20Q0101 SOLICITATION.pdf

SEE ADDENDUM

(No Collect Calls)

N0040621Q0101 07-Jan-2021

b. TELEPHONE NUMBER

360-476-7587

8. OFFER DUE DATE/LOCAL TIME

12:00 AM 13 Jan 2021

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

N004069. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

FERBIEN O. ENCOMIENDA

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

N6275821RCUS729

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

NAVSUP FLC PUGET SOUND

467 W STREET, 2ND FLR

ATTN: FERBIEN ENCOMIENDA

BREMERTON WA 98314

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE N62758 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

N62758 SRF AND JRMC

GOVT REPRESENTATIVE

SEE PAGE 4 OF ORDER FOR

SHIPMENT REQUEST PROCEDURES

. WA 00000

TEL: FAX:

360-476-1947FAX:

TEL: 360-476-7587 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$8,000,000

NAICS:

811310

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF44

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

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

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

Section SF 30 - BLOCK 14 CONTINUATION PAGE

NOTICE TO OFFERORS

1. This solicitation is for the procurement of SONAR DOME INSPECTION in support of SRF YOKOSUKA.

It is anticipated that this solicitation will result in an award/order of a Firm, Fixed-Price Service type contract.

2. The entire solicitation shall be filled out, signed, and returned as part of your quote. See block 8 on page 1 of the solicitation for the closing date and time.

3. The deadline for submission of questions regarding the solicitation’s terms, conditions, specifications, and/or the statement of work (SOW) / performance work statement (PWS) is 2 days prior to the solicitation’s closing date.

4. The Government will award on the basis of price unless the contracting officer is aware of past performance information related to the low price quote/offer which indicates that quote/offer may not represent best value. In that case, the Government reserves the right to consider the past performance of other quotes/offers, conduct a price, past performance tradeoff, and award to other than the lowest price quote/offer.

5. SINGLE AWARD FOR ALL ITEMS: Due to the interrelationship of supplies and/or services to be provided hereunder, the Government reserves the right to make a single award to the quoter whose quote is considered in the best interest of the government, price and other factors considered. Therefore, quoters who quote less than the entire effort specified herein may be determined to be unacceptable.

6. “EXCEPTIONS: All quoters MUST note all exceptions from the solicitation’s terms conditions, specifications, and/or the statement of work / performance work statement, if any. It will be assumed that any quote without mention of any exceptions will take no exception from all specifications, terms and conditions, clauses, or provisions within the solicitation.”

7. All questions in regards to this solicitation shall be submitted, via email, to the Purchasing Agent / Contract

Specialist (listed below):

Name: FERBIEN O. ENCOMIENDA Phone: 360-476-7587 Email: FERBIEN.ENCOMIENDA@NAVY.MIL

PLEASE PROVIDE:

COMPANY NAME: __________________________________________________________

SAM CAGE CODE NUMBER: ____________________________________________

POC NAME: _______________________________________________

E-MAIL ADDRESS: ________________________________________

PHONE NUMBER: _________________________________________

LIST THE MFG AND COUNTRY OF ORIGIN:_______________________________

LIST YOUR COMPANIES SIZE: LARGE OR SMALL

CLAUSES 52.204-24, 52.204-26 & 52.209-11 MUST BE FILLED OUT

(YOUR COMPANY MUST BE REGISTERED WITH **SAM** (SYSTEM AWARD FOR

MANAGEMENT** IN ORDER TO RECEIVE A GOVERNMENT AWARD) (SAM REGISTRATION IS

FREE)

INTERNET ADDRESS FOR SAM IS: https://www.sam.gov

Government terms and conditions will be followed.

***For large or heavy items: metals, pipe, lumber etc. please ensure the shipment is properly wrapped, strapped, palletized or boxed up for shipment so it can be moved with a forklift.***

NOTE: In accordance with 52.212-4(f), in part, "The contractor will be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the contractor.." The contractor SHALL notify the Contracting Office and/or customer POC in writing immediately, but NO LATER THAN 2 weeks prior to expiration, for any delays, to include delivery dates and periods of performance specified in the schedule.

***NOTICE***

The public health considerations occasioned by the Coronavirus Disease 2019 (COVID-2019) continue to evolve. Every contractor should be mindful of current events, travel warnings, and health advisories, and of the potential impacts on personnel safety and contracted supplies and services. Offerors are responsible for understanding any travel restrictions or medical warnings/advisories that may be in effect for the place of performance and should price their proposal accordingly. Relevant information may be obtained from the U.S. Center for Disease Control at https://www.cdc.gov/coronavirus/2019-ncov/index.html, and from the U.S.

Department of State at:

https://travel.state.gov/content/travel/en/traveladvisories/COVID-19 -Country -Specific-Information.html.

1. At the direction of [insert relevant Command or civilian authority], contractor and subcontractor employees meeting any of the four criteria below are restricted from entering any U.S. Navy Instillation:

(a) Employees who have been in the People's Republic of China, South Korea, Italy, or Iran, or any region that the U.S. Center for Disease Control designates as a Warning Level 3 or higher due to COVID-19 [or other locations identified by the Command or civil authority]. These locations are referred to as "relevant locations." Contractor employees are restricted from entering [name installation or location] for 14 days from the latest date of departure from a relevant location.

(b) Employees who have been in close physical contact for an extended period of time with someone who has returned from a relevant location. Contractor employees are restricted from entering [name installation or location] for 14 days from the last day on which the employee had close physical contact with someone who has returned from a relevant location.

(c) Employees who have been in close physical contact with someone identified as having COVID-19. Contractor employees are restricted from entering [name installation or location] for 14 days from the last day on which the employee had close physical contact with someone identified as having COVID-19.

(d) Employees who have been diagnosed with COVID-19. Contractor employees who have been diagnosed with COVID-19 will not be permitted to access [name installation or location] until they have been cleared to do so by military personnel or by cognizant medical experts for those not serviced by military medical services.

2. Contractors will notify the U.S. Navy's contracting officer if they become aware that any of their employees or subcontractors who would otherwise seek to access [name installation or location] as part of performing contract requirements meet one or more of the four criteria above. The notice will provide the name of the contractor or subcontractor employee, identify the applicable criterion or criteria that applies, and explain (for criteria (a), (b), or (c)) when the 14 day period concludes.

FACE MASK INSTRUCTIONS MUST BE FOLLOWED:

Navy is committed to taking every precaution to ensure the health and wellbeing of our people and the nation in response to the coronavirus disease 2019 (covid-19) pandemic. Navy supports, and will continue to implement, all measures necessary to mitigate risks to the force, to our mission and to the spread of the disease. The center for disease control and prevention (CDC) recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain, especially in areas of significant community-based transmission.

Effective immediately, to the extent practical, ALL individuals, “this includes Navy Contractors,” on DOD property, installations, and facilities are required to wear cloth face coverings when they cannot maintain six feet of social distance.

The below CDC guidance is acceptable. Face coverings will:

a. Fit snugly but comfortably against the side of the face

b. Be from nose to chin full face coverings (like ski masks) are not authorized

c. Be secured with ties or ear loops

d. Preferably include multiple layers of fabric if material is cloth

e. Allow for breathing without restriction

f. Medical or construction type masks, or other cloth covering such as bandanas, scarfs, etc. are acceptable. When in doubt, priority will be compliance with the CDC guidance for function over appearance or preferred date of implementation.

Questions pertaining to this memo or requests for copies of the references should be addressed to the Contracting Officer.

CONTRACTOR TRAVEL REQUIREMENTS

The following are the requirements for entry into Japan as of 2 November 2020 that Contractors shall comply with.

See Section 3 for Pre-departure requirements and Section 4 for procedures upon arrival in Japan.

1. IN UPDATE TO REF F, THE PURPOSE OF THIS MESSAGE IS TO

PROVIDE UPDATED POINT OF CONTACT INFORMATION TO SYSCOMS, WARFARE

CENTERS AND CONTRACTING ACTIVITIES RESPONSIBLE FOR THE COORDINATION

OF SHIP REPAIR AND MODERNIZATION EFFORTS IN JAPAN.

2. GUIDANCE ISO DOD AND INTERNATIONAL RESTRICTIONS AS A RESULT OF

COVID-19 MITIGATION ACTIONS. SRF-JRMC IS UTILIZING THE FUNCTIONALITY

OF THE REGIONAL MAINTENANCE AND MODERNIZATION COORDINATION OFFICE

(RMMCO) IDENTIFIED IN REFS (A) AND (B) TO MANAGE THESE UNIQUE TRAVEL

REQUIREMENTS.

3. ANY PERSONNEL SUPPORTING SRF-JRMC MAINTENANCE AND MODERNIZATION

SHALL COMPLY WITH THE GUIDANCE PROVIDED OR RISK DENIAL OF ENTRY TO

JAPAN AND/OR COMMANDER FLEET ACTIVITIES YOKOSUKA (CFAY) OR

COMMANDER FLEET ACTIVITIES SASEBO (CFAS). DUE TO COVID-19

RESTRICTIONS, ENTRY REQUIREMENTS TO JAPAN IN SUPPORT OF MISSION

ESSENTIAL MAINTENANCE/MODERNIZATION IN WHICH SRF-JRMC SERVES AS

THE NAVAL SUPERVISORY AUTHORITY (NSA) ARE AS FOLLOWS (PRE-DEPARTURE):

A. PERSONNEL MUST HAVE A VALID PASSPORT FOR THE INTENDED PERIOD

OF STAY IN JAPAN.

B. APPROVAL MUST BE OBTAINED THROUGH TRAVEL TRACKER INDIVIDUAL

ANTI-TERRORIST PLAN (TT/IATP) VIA THE IATP.PACOM.MIL WEBSITE. THIS

REQUIRES LEVEL 1 ANTI-TERRORIST AND SURVIVAL, EVASION, RESISTANCE,

AND ESCAPE (SERE) TRAINING BE ACCOMPLISHED VIA

JKODIRECT.JTEN.MIL/ATLAS2/PAGE/LOGIN/LOGIN.JSF WEBSITE; AND A

PERSONNEL RECOVERY MISSION SOFTWARE (PRMS) SUBMISSION THROUGH

PRMSGLOBAL.PRMS.AF.MIL.

C. APPROVAL MUST BE OBTAINED THROUGH AIRCRAFT AND PERSONNEL

AUTOMATED CLEARANCE SYSTEM (APACS) FOR ENTRY TO INDOPACOM AOR. (FOR

SRF-JRMC SPONSORED WORK, SEA21 WILL PROVIDE O7 APPROVAL. ALL OTHER

SPONSORS WILL OBTAIN O7 LEVEL APPROVAL VIA THEIR COC).

HTTPS:APACS.MILCLOUD.MIL

D. PERSONNEL MUST CONTACT THE SRF-JRMC YOKOSUKA, SASEBO AND CVN

RMMCO OFFICES AT DIST-RMMCO-YOKOSUKA(AT)SRF.NAVY.MIL,

DIST-RMMCO-SASEBO(AT)SRF.NAVY.MIL, OR

DIST-CVN76-RMMCO(AT)SRF.NAVY.MIL RESPECTIVELY, FOR ARRIVAL

PREPARATIONS AND VERIFICATION OF REQUIREMENTS.

E. FOR THOSE WITHOUT A COMMAND ACCESS CARD (CAC), BASE ACCESS

REQUESTS MUST BE THROUGH THE YOKOSUKA SECURITY OFFICER

MR. SEAEN DANYIS AT SEAEN.DANYUS(AT)SRF.NAVY.MIL OR THE SASEBO

SECURITY OFFICER MR. ANTONIO QUIJANO AT

ANTONIO.QUIJANO(AT)SRF.NAVY.MIL CONSISTING OF:

1. VISIT REQUEST LETTER ON COMPANY LETTERHEAD

2. INSTALLATION ACCESS REQUEST FORM

3. LETTER OF AUTHORIZATION (LOA) OR ORDERS

4. SECNAV 5512-1

5. COLOR COPY OF TRAVELERS PASSPORT

6. USFJ FORM 27

F. A PRE-DEPARTURE HEALTH SCREENING OF ALL TRAVELERS WILL BE

ACCOMPLISHED ICW RMMCO PRIOR TO BEING PERMITTED TO COMMENCE

TRAVEL.

G. UPON RMMCO VERIFICATION THAT ALL TRAVEL REQUIREMENTS ARE

MET, SRF-JRMC WILL ISSUE A SERIALIZED GOVERNMENT OF JAPAN (GOJ)

APPROVAL LETTER TO ACCOMPANY ALL OTHER REQUIRED DOCUMENTS, TO

INCLUDE; LETTER OF AUTHORIZATION (LOA) OR ORDERS AS PROOF OF SOFA

STATUS AND VALID PASSPORT. THESE DOCUMENTS WILL BE PRESENTED TO

JAPANESE IMMIGRATION OFFICIALS UPON ARRIVAL AT PORT OF ENTRY.

CURRENT AUTHORIZED PORT OF ENTRIES INCLUDE COMMERCIAL AIRPORTS AT

TOKYO (NRT OR HND) AND MILAIR VIA YOKOTA AND OTHER LOCATIONS

APPROVED BY C7F OR CPF.

4. UPON COMMENCING TRAVEL, THE FOLLOWING POST-DEPARTURE

REQUIREMENTS ARE IN EFFECT:

A. TRANSPORTATION FROM THE PORT OF ENTRY TO CFAY OR CFAS WILL

BE COORDINATED THROUGH THE RMMCO OFFICE. RMMCO OFFICE WILL PROVIDE

GOVERNMENT TRANSPORTATION INFORMATION ONLY. TRANSPORTATION WILL

BE VIA GOVERNMENT TRANSPORTATION AND SHALL NOT INCLUDE USE OF PUBLIC

TRANSPORTATION BETWEEN PORT OF ENTRY AND LOCAL RESTRICTION OF

MOVEMENT (ROM) BASE (CFAY OR CFAS). IT IS THE TRAVELERS

RESPONSIBILITY TO UTILIZE GOVERNMENT TRANSPORTATION FROM PORT OF

ENTRY TO CFAY OR CFAS.

B. TRAVELERS WILL BE TESTED FOR COVID-19 UPON ENTERING JAPAN

AND ARE HIGHLY RECOMMENDED TO BE TESTED FOR COVID VIRUS WITHIN

72 HOURS PRIOR TO TRAVELING. TRAVELERS WHO ARE FOUND POSITIVE FOR

COVID-19 MUST BE PREPARED FOR:

1. ISOLATION FOR A MINIMUM OF 14 DAYS WITHIN CFAY

BARRACKS OR DESIGNATED QUARANTINE FACILITY.

2. ROOM CLEANING CHARGE UP TO $1000.

3. CASH OR ELECTRONIC FUNDS TRANSFER TO ALLOW FOR

PURCHASING OF FOOD AND INCIDENTALS.

C. TRAVELERS WILL ENTER A 14 DAY ROM PERIOD ON BASE

(CFAY OR CFAS) AND WILL NOT BE ALLOWED TO UTILIZE PUBLIC

TRANSPORTATION. DAILY SELF HEALTH CHECKS WILL COMMENCE UPON

ENTRY INTO JAPAN. TRAVELERS SHOULD INCLUDE A PERSONAL THERMOMETER

FOR TAKING DAILY TEMPERATURE READINGS. THE DAILY HEALTH CHECKS WILL

BE REPORTED TO THE APPROPRIATE RMMCO OFFICE OR ON-SITE SPONSOR. IN

THE EVENT A TRAVELER SHOWS INDICATION OF INFLUENZA LIKE ILLNESS

(ILI), SRF-JRMC RMMCO OFFICE WILL COORDINATE FURTHER HEALTH

ASSESSMENT REQUIREMENTS WITH THE LOCAL MILITARY TREATMENT FACILITY

(MTF).

D. UPON COMPLETION OF THE 14-DAY ROM PERIOD, THE RMMCO OFFICE

WILL COORDINATE THE BASE CHECK IN PROCESS. ENTRY ON TO

COMMANDER FLEET ACTIVITIES YOKOSUKA OR SASEBO WILL REQUIRE:

1. CAC (IF GOVERNMENT EMPLOYEE)

2. REGISTRATION IN DBIDS IS CRITICAL TO ENSURE BASE ACCESS

PRIORITY ISO MISSION ESSENTIAL TASKING IN CASE BASE HPCON LEVEL

CHANGES.

3. VISIT REQUEST VIA JPAS FOR SHIPBOARD ENTRY.

4. GOVERNMENT ORDERS (IF GOVERNMENT EMPLOYEE) OR LETTER

OF AUTHORIZATION (IF CONTRACTOR EMPLOYEE). THESE DOCUMENTS SHOULD

INDICATE MISSION ESSENTIAL NATURE OF WORK.

5. SATISFACTORY DAILY SELF HEALTH CHECK.

E. COMMENCE WORK THROUGH WORK COMPLETION PERIOD. DAILY HEALTH

SCREENINGS WILL BE REQUIRED TO BE CONDUCTED BY EACH TRAVELER AND

REPORTED TO THEIR RESPECTIVE ONSITE LEAD OR SPONSOR, AND REPORTED TO

THE RMMCO OFFICE. ADDITIONAL SCREENINGS BY BASE OR SHIP PERSONNEL

ARE LIKELY AND MAY INCLUDE TEMPERATURE CHECKS. FACE MASKS ARE

MANDATORY TO BE WORN AT ALL TIMES WHILE ON BASE (CFAY OR CFAS), AND

HIGHLY ENCOURAGED TO BE WORN OFF BASE. IF AT ANY TIME A TRAVELER

SHOWS INDICATIONS OF ILI, THEY SHOULD RETURN OR REMAIN AT THEIR

TEMPORARY LODGING AND REPORT STATUS TO THEIR RESPECTIVE ONSITE

LEAD OR SPONSOR, TO BE REPORTED TO THE RMMCO OFFICE.

F. UPON COMPLETION OF WORK, TRAVELERS SHALL REPORT AND CHECKOUT

WITH THE RMMCO OFFICE TO VERIFY ANY ADDITIONAL PERMISSIONS REQUIRED

FOR EXITING JAPAN.

5. ADDITIONAL REQUIREMENTS:

A. IAW REF A, ALTERATION INSTALL TEAM (AIT)S ARE REQUIRED TO

START RMMCO CHECK-IN PROCESS PRIOR TO ARRIVAL IN JAPAN. RMMCO

YOKOSUKA POCS ARE MR. STEVEN FARRIS AND MR. RICHARD PETERS,

DSN (315)243-0994, EMAIL: DIST-RMMCO-YOKOSUKA(AT)SRF.NAVY.MIL.

RMMCO SASEBO POCS ARE MR. THOMAS BUCK AND MR. LEONARDERIC MANALO,

DSN (315)252-6602/2805, EMAIL: DIST-RMMCO-SASEBO(AT)SRF.NAVY.MIL.

RMMCO CVN POCS ARE MR. RENATO DACUMOS,

RENATO.DACUMOS(AT)SRF.NAVY.MIL, DSN (315)243-2282, AND

MS. SARAH BROWN, SARAH.BROWN.CTR(AT)SRF.NAVY.MIL, DSN (315)243-2290,

OR DIST-CVN76-RMMCO(AT)SRF.NAVY.MIL.

B. IAW REF C, COUNTRY CLEARANCE REQUESTS ARE TO BE SUBMITTED A

MINIMUM OF 30 DAYS PRIOR TO TRAVEL.

C. ANY TRAVELER ENTERING CFAY OR CFAS IS SUBJECT TO DEBARMENT

FROM BASE AND REVOCATION OF VISIT CLEARANCE IF FOUND IN VIOLATION

OF ROM AND OR LIBERTY REQUIREMENTS.

PERFORMANCE WORK STATEMENT

1. GENERAL SCOPE OF WORK:

This performance work statement (PWS) defines the scope of the contract; identifies technical reference documents applicable to performance of this contract; and describes the general tasks that the Government will require under this contract onboard and in support of the USS RAFAEL PERALTA (DDG-115) ship in SRF- JRMC Yokosuka, Japan.

The periodic radiographic inspection of Sonar Dome Rubber Windows (SDRW) is required to be accomplished while the ship is waterborne. Inspections must be accomplished by NAVSEA approved contractors, per information in Section 7 of Reference B.

RADIOGRAPHY OPERATIONS PLANNING WORK SHEET (Attachment I) to be submitted at least 14 working days prior to commencement of work, per 3.4 listed below.

2. REFERENCES:

The following references are applicable and the contractor must comply with the references listed:

A) NAVSEA STANDARD ITEMS FY-21 CH-2

B) Naval Research Laboratory; Technical Data Requirements for the Radiographic Inspection of

Sonar Dome Rubber Windows (SDRW), Revision 9, January 2020

C) NSI 009-112 FY-21 CH-2: Prevention of Radiographic-Inspection Ionizing-Radiation Hazard;

accomplish

3. WORK STATEMENT ITEM:

3.1. The contractor will perform the radiographic inspection on the SDRW in accordance with Reference

B, NRL Technical Data Requirements for the Radiographic Inspection of Sonar Dome Rubber Windows (SDRW), Revision 9, January 2020, and in accordance to Reference C, NSI 009-112 FY- 21 CH-2: Prevention of Radiographic-Inspection Ionizing-Radiation Hazard; accomplish.

3.2. No radiography is to be performed without the SRF-JRMC RSO/ARSO specific permission. SRF-

JRMC RSO/ARSO will be notified by the contractor and acquire said permission before commencing the radiographic inspection.

3.3. The Contractor must submit to SRF-JRMC (RSO) an illustration showing the 2 mR/hr boundary prior to being given permission to start radiography. The contractor will provide the calculations to prove the location of the 2mr/hr boundary.

3.4. The Contractor will submit written notification of intention to commence radiographic operations and illustration per 3.3, in hard copy or electronic media, to SRF-JRMC (C-106RSO) not later than 14 working days prior to commencement of radiography operations. Notification will identify the date, time, location, type of radiography performed (gamma, x-ray), and purpose of the radiography. The contractor’s notification shall include the completion of RADIOGRAPHY OPERATIONS PLANNING WORK SHEET, (Attachment I). The SRF-JRMC RSO/ARSO shall review and approve the Contractor’s Attachment I and the diagram of the boundary.

3.5. The contractor shall establish a physical boundary at the 2 mr/hr (0.02 mSv/hr) boundary. The perimeter of the radiation area shall be a physical barrier established by an enclosure, or by stanchions and rope, as necessary. Post this boundary with "Radiation Area", "Radiography in

Progress" "Keep Out" signs written in English & Japanese. The signs shall be visible to any person approaching the radiation area barrier from any accessible direction. Signs are to be provided by contractor.

3.5.1. The Contractor is required to establish boundary guards around the 2 mR/hr boundary to prevent unauthorized access across the 2 mR/hr boundary and the guards must have direct communication with the Lead Radiographer. Note:

Waterborne Radiographic Inspection requirement:

□ 3 radiographers(must be qualified to enter pressurized compartment)

□ 2 Boundary men-one inside the ship to prevent ships force from entering the dome and one outside to prevent personnel near the dome

In dry dock Radiographic Inspection:

□ 3 radiographers(must be qualified to enter the dome)

□ 5 Boundary men

3.6. The contractor radiographer shall maintain constant surveillance of the entire area boundary through direct observation or by positive communication with barrier monitors who are in a position to provide visual surveillance. The intent of this requirement is to enable the radiographer to immediately shut down x-ray production or retract the source if a person penetrates the radiation area boundary.

3.7. If an unauthorized individual crosses the boundary, the boundary monitor shall immediately notify the radiographer who will immediately stop radiography operations.

3.8. Any boundary violation shall be reported to the SRF Radiation Safety Officer (RSO) immediately. A follow-up report shall be submitted in writing within 4 hours of the violation. The report shall include the time of violation, name of individual(s), the names of the radiography crew, including boundary guards, the kVp, mA, duration of actual exposure and beam direction for the x-ray machine or if using source material, the half value of the collimator and the beam direction at the time of violation. A diagram showing the location of the violation and the egress path in relation to the source shall be included. Any format that includes all data above is acceptable.

3.9. The entire boundary shall be monitored using radiation detection equipment appropriate for the source of radiation during the first radiation exposure of the day. If the beam’s orientation, kVp, mA, collimation, or shielding is changed between exposures, the boundary shall be re-surveyed and if necessary re-posted. The results of the monitoring shall be documented and include the time, date and location of the survey, the highest radiation level recorded, the kVp, mA, and beam direction of the x-ray machine or if using gamma source material, the halve value of the collimator and beam direction at the time of the exposure. A copy of the survey shall be provided to SRF-JRMC (C106) within 24 hours of completion of radiography operations. Any format that includes all data above is acceptable.

3.9.1. In addition to the above boundary reporting requirements, the contractor radiographer shall cease and make safe all radiographic operations and notify SRF’S RSO upon loss or theft of radioactive material or x-ray producing devices.

4. GOVERNMENT FURNISHED EQUIPMENT:

4.1. The Government will provide workspace onboard the ship/shop as required in the performance of the work in radiographic inspection.

4.2. General consumable supplies, including materials to erect the boundary, will also be provided as necessary.

4.3. Rigging assistance and trade support as needed.

5. CONTRACTOR FURNISHED PROPERTY:

The Contractor shall provide all management, labor, parts, signs, special test equipment, radios for communication throughout the radiographic inspection, and tools necessary to perform work outlined in the delivery order, except those listed in Government Furnished Property. In performance of this requirement, KTR to provide own MARINE CHEMIST SERVICES.

6. PLACE OF PERFORMANCE:

The worksite is onboard the USS RAFAEL PERALTA (DDG-115), SRF-JRMC Yokosuka, Japan, pier side.

7. The Surveillance Officer for this task is:

Business Agent: Matthew Seabert Office (from U.S.): 011-81-46-816- Email: Address: matthew.seabert@srf.navy.mil U.S. Naval Ship Repair Facility and JRMC, Yokosuka, Japan

8. Radiation Safety Officer (RSO) C106R

RSO: Mr. Hank Ramsey Office (from U.S.): 011-81-46-816-7066, Cell 011-81-90-1724-4821 Email: herbert.ramsey@srf.navy.mil U.S. Naval Ship Repair Facility and JRMC, Yokosuka, Japan

9. PERIOD OF PERFORMANCE:

POP: 22 FEB 2021 – 26 FEB 2021

10. ESTIMATED WORK HOURS:

Normal work is scheduled for accomplishment between the hours of 8:00AM to 4:45PM, with a 45-minute lunch break, Monday through Friday. Unless the offeror states otherwise in his proposal, the Contractor shall observe the same holidays as the Government and shall be open for business at all other times. The contractor may be required to work additional hours outside of the normal work schedule, as requested/directed from the project management.

11. TRAVEL REQUIREMENTS:

All travel requirements shall be the responsibility of the contractor.

12. TRANSPORTATION OF THE EQUIPMENT/MATERIAL:

Shipping and handling of equipment and material to and from the contractor facility and SRF- JRMC Yokosuka, Japan, in support of the requirement shall be the responsibility of the contractor.

13. GENERAL INFORMATION:

13.1. Nothing contained in the performance work statement shall relieve the Contractor from complying with applicable Federal, state, and local Japanese laws, codes, ordinances, and regulations, including the obtaining of licenses and permits that may be required for the Contractor or Subcontractor(s) to perform a particular function, such as hazardous waste handling or disposal, or example.

13.2. Medical treatment. Government emergency vehicles and medical personnel shall only be used in emergency situations affecting contractor personnel whose life may be in danger or who are seriously injured. Government facilities may be used in these instances as the first point of treatment. Transfer to a non-Government medical treatment facility shall be made as soon as possible and as determined by attending medical authorities.

14. CONTRACTOR IN THE WORKPLACE:

14.1. Identification. All Contractor spaces/desks shall be clearly marked as contractor spaces only.

14.2. All e-mail addresses used by contractor personnel shall identify the company name.

14.3. All contractor correspondence shall be clearly marked with company name or letterhead.

14.4. Contractor personnel shall insure that when answering telephones that they identify themselves as contractor personnel.

14.5. Contractor personnel are not to handle/operate any lifting and handling equipment or other shop equipment, machines or tools without written consent from project superintendent prior to accomplishment of the task.

15. SAFETY AND ENVIRONMENTAL

15.1. Safety Requirements. The contractor shall establish, administer, and enforce safety rules that will meet the current requirements of the Occupational Safety and Health Administration (OSHA), and all applicable work item references. Work to be performed under this contract shall be accomplished using the guidelines identified Contractors and Subcontractors. When necessary, work shall be coordinated with the Safety Department to ensure all safety and health requirements are considered.

15.2. Safety Equipment. The contractor shall provide their employees with all necessary safety equipment during the performance of work on this contract. All contractor personnel shall have in their possession and shall properly wear OSHA approved personnel protective safety equipment (i.e. hard-hats, steel-toe safety shoes, safety glasses and hearing protection). If required, the Contractor shall provide all appropriate safety barricades, signs, and signal lights required to properly isolate the area of work.

15.3. Prior to commencing work, the Contractor representative(s) shall arrange with the Receiving

Activity Point of Contact, to meet in conference with the customer, shop supervision, and other necessary personnel to discuss and develop mutual understandings relative to the administration of the Safety Program.

15.4. Environmental Requirements. Work performed under this contract shall be in compliance with all

Japanese, Navy, Federal, State and local regulations, and all work items references, pertaining to the environment at all times. When necessary, work shall be coordinated with the Environmental Department to ensure that regulations are considered.

15.5. Responsibilities. The contractor bears sole responsibility for the safety of his her employees and compliance with environmental regulations. Naval safety personnel will monitor the safety of procedures, conduct inspections of the workplace, and perform safety related investigations, evaluations.

The contractor shall conduct routine inspections of work and storage areas under his cognizance to maintain compliance with the cleanliness, material and waste management, air and water pollution controls, and provides general oversight on the environmental issues associated with this contract.

15.6. Situations that warrant corrective action will be brought to the attention of the contractor through the

Contracting Officer Representative (COR). If violations could cause major damage or loss of life, Safety or Environmental personnel may contact contractor supervisory personnel on site and request corrective action or work stoppage. The COR will be notified immediately. The Commanding Officer has final authority for Station safety and environmental matters. He has delegated the Safety and Occupational Health Manager the authority to represent the Command in all safety matters and to resolve any disputes which may arise, and he has delegated the Environmental Manager the authority to represent the Command in all safety matters and to resolve any disputes, which may arise. Any interpretation of the various environmental regulations will be made by the Safety or Environmental Manager.

15.7. Accident Reporting. All accidents occurring on Station are reported to the Station Safety Department. If accidents occur after regular working hours the Command Duty Officer, shall be notified. Motor vehicle accidents occurring on Station are reported to both the Safety Department and Security Manager. In all cases, the accident scene must be preserved until the Government investigator has authorized movement of the materials and vehicles involved. Materials and equipment may be moved only as necessary to facilitate the removal of injured persons. The contractor shall forward a copy of all accident reports involving contractor employees to the COR. If Government property is involved, a copy of the accident report shall also be forwarded to the Government Property Administrator (GPA).

16. SECURITY

16.1. Admittance to The Work: Upon contract award, employees or representatives of the Contractor may require access to the Receiving Activities Operations Area (OA) or Industrial Area (IA) and shall be admitted to the work site only after they have been issued a Security Pass/ID Badge.

16.2. Notice: Persons who are currently on probation or parole from a felony conviction cannot qualify for security clearances, and will be denied access to the activity.

16.3. It shall be the Contractor's responsibility to collect and account for all identification passes issued to their personnel at the expiration of the contract or when access is no longer required.

16.4. Foreign Nationals or Affiliations - Foreign Nationals (non U.S. Citizens) or persons affiliated with, or employed by, a foreign owned company will not be granted access to a Naval Activity's OA/IA, without prior written approval from Commander, Naval Sea Systems Command.

17. PERFORMANCE REQUIREMENT STATEMENT SUMMARY

Primary Performance Standard Performance Standard/AQL Performance Assessment Method

Contractor performed in accordance with all NRL, SRF, and NAVSEA requirements.

Services performed met the requirements 100% of the time

The Surveillance Officer will evaluate basis and assess this on a task order by task order basis and assess compliance through review of the PWS and assess overall compliance

Reports required for illustrations, boundary violations and all other information

Met the requirements 100% of the time

COR will retain copies of reports in a file for each job

Contractor met the performance requirements of each individual task order

Services performed meet requirements 100% of the time

Review of performance by Surveillance Officer

The contractor maintained close liaison and good communications with the Government

Any problems or questions encountered by either party are addressed within 2 business days

Review of performance by Surveillance Officer

The contractor invoiced in a timely manner and in accordance with the contract

Invoices submitted with COR/Surveillance Officer signature

Review of performance by Surveillance Officer

Combating Trafficking in Persons - Using mindful observance and attentive listening the Surveillance Officer will monitor the

100% compliance with FAR 52.222-

All times the Surveillance Officer interfaces with the contractor

AQL = Acceptable Quality Level

18. CONTRACTOR MANPOWER REPORTING

The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for CFAO via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address: http://www.ecmra.mil/

Contractors will notify the U.S. Navy’s contracting officer, and the SRF-JRMC Regional Maintenance & Modernization Coordination Office (RMMCO), at the email address below, to verify the status of any contractor employee who is scheduled to travel to Japan in support of SRF-JRMC mission requirements. Travel shall not commence until the SRF-JRMC RMMCO Office has provided entry approval via an email stating “SRFJRMC has determined this requirement is mission essential and all travel permissions have been obtained”. Absent such notification from the RMMCO office, travel shall not commence.

Action:

1) Contractors shall:

a. Prior to travel: Notify the SRF-JRMC RMMCO Office of intended travel dates and verify all employees travelling have indicated “No” to each question above.

b. Prior to Travel: Prepare employees that upon arrival, a 14 day SI period will be instituted. This ROM period will take place at the lodging facility the company would otherwise use to house their employees during the TAD assignment. The SRF-JRMC RMMCO will coordinate with the company lead daily to ensure no change in health status of recently arrived personnel.

c. Prior to Travel: Obtain SRF-JRMC RMMCO office entry approval prior to initiating travel. If RMMCO notification is delayed more than 3 business days, contact the contracting officer immediately.

d. Upon Arrival Japan: Upon arriving at contractor arranged lodging in Japan, the contractor lead shall contact the local RMMCO office to check-in their team and acknowledge the 14 day self-isolation period. Daily telephone/email check in will be required prior to approval to enter the work site.

For those contractors already in Japan, the company onsite lead shall contact the RMMCO office and provide an attestation of the above four (4) screening questions as soon as possible. If the on-site lead becomes aware that any of their employees currently under contract and located in Japan meet one or more of the four screening criteria above, the RMMCO office shall be immediately notified and that individual should remain in place at their commercial lodging facility. The notice will provide the name of the contractor employee, identify the applicable criterion or criteria that applies, and explain (for criteria (1), (2), or (3)) when the 14 day period concludes.

Additionally, any contractor with flu-like symptoms will be restricted from the work site until cleared. For those contractor employees in Japan, the RMMCO will coordinate with the local MTF on disposition of the employee’s status (e.g. cleared for work, restriction of movements for up to 14 days, and/or COVID-19 testing).

Please acknowledge receipt of this notice by return email to the contracting officer and applicable RMMCO site (e.g.

Yokosuka or Sasebo) Email contacts:

Dist-RMMCO-yokosuka@srf.navy.mil Dist- RMMCO-sasebo@srf.navy.mil

N0040621Q0101

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Job

RADIOGRAPHIC INSPECTION

FFP

RADIOGRAPHIC INSPECTION OF SONAR DOME RUBBER WINDOWS

SERVICE IN ACCORDANCE WITH THE ATTACHED PERFORMANCE

WORK STATEMENT.

CONTRACTOR WILL QUARANTINE FOR 14 DAYS PRIOR TO START OF

PERIOD OF PERFORMANCE UPON ARRIVAL IN JAPAN DUE TO

RESTRICTION OF MOVEMENT (ROM).

CONTRACT WILL START AT DATE OF AWARD TO 26FEB2021.

ACTUAL POP DATES 22FEB2021-26FEB2021

FOB: Destination

MILSTRIP: N6275821RCUS729

PURCHASE REQUEST NUMBER: N6275821RCUS729

PSC CD: J020

NET AMT

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 22-FEB-2021 TO

26-FEB-2021

N/A N62758 SRF AND JRMC

GOVT REPRESENTATIVE

SEE PAGE 4 OF ORDER FOR

SHIPMENT REQUEST PROCEDURES

. WA 00000

FOB: Destination

N62758

CLAUSES INCORPORATED BY REFERENCE

52.203-18 Prohibition on Contracting With Entities That Require Certain

Internal Confidentiality Agreements or Statements-- Representation

JAN 2017

52.204-2 Security Requirements AUG 1996 52.204-7 System for Award Management OCT 2018 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-13 System for Award Management Maintenance OCT 2018 52.204-16 Commercial and Government Entity Code Reporting AUG 2020 52.204-17 Ownership or Control of Offeror AUG 2020 52.204-18 Commercial and Government Entity Code Maintenance AUG 2020 52.209-2 Prohibition on Contracting with Inverted Domestic

Corporations--Representation

NOV 2015

52.212-1 Instructions to Offerors--Commercial Items JUN 2020 52.212-3 Alt I Offeror Representations and Certifications--Commercial

Items (NOV 2020) Alternate I

OCT 2014

52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.222-22 Previous Contracts And Compliance Reports FEB 1999 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011 52.223-5 Alt I Pollution Prevention and Right-to-Know Information (May

2011) Alternate I

MAY 2011

52.223-5 Alt II Pollution Prevention and Right-to-Know Information (May 2011) Alt II

MAY 2011

52.225-25 Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran-- Representation and Certifications.

JUN 2020

52.228-3 Worker's Compensation Insurance (Defense Base Act) JUL 2014 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.237-2 Protection Of Government Buildings, Equipment, And Vegetation

APR 1984

52.242-17 Government Delay Of Work APR 1984 52.247-34 F.O.B. Destination NOV 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting

DEC 2019

252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support

MAY 2016

252.204-7016 Covered Defense Telecommunications Equipment or Services -- Representation

DEC 2019

252.204-7017 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services -- Representation

DEC 2019

252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services

DEC 2019

252.211-7003 Item Unique Identification and Valuation MAR 2016 252.222-7002 Compliance With Local Labor Laws (Overseas) JUN 1997 252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or

Hazardous Materials

SEP 2014

252.225-7041 Correspondence in English JUN 1997 252.225-7042 Authorization to Perform APR 2003 252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

DEC 2018

252.232-7008 Assignment of Claims (Overseas) JUN 1997 252.232-7010 Levies on Contract Payments DEC 2006 252.233-7001 Choice of Law (Overseas) JUN 1997 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.244-7000 Subcontracts for Commercial Items OCT 2020 252.246-7003 Notification of Potential Safety Issues JUN 2013 252.247-7023 Transportation of Supplies by Sea FEB 2019

CLAUSES INCORPORATED BY FULL TEXT

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)

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 Items. 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…