rates quoted shall be for complete service inclusive of all taxes all charges for

service contingent to the work.

6. TetraTech is Exempt from Import Duties into Afghanistan.

7. The Award will be a fixed price subcontract or purchase order.

8. The period for completion of project is one year (12 months) from the time of signing

the subcontract.

9. TECTRATECH has the right to increase or decrease the service mentioned in this RFP

10. Bid validity: Net 30 days from date of submission.

11. The bidder to complete and submit all appendices cited in article 8.0 List of Appendices

to Be Completed

4.2 Submission of Questions

Should the bidders be interested in bidding, (Appendix B: Quotation/Bill of Quantities),

additional information may be obtained by submitting questions no later than Tuesday,

October 13, 2015 (4:00 pm, Kabul local time). Bidders are invited to address questions to

[email protected].

Insert in subject line: Request for Quotation - RFQ # 2015-0006 TetraTech (OEGI-

AESP) Stationary Supplies, Kabul-Afghanistan

4.3 Quotation Deadline

Offer/bid must be sent no later than Thursday October 15, 2015 (4:00 pm Kabul, local

time). Offers received after the closing date, will not be given consideration and will be

counted non-responsive.

5.0 Payment

Payment will be paid in full within (30) days of completion by Tetra Tech, or as soon after

inspection of the goods and services. Subcontractor shall invoice at the time all reports and

deliverables have been certified complete and acceptable by Tetra Tech. Payment shall be by

Electronic Transfer (EFT) directly to the bank account of the Subcontractor’s company or by check.

All payments are subject to the reduction of taxes as required by local or any other applicable law.

6.0 Evaluation Criteria

All Proposals received in response to this solicitation will be evaluated and scored by evaluation sub

factors. The Subcontract shall be awarded on a best value basis. The following sub factors shall be

used to evaluate offers:

o Cost (Up to 50 points)

o Quality (Up to 25 points)

o Past Performance in similar type of work (Up to 25 point)

7.0 RFP Cancellation Reservation

Page 4: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

4

Tetra Tech reserves the right to cancel the RFP prior to award if the project goals cannot be achieved

through the RFP process. Tetra Tech shall notify all bidders, in writing, of the cancellation.

8.0 List of Appendices To Be Completed

Appendix A: Cover Letter

Appendix B: Detailed Cost Breakdown/Bill of Quantities Form

Appendix C: Summary of Relevant Capability, Experience and Past Performance

Appendix D: Copy of Business License/Certificate

Page 5: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

5

REQUEST FOR QUOTATION

Request for Proposal No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

APPENDIX A: PROPOSAL COVER LETTER

[On Letterhead]

< >

TO: TETRATECH

Contracts & Procurement Manager

Kabul, Afghanistan

Ladies and Gentlemen:

We, the undersigned, offer to provide the Request for Proposal - RFP NO.2015-0006 for TetraTech in accordance with your Request for Proposal dated and our Proposal

(Technical and Financial). Our attached Proposal is for the sum of <Sum in Words ($0.00 Sum in Figures) >.

Our Proposal shall be binding upon us subject to the modifications resulting from contract negotiations, up to

expiration of the validity period of the Proposal, i.e., < >.

All the works under this project will be completed in ___________ calendar days from the time of signing

the Subcontract Agreement.

We understand you are not bound to accept any Proposal you receive.

We remain,

Yours sincerely,

Authorized Signature:

Name and Title of Signatory:

Name of Firm:

Address:

Page 6: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

6

APPENDIX B: PROPOSAL /BILL OF QUANTITIES

Stationary Supplies

Item

No. Description

Unit of

Measurement

Current

Stock

Balance

Picture

1

Binder File Big Size 3

Hole (D-Ring, A4

3"/50mm (White One)

Each

2

Binder File Medium Size

(D-Ring, A4 2"32 mm

(White One)

Each

3

Binder File Medium Small

( D-Ring, A4 1"22mm

(White One)

Each

4 Binder Clip Big

(C32/m.11/4" Wide) Box

5 Binder Clip Medium

(15/8"Width ) Box

6 Binder Clip Small (1"

Width ) Box

7 Battery AA (Sony) Pair

8 Battery AAA (Sony) Pair

Page 7: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

7

9 Battery AAA

(Rechargeable) (Sony) Pair

10 Battery (Duracell Model

No 16046LR61 / 9 Volts) Pair

11 Board Marker Permanent

(Snowman) Pack

12 Board Marker (Snowman) Pack

13 Binding Film A4 Size Ream

14 Binding Film A3 Size Ream

15 Ball Pen (Pilot) Each

16 Computer Spray/PC

Cleaner Bottle

17 Calculator Big Size (Casio

2130) Each

Page 8: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

8

18 Cutter Medium Size Each

19 Calculator Scientific Each

20 Cover For Book Plastic Pack

21 Certificate Paper Pack

22 Correction white ink pen

(12/Pack) Pack

23 CD-R-RW (Sony 700MB) Box

24 CD-Holder Each

25 CD Label Paper Ream

26 Copy Holder Each

27 Clip Board Each

28 DVD-RW (Sony 4.7GB) Box

29 DVD-R (Sony 4.5 GB) Box

30 Dairy 2013 Each

Page 9: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

9

31 D Battery (Duracell) Pair

32 Drawing Scale Each

33 Envelope A3 Size Each

34 Envelope A4 Size Each

35 Envelope Letter Size Each

36 File Folder A4 Size

(American Folder) Each

37 File Separator (Pepper

Separator) Set

38 Glue Stick Set/Dozen

39 Hanging File (No. 98 30) Each

40 Highlighter (Fluorescent

/Model No Tf-220) Set

41 Ink for Stamp Each

Page 10: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

10

42 Krazy Glue Each

43 Lamination Plastic Ream

44 Magic Clip Dispenser Box

45 Magic Clip Box

46 Multiplug (Power Strip) Each

47 Mechanical Pencil Each

48 Magnifying Glass Each

49 Measuring Tape (8m/26')

for Site Visit Each

50 Note Pad E02 (writing

Pad) Each

51 Paper A4 Size (Luck Boss) Ream

52 Paper A4 Size (Color) Ream

53 Paper A3 Size (Luck Boss) Ream

54 Photo Paper A4 Size Pack

Page 11: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

11

55 Paper Clip 25mm Box

56 Paper Clip 33mm Box

57 Paper Clip 50mm Box

58 Push-Pin (100PC/Box) Box

59 Push Pin Board (Green

Board) (60 x 90) Each

60 Push Pin Board (Green

Board) (80 x 120) Each

61 Plastic File Folder

(Business File) Each

62 Pen (piano Crystal) Each

63 Pen (Beg) Each

64 Pencil Each

Page 12: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

12

65 Pencil Lead 0.5 and 0.7 box

66 Punch 3 Hole Each

67 Punch 2 Hole Each

68 Post-It (for Quick Notes) Each

69 Pen Holder (Desk) Each

70 Paper Tray (3 Floor) Each

71 Price or Label Machine

(Model PT-90) Each

Page 13: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

13

72 Paper Shredder (SD815b) Each

73 Planner 2013 Each

74 Plastic File Fastener (50

Sets/Box) Box

75 Rubber (Eraser) Each

76 Ring File 2 Hole Each

77 Rubber Band Pack

78 Steel Ruler (Small Size) Each

79 Steel Ruler (Big Size) Each

Page 14: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

14

80 Sheet Protector Pack

81 Sharpener Box

82 Scotch Tape Small Size Roll

83 Scotch Tape Big Size Roll

84 Stapler Medium with

remover Each

85 Stapler Big Each

86 Stapler Small with remover Each

87 Stapler Remover Each

88 Scissor Each

Page 15: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

15

89 Spiral Notebook (Medium

Size) Each

90 Staples Small Size Box

91 Staples Big Size Box

92 Sticker Label Ream

93 Signature pen box

94 Sign Here post it Each

95 Tape Dispenser Each

96

Tape Cassette for Label

Machine(12mm

Laminated)

Each

97 Uni ball Pen Each

98 Visiting Card Folder Each

Page 16: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

16

99 White Board Cleaner Each

100 White Board Eraser Pack

101 With Board 60x90 Each

102 White Board 120x80 Each

103 Labels box

104 Paper Sap rotor

Liter size Each

105 Paper Sap rotor A4 Size Each

106 Color Coil Box

10 mm

6 mm

8 mm

12 mm

25 mm

18 mm

20 mm

14 mm

16 mm

Page 17: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

17

107 Extension Receptacle

Large size Each

108 Extension Receptacle

Small size Each

109 Spiral Notebook Small

Size Box

110 Banker box Each

111 Power Duster

112 plastic folder Each

113 Cover for ID Card Each

114 Battery Each

115 Dairy (Note book) Year

2016/2015 Each

Page 18: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

REQUEST FOR QUOTATION

Request for Quotation No 2015-0005: Project No. 127-1298-12001

USAID / Afghanistan Engineering Support Program

In support of the U.S. Agency for International Development

Prime Contract # EDH-I-00-08-00027-00

Task Order # 01

STATEMENT OF REQUIREMENTS

18

We agree to provide the above stated items, in accordance with the specifications at a total fixed

cost price of (Amount in figures) _____________________ USD, (US dollars written in words)

__________________________________________________________.

Additional Required Information

No Description / Question Response

1 Validity of Bid Price (Proposal)

2 Completion Period

3 Payment Terms

4 Standard warranty duration

Page 19: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

Tetra Tech, Inc. 1 Grant Street, Framingham, MA USA 01701

Tel 508.903.2000 Fax 508.903.2001 www.tetratech.com

Appendix C: SUMMARY OF RELEVANT CAPABILITY, EXPERIENCE AND PAST PERFORMANCE

Include projects that best illustrate your experience relevant to this (RFQ) or similar activities, sorted by decreasing order of completion date.

Projects should have been undertaken in the past three years (i.e. 2012, 2013 and 2014) Projects undertaken in the past Three years may be

taken into consideration at the discretion of the evaluation panel.

# Project Title and

Description of Activities

Client

Name/Tel # E-mail

Cost in

USD

Start and

End Date

Completed on

Schedule

(Yes/No)

1

2

3

Page 20: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

20

Appendix D: COPY OF BUSINESS LICENSE / CERTIFICATE

Page 21: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

21

Appendix E: Bidder Representations and Certifications

Organizational Conflict of Interest Representation

The Bidder represents, to the best of its knowledge and belief, that this award:

Will [ ] or will not [ ] involve an organizational conflict of interest.

1. Source, Origin, and Componentry of Goods and Commodities

(i) This is to certify that the Bidder is:

□ an individual who is a citizen or legal resident of .

□ a corporation of partnership organized under the laws of .

□ a controlled foreign corporation of which more than 50% of the total combined voting power of all classes of stock is owned by United States shareholders; or

□ a joint venture or incorporated association consisting entirely of individuals, partnerships or corporations. If so, please describe separately the citizenship or legal status of the individuals, the legal status of the partnership or corporations, and the percentage (%) of voting power of the corporations.

(ii) This is to certify that the Source (the country from which a commodity is to be shipped from) of the Equipment to be supplied under this Order is:

name of country or countries

(iii) This is also to certify that the Origin (the country where goods are mined, grown, or produced through manufacturing, processing or substantial and major assembling of components) of the Equipment to be supplied under this Order is:

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22

Name of country or countries

(iv) This further certifies that the Equipment to be provided by Vendor under this Order does not contain any Components originating in any of the U.S. State Department’s list of Non-Free World countries (Cuba, Iran, Iraq, Laos, Libya, North Korea, and Syria). The Componentry of the Equipment to be supplied under this Order will originate in:

Name of country or countries

3. Certification Regarding Debarment, Suspension, Proposed Debarment and Other Responsibility Matters (FAR 52.209-

5)

The Vendor certifies, to the best of their knowledge and belief, that:

The Vendor and/or any of its Principals:

are are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by

any US Federal Government agency;

have have not within the three-year period preceding this certification, been convicted of or had a civil judgment rendered

against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to

obtain, or performing a public (Federal, state, or local) contract or subcontract; violation of Federal or state

antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery,

bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen

property; and

are are not presently indicted for, or otherwise criminally or civilly charged by a governmental entity with commission of

any of the offenses enumerated in subdivision (a)(1)(i)(B) of this provision.

(A) The Vendor has has not within the past three years, relative to tax, labor and employment, environmental, antitrust, or

consumer protection laws:

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23

been convicted of a Federal or state felony (or has any Federal or state felony indictments currently pending against them); or

had a Federal court judgment in a civil case brought by the United States rendered against them; or

had an adverse decision by a Federal administrative law judge, board, or commission indicating a willful violation of the law.

If the Vendor has responded affirmatively, the Vendor shall provide additional information if requested by the Contracting Officer;

and

The Vendor has has not , within a three-year period preceding this certification, had one or more contracts terminated for

default by any U.S. Federal Government agency.

(a) "Principals," for the purposes of this certification, means officers; directors; owners; partners; and, persons having primary

management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a subsidiary,

division, or business segment, and similar positions).

This Certification Concerns a Matter Within the Jurisdiction of an Agency of the United States and the Making of a False,

Fictitious, or Fraudulent Certification May Render the Maker Subject to Prosecution Under Section 1001, Title 18, United States

Code.

(b) The Vendor shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Vendor

learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

(c) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an

award under this solicitation. However, the certification will be considered in connection with a determination of the Vendor’s

responsibility. Failure of the Vendor to furnish a certification or provide such additional information as requested by the

Contracting Officer, or PA, may render the Vendor non-responsible.

(d) Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good

faith, the certification required by paragraph (a) of this provision. The knowledge and information of a Vendor is not required to

exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

(e) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when

making award. If it is later determined that the Vendor knowingly rendered an erroneous certification, in addition to other remedies

available to the Government, the Contracting Officer may require PA to terminate the contract resulting from this solicitation for

default.

Page 24: REQUEST FOR QUOTATION Request for Quotation … Request for Proposal Tetra Tech is requesting quotations for Stationary Supplies. Tetra Tech invites firms to submit Best-Offers for

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By signing below, the Bidder certifies that the representations and certifications made, and information provided herein, are

accurate, current and complete.

Signed by

Name of authorized Dealer

Date / Signature

Stamp