File 2 - RFQ 11-258-SOL-00010 SF18.pdf

11-258-SOL-00010

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

02/02/2011 HRS53162

1 39

Office of Acquisition Management and Policy National Hansens Disease Program

HRSA/OAMP/NHDP

Baton Rouge LA 70816

National Hansen's Disease Program R

1770 Physicians Park Drive

Baton Rouge

LA 70816

SUZANNE SHUMATE

03/04/2011 1400 CT

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

PLEASE COMPLETE THIS FORM, PROVIDE A PRICE QUOTE

BASED ON THE STATEMENT OF WORK OR THE LINE ITEMS

BELOW, AND PROVIDE THE FOLLOWING INFORMATION:

1. GSA SCHEDULE (IF

APPLICABLE):_________________________

2. CONTACT NAME, PHONE & FAX

NUMBER:___________________

3. E-MAIL:______________________

4. DUNS NUMBER:_______________________

5. REPRESENTATIONS, CERTIFICATIONS, AND OTHER

Continued ...

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

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CONTINUATION SHEET

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(A) (B) (C) (D) (E) (F)

11-258-SOL-00010

STATEMENTS OF OFFERORS OR QUOTERS.

52.204-3 TAXPAYER IDENTIFICATION (OCT 1998)

(A) DEFINITIONS.

"COMMON PARENT," AS USED IN THIS PROVISION, MEANS

THAT CORPORATE ENTITY THAT OWNS OR CONTROLS AN

AFFILIATED GROUP OF CORPORATIONS THAT FILES ITS

FEDERAL INCOME TAX RETURNS ON A CONSOLIDATED

BASIS, AND OF WHICH THE OFFEROR IS A MEMBER.

"TAXPAYER IDENTIFICATION NUMBER (TIN)," AS USED

IN THIS PROVISION, MEANS THE NUMBER REQUIRED BY

THE INTERNAL REVENUE SERVICE (IRS) TO BE USED BY

THE OFFEROR IN REPORTING INCOME TAX AND OTHER

RETURNS. THE TIN MAY BE EITHER A SOCIAL SECURITY

NUMBER OR AN EMPLOYER IDENTIFICATION NUMBER.

(B) ALL OFFERORS MUST SUBMIT THE INFORMATION

REQUIRED IN PARAGRAPHS (D) THROUGH (F) OF THIS

PROVISION TO COMPLY WITH DEBT COLLECTION

REQUIREMENTS OF 31 U.S.C. 7701(C) AND 3325(D),

REPORTING REQUIREMENTS OF 26 U.S.C. 6041, 6041A,

AND 6050M AND IMPLEMENTING REGULATIONS ISSUED BY

THE IRS. IF THE RESULTING CONTRACT IS SUBJECT TO

THE PAYMENT REPORTING REQUIREMENTS DESCRIBED IN

FEDERAL ACQUISITION REGULATION (FAR) 4.904, THE

FAILURE OR REFUSAL BY THE OFFEROR TO FURNISH THE

INFORMATION MAY RESULT IN A 31 PERCENT REDUCTION

OF PAYMENTS OTHERWISE DUE UNDER THE CONTRACT.

(C) THE TIN MAY BE USED BY THE GOVERNMENT TO

COLLECT AND REPORT ON ANY DELINQUENT AMOUNTS

ARISING OUT OF THE OFFEROR'S RELATIONSHIP WITH

THE GOVERNMENT [31 U.S.C. 7701(C) (3)]. IF THE

RESULTING CONTRACT IS SUBJECT TO THE PAYMENT

REPORTING REQUIREMENTS DESCRIBED IN FAR 4.904,

THE TIN PROVIDED HEREUNDER MAY BE MATCHED WITH

IRS RECORDS TO VERIFY THE ACCURACY OF THE

OFFEROR'S TIN.

(D) TAXPAYER IDENTIFICATION NUMBER (TIN).

[ ] TIN: ____________________________________

[ ] TIN HAS BEEN APPLIED FOR.

[ ] TIN IS NOT REQUIRED BECAUSE:

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

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REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

11-258-SOL-00010

[ ] OFFEROR IS A NONRESIDENT ALIEN, FOREIGN

CORPORATION, OR FOREIGN PARTNERSHIP THAT DOES NOT

HAVE INCOME EFFECTIVELY CONNECTED WITH THE

CONDUCT OF A TRADE OR BUSINESS IN THE UNITED

STATES AND DOES NOT HAVE AN OFFICE OR PLACE OF

BUSINESS OR A FISCAL PAYING AGENT IN THE UNITED

STATES;

[ ] OFFEROR IS AN AGENCY OR INSTRUMENTALITY OF

A FOREIGN GOVERNMENT;

[ ] OFFEROR IS AN AGENCY OR INSTRUMENTALITY OF

THE FEDERAL GOVERNMENT.

E) TYPE OF ORGANIZATION.

[ ] SOLE PROPRIETORSHIP;

[ ] PARTNERSHIP;

[ ] CORPORATE ENTITY (NOT TAX EXEMPT);

[ ] CORPORATE ENTITY (TAX EXEMPT);

[ ] GOVERNMENT ENTITY (FEDERAL, STATE, OR

LOCAL);

[ ] FOREIGN GOVERNMENT;

[ ] INTERNATIONAL ORGANIZATION PER 26 CFR

1.6049-4;

[ ] OTHER

(F) COMMON PARENT.

[ ] OFFEROR IS NOT OWNED OR CONTROLLED BY A

COMMON PARENT AS DEFINED IN PARAGRAPH (A) OF THIS

PROVISION.

[ ] NAME AND TIN OF COMMON PARENT:

NAME: _______________________________________

TIN: ________________________________________

52.204-6 Data Universal Numbering System (DUNS)

Number.

(Oct 2003)

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11-258-SOL-00010

(a) The offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation "DUNS" or "DUNS+4" followed by the DUNS number or "DUNS+4" that identifies the offeror's name and address exactly as stated in the offer. The DUNS number is a nine-digit number assigned by Dun and Bradstreet, Inc. The

DUNS+4 is the DUNS number plus a 4-character suffix that may be assigned at the discretion of the offeror to establish additional CCR records for identifying alternative Electronic Funds

Transfer (EFT) accounts (see Subpart 32.11) for the same parent concern.

(b) If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one.

(1) An offeror may obtain a DUNS number-

(i) If located within the United States, by calling Dun and Bradstreet at 1-866-705-5711 or via the Internet at http://www.dnb.com; or

(ii) If located outside the United States, by contacting the local Dun and Bradstreet office.

(2) The offeror should be prepared to provide the following information:

(i) Company legal business name.

(ii) Tradestyle, doing business, or other name by which your entity is commonly recognized.

(iii) Company physical street address, city, state and Zip Code.

(iv) Company mailing address, city, state and Zip

Code (if separate from physical).

(v) Company telephone number.

(vi) Date the company was started.

(vii) Number of employees at your location.

(viii) Chief executive officer/key manager.

(ix) Line of business (industry).

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11-258-SOL-00010

(x) Company Headquarters name and address

(reporting relationship within your entity).

(End of provision)

52.204-7 CENTRAL CONTRACTOR REGISTRATION (JULY

2006)

(A) DEFINITIONS. AS USED IN THIS CLAUSE-

"CENTRAL CONTRACTOR REGISTRATION (CCR) DATABASE"

MEANS THE PRIMARY GOVERNMENT REPOSITORY FOR

CONTRACTOR INFORMATION REQUIRED FOR THE CONDUCT

OF BUSINESS WITH THE GOVERNMENT.

"DATA UNIVERSAL NUMBERING SYSTEM (DUNS) NUMBER"

MEANS THE 9-DIGIT NUMBER ASSIGNED BY DUN AND

BRADSTREET, INC. (D&B) TO IDENTIFY UNIQUE

BUSINESS ENTITIES.

"DATA UNIVERSAL NUMBERING SYSTEM +4 (DUNS+4)

NUMBER" MEANS THE DUNS NUMBER ASSIGNED BY D&B

PLUS A 4-CHARACTER SUFFIX THAT MAY BE ASSIGNED BY

A BUSINESS CONCERN. (D&B HAS NO AFFILIATION WITH

THIS 4-CHARACTER SUFFIX.) THIS 4-CHARACTER SUFFIX

MAY BE ASSIGNED AT THE DISCRETION OF THE BUSINESS

CONCERN TO ESTABLISH ADDITIONAL CCR RECORDS FOR

IDENTIFYING ALTERNATIVE ELECTRONIC FUNDS TRANSFER

(EFT) ACCOUNTS (SEE THE FAR AT SUBPART 32.11) FOR

THE SAME PARENT CONCERN.

"REGISTERED IN THE CCR DATABASE" MEANS THAT-

(1) THE CONTRACTOR HAS ENTERED ALL MANDATORY

INFORMATION, INCLUDING THE DUNS NUMBER OR THE

DUNS+4 NUMBER, INTO THE CCR DATABASE; AND

(2) THE GOVERNMENT HAS VALIDATED ALL MANDATORY

DATA FIELDS, TO INCLUDE VALIDATION OF THE

TAXPAYER IDENTIFICATION NUMBER (TIN) WITH THE

INTERNAL REVENUE SERVICE (IRS), AND HAS MARKED

THE RECORD "ACTIVE". THE CONTRACTOR WILL BE

REQUIRED TO PROVIDE CONSENT FOR TIN VALIDATION TO

THE GOVERNMENT AS A PART OF THE CCR REGISTRATION

PROCESS.

(B)(1) BY SUBMISSION OF AN OFFER, THE OFFEROR

ACKNOWLEDGES THE REQUIREMENT THAT A PROSPECTIVE

AWARDEE SHALL BE REGISTERED IN THE CCR DATABASE

PRIOR TO AWARD, DURING PERFORMANCE, AND THROUGH

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11-258-SOL-00010

FINAL PAYMENT OF ANY CONTRACT, BASIC AGREEMENT,

BASIC ORDERING AGREEMENT, OR BLANKET PURCHASING

AGREEMENT RESULTING FROM THIS SOLICITATION.

(2) THE OFFEROR SHALL ENTER, IN THE BLOCK WITH

ITS NAME AND ADDRESS ON THE COVER PAGE OF ITS

OFFER, THE ANNOTATION "DUNS" OR "DUNS +4"

FOLLOWED BY THE DUNS OR DUNS +4 NUMBER THAT

IDENTIFIES THE OFFEROR'S NAME AND ADDRESS EXACTLY

AS STATED IN THE OFFER. THE DUNS NUMBER WILL BE

USED BY THE CONTRACTING OFFICER TO VERIFY THAT

THE OFFEROR IS REGISTERED IN THE CCR DATABASE.

(C) IF THE OFFEROR DOES NOT HAVE A DUNS NUMBER,

IT SHOULD CONTACT DUN AND BRADSTREET DIRECTLY TO

OBTAIN ONE.

(1) AN OFFEROR MAY OBTAIN A DUNS NUMBER-

(I) IF LOCATED WITHIN THE UNITED STATES, BY

CALLING DUN AND BRADSTREET AT 1-866-705-5711 OR

VIA THE INTERNET AT HTTP://WWW.DNB.COM; OR

(II) IF LOCATED OUTSIDE THE UNITED STATES, BY

CONTACTING THE LOCAL DUN AND BRADSTREET OFFICE.

(2) THE OFFEROR SHOULD BE PREPARED TO PROVIDE THE

FOLLOWING INFORMATION:

(I) COMPANY LEGAL BUSINESS.

(II) TRADESTYLE, DOING BUSINESS, OR OTHER NAME BY

WHICH YOUR ENTITY IS COMMONLY RECOGNIZED.

(III) COMPANY PHYSICAL STREET ADDRESS, CITY,

STATE, AND ZIP CODE.

(IV) COMPANY MAILING ADDRESS, CITY, STATE AND ZIP

CODE (IF SEPARATE FROM PHYSICAL).

(V) COMPANY TELEPHONE NUMBER.

(VI) DATE THE COMPANY WAS STARTED.

(VII) NUMBER OF EMPLOYEES AT YOUR LOCATION.

(VIII) CHIEF EXECUTIVE OFFICER/KEY MANAGER.

(IX) LINE OF BUSINESS (INDUSTRY).

(X) COMPANY HEADQUARTERS NAME AND ADDRESS

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(A) (B) (C) (D) (E) (F)

11-258-SOL-00010

(REPORTING RELATIONSHIP WITHIN YOUR ENTITY).

(D) IF THE OFFEROR DOES NOT BECOME REGISTERED IN

THE CCR DATABASE IN THE TIME PRESCRIBED BY THE

CONTRACTING OFFICER, THE CONTRACTING OFFICER WILL

PROCEED TO AWARD TO THE NEXT OTHERWISE SUCCESSFUL

REGISTERED OFFEROR.

(E) PROCESSING TIME, WHICH NORMALLY TAKES 48

HOURS, SHOULD BE TAKEN INTO CONSIDERATION WHEN

REGISTERING. OFFERORS WHO ARE NOT REGISTERED

SHOULD CONSIDER APPLYING FOR REGISTRATION

IMMEDIATELY UPON RECEIPT OF THIS SOLICITATION.

(F) THE CONTRACTOR IS RESPONSIBLE FOR THE

ACCURACY AND COMPLETENESS OF THE DATA WITHIN THE

CCR DATABASE, AND FOR ANY LIABILITY RESULTING

FROM THE GOVERNMENT'S RELIANCE ON INACCURATE OR

INCOMPLETE DATA. TO REMAIN REGISTERED IN THE CCR

DATABASE AFTER THE INITIAL REGISTRATION, THE

CONTRACTOR IS REQUIRED TO REVIEW AND UPDATE ON AN

ANNUAL BASIS FROM THE DATE OF INITIAL

REGISTRATION OR SUBSEQUENT UPDATES ITS

INFORMATION IN THE CCR DATABASE TO ENSURE IT IS

CURRENT, ACCURATE AND COMPLETE. UPDATING

INFORMATION IN THE CCR DOES NOT ALTER THE TERMS

AND CONDITIONS OF THIS CONTRACT AND IS NOT A

SUBSTITUTE FOR A PROPERLY EXECUTED CONTRACTUAL

DOCUMENT.

(G) (1) (I) IF A CONTRACTOR HAS LEGALLY CHANGED

ITS BUSINESS NAME, "DOING BUSINESS AS" NAME, OR

DIVISION NAME (WHICHEVER IS SHOWN ON THE

CONTRACT), OR HAS TRANSFERRED THE ASSETS USED IN

PERFORMING THE CONTRACT, BUT HAS NOT COMPLETED

THE NECESSARY REQUIREMENTS REGARDING NOVATION AND

CHANGE-OF-NAME AGREEMENTS IN SUBPART 42.12, THE

CONTRACTOR SHALL PROVIDE THE RESPONSIBLE

CONTRACTING OFFICER A MINIMUM OF ONE BUSINESS

DAY'S WRITTEN NOTIFICATION OF ITS INTENTION TO

(A) CHANGE THE NAME IN THE CCR DATABASE; (B)

COMPLY WITH THE REQUIREMENTS OF SUBPART 42.12 OF

THE FAR; AND (C) AGREE IN WRITING TO THE TIMELINE

AND PROCEDURES SPECIFIED BY THE RESPONSIBLE

CONTRACTING OFFICER. THE CONTRACTOR MUST PROVIDE

WITH THE NOTIFICATION SUFFICIENT DOCUMENTATION TO

SUPPORT THE LEGALLY CHANGED NAME.

(II) IF THE CONTRACTOR FAILS TO COMPLY WITH THE

REQUIREMENTS OF PARAGRAPH (G)(1)(I) OF THIS

CLAUSE, OR FAILS TO PERFORM THE AGREEMENT AT

PARAGRAPH (G)(1)(I)(C) OF THIS CLAUSE, AND, IN

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THE ABSENCE OF A PROPERLY EXECUTED NOVATION OR

CHANGE-OF-NAME AGREEMENT, THE CCR INFORMATION

THAT SHOWS THE CONTRACTOR TO BE OTHER THAN THE

CONTRACTOR INDICATED IN THE CONTRACT WILL BE

CONSIDERED TO BE INCORRECT INFORMATION WITHIN THE

MEANING OF THE "SUSPENSION OF PAYMENT" PARAGRAPH

OF THE ELECTRONIC FUNDS TRANSFER (EFT) CLAUSE OF

THIS CONTRACT.

(2) THE CONTRACTOR SHALL NOT CHANGE THE NAME OR

ADDRESS FOR EFT PAYMENTS OR MANUAL PAYMENTS, AS

APPROPRIATE, IN THE CCR RECORD TO REFLECT AN

ASSIGNEE FOR THE PURPOSE OF ASSIGNMENT OF CLAIMS

(SEE FAR SUBPART 32.8, ASSIGNMENT OF CLAIMS).

ASSIGNEES SHALL BE SEPARATELY REGISTERED IN THE

CCR DATABASE. INFORMATION PROVIDED TO THE

CONTRACTOR'S CCR RECORD THAT INDICATES PAYMENTS,

INCLUDING THOSE MADE BY EFT, TO AN ULTIMATE

RECIPIENT OTHER THAN THAT CONTRACTOR WILL BE

CONSIDERED TO BE INCORRECT INFORMATION WITHIN THE

MEANING OF THE "SUSPENSION OF PAYMENT" PARAGRAPH

OF THE EFT CLAUSE OF THIS CONTRACT.

(H) OFFERORS AND CONTRACTORS MAY OBTAIN

INFORMATION ON REGISTRATION AND ANNUAL

CONFIRMATION REQUIREMENTS VIA THE INTERNET AT

HTTP://WWW.CCR.GOV OR BY CALLING 1-888-227-2423,

OR 269-961-5757.

52.219-1 Small Business Program Representations.

(May 2004)

(a)(1) The North American Industry Classification

System (NAICS) code for this acquisition is

339113.

(2) The small business size standard is 500 employees.

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b) Representations.

(1) The offeror represents as part of its offer that it (___) is, (___) is not a small business concern.

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(2) [Complete only if the offeror represented itself as a small business concern in paragraph

(b)(1) of this provision.] The offeror represents, for general statistical purposes, that it (___) is, (___) is not, a small disadvantaged business concern as defined in 13

CFR 124.1002.

(3) [Complete only if the offeror represented itself as a small business concern in paragraph

(b)(1) of this provision.] The offeror represents as part of its offer that it (___) is, (___) is not a women-owned small business concern.

(4) [Complete only if the offeror represented itself as a small business concern in paragraph

(b)(1) of this provision.] The offeror represents as part of its offer that it ______ is, _______ is not a veteran-owned small business concern.

(5) [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (b)(4) of this provision.] The offeror represents as part of its offer that it

(___) is, (___) is not a service-disabled veteran-owned small business concern.

(6) [Complete only if the offeror represented itself as a small business concern in paragraph

(b)(1) of this provision.] The offeror represents, as part of its offer, that-

(i) It (___) is, (___) is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone

Small Business Concerns maintained by the Small

Business Administration, and no material change in ownership and control, principal office, or

HUBZone employee percentage has occurred since it was certified by the Small Business

Administration in accordance with 13 CFR part

126; and

(ii) It (___) is,(___) is not a joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph

(b)(6)(i) of this provision is accurate for the

HUBZone small business concern or concerns that are participating in the joint venture. [The offeror shall enter the name or names of the

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11-258-SOL-00010

HUBZone small business concern or concerns that are participating in the joint venture:__________.] Each HUBZone small business concern participating in the joint venture shall submit a separate signed copy of the HUBZone representation.

(c) Definitions. As used in this provision-

"Service-disabled veteran-owned small business concern"-

(1) Means a small business concern-

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38

U.S.C. 101(16).

"Small business concern" means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR part 121 and the size standard in paragraph (a) of this provision.

"Veteran-owned small business concern" means a small business concern-

(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C.

101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

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"Women-owned small business concern" means a small business concern-

(1) That is at least 51 percent owned by one or more women; or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and

(2) Whose management and daily business operations are controlled by one or more women.

(d) Notice.

(1) If this solicitation is for supplies and has been set aside, in whole or in part, for small business concerns, then the clause in this solicitation providing notice of the set-aside contains restrictions on the source of the end items to be furnished.

(2) Under 15 U.S.C. 645(d), any person who misrepresents a firm's status as a small, HUBZone small, small disadvantaged, or women-owned small business concern in order to obtain a contract to be awarded under the preference programs established pursuant to section 8(a), 8(d), 9, or

15 of the Small Business Act or any other provision of Federal law that specifically references section 8(d) for a definition of program eligibility, shall-

(i) Be punished by imposition of fine, imprisonment, or both;

(ii) Be subject to administrative remedies, including suspension and debarment; and

(iii) Be ineligible for participation in programs conducted under the authority of the Act.

(End of provision)

Alternate I (Apr 2002). As prescribed in

19.308(a)(2), add the following paragraph (b)(7) to the basic provision:

(7) [Complete if offeror represented itself as disadvantaged in paragraph (b)(2) of this provision.] The offeror shall check the category in which its ownership falls:

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11-258-SOL-00010

_____ Black American.

_____ Hispanic American.

_____ Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians).

_____ Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, U.S. Trust Territory of the Pacific Islands (Republic of Palau), Republic of the Marshall Islands, Federated States of

Micronesia, the Commonwealth of the Northern

Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).

_____ Subcontinent Asian (Asian-Indian) American

(persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives

Islands, or Nepal).

_____ Individual/concern, other than one of the preceding.

52.222-22 PREVIOUS CONTRACTS AND COMPLIANCE

REPORTS (FEB 1999)

THE OFFEROR REPRESENTS THAT --

(A) IT [ ] HAS, [ ] HAS NOT PARTICIPATED IN A

PREVIOUS CONTRACT OR SUBCONTRACT SUBJECT TO THE

EQUAL OPPORTUNITY CLAUSE OF THIS SOLICITATION;

(B) IT [ ] HAS, [ ] HAS NOT, FILED ALL REQUIRED

COMPLIANCE REPORTS; AND

(C) REPRESENTATIONS INDICATING SUBMISSION OF

REQUIRED COMPLIANCE REPORTS, SIGNED BY PROPOSED

SUBCONTRACTORS, WILL BE OBTAINED BEFORE

SUBCONTRACT AWARDS.

52.222-25 AFFIRMATIVE ACTION COMPLIANCE (APR

1984)

THE OFFEROR REPRESENTS THAT (A) IT [ ] HAS

DEVELOPED AND HAS ON FILE, [ ] HAS NOT DEVELOPED

AND DOES NOT HAVE ON FILE, AT EACH ESTABLISHMENT,

AFFIRMATIVE ACTION PROGRAMS REQUIRED BY THE RULES

AND REGULATIONS OF THE SECRETARY OF LABOR (41 CFR

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60-1 AND 60-2), OR (B) IT [ ] HAS NOT PREVIOUSLY

HAD CONTRACTS SUBJECT TO THE WRITTEN AFFIRMATIVE

ACTION PROGRAMS REQUIREMENT OF THE RULES AND

REGULATIONS OF THE SECRETARY OF LABOR.

52.226-2 Historically Black College or University and Minority Institution Representation. (MAR

2001)

(a) Definitions. As used in this provision-

"Historically black college or university" means an institution determined by the Secretary of

Education to meet the requirements of 34 CFR

608.2. For the Department of Defense, the

National Aeronautics and Space Administration, and the Coast Guard, the term also includes any nonprofit research institution that was an integral part of such a college or university before November 14, 1986.

"Minority institution" means an institution of higher education meeting the requirements of

Section 1046(3) of the Higher Education Act of

1965 (20 U.S.C. 1067k, including a

Hispanic-serving institution of higher education, as defined in Section 316(b)(1) of the Act (20

U.S.C. 1101a)).

1 Orthotics Technician Services in accordance with attached Statement of Work

21 hours per week

Proposed hourly rate $_____________

2 Option Year 1

Orthotics Technician Services in accordance with attached Statement of Work

21 hours per week

Proposed hourly rate $_____________

(Option Line Item)

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3 Option Year 2

Orthotics Technician Services in accordance with attached Statement of Work

21 hours per week

Proposed hourly rate $_____________

(Option Line Item)