Combine_Synopsis-Soliciation_-_140R6025Q0026.pdf

Synopsis/Solicitation – 140R6025Q0026 – Bureau of Reclamation

This is a combined synopsis/solicitation for commercial services and is prepared in accordance with the format in subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; Quotes are being requested and no other written solicitation will be issued. The Bureau of Reclamation (Reclamation) has a requirement for refurbishment or replacement of an existing 500 GPM Sump Pump, as well as providing and replacing new basket strainers for two (2) 6000 GPM pumps at the Mr. Elberta Powerplant in Twin Lakes, Colorado. The scope of this contract also includes the removal, repair (if applicable), and installation services as identified in the included specifications data and performance work statement. The government anticipates awarding this procurement as a firm fixed price effort.

Solicitation number 140R6025Q0026 is issued as a Request for Quotation (RFQ) solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2025-03.

This is a total small business set-aside under NAICS code 333914 - Measuring, Dispensing, and Other Pumping Equipment Manufacturing with an associated small business size standard of 750 employees.

Offerors must be registered in SAM.gov to be considered for award.

Offerors are cautioned to carefully review the offer submission requirements. To be considered qualified for this work, offerors must fully address all evaluation factors outlined under FAR clause 52.212-2 on the following page, in the solicitation package.

It is the expectation that the existing 500GPM sump pump will be overhauled, replacing only needed pump parts to make it operational. However, the original unit has been discontinued, so finding the necessary parts may be an issue. If the offeror determines an overhaul is not practicable, the offeror may choose to quote a new pump which is able to function with the existing motor. If neither of these methodologies are practicable, the offeror may provide a quote for the replacement of both the pump and the motor.

Once the offeror has chosen what option they want to quote on, regarding the 500 GPM sump pump, it is the responsibility of the offeror to ensure they can acquire the necessary parts prior to submitting their quote.

The Government anticipates making an award without discussions. However, the Government reserves the right to conduct discussions if the Contracting Officer determines them to be necessary. Therefore, the offeror’s initial proposal should contain the offeror’s best terms from a cost or price and technical standpoint.

Offerors may submit questions electronically, via email, to Terra Warren, Contracting Officer at twarren@usbr.gov . Questions shall be submitted no later than April 27 2025 at 11:59 PM MDT.

Questions received after that date will not be entertained. Applicable answers to contractor questions will be posted publicly through the SAM website at www.sam.gov

The offerors will be granted the opportunity for a site visit, which is highly encouraged given the need to evaluate the current condition of the pumps and motor. Interested parties can schedule an individual site visit during the week of April 14th thru 17th, 2025.

Location to meet: Mt. Elbert Power Plant, 5583 Hwy 82 Twin Lakes, CO 81251

Any questions you have regarding the site visit will need to be submitted in writing, via email to Twarren@usbr.gov, after the visit has occurred, but before the deadline of 4/27/2025. Questions asked during the site visit will not be answered at that time to ensure that information is not limited only to attendees. Answers to questions regarding the site visit will be posted publicly through the SAM website at www.sam.gov.

Synopsis/Solicitation – 140R6025Q0026 – Bureau of Reclamation

To request a site visit please reach out to the contracting officer at twarren@usbr.gov by 4:00 PM MDT, Tuesday the 8th of April.

Written, signed quotes with contact information are due no later than May 11th, 2025, at 11:59 PM MDT by email to twarren@usbr.gov. A copy of Clause 52.204-24 with the fill in completed and signed, and any other documentation the vendor determines is necessary to assist the government in determining which quotation is of the best value to the government. For information or questions regarding this RFQ, please contact Terra Warren, twarren@usbr.gov.

FAR 52.212-2 Evaluation—Commercial Products and (Nov 2021) Commercial Services

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer, conforming to the solicitation, will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

(1) Work & Schedule – The Work Plan will be evaluated on how clear, effective, and detailed it is in explaining the technical approach of the firms work plan, to include:

i. Regarding the 500 GPM motor - identifying which option the offeror has chosen to quote on, and why, and the method of fulfilling the need with that option:

a) Overhaul existing pump

b) Replace pump to function with current motor

c) Replace both pump and motor

ii. The method of replacing basket strainers and mounts on the existing 6000 GPM Pumps.

iii. The proposed schedule will be evaluated on how well it addresses, in detail, the proper milestones and number of days for performing and accomplishing the work.

Failure to provide a detailed work plan and schedule will result in a quote being no longer eligible for consideration for award. The more clear, detailed, effective and realistic the plan and schedule are, the higher the quote will be rated.

(2) Past Performance – Any and all knowledge and information in the possession of the Contracting Officer will be used to evaluate the quality of past performance, including, but not limited to, references provided by the quoter for recent and recent/relevant contracts for the same or similar services, information from CPARS, and any other Past Performance database information may be used.

(3) Price – Proposed pricing will be evaluated for price reasonableness and whether the pricing is balanced.

Pricing shall include a breakout by:

o 500 GPM Sump pump parts, price per unit Including the required set of spare parts o Basket Strainers, price per unit o Pump Mounts, price per unit o Labor rates for removal, overhaul (if applicable), and installation o Any other anticipated expenses associated with the effort

(explained) o Subtotals of each line and a cumulative total

Per FAR 13.106-2(b)(3), the Contracting Officer may perform a comparative review of quotes.

(b) A written notice of award or acceptance of an offer will be sent to the successful offeror within the time for acceptance specified in the offer. Offeror will then review the draft award document, and if accepting, sign the document and return in a reply email. The Government contracting officer will then sign the official award and send the offeror the official awarded contract with shall result in a binding contract. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

Performance Work Statement Bureau of Reclamation

Mt. Elbert Powerplant, Twin Lakes CO Mt. Elbert Powerplant Main 500 GPM Sump Pump Refurbishment/Replacement

1.0 BACKGROUND

The Bureau of Reclamation’s Mt. Elbert Powerplant 500 GPM Sump Pump needs refurbishment, or if necessary, replacement. The existing Sump Pump is currently not operational due to a leaking seal between the case discharge and the enclosed line shaft. The existing sump pump, and part related thereto, are no longer originally manufactured.

2.0 SCOPE

The scope of this purchase order includes all necessary labor, equipment, and materials for either the removal and overhaul, or replacement of the existing 500 GPM Sump Pump and re-installation of the refurbished/new sump pump. Additionally, this includes the replacement of basket strainers and mounts for the two (2) existing 6000 GPM Pumps at the same location.

3.0 OBJECTIVES

The objective of this effort is to provide a reliable 500 GPM Pump to maintain the appropriate level of the Mt. Elbert Powerplant sump within the same duty cycle of the existing pump capable of operating with the existing on/off float start, heavy duty cycle control system of the facility.

Furthermore, there is a need to replace the missing Basket Strainers and mounts of two (2) existing 6000 GPM Pumps.

4.0 WORK REQUIREMENTS

The Contractor shall overhaul, or furnish, and install one 500 GPM sump pump within the existing system with the motor on the 2nd floor of the facility and the pump located in the sump of the facility.

The components or systems replaced must meet the salient characteristics identified in paragraphs 4.1 & 4.2, below. See attachment 1 ‘MTE Sump Pump Data’ document.

4.1 500 GPM Sump Pump

(1) The overhauled/new sump pump shall:

a. Work with the existing sump level monitoring system and power supplies.

b. Maintain the facility sump to its normal levels during normal operation.

c. Be capable of operating in manual or automatic modes.

d. Pump a minimum of 500 GPM from the sump to the existing discharge line.

(2) Sump pump shall be capable of delivering 500 GPM for continuous operation.

(3) Sump pump shall be capable of operating in Temperatures ranging from 32º F to 90º F.

(4) Duty cycle: demonstrate 60 open/close cycles per hour.

(5) Operate using 480V power supply directly wired into the pump via conduit in compliance with National Fire Protection Code.

(6) Be constructed of material not susceptible to microbial corrosion. Stainless steel 304 or approved equivalent per approval by QAR

(7) Not produce noise over 90db over an 8-hour average.

(8) All connections to mild steel shall have dielectric flange kits to prevent galvanic corrosion.

(9) Existing pump motors may remain if possible.

4.2 Basket Strainers for all Pumps

(1) Must be constructed of stainless steel

(2) Must prevent solid material from entering the pump.

4.3 Pump Mounts for all Pumps

(1) Must be secured to the surface of the Sump to prevent any movement of vibration of the pumps.

(2) Must be constructed of Stainless Steel to prevent microbial corrosion.

Installer Qualifications: Offeror has a minimum five years of successful experience completing sump pump installation similar to the subject requirements.

Field Measurements: Verify dimensions and component layout by field measurements and drawings provided by BOR. Reference the attached ‘MTE Sump Pump Data’ document.

Installation: The 500 GPM Pump shall be installed in coordination with the facility not requiring an outage. All on site contractor employees must have Confined Space Certification and be familiar with Reclamation Clearance procedures. Contractor shall provide own Confined Space Monitoring and Rescue for all work in the Sump.

Spare Parts: The contractor shall submit a list of recommended spare parts and supply one complete set of spare parts for the 500 GPM Pump

5.0 SECURITY

The Contractor shall coordinate with the Quality Assurance Representative (QAR) for all employee security access requirements upon award.

6.0 PLACE OF PERFORMANCE

All work shall take place at Mt. Elbert Powerplant in Twin Lakes, Colorado.

7.0 PERIOD OF PERFORMANCE

All on-site work shall be completed during the months of July and August of 2025. The contractor shall coordinate with the QAR, a minimum of 5 working days, prior to initiating on site work requirements.

8.0 WARRANTY

The contractor shall provide a one-year or manufacturer’s standard warranty, whichever is longer, for the system and all system components against failure resulting from normal use. Failure shall be defined as any defect in manufacturing which prevents sump from operating as intended.

9.0 SUBMITTALS

The Contractor shall furnish submittals, in accordance with the following table:

** CO indicates Contracting Officer, QAR Quality Assurance Representative

RSN

Submittals required

Due date or delivery time

No. of sets to be sent to:

CO QAR

1 Acceptable Certificate of Liability Insurance

Prior to commencement of work under the contract

1 electronic 0

2 Complete set of Spare Parts 7 Days Prior to completion of work 0 1 set

3 Copy of Confined Space Certificate for all contractor employees as identified in 4.0

– Installation section

Prior to commencement of work under the contract

0 1 Electronic

4 Copy of warranty document, as identified in 8.0

7 Days Prior to completion of work 1 Electronic 1 Electronic

Attachement 1 MTE Sump Sump Data

Clauses The clause at 52.212-4, Contract Terms and Conditions – Commercial Products and Commercial Services, applies to this acquisition, as does 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders – Commercial Products and Commercial Services. Below is a list of applicable clauses:

CLAUSE NUMBER CLAUSE TITLE CLAUSE DATE

52.203-19

PROHIBITION ON REQUIRING CERTAIN INTERNAL

CONFIDENTIALITY AGREEMENTS OR STATEMENTS.

(JAN 2017)

52.204-10

REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER

SUBCONTRACT AWARDS

(JUN 2020)

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (OCT 2018)

52.204-18

COMMERCIAL AND GOVERNMENT ENTITY CODE

MAINTENANCE

(AUG 2020)

52.204-19

INCORPORATION BY REFERENCE OF REPRESENTATIONS

AND CERTIFICATIONS

(DEC 2014)

52.204-25

PROHIBITION ON CONTRACTING FOR CERTAIN

TELECOMMUNICATIONS AND VIDEO SURVEILLANCE

SERVICES OR EQUIPMENT.

(NOV 2021)

52.204-27 PROHIBITION ON A BYTEDANCE COVERED APPLICATION (JUN 2023)

52.204-30

FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—PROHIBITION

(DEC 2023)

52.209-6

PROTECTING THE GOVERNMENT'S INTEREST WHEN

SUBCONTRACTING WITH CONTRACTORS DEBARRED,

SUSPENDED, PROPOSED FOR DEBARMENT, OR

VOLUNTARILY EXCLUDED

(JAN 2025)

52.209-10

PROHIBITION ON CONTRACTING WITH INVERTED

DOMESTIC CORPORATIONS.

(NOV 2015)

52.212-4

CONTRACT TERMS AND CONDITIONS - COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES.

(NOV 2023)

52.212-5

CONTRACT TERMS AND CONDITIONS REQUIRED TO

IMPLEMENT STATUTES OR EXECUTIVE ORDERS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

(JAN 2025)

52.219-6 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE (NOV 2020)

52.219-28

POSTAWARD SMALL BUSINESS PROGRAM

REREPRESENTATION

(JAN 2025)

52.222-19

CHILD LABOR-COOPERATION WITH AUTHORITIES AND

REMEDIES

(JAN 2025)

52.222-21 PROHIBITION OF SEGREGATED FACILITIES (APR 2015)

52.222-26 EQUAL OPPORTUNITY (SEPT 2016)

52.222-3 CONVICT LABOR (JUNE 2003)

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUN 2020)

52.222-50 COMBATING TRAFFICKING IN PERSONS (NOV 2021)

52.223-5

POLLUTION PREVENTION AND RIGHT-TO-KNOW

INFORMATION

(MAY 2024)

52.223-23 SUSTAINABLE PRODUCTS AND SERVICES (MAY 2024)

52.225-1 BUY AMERICAN-SUPPLIES (OCT 2022)

52.225-13 RESTRICTIONS ON CERTAIN FOREIGN PURCHASES (FEB 2021)

52.226-8

ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT

MESSAGING WHILE DRIVING

(MAY 2024)

52.227-1 AUTHORIZATION AND CONSENT (JUN 2020)

52.232-33

PAYMENT BY ELECTRONIC FUNDS TRANSFER-SYSTEM FOR

AWARD MANAGEMENT

(OCT 2018)

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS (JUN 2013)

52.232-40

PROVIDING ACCELERATED PAYMENTS TO SMALL

BUSINESS SUBCONTRACTORS.

(MAR 2023)

52.233-1 DISPUTES (MAY 2014)

52.233-3 PROTEST AFTER AWARD (AUG 1996)

52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM (OCT 2004)

52.237-2

PROTECTION OF GOVERNMENT BUILDINGS, EQUIPMENT,

AND VEGETATION

(APR 1984)

52.240-1

PROHIBITION ON UNMANNED AIRCRAFT SYSTEMS

MANUFACTURED OR ASSEMBLED BY AMERICAN

SECURITY DRONE ACT-COVERED FOREIGN ENTITIES

(NOV 2024)

52.246-4 INSPECTION OF SERVICES-FIXED-PRICE (AUG 1996)

52.249-1

TERMINATION FOR CONVENIENCE OF THE GOVERNMENT

(FIXED-PRICE) (SHORT FORM)

(APR 1984)

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

DOI-AAAP-0028

ELECTRONIC INVOICING AND PAYMENT REQUIREMENTS-

INVOICE PROCESSING PLATFORM (IPP)

(FEB 2021)

WBR 1452.223-81 SAFETY AND HEALTH -- BUREAU OF RECLAMATION (OCT 2022)

(a) The Contractor shall not require any person employed in the performance of this contract (including subcontracts) to work under conditions which are unsanitary, hazardous, or dangerous to an employee’s health or safety.

(b) Contractor shall comply with the most current version of the Bureau of Reclamation’s Reclamation Safety and Health Standards (RSHS) and, if incorporated, 52.236-13 Accident Prevention.

The RSHS manual shall be obtained at:

http://www.usbr.gov/safety/rshs/index.html

(c) Comply with the standards (29 CFR) issued by the Occupational Safety and Health Administration (OSHA), U.S. Department of Labor, www.osha.gov.

(d) In the event there is a conflict between the requirements contained in paragraphs (b) and (c) referenced herein, or in the Statement of Work (SOW) or Performance Work Statement (PWS), the more stringent requirement shall prevail.

(e) If required in the SOW or PWS, the Contractor shall submit a written proposed safety program as prescribed in the RSHS and the written specifications.

(f) The Contractor shall maintain an accurate record of and shall report to the Contracting Officer (or authorized representative) in the manner prescribed by the Contracting Officer, all cases of death, occupational diseases, or traumatic injury to employees or the public involved, and property damage in accordance with the RSHS and OSHA guidelines.

(g) If the contractor deems that an updated version of the RSHS constitutes a substantive change to the contract, affecting price or time (or both), the contractor may request a contract modification in accordance with the terms of the contract.

Provisions

The provision at 52.212-1, Instructions to Offerors – Commercial Products and Commercial Services, applies to this acquisition.

The provision at 52.212-3, Offeror Representations and Certifications – Commercial Products and Commercial Services, must be completed and be active online at http://www.sam.gov. Prospective contractor is advised to ensure that the NAICS code identified for this procurement is contained in its online representations and certifications in the System for Award Management registry.

PROVISION NUMBER CLAUSE TITLE CLAUSE DATE

52.203-18

PROHIBITION ON CONTRACTING WITH ENTITLES THAT

REQUIRE CERTAIN INTERNAL CONFIDENTIALITY

AGREEMENTS OR STATEMENTS – REPRESENTATION

(JAN 2017)

52.204-7 SYSTEM FOR AWARD MANAGEMENT. (NOV 2024)

52.204-16

COMMERCIAL AND GOVERNMENT ENTITY CODE

REPORTING.

(AUG 2020)

52.204-17 OWNERSHIP OR CONTROL OF OFFEROR. (AUG 2020)

52.204-20 PREDECESSOR OF OFFEROR. (AUG 2020)

52.204-22 ALTERNATIVE LINE-ITEM PROPOSAL. (JAN 2017)

52.204-26

COVERED TELECOMMUNICATIONS EQUIPMENT OR

SERVICES-REPRESENTATION

(OCT 2020)

52.204-29

FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—REPRESENTATION AND DISCLOSURES

(DEC 2023)

52.209-2

PROHIBITION ON CONTRACTING WITH INVERTED

DOMESTIC CORPORATIONS – REPRESENTATION

(NOV 2015)

52.209-11

REPRESENTATION BY CORPORATIONS REGARDING

DELINQUENT TAX LIABILITY OR A FELONY CONVICTION

UNDER ANY FEDERAL LAW

(FEB 2016)

52.212-1

INSTRUCTIONS TO OFFERS COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

(SEP 2023)

52.212-3*

OFFEROR REPRESENTATIONS AND CERTIFICATIONS-

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

(MAY 2024)

52.223-22

PUBLIC DISCLOSURE OF GREENHOUSE GAS EMISSIONS

AND REDUCTION GOALS-REPRESENTATION.

(DEC 2016)

52.252-1

SOLICITATION PROVISIONS INCORPORATED BY

REFERENCE

(FEB 1998)

DIAR 1452.215-71

USE AND DISCLOSURE OF PROPOSAL INFORMATION --

DEPARTMENT OF THE INTERIOR

(APR 1984)

The following Provision must be completed by and signed by the submitting entity with their quotation package:

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment.

(NOV 2021)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services-Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Products and Commercial Services. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision-

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition. (1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to-

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system.

This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to-

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services."

(d) Representations. The Offeror represents that-

(1) It [ ] will, [ ] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that-

It [ ] does, [ ] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures. (1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment-

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services-

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained:

Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment-

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services-

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained:

Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

Signed: _______________________________________________ Date:________________