140R8123Q0185_1.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

R81

Denver CO 80225

Building 67 - Denver Federal Center Acquisition Operations Branch Denver Office Bureau of Reclamation

0009909946 CODE 16. ADMINISTERED BYCODE

X

X

X

541511

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED ORR81

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

3034452537Connieann Tudela-Kately (No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBERa. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

140R8123Q0185

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 440040612986OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

MS 84-27810

TELEPHONE NO.

17a. CONTRACTOR/

Sacramento CA 95825-1898 2800 Cottage Way West Loading Dock Mid-Pacific Regional Office Bureau of Reclamation-MP-RO

15. DELIVER TO

Denver CO 80225

MS 84-27810

Building 67 - Denver Federal Center Acquisition Operations Branch Denver Office

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$34

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Bureau of Reclamation

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

00010

THIS IS A FIRM FIXED PRICE, SOLE SOURCE AWARD

CONTRACT TO PROVIDE WEB-BASED JOB HAZARD

ANALYSIS (JHA) SUBSCRIPTION SERVICES: BASE +4

OPTION YEARS

Delivery: Within 3 Days After Award.

BASE - JHA SUBSCRIPTION

Product/Service Code: DA10 Product/Service Description: IT AND TELECOM -

BUSINESS APPLICATION/APPLICATION DEVELOPMENT

Continued ...

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED . YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

31b. NAME OF CONTRACTING OFFICER (Type or print)

Robert Shedrick

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

SOFTWARE AS A SERVICE

Period of Performance: 07/01/2023 to 06/30/2024

00020 OPTION YEAR 1 - JHA SUBSCRIPTION

Anticipated Award Type: Firm-fixed-price

(Option Line Item)

Anticipated Exercise Date 07/01/2024

Product/Service Code: DA10

Product/Service Description: IT AND TELECOM -

BUSINESS APPLICATION/APPLICATION DEVELOPMENT

SOFTWARE AS A SERVICE

Period of Performance: 07/01/2024 to 06/30/2025

00030 OPTION YEAR 2 - JHA SUBSCRIPTION

(Option Line Item)

Anticipated Exercise Date 07/01/2025

Product/Service Code: DA10

Product/Service Description: IT AND TELECOM -

BUSINESS APPLICATION/APPLICATION DEVELOPMENT

SOFTWARE AS A SERVICE

Period of Performance: 07/01/2025 to 06/30/2026

00040 OPTION YEAR 3 - JHA SUBSCRIPTION

(Option Line Item)

Anticipated Exercise Date 07/01/2026

Product/Service Code: DA10

Product/Service Description: IT AND TELECOM -

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 44

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

140R8123Q0185

BUSINESS APPLICATION/APPLICATION DEVELOPMENT

SOFTWARE AS A SERVICE

Period of Performance: 07/01/2026 to 06/30/2027

00050 OPTION YEAR 4 - JHA SUBSCRIPTION

(Option Line Item)

Anticipated Exercise Date 07/01/2027

Product/Service Code: DA10

Product/Service Description: IT AND TELECOM -

BUSINESS APPLICATION/APPLICATION DEVELOPMENT

SOFTWARE AS A SERVICE

Period of Performance: 07/01/2027 to 06/30/2028

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

Sponsored by GSA

FAR (48 CFR) 53.110

If FAR 52.217-8 is exercised, the prices for the Option to Extend Service’s term will be calculated based on the prorated term and prices that are in effect at the time the option is exercised.

BRAND NAME OR SINGLE / SOLE SOURCE REQUEST

1. Project Title: Subscription to web-based job hazard analysis application

2. Description of Need: The service is a subscription to a web-based database for developing job hazard analysis (JHA) documents for the CGB Region’s operational activities. The Reclamation Safety and Health Standards (RSHS) mandates proper work planning and outlines compliance standards for day-to-day activities. The JHA is a document that is required for work that exposes employees to safety/health hazards. This document is developed to identify the task/project, including equipment needed, specific operations, instructions, hazard assessment, and elimination/control for those hazards. The subscription for unlimited access to the database will enable CGB facilities to develop and maintain standardized JHAs for use at all facilities/projects. The standardization reduces the effort for development and duplication, while increasing continuity of safety practices. This program also allows for reference to applicable codes, standards, and regulations for evaluating variable types of hazard exposure.

Request Type

☐ Brand Name / Item/Product / Feature

A. Item(s) / Manufacturer:

Describe why the particular brand name (item, product and/or feature) is essential to the government’s requirement and why no other product(s) can meet, or be modified to meet, the government’s need. Please provide specific details on efforts made to remove competition barriers and explain market research conducted:

☒ Single / Sole Source

☐ Only one responsible source and no other supplies or services will satisfy the requirements requested.

☐ Unusual and compelling urgency.

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☐ Industrial mobilization; engineering, developmental, or research capability; or expert services.

☐ Authorized or required by statute.

☒ Exclusive licensing agreements.

☒ Other.

A. Contractor:

Based on the above selection, describe the unique aspects (capabilities, experience, expertise, compatibility, and consistency) that the proposed contractor has that makes the contractor the only one that can perform the required work requested. Please provide specific details on efforts made to remove competition barriers and explain market research conducted:

The CGB Region’s effort to transition to a web-based application for JHA development was originally competed and awarded in FY2014 (R14PX01093). The JHA application award was used to test the application for Reclamation’s needs; the application met Reclamation’s needs and the contract was expanded to include all CGB facilities and unlimited CGB Region users.

The current application stores already-developed JHAs to allow employees access to customize and modify existing JHAs for similar work projects. The already-developed JHAs cannot be transferred to a new application due to exclusive licensing/software. Employees in the CGB Region have already been trained on how to use the current web-based application to develop JHAs in accordance with the RSHS.

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PERFORMANCE WORK STATEMENT (PWS)

CALIFORNIA-GREAT BASIN REGION JOB HAZARD ANALYSIS (JHA) WEB-BASED APPLICATION

June 9, 2023

1.0 INTRODUCTION:

1.1 The CGB Regional Office of Safety and Emergency Management (CGB-160) is responsible for leading the Safety and Occupational Health (SOH) Program for the CGB Region, including providing area office support. One way that CGB-160 supports the SOH Program is by providing access to a web-based JHA application for CGB Region employees called Job Hazard Analytics. Access to Job Hazard Analytics allows CGB Region employees to be more efficient in safely performing hazardous work tasks, as well as ensuring that there is consistency in JHA preparation. This in turn increases employee understanding and comprehensive of a JHA.

2.0 SCOPE: Acquire a one-year subscription (with 4 option years) to the contractor’s service – Job Hazard Analytics – the web-based JHA application.

3.0 PERSONNEL QUALIFICATIONS: N/A

4.0 GOVERNMENT-FURNISHED EQUIPMENT (GFE) AND MATERIALS:

4.1 GFE: N/A

4.2 Government Furnished Materials: N/A

5.0 REGULATIONS/POLICIES: N/A

6.0 TRAVEL: N/A

7.0 GOVERNMENT VEHICLES: Contract employees required to utilize any Government vehicle (cars, trucks, heavy equipment, etc.) either as a driver or passenger shall be required to sign a “Hold Harmless” release. This includes Government-procured rental vehicles. The Contractor shall use or rent their own vehicles whenever possible and practical. Signed releases are due to the CO 1 day before use of a Government vehicle. Government vehicles are for official use only.

8.0 SECURITY: No security requirements over and above what the contractor will provide at their web page and on their servers as needed.

8.1 The Project Manager or Contracting Officer’s Technical Representative (COTR) listed in paragraph 13.0 will assist with the Contractor’s entry into secure areas and inform the Contractor of security procedures. The Contractor shall comply with all security procedures.

8.2 Reclamation has identified specific security sensitivity designations for information related to Government facilities.

8.3 All contractor produced and Government furnished information related to this contract is designated Public Information (Non Official-Use-Only), except for the Government furnished work products which are designated Official Use Only – SENSITIVE (FOUO/SENSITIVE).

8.4 The Contractor shall be required to supply Reclamation with the legal names and other personal information of employees who will be working under this contract.

8.5 Reclamation reserves the right to perform security checks on Contractor employees.

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9.0 TRAINING: N/A

10.0 DELIVERABLES: Upon execution of this contract, provide the CGB Region with a subscription to Job Hazard Analytics for one year. CGB Region safety personnel will be designated as system administrators and will be able to establish user accounts for employees in the CGB Region, will be able to reset user passwords, and will be able to customize the drop-down menus in Job Hazard Analytics. The table below provides a listing of deliverables and the recipients.

10.1 Deliverable #1: Access to Job Hazard Analytics The deliverable is CGB Region access to Job Hazard Analytics with unlimited site licenses. The contract effort made by the contractor will be performed on their web-based host servers at their place of business, with the data used by CGB Region being delivered to CGB Region employees over the Internet through government computers, tablets, and smart phones assigned to and controlled by CGB Region employees. Employees can access Job Hazard Analytics from any Internet connection; it is not necessary to be on the DOI network to access the web-based system. Once the contract is awarded, notify Denise Caldwell that the CGB Region has access to Job Hazard Analytics.

10.2 Deliverable Table:

PARA DELIVERABLE DUE DELIVER TO

10.1 Access to Job Hazard

Analytics

Day 1 of Contract Period

Denise Caldwell;

see section 13.0

11.0 QUALITY:

11.1 Contractor’s Performance Assessment Reporting System (CPARS). The attached Contractor Performance Report is provided for your information. This report will be completed by the Contracting Officer’s Technical Representative (COTR) at the end of the performance period. This information will be input into the Contractor’s Performance Assessment Reporting System (CPARS) when the system becomes available.

12.0 Identification of Contractor Employees: All contract personnel are required to identify themselves as contractors. Whether attending meetings, answering Government telephones, or working in other situations where their contractor status is not obvious to third parties, they must make their status known to avoid creating an impression that they are Government employees.

13.0 POINTS OF CONTACTS (POC): The POCs for this SOW are:

Contracting Officer’s Representative (COR):

Denise Caldwell, Safety Specialist Bureau of Reclamation 2800 Cottage Way, CGB-160 Sacramento, CA 95825-1898 Phone: 279-234-6829 Email: dcaldwell@usbr.gov

Contractor point-of-contact information:

Terence Douglas, President Alliant Corporation Phone: 865-251-5041 Email: tadouglas@alliantcorp.com

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WBR 1417.202 Use of options.

The total evaluated price will be calculated as the sum of the CLINs’ extended prices, including the base, all option CLINs, and the 52.217-8 Option to Extend Services. The Option to Extend Service’s price will be calculated by prorating the last option’s CLIN price for a period of 6 months.

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52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (DEC2022)

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management (SAM) accessed through https://www.sam.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (v) of this provision.

(a) Definitions. As used in this provision—

"Covered telecommunications equipment or services" has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

Economically disadvantaged women-owned small business (EDWOSB) concern means a small business

---Addendum to 52.212-3---be accomplished by process or penalties.

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