Request for Proposal 386396 Lease Warehouse.pdf

December 3, 2025

Dear Prospective Offeror, Request for Lease Proposal NO: 386369 -Warehouse Space to Replace 2101M

Hanford Mission Integration Solutions, LLC. (HMIS) requests for lease proposals for Safeguard and Security Facility The requested work is in support of Hanford Mission Essential Services Contract (HMESC) Prime Contract 89303320DEM000031 with the U.S. Department of Energy, Richland Office.

Information regarding the submission of a proposal is contained in the attached Solicitation. Proposals are to be prepared in accordance with the instructions and conditions set forth herein.

Questions or Comments (including technical) regarding the Solicitation are due by: 12/15/2025 (PST) or sooner.

Proposal submission will include proposed costs for Period of Performance and Tenant Improvements for evaluation:

o Total lease term is expected to be 10 years. Additional years will be considered if upfront pricing is provided with proposal.

o Lease term may be broken into Base Term plus Optional Terms (all must be priced).

o Example: 5-year base term and one 5-year Optional Terms.

o Additional Option Terms may be proposed but must include pricing to be considered.

o Schedule of Tenant Improvements to be borne by the Lessor and Tenant Improvements to be borne by the

Lessee (if necessary).

Occupancy date (anticipated): March 2025 Please return ALL completed RFLP Exhibits and Attachments with proposal submission.

Please provide all information requested in Volume 1 Technical Proposal and Volume II Required Price Support

Information with sufficient detail to make an award.

Please be advised that the acknowledgments specified in Section D.2.1, along with all applicable exhibits, are required components of the proposal package. HMIS reserves the right to award the lease agreement with or without further negotiations. Accordingly, please ensure that all documentation necessary for award consideration is included in your initial submittal. Offerors are encouraged to submit their most competitive pricing and technical proposals as part of the initial package.

All questions are to be directed to the Procurement Specialist. All proposals are subject to the terms and conditions set forth herein. Any exceptions, deviations, or omissions may be grounds for rejection of proposals submitted.

HMIS looks forward to your response.

Thank you, Kristina Hamby, Procurement Specialist

(509) 367-3011 Kristina_G_Hamby@rl.gov

NOTE: Communications with any HMIS personnel except the above-named Procurement Specialist concerning any aspect of this Solicitation may be grounds for disqualifying an Offeror from being considered for award.

REQUEST FOR LEASE PROPOSAL NO: 386369

Table of Contents

SOLICITATION/AWARD

A.0 Introduction

A.1 Buyer Not Obligated- Irregularities and Notifications A.2 Request for Lease Proposal Addendums A.3 Proposal Submittal A.4 Late Proposals A.5 Proposal Changes A.6 Withdrawal A.7 North American Industry Classification System (NAICS) Code and Size Standard

B.0 Questions/Comments Regarding the Solicitation C.0 Basis for Award

C.1 Basis of Award- Lowest Price Technically Acceptable D.0 Proposal Instructions

D.1 Proposal Preparation D.2 Proposal Content

D.2.1 Volume I Technical Proposal Requirements D.2.2 Volume II Required Price Support Information D.2.3 Volume III Pricing Backup

D.3 Evaluation of Options D.4 Representations and Certifications D.5 Anti-kickback Certifications D.6 Employment Eligibility Verification (E-Verify) D.7 Additional Information D.8 Acceptance of Terms and Conditions and Technical Requirements D.9 Proposal Validity Period

E.0 Notices E.1 Financial Capability Determination Information D.9 Foreign Nationals D.10 Proprietary Data Submittals

Exhibits Exhibit 001 – Proposal to Lease Space Exhibit 002 - Lessor’s Annual Cost Statement Exhibit 003 – Proposed Lower-Tier Subcontractors Exhibit 004 – Past Performance Exhibit 005 – Conflict of Interest Disclosure and Representation

Exhibit 006 – Foreign National Disclosure Exhibit 007 – Representation and Certification Exhibit 008 – Agreement, Exceptions, and Assumptions Exhibit 009 – Organizational Conflict of Interest Disclosure Statement Exhibit 010 – Executive Compensation Exhibit 011 – FAR 52.203-11 Certification and Disclosure Regarding Payments to Influence Certain

Federal Transactions (Sept 2007) Exhibit 012 – Certification Regarding Debarment and Suspension Exhibit 013 – Representation Regarding Certain Telecommunications and Video Surveillance Services or

Equipment (August 2020) F.0 Award – EXAMPLE/DRAFT

SOLICITATION/AWARD

A.0 Introduction Hanford Mission Integration Solutions, LLC. (hereby HMIS, “Contractor” or “Buyer” or “Lessee”) acting under its contract with the U.S. Department of Energy – Hanford Field Office (DOE-HFO) located in Richland, WA, requests Offeror to submit a lease proposal for a Firm Fixed Price type of subcontract to provide Warehouse Space to Replace 2101M.

A.1 Buyer Not Obligated- Irregularities and Notifications Buyer is not obligated to pay any costs incurred in the preparation and submission of Offeror’s proposal, nor required to enter into a Lease Agreement or any other arrangement with Offeror.

A.2 Request for Lease Proposal Addendums The Procurement Specialist may issue one or more addendums to the Request for Lease Proposal to make changes or to resolve any problems regarding the solicitation. The Procurement Specialist will issue the amendment in time for prospective Offerors to incorporate any changes into their proposals. If this Request for Lease Proposal is amended, then all terms and conditions that are not amended will remain unchanged. FAILURE TO ACKNOWLEDGE THE RECEIPT OF THE ADDENDUM AT THE DESIGNATED LOCATION BY THE SPECIFIED DATE AND TIME MAY RESULT

IN REJECTION OF THE OFFER.

A.3 Proposal Submittal The proposal is due by 12/29/2025 12:00 PM.

The proposal shall be submitted via e-mail provided that it includes appropriate signatures where required.

NOTE: Communications with any HMIS personnel except the above-named Procurement Specialist concerning any aspect of this Solicitation may be grounds for disqualifying an Offeror from being considered for award.

A.4 Late Proposals A proposal is considered late if it is received after the exact time and date specified for receipt and will not be considered unless:

a. It was sent by telephone or fax, if authorized by the Procurement Specialist, and it is determined that the late receipt was due solely to mishandling upon receipt; or

b. It is the only proposal received.

A.5 Proposal Changes Any modification of a proposal, including the Procurement Specialist’s request for “Best and Final Offer,” is subject to the same conditions as in the “Late Proposals” section above.

A.6 Withdrawal Offeror may withdraw its proposal by written or electronic notice received at any time prior to award.

A.7 North American Industry Classification System (NAICS) Code and Size Standard The Procurement Specialist has determined that North American Industry Classification System (“NAICS”) Code 531120

– Lessor of Nonresidential Building (except Mini-warehouses) applies to this acquisition. Therefore, the size standard for determining whether an Offeror is a small business in regard to this acquisition is $34 Million.

If this solicitation is designated as a small business set-aside, by submitting a proposal or an offer to this solicitation, the Offeror certifies that they are a small business qualifying for the NAICS code and meeting the size standard noted above.

By submitting a proposal for this solicitation, Offeror agrees to indemnify, defend, and hold harmless Buyer for any and all liability, loss, damages, penalties, claims, costs, and expenses, including attorney fees and costs of legal action, litigation, or settlement, arising from, or relating to Offeror’s misrepresentation of its business size or status, regardless of whether Offeror’s misrepresentation was willful, intentional, or knowing.

B.0 Questions/Comments Regarding the Solicitation The Offeror must submit any comments or questions regarding the solicitation to the Procurement Specialist no later than 12/15/2025 12:00 PM. The Procurement Specialist will answer all questions in writing for the benefit of all prospective Offerors.

C.0 Basis for Award HMIS may award one or more subcontracts as a result of this solicitation. Award will be made to the Offeror who is considered the Lowest Price Technically Accepted. This solicitation provides the basis for HMIS evaluation. Offerors are also advised that HMIS reserves the right to award a Lease Agreement based upon initial offers and without further discussions with Offerors. Offeror should provide their best price and technical offers initially.

C.1 Basis of Award- Lowest Price Technically Acceptable Award may be made to the Offeror submitting the lowest evaluated price that is technically acceptable among offers that meet all requirements of the solicitation. Proposals will be screened using pass/fail evaluation factors based on the qualification demonstrated within the offer.

Using the pass/fail criteria, the award is anticipated to be made to the lowest price per square foot for the initial 10-year lease term. Any additional option years included in the proposal will only be reviewed and considered if firm pricing for those option years is provided with the proposal.

D.0 Proposal Instructions Follow the described proposal instructions.

D.1 Proposal Preparation Prepare the proposal simply and economically and provide a straightforward and concise presentation of the information requested in the Request for Lease Proposal. Emphasize completeness and clarity. Do not submit elaborate brochures or other presentations that are neither required nor desired by the HMIS.

If the Offeror submits any data which it considers proprietary data as part of its proposal, the document transmitting the data or which contains the data, shall be boldly marked indicating that the data included is considered proprietary.

D.2 Proposal Content Proposals shall include the following elements and be organized in the manner listed below. Each volume of the proposal should be separate and complete. Omit all cost or pricing details from the technical proposal.

D.2.1 Volume I Technical Proposal Requirements

HMIS will evaluate Offeror’s technical capabilities/qualifications, as well as its pricing for the requirements as specified in the Statement of Work (SOW) and Draft Lease Agreement. Offeror’s proposal must address the following:

• An acknowledgement that the Statement of Work is fully understood, and that Offeror can meet all technical requirements and has or will have resources qualified to perform the work.

o Subcontractor must be able to meet all minimum facility requirement as outlined in SOW Section 1.3 Description of Work - Specific.

o If needed, a Work Plan/Schedule for construction and/or tenant improvements, including availability for HLAN and security installations.

• An acknowledgement that any contract resulting from this RFLP is subject to the written approval from DOE- HFO and shall not be binding until so approved.

• The term of the Lease, and renewal option, if any. Lease term of 10 years may be broken into Base term plus Optional Terms. Additional years will be considered if upfront pricing is provided with proposal.

• If the proposer is not the legal owner of the property being proposed, the proposer must submit written verification from the legal owner. This verification should confirm that the proposer is authorized to submit the property on behalf of the legal owner for consideration in this proposal process.

• Executive summary of building. Including:

o Description of proposed space, highlighting requirements as outlined in SOW.

o Detailed floor plan(s) showing the floor(s) and room dimensions to support Rentable Square Feet (RSF) of proposed space, as well as Useable Square Feet (USF).

American National standard Institute/Building Owners and Managers Association (ANSI/BOMA) definition for Office Area also known as ABOA. ABOA Square Feet – also may be known as Useable Square Feet (USF) is generally defined as the space remaining once common areas, lessor areas, and non-programmatic areas required by code are deducted from the rentable square feet (RSF) of the facility. ABOA does not include areas such as stairs, elevators, mechanical and utility rooms, ducts, shafts, vestibules, public corridors, and public toilets required by local code.

o Confirmation that this will be a full-service lease. *Must include cost of utilities and taxes as the responsibility of the Lessor under the lease.

o Legal description of the property, including site plan with parking.

• An acknowledgement that the Draft Lease Agreement is fully understood and accepted or alternate lease language is requested, and that Offeror can meet all technical requirements and has or will have resources qualified to perform the work.

o Draft Lease Agreement with Janitorial Services – See section E.0 for example. The Offeror may propose an alternate Lease Agreement which will be reviewed for consistency with the Draft Lease Agreement.

Deviations may require additional review. If exceptions are taken to the attached draft lease agreement or alternate Lease Agreement that is proposed, please note on Exhibit 006 Agreements, Exceptions and Assumptions and provide a red-line copy with proposal with alternate lease language. Deviations from the original Draft Lease Agreement may require HMIS Legal review and approval.

• An acknowledgement that your company is registered or is willing to register in the Hanford Vendor Portal https://vendreg.hanford.gov/. If successful, then offeror must be registered prior to any award may be issued.

• Please provide registered name for confirmation or evidence that registration is in process with SAM.gov. If registration is not available, HMIS Representation and Certifications may be used as a substitute, please request if needed.

• Provide evidence that the lease term does not exceed 75 percent of the estimated economic life of the asset along with backup documentation. This Lease will be scored as an Operating Lease using the criteria outlined in OMB Circular A-11 (Appendix B) page 7. Please provide estimated economic life of facility.

o Example: The lease term does not exceed 75 percent of the estimated economic life of the asset. The facility has a total useful life of XX years (XXX months) and has a remaining useful life of XX Years (XXX months).

https://vendreg.hanford.gov/

D.2.2 Volume II Required Price Support Information The Offeror is required to submit information sufficient to determine that the prices or costs being charged are fair and reasonable. Such information may include pricing, sales, or cost information that is pertinent to establishing the pricing or costs being charged.

Of note, HMIS as a Prime Contractor for DOE-HFO is authorized for the use of General Service Administration (GSA) forms. Not all sections will align with this RFLP, given this, please fill them out to the best of your ability, if GSA forms are improperly filled out, the Offeror may be given the opportunity to correct.

Offeror proposal will provide the following:

• Exhibit 001: Lease Proposal Form (GSA form 1364WH)

• Exhibit 002: Lessor’s Annual Cost Statement (GSA Form 1217)

• All data necessary to determine the pricing for Rentable Square Feet (RSF) per year under a full-service lease.

o Pricing must be provided for all years included in lease; unpriced options will not be considered.

• If Tenant Improvements are required, then the price shall be submitted as follows: as a lump sum and/or as an amortized price per square foot over the initial term of the lease. Please note that the expectation is for a move-in ready facility with minimal improvements required.

• Evidence of the present value of the minimum contractually required payments over the life of the lease does not exceed 90 percent of the fair market value of the asset at the beginning of the lease term.

o Please provide fair market value of the asset. Property appraisal may be required prior to award to establish fair market value of facility. Backup documentation providing Current Market Value may be needed from the apparent successful offer prior to any Award.

The Offeror grants the Buyer or its authorized representative(s) the right to examine, at any time before award, books, records, documents, or other directly pertinent records to verify the reasonableness of the price. For items priced using catalog or market prices, or law and regulation, access does not extend to cost or profit information or other data relevant solely to the Offeror’s determination of the prices to be offered in the catalog or marketplace.

D.2.3 Volume III Pricing Backup

Upon Buyer’s determination of a successful Offeror, Buyer may request audited company financial reports for the previous three (3) year period, including balance sheets and income statements. The successful Offeror shall provide such information within 48 hours of the request.

In the event audited company financial reports are not consistent with the Offeror’s customary accounting practice and in the absence of certified statements, the Buyer may request the following, listed in order of preference:

1. Parent guarantee;

2. Bond;

3. Irrevocable letter of credit;

4. Submission of uncertified financial statements, which shall be certified as being accurate and complete by an agent of Offeror’s company, which may be subject to HMIS verification with the Internal Revenue Service

(IRS).

If the selected successful Offeror is unable to provide the information required within the time frame identified or if the Buyer is unable to determine the successful Offeror as financially responsible for award of the Subcontract, Buyer, in its sole determination, may select another successful Offeror for the award.

D.3 Evaluation of Options Except when it is determined not to be in HMIS’ best interest, HMIS evaluates offers for award purposes by adding the total price for all options to the total price for the basic requirements. Evaluation of options will not obligate HMIS to exercise the option(s).

HMIS analyzes bids to determine whether prices are unbalanced and may reject a proposal offer as nonresponsive if it determines that the proposal is materially unbalanced. Unbalanced pricing exists when, despite an acceptable total evaluated price, the price of one or more-line items is significantly over or understated as indicated by the application of cost or price analysis techniques.

D.4 Representations and Certifications HMIS relies upon Offeror’s current representations and certifications within a Federal web-based system, the System for Award Management (SAM), that centralizes and standardizes the collection, storage and viewing of many of the representations and certifications required by the Federal Acquisition Regulations.

By submitting a proposal to HMIS in response to this solicitation, the Offeror is certifying that:

The representation and certification information in SAM is accurate and complete as of the date of the offer.

All statements and explanatory documentation submitted are current and accurate.

Offeror complies with all requirements of State of Washington statutes, ordinances, rules and regulations, codes, and orders related to equal employment opportunity and operation of non-segregated facilities.

All Offeror employees who may work on HMIS premises or on the Hanford Site are not under the influence of controlled substances, drugs, or alcohol. Offeror agrees to the testing of assigned employees under HMIS program for controlled substances.

Offeror’s information in the Buyer registration system is current, accurate and complete and is no greater than 12 months old.

Offeror will update its information in SAM on at least an annual basis.

In addition, the Offeror must be registered with HMIS through the Hanford Site Vendor Portal at https://vendreg.hanford.gov/ and have obtained a vendor identification number and form number (password). If assistance is required, please contact VendorRegSupport@rl.gov.

D.5 Anti-kickback Certifications By submitting a proposal response to this solicitation, the Offeror certifies that it has not:

Provided, attempted to provide, or offered to provide, any kickback.

Has not solicited, accepted, or attempted to accept any kickback.

Included, directly or indirectly, the amount of any kickback, in the Subcontract price proposed by the Offeror to the

Buyer. (For definition of the term kickback, see 41 U.S.C. § 8701(2), Title 41 U.S.C. Chapter 87, Sections 701 and 8702).

By submitting a proposal in response to this solicitation, Offeror agrees to indemnify, defend, and hold harmless Buyer for any and all liability, loss, damages, penalties, claims, costs, and expenses, including attorney fees and costs of legal action, litigation, or settlement, arising from or relating to Offeror’s failure to certify or false certification of compliance with any requirements of this Section, regardless of whether the failure or false certification was willful, intentional, or knowing.

D.6 Employment Eligibility Verification (E-Verify) HMIS anticipates that this award will be subject to the Employment Eligibility Verification requirements established in Federal Acquisition Regulations (FAR) clause 52.222-54, which requires the successful Offeror to enroll and utilize the E-Verify program. Enrollment is completed via the Internet at the Department of Homeland Security Web site at mailto:VendorRegSupport@rl.gov http://www.dhs.gov/E-Verify. This requirement is applicable to awards with a value greater than $3,500 and considered commercial or noncommercial Services (except for commercial Services that are part of the purchase of a Commercial Off the Shelf (COTS) item (or an item that would be a COTS item, but for minor modifications) performed by the COTS provider and are normally provided for that COTS item) or Construction. Subcontractors who are only suppliers are not subject to E-Verify.

Buyer reserves the right, prior to award, to require Offeror to submit information which Buyer will use to make a determination whether Offeror has successfully enrolled in the E-Verify program. Such information may include a copy of the last three (3) pages of the enrollment form (i.e., pages 11, 12, and 13) and any other information that may be required to make the appropriate determination. Offeror agrees to promptly provide such information upon request and prior to award.

If Buyer requests such information, award shall be conditioned on Offeror’s submission of information Buyer deems acceptable.

By submitting a proposal in response to this solicitation, Offeror agrees to indemnify, defend, and hold harmless Buyer for any and all liability, loss, damages, penalties, claims, costs, and expenses, including attorney fees and costs of legal action, litigation, or settlement, arising from or relating to Offeror’s failure to certify or false certification of compliance with any requirements of this Section, regardless of whether the failure or false certification was willful, intentional, or knowing.

D.7 Additional Information In order for HMIS to adequately evaluate the proposal, some additional information is required. Please complete and return all forms and documents listed in Exhibits of this Request for Lease Proposal.

D.8 Acceptance of Terms and Conditions and Technical Requirements The subcontract resulting from this Request for Lease Proposal will be substantially the same as the Draft Lease Agreement.

Offeror must describe any exceptions (on the Agreement Exceptions Exhibit form 006) to the terms and conditions and technical requirements. The Offeror may propose an alternate Lease Agreement which will be reviewed for consistency with the Draft Lease Agreement. Deviations may require extensive review. HMIS considers compliance with the terms and conditions and technical requirements of the Subcontract to be essential. In case of doubt, Offeror should request clarification from the Procurement Specialist. If any exceptions are taken to the terms and conditions and/or technical requirements of the Solicitation, the pricing shall be based on the requirements of the Solicitation and the exception(s) priced as alternates. If the proposal is based only on the proposed exceptions, HMIS may determine the proposal to be non-responsive.

Unless otherwise noted in the proposal, Offeror’s submission of a proposal signifies unqualified acceptance of all of the terms and conditions and technical requirements of the Subcontract that are contained in or referenced in this Solicitation.

D.9 Proposal Validity Period Offeror’s proposal shall remain firm for 120 days after the proposal’s due date.

E.0 Notices In order for HMIS to adequately evaluate the proposal, some additional information is required. Please complete and return all forms and documents listed in Notices of this solicitation.

E.1 Financial Capability Determination Information HMIS reserves the right, prior to award, to require Offeror to submit information which HMIS will use to make a determination whether Offeror has the financial capability to perform the contemplated subcontract. Such information may include, but not be limited to: annual reports; lines of credit with financial institutions and suppliers; and any other information that may be required to make the appropriate determination.

http://www.dhs.gov/E-Verify

D.9 Foreign Nationals If the Offeror intends to propose any foreign national (non-US citizen) personnel, that information must be a part of the Offeror’s proposal. They will be processed in accordance with HMIS Unclassified Visits and Assignments by Foreign Nationals procedures prior to commencement of the work. This process could add lead-time from a few days up to several weeks depending on the country of origin, Hanford facilities they will access, and the subject matter involved.

D.10 Proprietary Data Submittals If Offeror submits any data which is considered to be “Proprietary Data,” the document transmitting the data, or which contains the data, shall be boldly marked indicating that the data is considered proprietary.

Offerors who include in their proposals any data that they do not want disclosed to the public for any purpose or used by Buyer or the Government except for evaluation purposes shall mark the title page of their proposal with the following legends: USE AND DISCLOSURE OF DATA: “This proposal includes data that shall not be disclosed outside Buyer or the Government and shall not be duplicated, used, or disclosed – in whole or in part – for any purpose other than to evaluate this proposal. If, however, a Subcontract is awarded to this Offeror as a result of – or in connection with – the submission of this data, Buyer and the Government shall have the right to duplicate, use, or disclose the data to the extent provided in the resulting Subcontract. This restriction does not limit Buyer’s or the Government’s right to use information contained in this data if it is obtained from another source without restriction. The data subject to this restriction are contained in sheets” and “Use or disclosure of data contained on this sheet is subject to the restriction on the title page of this proposal.”

Exhibits The list of Exhibits as outlined in the table below are required as a part of your response to the identified Request for Lease Proposal. Failure to provide and disclose any information requested below may be grounds for disqualification if identified prior to award or termination, if identified after award.

Note: Additional attachments may be outlined within the Request for Lease Proposal.

It is recommended that you refer back to the Request for Lease Proposal document to ensure all attachments have been identified and included in your proposal response.

Exhibit No. Title GO TO

001 Lease Proposal Form (GSA Form 1364WH) Exhibit 001

002 Lessor’s Annual Cost Statement (GSA Form 1217) Exhibit 002

003 Proposed Lower-Tier Subcontractors Exhibit 003

004 Past Performance Exhibit 004

005 Conflict of Interest Disclosure and Representation Exhibit 005

006 Foreign National Disclosure Exhibit 006

007 Representation and Certification Exhibit 007

008 Agreement, Exceptions, and Assumptions Exhibit 008

009 Organizational Conflict of Interest Disclosure Exhibit 009

010 Executive Compensation Exhibit 010

011 FAR 52.203-11 Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions (Sept 2007)

Exhibit 011

012 Certification Regarding Debarment and Suspension Exhibit 012

013 Prohibited Telecommunications Equipment Lease Addendum & Lessor’s Representation

Exhibit 013

NOTE: IF EXHIBITS ARE DETERMINED NOT APPLICABLE (N/A) PLEASE MARK N/A, PROVIDE

REASON(S), SIGN, AND DATE ACCORDINGLY.

Exhibit 001 – Proposal to Lease Space

Please find Exhibit 001–Proposal to Lease Space included with this Solicitation as an Adobe PDF file. HMIS uses GSA Form 1364WH.

Blank form may be found at:

Proposal to Lease Space GSA 1364WH: https://www.gsa.gov/system/files/2024-08/GSA1364WH-16d.pdf

Partial picture of the Proposal to Lease Space - Warehouse.

https://www.gsa.gov/system/files/2024-08/GSA1364WH-16d.pdf

Exhibit 002 - Lessor’s Annual Cost Statement Please find Exhibit 002- Lessor’s Annual Cost Statement included with this Solicitation as an Adobe PDF file. HMIS uses GSA Form 1217.

Blank form may be found at:

Lessor’s Annual Cost Statement GSA 1271: https://www.gsa.gov/reference/forms/lessors-annual-cost-statement

Partial picture of the Lessor’s Annual Cost Statement.

https://www.gsa.gov/reference/forms/lessors-annual-cost-statement

Exhibit 003 – Proposed Lower-Tier Subcontractors

Please type or print the names and contact information for all of the lower-tier Subcontractors. Use additional sheets if necessary.

LOWER-TIER SUBCONTRACTOR/SUPPLIER

CONTACT NAME:

TELEPHONE NO.:

DESCRIPTION OF SERVICES

TO BE PROVIDED:

**APPROXIMATE

AWARD AMOUNT:

NAME AND ADDRESS OF OFFEROR: NAME OF SIGNER (Print):

TITLE OF SIGNER (Print):

OFFEROR: (Signature of person authorized to sign)

DATE:

** APPROXIMATELY _____% OF TOTAL SUBCONTRACTED AMOUNT TO BE PERFORMED BY LOWER-TIER

SUBCONTRACTOR. PERCENTAGE OF LOWER-TIER SUBCONTRACTED WORK SHALL NOT EXCEED 50%

FOR SMALL BUSINESS OR 70% FOR A LARGE BUSINESS (FOR SERVICES) OR 85% (FOR CONSTRUCTION)

OF TOTAL SUBCONTRACT AMOUNT. SUBCONTRACTOR’S ARE REQUIRED TO NOTIFY PROCUREMENT

SPECIALIST WHENEVER _____ % OF LOWER-TIER WORK IS ANTICIPATED OR REACHES 70% (FOR

SERVICES) OR 85% (FOR CONSTRUCTION).

Exhibit 004 – Past Performance Please type or print at least two (2) and as many as five (5) references to recently completed or substantially complete contracts with requirements similar to those described within this solicitation.

CLIENT NAME

CONTACT NAME

TELEPHONE NO.

CONTRACT NO.

CONTRACT DATE

START DATE/

END DATE

CONTRACT

VALUE

CONTRACT

TERMINATED?

(Y/N) Explain in attachment

NAME AND ADDRESS OF SUBCONTRACTOR

NAME OF SIGNER (Print):

TITLE OF SIGNER (Print):

SUBCONTRACTOR (Signature of person authorized to sign)

DATE

Exhibit 005 – Conflict of Interest Disclosure and Representation It is Hanford Mission Integration Solutions, LLC (HMIS) policy to avoid situations which place a Subcontractor or Subcontractor’s employees in a position in which it may not be able to participate or perform on an equal basis for Buyer-controlled work with other qualified contractors due to impermissible Conflicts of Interest. See, FAR 3.1101. To address this matter, the Subcontractor is to consider the relevant circumstances surrounding this effort to determine if there are any past, present or future interests (financial, contractual, organizational or personal) that could be viewed as a conflict of interest. In addition, the Subcontractor is to consider potential conflicts of interest of all personnel working in a staff augmentation or direct services role for familial relationships at Hanford in answering the following.

A conflict of interest occurs when one's personal or financial interest could interfere with the ability to make object business decisions of behalf of the Company. Employees must avoid, at all times, situations that give rise to such bias or even the appearance of such bias.

It is required that conflicts are identified, declared, and if required, mitigated.

DEFINITIONS:

• Company - Includes your responsible company and company affiliates.

• Conflict of Interest(s) - When one's personal or financial interest may interfere with the ability to make business decisions on behalf of the company.

• Perceived Conflict of Interest - Situation that could give rise to the perception that a conflict exists and may interfere with the ability to make business decisions on behalf of the Company.

• Members of Household/Family Members - Employee’s spouse, child parent, brother, sister, mother-in-law, father-in-law, sister-in-law, brother-in-law, son-in-law, daughter-in-law, roommates, significant others, cousins, aunts, uncles, dating partners, or any other person where the relationship could lend itself to an actual or perceived Conflict of Interest.

Government agencies affiliated with Hanford, for purposes of this COI Disclosure includes -

• Department of Energy

• U.S. Environmental Protection agency

• U.S. Department of Interior

• Defense Nuclear Facilities Safety Board

• Washington State Department of Ecology

• Washington State Department of Health

• Richland Fire Department

• Benton County Sheriff Office

Subcontractor hereby certifies that: (Must Check One or the Other)

☐ THERE IS NOT

☐ THERE IS

a potential conflict of interest by the company or company personnel, to include individuals that will be working under any possible subcontract. If the answer is affirmative, the details associated with the real or potential concerns are disclosed and highlighted in the Subcontractor’s proposal. Any such disclosure may result in the need for additional discussions relative to the Subcontractor’s continued participation in this effort. Failure to disclose any real or potential concerns may be grounds for disqualification if identified prior to award or termination if identified after award.

https://www.acquisition.gov/far/3.1101

Exhibit 006 – Foreign National Disclosure It is Hanford Mission Integration Solutions, LLC (HMIS or Buyer) policy to require that Subcontractors disclose any foreign national (non-US citizen) personnel that will support the services as outlined in the attached Statement of Work. All foreign nationals will be processed in accordance with HMIS Unclassified Visits and Assignments by Foreign Nationals procedures prior to commencement of the work. This includes any Subcontractor work scope and pertinent business information to which foreign nationals may be assigned whether on or off the Hanford site. This process could add from a few days up to several weeks of lead-time depending on the country of origin, Hanford facility to be accessed, and the subject matter involved.

A foreign national is defined as any individual who is not a U.S. Citizen. Immigrant aliens and lawful permanent residents (Green card holders) are not U.S. citizens. However, an individual who has a dual citizenship with a foreign country and the United States is not considered a foreign national but is a U.S. citizen.

Subcontractor hereby certifies that: (Must Check One or the Other)

THERE ARE ☐

THERE ARE NOT ☐

Foreign Nationals proposed by the Subcontractor in support of the requested services as outlined in the Statement of Work.

Any such disclosure may result in the need for additional discussions relative to the Subcontractor’s continued participation in this effort. Failure to disclose any real or potential concerns may be grounds for disqualification if identified prior to award or termination if identified after award.

Exhibit 007 – Representation and Certification

Offeror hereby certifies their socioeconomic size status as ☐ SMALL or ☐LARGE based on the North American Industry Classification System (NAICS) _____________ (input NAICS identified in the subject Request for Lease Proposal). Offeror also identifies as: (list additional socioeconomic status applicable, i.e., Woman Owned, HubZone, Veteran owned, etc.) ________________________________.

Offeror certifies that the disclosure of size status as listed above corresponds to the size status as identified in the System for Award Management (SAM.gov) in reference to identified NAICS for the subject Request for Lease Proposal. Any such disclosure may result in the need for additional discussions relative to the Offeror’s continued participation in this effort.

Failure to disclose any real or potential concerns may be grounds for disqualification if identified prior to award or termination if identified after award.

SBA Mentor Protégé agreement.

Offeror certifies that they ☐ Do or ☐ Do Not have an active SBA Mentor Protégé agreement. Please complete section below if your company has an active SBA Mentor Protégé agreement. If Offeror does have an active SBA Mentor/Protégé agreement, please identify the following:

Mentor or Protégé Name: __________________________

Date the Mentor/Protégé was approved under the Small Business Administration: ______________________

**Offeror must provide a copy of the SBA Mentor/Protégé Agreement and SBA Program Mentor/Protégé Letter as a part of the proposal package**

Joint Venture

Offeror certifies that they ☐ Do or ☐ Do Not have an active Joint Venture agreement.

Please complete section below if your company is a Joint Venture. If Offeror does have an active joint venture, please identify the following: Joint Venture Name: ___________________________________________

Please list companies that make up the Joint Venture and the socioeconomic status of each:

Company: ________________________________________ hereby certifies their socioeconomic size status as ☐ SMALL or ☐LARGE based on the North American Industry Classification System (NAICS) _____________ (input NAICS identified in the subject Request for Lease Proposal).

Offeror also identifies as: ☐Woman Owned, ☐HUBZone, ☐ Service-Disabled Veteran Owned, ☐Veteran Owned, ☐ Small Disadvantage Business, ☐Other (list all that apply) ________________________________.

Company: ________________________________________ hereby certifies their socioeconomic size status as ☐ SMALL or ☐LARGE based on the North American Industry Classification System (NAICS) _____________ (input NAICS identified in the subject Request for Lease Proposal).

Offeror also identifies as: ☐Woman Owned, ☐HUBZone, ☐ Service-Disabled Veteran Owned, ☐Veteran Owned, ☐ Small Disadvantage Business, ☐Other (list all that apply) ________________________________.

If you are submitting as a Joint Venture, please provide the date of first award and the number of contracts awarded under the agreement to date. ________________________

**Offeror must provide a copy of the SBA Joint Venture Agreement as a part of the proposal package**

Exhibit 008 – Agreement, Exceptions, and Assumptions

Any agreement, exceptions, and/or assumptions to the proposed subcontract terms and conditions, Request for Lease Proposal and/or Statement of Work must be indicated below. Hanford Mission Integration Solutions, LLC (HMIS or Buyer), however, reserves the right to disqualify offers which deviate from the Solicitation. If the Offeror has no exceptions or assumptions, please write “NONE” below.

Exhibit 009 – Organizational Conflict of Interest Disclosure Statement It is Hanford Mission Integration Solutions, LLC (HMIS or Buyer) policy to avoid situations, which place an Offeror in a position wherein it may not be able to compete on an equal basis for Buyer’s-controlled work with other qualified Offerors.

This representation, and the information disclosed thereby, will serve to advise Buyer whether or not an Offeror's judgment may be biased because of any past, present, or currently planned interest, financial or otherwise, the Offeror may have or appear to have which relates to the work to be performed under a subcontract which may result from this solicitation, thus providing the Offeror an unfair competitive advantage over others. The term "Offeror" herein means the proposing entity or any of its affiliates or proposed consultants or Subcontractors of any tier. Therefore:

Offeror shall provide Buyer a statement which describes in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) relating to the work described in the Statement of Work of this solicitation. Offeror may also provide relevant facts that show how its organizational structure and/or management systems limit its knowledge of affiliates or other divisions or sections of the proposing entity and how that structure or system would avoid or mitigate an organizational conflict of interest.

Offeror shall assure that any consultants and/or Subcontractors identified in its proposal which will perform part or all of any resulting subcontract submit the same information as required above, either as part of the Offeror’s proposal or directly to Buyer, prior to the time and date set forth for the receipt of proposals, including identification of the solicitation number and the (Offeror's) proposal to which it relates.

Offeror shall assure that each of its chief officers or directors, if any, who will be directly involved in the actual performance of the subcontract, submit such information.

Offeror shall promptly provide to Buyer information concerning any changes, including additions, in its relevant facts reported, that occur between the time of submission of its proposal and the award of a subcontract or the time the Offeror is notified that it is no longer being considered for an award.

Buyer will review the information submitted and may require additional relevant information or certifications from the Offeror.

All such information, and any other relevant information known to Buyer , will be used to determine whether an award to the Offeror may create an organizational conflict of interest with respect to the Offeror's (1) bias caused by financial, contractual, organizational, or other interests which relate to the work to be performed under the subcontract, resulting in Offeror being unable to render impartial, technically sound, and objective assistance or advice, or (2)obtaining an unfair competitive advantage over other parties. If Buyer determines a conflict exists which would require some action to mitigate an actual or potential conflict of interest that would otherwise represent an unacceptable risk to Buyer, it may, at its sole discretion: (1) impose appropriate terms or conditions necessary to avoid or mitigate the conflict, (2) disqualify the offer, or (3) proceed with an award despite the conflict.

Offeror refusal to submit the representation and/or to provide the disclosure or any additional information requested by Buyer may result in disqualification of the Offeror for an award. Misrepresentation of material facts or other reported information may also result in disqualification. If any such misrepresentation is discovered following award, Buyer may terminate the contract for default or seek other remedies including actions pursuant to 18 U.S.C. 1001.

Depending on the nature of the subcontract activities, Offeror may, because of the existence of possible organizational conflicts of interest, propose to exclude specific kinds of work from the Statement of Work contained in the original solicitation, unless the solicitation specifically prohibits such exclusion. Any proposed exclusion may be considered by Buyer in the evaluation of proposals but may ultimately determine the proposal to be unacceptable.

No work shall be performed, and Buyer will not authorize work to begin, until representations and disclosure information has been evaluated. Buyer may also, at its option, permit missing representations or disclosure information to be provided by an Offeror at any time during the pre-award process.

In lieu of or in addition to the above and/or when requested by Buyer, Offeror shall provide a certification similar to the following, altered only to reflect the relevant facts:

ORGANIZATIONAL CONFLICT OF INTEREST DISCLOSURE STATEMENT

I hereby certify that, to the best of my knowledge and belief, no facts exist relevant to any past, present, or currently planned interest or activity (financial, contractual, personal, organizational, or otherwise) that relate to the proposed work; and bear on whether the Buyer and the Offeror have a possible conflict of interest with respect to being able to render impartial, technically sound, and objective assistance or advice, or being given unfair competitive advantage.

Exhibit 010 – Executive Compensation HMIS First-Tier Subcontractor Transparency Act Reporting Form

Name of Subcontractor (Offeror):

Subcontractor’s Physical

Address: Street City, State & Nine-Digit Zip Code Country Congressional

District Subcontractor’s Fiscal Year

Street City, State & Nine-Digit Zip Code Country Congressional District

Performing Entity Parent Company

a) During the previous tax year was the Subcontractor’s gross income from all sources under $300,000?

b) During preceding fiscal year was 80% or more of Subcontractor’s annual gross revenues from Federal contracts (and subcontracts), loans, grants (and subgrants) and cooperative agreements?

c) During preceding fiscal year did Subcontractor have $25,000,000 or more in annual gross revenues from Federal contracts (and subcontracts), loans, grants (and subgrants) and cooperative agreements?

d) Does the public have access to information about the compensation of Subcontractor’s executives through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 USC 78m(a), 780(d)) or section 6104 of the Internal Revenue Code of 1986

e) Subcontractor’s Top Five Most Highly Compensated Officers

Yes – skip to signature block No – answer 4(b)Yes – Answer 4(c) No – skip to signature block

Yes – answer 4(d)

No – skip to signature block

Yes – skip to signature block No – complete 4(e)

Officer Name Total Compensation for Preceding Fiscal Year

Print Name & Title of Representative Completing Form

Signature of Authorized Representative Date

4. Subcontractor’s Top Five Most Highly Compensated Officers Reporting

1. Subcontractor Information

2. Place of Performance

3. Subcontractor’s Unique Entity Identifier (UEI) Number

HMIS First-Tier Subcontractor Transparency Act Reporting Form Guidance FAR 52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2016)

Subcontractor's Compensation Reporting Guidelines Upon award of any Subcontractor award of $30,000 or more, and annually thereafter, HMIS as the prime contractor must report the total compensation and names of the Subcontractor’s top five most highly compensated executives if:

(a) In the Subcontractor’s preceding fiscal year, the Subcontractor received:

(i) 80% or more of its annual gross revenues from Federal contracts (and subcontracts), loans, grants

(and subgrants) and cooperative agreements, and other forms of Federal financial assistance; and

(ii) $25,000,000 or more in annual gross revenues from Federal contracts (and subcontracts), loans, grants (and subgrants) and cooperative agreements, and other forms of Federal financial assistance; and

(b) The public does not have access to information about the compensation of the executives through period reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 USC 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986.

If a Subcontractor in the previous tax year had gross income from all sources under $300,000, the prime contractor does not need to report awards for that subcontractor.

This information will be reported through the Federal Funding Accountability and Transparency Act Subaward Reporting System. The public may view first-tier subcontract award data at http://usaspending.gov.

Definitions

As used in FAR 52.204-10:

Executive means officers, managing partners, or any other employees in management positions.

First-tier subcontract means a subcontract awarded directly by the Contractor for the purpose of acquiring supplies or services (including construction) for performance of a prime contract. It does not include the Contractor's supplier agreements with vendors, such as long-term arrangements for materials or supplies that would benefit multiple contracts and/or the costs of which are normally applied to a Contractor’s general and administrative expenses or indirect cost.

Total compensation means the cash and noncash dollar value earned by the executive during the Contractor's preceding fiscal year and includes the following (for more information see 17 CFR 229.402(c)(2)):

(1) Salary and bonus.

(2) Awards of stock, stock options, and stock appreciation rights. Use the dollar amount recognized for financial statement reporting purposes with respect to the fiscal year in accordance with the Financial Accounting Standards Board's Accounting Standards Codification (FASB ASC) 718, Compensation- Stock Compensation.

(3) Earnings for services under non-equity incentive plans. This does not include group life, health, hospitalization or medical reimbursement plans that do not discriminate in favor of executives and are available generally to all salaried employees.

(4) Change in pension value. This is the change in present value of defined benefit and actuarial pension plans.

(5) Above-market earnings on deferred compensation which is not tax-qualified.

(6) Other compensation, if the aggregate value of all such other compensation (e.g., severance, termination payments, value of life insurance paid on behalf of the employee, perquisites, or property) for the executive exceeds $10,000.

Further information about the Transparency Act is available at: www.USAspending.gov & www.whitehouse.gov/omb/open http://usaspending.gov/ https://www.usaspending.gov/ http://www.whitehouse.gov/omb/open

Exhibit 011 – FAR 52.203-11…