VETERANS AFFAIRS, DEPARTMENT OF USA Tender

Presolicitation Notice request For Architectural And Engineer (a/e) 330 Submission solicitation: 36c25524r0075 upgrade Building 26 Chillers, Project No. 589-24-450 project 589-24-450- Upgrade Building 26 Chillers contract Information this A-e Services Requirement Is Being Procured In Accordance With The Brooks Act (public Law (pl0582) And Implemented In Accordance With The Federal Acquisition Regulation (far) Subpart 36. Firms Will Be Selected Based On Demonstrated Competence And Qualifications For The Required Work. this Procurement Is Restricted To Service-disabled Veteran Owned Small Business (sdvosb) Firms. This Requirement Is Being Procured In Accordance With Far Subpart 36.6. this Is Not A Request For Proposal And An Award Will Not Be Made With This Announcement. This Announcement Is A Request For Sf 330 S From Qualified Architectural And Engineer (a&e) Contractors That Meet The Professional Requirements. the Selection Criteria For This Acquisition Will Be In Accordance With Far 36.602-1 And Are Listed Below. All Factors Are Of Equal Importance. The Completed Sf 330 Will Be Evaluated By The Kansas City Va Medical Center Evaluation Board In Accordance With Far 36.602-3 And The Selection Report Shall Serve As The Final Selection List, Which Will Be Provided Directly To The Contracting Officer. The Government Will Not Pay Nor Reimburse Any Costs Associated With Responding To This Request. The Government Is Under No Obligation To Award A Contract As A Result Of This Announcement. the Contract Is Anticipated To Be Awarded No Later Than June 28, 2024. award Of Any Resultant Contract Is Contingent Upon The Availability Of Funds. no Solicitation Document Is Available And No Other Information Pertaining To Project Scope, Etc. Is Available At This Time. Any Request For Assistance With Submission Or Other Procedural Matters Shall Be Submitted To David Sterrett Via E-mail To: David.sterrett@va.gov. personal Visits To Discuss This Announcement Will Not Be Allowed. the Naics Code For This Procurement Is 541330 Engineering Services And Small Business Size Standard Of $25.5 M. award Of A Firm Fixed Price Contract Is Anticipated. Anticipated Time For Completion Of Design Is Approximately 165 Calendar Days Including Time For Va Reviews. The A/e Firm Shall Also Be Required To Perform Construction Services If Award Of A Construction Project Contract Is Made. in Accordance With Far 36.204 And Vaar 836.204, The Estimated Magnitude Of The Construction Project Being Designed Is Anticipated To Be Between $5,000,000.00, And $10,0000,000.00. database Registration Information: verification Of Status Of Apparently Successful Offeror. This Acquisition Is 100% Set-aside For Qualified Service-disabled Veteran Owned Small Business Ae Firms In Compliance With Vaar 852.219-73 Only Businesses Verified And Listedâ as Certified In The Sba Certification Database Atâ https://veterans.certify.sba.gov, Shall Be Considered. system For Award Management (sam): federal Acquisition Registrations Require That Federal Contractors Register In The System For Award Management (sam) Database At Www.sam.gov And Enter All Mandatory Information Into The System. Award Cannot Be Made Until The Contractor Has Registered. Offerors Are Encouraged To Ensure That They Are Registered In Sam Prior To Submitting Their Qualifications Package. the Excluded Parties List System (epls): to Ensure That The Individuals Providing Services Under The Contract Have Not Engaged In Fraud Or Abuse Regarding Sections 1128 And 1128a Of The Social Security Act Regarding Federal Health Care Programs, The Contractor Is Required To Check The Excluded Parties List System (epls) Located At Www.sam.gov For Each Person Providing Services Under This Contract. Further The Contractor Is Required To Certify That All Persons Listed In The Qualifications Package Have Been Compared Against The Epls List And Are Not Listed. During The Performance Of This Contract The Contractor Is Prohibited From Using Any Individual Or Business Listed On The List Of Excluded Individuals/entities. e-verify System: companies Awarded A Contract With The Federal Government Shall Be Required To Enroll In E-verify Within 30 Days Of The Contract Award Date. They Shall Also Need To Begin Using The E-verify System To Confirm That All Of Their New Hires And Their Employees Directly Working On Federal Contracts Are Authorized To Legally Work In The United States. E-verify Is An Internet-based System That Allows An Employer, Using Information Reported On An Employee's Form I-9, To Determine The Eligibility Of That Employee To Work In The United States. There Is No Charge To Employers To Use E-verify. (far 52.222-54) a-e Firms Are Required To Respond If Interested By Submitting One (1) Completed Standard Form 330 Qualification Package Parts I And Ii To Include All Consultants (form Available On-line At: Http://www.gsa.gov/portal/forms/download/116486) Must Include In Part I Section H An Organizational Chart Of The Firm (excludes Consultants) And A Design Quality Management Plan. Submission Information Incorporated By Reference Is Not Allowed. All Submissions Must Be In Pdf No Larger Than 20 Megabytes(mg) And Emailed. completed Package Shall Be Delivered Electronically On Or Before Friday, June 07, 2024 At 2:00 Pm Central Daylight Time (cdt) To The Nco 15 Contracting Office, Attn: David Sterrett, Contracting Officer, To The Following Email Address: David.sterrett@va.gov email Subject Line Shall Clearly Identify Solicitation Number: 36c25524r0075 And Project Name, Upgrade Building 26 Chillers, Project No. 589-24-450 the Sf330 Submission Must Be A Pdf Document, Must Be Below 20 Megabytes (mg), And Is Not To Exceed Seventy (70) Pages. Photographs Or Other Graphics Will Be Included In The 70-page Count. Title Pages And Tables Of Contents, If Applicable, Are Excluded From The Page Count Limitation. Pages Submitted In Excess Of The Limitations Specified In This Notice Will Not Be Evaluated. The Following Is An Example Of How This Standard Will Be Enforced- If Company A Submits Their Sf330 That Is 100 Pages, And The Limit Is 70 Pages, Only Pages 1-70 Will Be Submitted To The Selection Team For Evaluation And Pages 71-100 Will Be Removed From Company A S Sf330 Document Prior To Being Submitted For Evaluation. note: Signed Attachment 1, Vaar 852.219-75 Va Notice Of Limitations On Subcontracting, Must Be Included With Your Sf330 Package Or The Sf330 Will Not Be Evaluated. project Information the Mission Of The Veterans Affairs Kansas City Va Medical Center Is To Provide The Highest Quality Health Care To Our Nation S Veterans. In Order To Accomplish This Mission Kansas City Facility Engineering Service (fes) Intends To Partner With An Architect/engineer A/e Or Engineer Firm For A Design Completion For Project 589-24-450, Upgrade Building 26 Chillers. general Statement: The U.s. Department Of Veterans Affairs (va) Requires Architectural And Engineering (a/e) Services To Produce Stand-alone Construction Documents, Reports, And Specifications For: Project 589-24-450, Upgrade Building 26 Chillers Located At The Kansas City Va Medical Center (kcva). based On Data Collected During Electrical Metering Of Switchboard "egdp2" In Building 26, Hvac Chillers Identified As Or Chillers Ch-26-b-01 And Ch-26-b-02 Are Causing Electrical Spiking Above What The Switchboard And Generator Is Rated To Operate. The Chillers Support The Air Handling Units For The 3rd-5th Floors Of Building 26, Which Serve Sterile Processing Services (sps), Two Intensive Care Units (icu), And The Operating Room (or) Suites. The Existing Generators At Building 26 Serve The Same Areas And Include The Chillers. The Existing Generator Identified As 26c Is Undersized For The Existing And Future Sps Loads. provide Design Documents To Replace The (2) Existing 300-ton Carrier Chillers That Are Located Outside Of The Building 26 Basement Mechanical Room. The New Chillers Will Be Arranged To Function As Variable Primary System With N+1 Setup. All Ahus On The Loop Will Be Converted To Use Two-way Pressure Independent Control Energy Valves And Bypass Loop With Controls. Building Automation System (bas) Controls Shall Be Included In The Design And Shall Tie Directly Into The Existing Kcva Control System. conduct A Study On The Existing Ahu Chilled Water Coils Being Served By The Chillers So The Design Team Can Properly Size The Chillers Correctly Based On Heat Loads Of The Existing And Future Loads. review The Existing And Future Electrical Infrastructure To Determine If It Has Capacity For The New Chiller Design That Serves The 3rd-5th Floors Of Building #26. Coordinate New Design With Existing System Or Provide New System As Needed Based On The Building Modification Design From Project 589-22-885, Expand Sps To Meet Requirements. due To The Critical Nature Of The Chillers, Design Shall Include, But Is Not Limited To: planning For Temporary Chillers To Service The Facility If There Is An Extended Shut Down Anticipated While The Old Equipment Is Decommissioned And New Equipment Is Installed. Temporary Chillers Shall Be Pre-tested And Certified Prior To Disconnecting The Existing Chillers And Not Cause Electrical Spikes Above What The Existing And Temporary Electrical System Are Designed To Withstand. providing Va Physical Security And Resiliency Design Manual (psrdm) Solutions And/or Develop A Waiver Request To Be Submitted To Va Governing Bodies Based On The Facility Space Constraints For The New Chillers. This Will Potentially Include Additional Civil, Structural, And/or Architectural Design Work. replacing Existing Hvac Systems To Meet The Standards Called Out In The Va S Most Current Hvac Design Manual And To Address All Known Fca Deficiencies Within The Scope For This Project. evaluate The Electrical Metering Data And Calculations From The Sps Design And Perform Metering And Load Calculations For All Other Equipment As Necessary To Determine The Ideal Generator Configuration To Accommodate The Electrical Loads Of The Chillers And The Emergency Power Requirement Of The 3rd Through 5th Floor Of Building 26 To 80% Capacity. kcva Will Provide Sps Design Data Upon Award. provide Plan For Temporary Generator(s) While The Existing Generator(s) Are Taken Offline To Be Relocated/replaced, If Necessary. Temporary Generators Shall Be Pre-tested And Certified Prior To Disconnection Of Original Generators. provide Design For Infrastructure To Support The New Generator Placement And Connection To Building 26. evaluation Factors: selection Criteria Are In Accordance With Federal Acquisition Regulation (far) Part 36.602-1. Prospective Firms Are Required To Address All Selection Criteria Within Submitted Sf330 Packages Using Additional Pages As Necessary. Sf 330 Submissions Including Any Additional Pages Are Not To Exceed Seventy (70) Pages. Each Page Cannot Exceed 8-1/2 X 11 In Size. prospective Firms Are Required To Address All Selection Criteria Within Submitted Sf330 Packages Using Additional Pages As Required And Sf 330 Submissions Including Any Additional Pages Are Not To Exceed Seventy (70) Pages. All Pages Above 70 Will Not Be Included In The Evaluation. Sf 330 Must Be Submitted As A Pdf To David.sterrett@va.gov And Cannot Exceed 20 Mb In Size. refer To Contract Information Section Points O. R. For Additional Submittal Requirements And Instructions. qualifications (sf330) Submitted By Each Firm For Upgrade Building 26 Chillers, Project Number 589-24-450, Will Be Reviewed And Evaluated Based On The Following Six (6) Evaluation Criteria Listed Below. All Evaluation Criteria Are Considered To Be Of Equal Importance. sf 330 Evaluation Factors (1 Through 6) (1) Professional Qualifications: provide Brief Resumes Of Proposed Team Members Who Will Specifically Serve As The Project Manager(s), Designers Of Record, And Quality Control Manager(s). In Addition, Provide Resumes Of Other Relevant Team Members Or Frequent Subcontractors Who Will Perform Technical Tasks Under This Contract Including Their Record Of Working Together. designers And Other Team Members Include, But Are Not Limited To: Architects, Engineers (civil, Structural, Mechanical, Electrical, Plumbing, Fire Protection/life Safety, Commissioning), Cost Estimators, Environmental Safety & Health, Industrial Hygiene, Bim/cad Tech. the Designers Of Record Shall Perform And Direct The Design Within Their Respective Discipline And Shall Sign And Seal The Drawings. All Designers Of Record Must Be Professionally Registered In Their Discipline In The State Of Missouri Or In A State Which Missouri Has Recognized Their License. Each Resume Shall Include A Minimum Of Five (5) And A Maximum Of Seven (7) Specific Completed Projects In The Past Five (5) Years That Best Illustrate The Individual Team Members Experience Relevant To This Contract Scope. Resume Shall State The Role The Specific Individual Played In The Project. (2) Specialized Experience And Technical Competence: specialized Experience And Technical Competence In Health Care Facilities (to Include Joint Ventures), Including, Where Appropriate, Experience In Energy Conservation, Pollution Prevention, Waste Reduction, And The Use Of Recovered Materials. this Factor Evaluates The Amount Of Experience The Ae Firm Has In Designing Similar Types Of Work/facilities And Evaluating Their Technical Competence. The Factor Includes An Emphasis, Where Appropriate, On The Firm's Experience In Energy Conservation, Pollution Prevention, Waste Reduction And The Use Of Recovered Materials. provide A Detailed Narrative Of A Minimum Of Five (5) And Up To Seven (7) Maximum Relevant Projects That Have Completed Design And Completed Construction Within The Last 10 Years Which Best Illustrate Overall Team Experience Relevant To This Contract Scope. List Projects That Demonstrate The Teams Experience With Projects Of Similar Size And Scope To Those To Be Performed Under This Contract; Specific Design Areas To Be Evaluated Within This Factor Are: hospital Infrastructure Experience Incorporating Relevant Codes. experience With Designing To Va Hvac Design Manual Standards And Requirements For Critical Use Areas. experience With Designing To Va Physical Security And Resiliency Design Manual Standards And Requirements For Critical Use Equipment. familiarity With And Experience Incorporating The Requirements Of Current Or Recent Va Guidance Documents Related To Sustainable Buildings Including, Where Appropriate, Experience In Energy Conservation, Pollution Prevention, Waste Reduction, And The Use Of Recovered Materials. (3) Capacity To Accomplish Work: The General Workload And Staffing Capacity Of The Design Office Which Will Be Responsible For The Majority Of The Design And The Ability To Accomplish The Work In The Required Time. This Factor Evaluates Ability Of The Ae Firm, Given Their Current Projected Workload And The Availability Of Their Key Personnel, To Accomplish The Design Project In The Required Time. It Also Requires That All Firms Submitting A Sf330 Must Certify That They Can And Will Comply With Vaar 852.219-75 Va Notice Of Limitations On Subcontracting. (see Attachment 1) the General Workload And Staffing Capacity Of The Design Office Will Be Evaluated As Follows: what Are Your Current Staff Levels, Including Consultants, Available To Accommodate This Project While Still Maintaining Ongoing Projects/ Workload? indicate The Firms' Present Workload And The Availability Of The Project Team (including Sub-consultants) For The Specified Contract Performance Period describe Experience In Successfully Delivering Projects Per Performance Schedule, Providing Timely Construction Support, And Successfully Completing Multiple Projects With Similar Delivery Dates. describe How The Team Is Going To Meet The Strict Design Deadlines For The Proposed Project Of 165 Days. in Accordance With Vaar 852.219-75 Va Notice Of Limitations On Subcontracting Certificate Of Compliance For Services And Construction, You Must Certify That If Awarded The Contract Your Firm Will Comply With The Limitations On Subcontracting Specified In This Clause And In The Resultant Contract. You Must Complete, Sign And Submit Attachment 1- Vaar 852.219-75 Va Notice Of Limitations On Subcontracting Certificate Of Compliance For Services And Construction Document As Part Of Your Sf330 Package Which States The Contractor Will Not Pay More Than 50% Of The Amount Paid By The Government To It To Firms That Are Not Certified Sdvosbs Listed In The Sba Certification Database As Set Forth In 852.219-73. If This Certification Is Not Completed And Submitted With The Sf 330 Your Package Will Not Be Evaluated, Will Be Eliminated From The Selection Process, And Cannot Be Awarded A Contract. (4) Past Performance: Nco 15 Will Evaluate Past Performance On Recent And Relevant Contracts With Government Agencies (emphasis On Va Work) And Private Industry In Terms Of Construction Cost Estimating, Cost Control, Quality Of Work, Compliance With Performance Schedules And A Record Of Significant Claims Against The Firm Due To Improper Or Incomplete Engineering Services (references Required). Project Past Performances That Are Older Than 10 Years Will Receive A Lesser Rating Than Those References For Projects Accomplished Within The Past 10 Years. past Performance Evaluations May Also Be Conducted Using Information Obtained From Cpars Or Ppirs And Any Other Sources Deemed Appropriate By The Co. Other Sources May Include, But Are Not Limited To, Inquiries Of Owner Representative(s), Federal Awardee Performance, And Integrity Information System (fapiis), Electronic Subcontract Reporting System (esrs), And Any Other Known Sources Not Provided By The Offeror. provide 5 Completed Relevant Project Final Cpars As Past Performance Documentation. list All Projects With A Design Fee Of Greater Than $400,000.00 Designed In The Firm S Office In The Past Five (5) Years. Include Brief Summary Of Scope, Completion Date, Contract Number, Design Award Amount, Construction Cost Estimate, Construction Completion Date (if Completed), Customer Name, Point Of Contact, And Location Of Work. (5) Location Of Design Firm/knowledge Of Locality: this Factor Evaluates The Location Of The Design Firm And Their Knowledge Of The Locality Of The Project. location Of The Design Firm: This Part Of The Factor Will Apply To The Office From Which The Prime Contractor S Business Office Is Established. Firms May Use Google Maps, Mapquest, Yahoo Maps, Or Rand Mcnally To Determine And Report The Distance Of The Office Where The Prime Contractor Is Stablished.â  Prime Contractor Shall Not Use A Subcontractor Office, Consultant Office, Or Any Office Other Than Prime Contractor S Physical Location Established Prior To Publication Of This Notice To Determine Distance To The Kansas City Va Medical Center, Located At 4108 Linwood Blvd. Kansas City Mo, 64128. Note: You May Provide Locations Of Consultants Or Remote Staff For Reference If They Are Going To Have A Significant Role In The Project Design Or Construction Period Services. knowledge Of Locality: Include Knowledge Of Geological Features, Climatic Conditions, Or Local Construction Methods That Are Unusual Or Unique To Kansas City Missouri Or The Kansas City Va Medical Center, Kansas City, Missouri. provide Projects Performed In The Kansas City Area That Have Provided Your Team With Knowledge Of The Local Area. Include Brief Project Summary And Completion Date For Each Project. provide List Of Projects Performed At The Kansas City Va Medical Center. Include Brief Project Summary And Completion Date For Each. provide Any Other Information That Supports Knowledge Of The Local Area And /or The Kansas City Va Medical Center Campus. (6) Quality Management Program: the Contractor's Quality Management Program Will Be Evaluated For Its Processes, Practices, And Procedures, To Ensure The Project S Quality Requirement Are Met Or Exceeded. The Program Minimum Will Incorporate Two Elements: A Quality Control Plan And Quality Assurance Procedures. a. Quality Control (qc): Provide The Contractor S Definition Of How The Project Quality Will Be Managed During The Design Of The Project. It Defines Who Is Responsible For Achieving The Quality Standards And How This Is To Be Accomplished. It Establishes A Framework With Defined Procedures And Practices To Ensure That The Completed Product Meets Or Exceeds The Project Specified Quality Requirements. b. Quality Assurance (qa): Provide An Explanation Of The Processes And Procedures The Contractor Will Engage In To Ensure That The Required Quality Of The Project Design Is Achieved. The Qa Process Will Define Review Requirements, Timing And Frequency Of Reviews, Written Reports, Who Receives And Reviews Them, When The Need For Correction Is Identified, Who And How It Will Be Corrected And What The Appropriate Follow Up Includes. the Va Will Consider The Company S Ability To Produce Designs That Are Constructable Through The Use Of Technology, Such As Lidar, To Collect Accurate Information About The Existing Conditions Of The Facility For Integration With The Components Of The New Design. Demonstrate Tools The Company Uses To Perform Clash Detection, Coordination Between Design Drawings And Specifications, Ensuring The Project Matches The Program For Design, And Assisting The Va With Managing The Approved Cost From Construction Ntp Through Commissioning. Provide Data That Includes The Original Contracted Period Of Performance (pop) Vs. Final Pop With Explanation For Deviations For Projects Designed In The Last 3-5 Years, Original Cost Estimate Vs. Final Cost Inclusive Of Construction Modifications, And The Number Of Rfi S And Asi S At The Completion Of Construction. Describe How The Company Collects Construction Inspection Information To Be Included In The Final As-built Drawing Set Provided To The Kcva. c. Discuss The Company S Quality Management Process (qmp) As It Pertains To Each Of The Following Elements: policy And Procedures goals And Objectives general Quality Management roles And Responsibilities work Breakdown Structure (wbs) project Gantt Chart approvals And Reviews document Control process Improvement attachment 1 request For Architectural And Engineer (a/e) 330 Submission solicitation: 36c25524r0075 upgrade Building 26 Chillers project No. 589-24-450 far 852.219-75 Va Notice Of Limitations On Subcontracting Certificate Of Compliance For Services And Construction as Prescribed Inâ 819.7011(b), Insert The Following Clause: va Notice Of Limitations On Subcontracting Certificate Of Compliance For Services And Construction (jan 2023) (deviation) (a) Pursuant Toâ 38 U.s.c. 8127(l)(2), The Offeror Certifies That (1) If Awarded A Contract (seeâ far 2.101â definition), It Will Comply With The Limitations On Subcontracting Requirement As Provided In The Solicitation And The Resultant Contract, As Follows: [contracting Officer Check The Appropriate Box Below Based On The Predominant Naics Code Assigned To The Instant Acquisition As Set Forth Inâ far 19.102.] (i) [x]â services.â in The Case Of A Contract For Services (except Construction), The Contractor Will Not Pay More Than 50% Of The Amount Paid By The Government To It To Firms That Are Notâ certifiedâ sdvosbsâ listed In The Sba Certification Databaseâ as Set Forth Inâ 852.219-73 Or Certified Vosbs Listed In The Sba Certification Databaseâ as Set Forth In 852.219-74. Any Work That A Similarly Situated Certified Sdvosb/vosb Subcontractor Further Subcontracts Will Count Towards The 50% Subcontract Amount That Cannot Be Exceeded. Other Direct Costs May Be Excluded To The Extent They Are Not The Principal Purpose Of The Acquisition And Small Business Concerns Do Not Provide The Service As Set Forth In 13 Cfr 125.6. (2) The Offeror Acknowledges That This Certification Concerns A Matter Within The Jurisdiction Of An Agency Of The United States. The Offeror Further Acknowledges That This Certification Is Subject To Title 18, United States Code, Section 1001, And, As Such, A False, Fictitious, Or Fraudulent Certification May Render The Offeror Subject To Criminal, Civil, Or Administrative Penalties, Including Prosecution. (3) If Va Determines That An Sdvosb/vosb Awarded A Contract Pursuant To 38 U.s.c. 8127 Did Not Act In Good Faith, Such Sdvosb/vosb Shall Be Subject To Any Or All Of The Following: (i) Referral To The Va Suspension And Debarment Committee; (ii) A Fine Under Section 16(g)(1) Of The Small Business Act (15 U.s.c. 645(g)(1)); And (iii) Prosecution For Violatingâ 18 U.s.c. 1001. (b) The Offeror Represents And Understands That By Submission Of Its Offer And Award Of A Contract It May Be Required To Provide Copies Of Documents Or Records To Va That Va May Review To Determine Whether The Offeror Complied With The Limitations On Subcontracting Requirement Specified In The Contract. Contracting Officers May, At Their Discretion, Require The Contractor To Demonstrate Its attachment 1 request For Architectural And Engineer (a/e) 330 Submission solicitation: 36c25524r0075 upgrade Building 26 Chillers project No. 589-24-450 compliance With The Limitations On Subcontracting At Any Time During Performance And Upon Completion Of A Contract If The Information Regarding Such Compliance Is Not Already Available To The Contracting Officer. Evidence Of Compliance Includes, But Is Not Limited To, Invoices, Copies Of Subcontracts, Or A List Of The Value Of Tasks Performed. (c) The Offeror Further Agrees To Cooperate Fully And Make Available Any Documents Or Records As May Be Required To Enable Va To Determine Compliance With The Limitations On Subcontracting Requirement. The Offeror Understands That Failure To Provide Documents As Requested By Va May Result In Remedial Action As The Government Deems Appropriate. (d) Offeror Completed Certification/fill-in Required. The Formal Certification Must Be Completed, Signed And Returned With The Offeror S Bid, Quotation, Or Proposal. The Government Will Not Consider Offers For Award From Offerors That Do Not Provide The Certification, And All Such Responses Will Be Deemed Ineligible For Evaluation And Award. certification: i Hereby Certify That If Awarded The Contract, [insert Name Of Offeror] Will Comply With The Limitations On Subcontracting Specified In This Clause And In The Resultant Contract. I Further Certify That I Am Authorized To Execute This Certification On Behalf Of [insert Name Of Offeror]. printed Name Of Signee:â ________________________________________ printed Title Of Signee:â _________________________________________ signature:â ___________________________________________________ date:â _____________________ company Name And Address:â ______________________________________ ________________________________________________________________ (end Of Clause)