03 - Vendor Response Document
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- Attached to
- Furnishings and Floor Coverings
- Solicitation number
- 3QSA-LV-100002-B
- Issued by
-
GSA Federal Acquisition Service
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03 - Vendor Response Document
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VENDOR RESPONSE DOCUMENT Solicitation 3QSA-LV-100002-B Refresh 21
Instructions for submitting an electronic proposal (preferred):
The offeror may use http://eoffer.gsa.gov to submit their offer/proposal electronically. The electronic submission provides a complete proposal package validating data and attachments. Once a contract has been awarded, the offeror may use eMod to submit contract modifications as needed.
Instructions for submitting a paper proposal:
| The offeror must complete and return the SF1449 (signed copy), Vendor Response Document (this document), and the required/optional attachments. |
| It is NOT necessary to return the solicitation document. |
| By signing and submitting the SF1449, the offeror has read, understands, and agrees to the contract terms and conditions presented in Part III - Contract Terms and Conditions of the solicitation unless otherwise noted when the offer is submitted. |
A completed paper proposal package must contain:
1. Signed SF1449
2. Vendor Response Document
3. GSA required attachments
4. Offeror optional attachments
NOTE: This Document is ONLY utilized if the offeror is submitting a paper offer/proposal! All information must be thorough, accurate, and complete or the processing of the proposal may be delayed.
OFFEROR INFORMATION:
Offeror's Name:________________________________________________
Offeror's DUNS:____________________________________ (_________) (DUNS+4)
Offeror's Address:______________________________________________
Offeror's Phone #:______________________________________________
Offeror's Email :_______________________________________________
Offeror's FAX :________________________________________________
OFFEROR's POINTS OF CONTACT & AUTHORIZED NEGOTIATORS:
G-FSS-900-C CONTACT FOR CONTRACT ADMINISTRATION (JUL 2003)
Offerors should complete paragraphs (a) and (b) if providing both domestic and overseas delivery. Complete paragraph (a) if providing domestic delivery only. Complete paragraph (b) if providing overseas delivery only.
The Contractor shall designate a person to serve as the contract administrator for the contract both domestically and overseas. The contract administrator is responsible for overall compliance with contract terms and conditions. The contract administrator is also the responsible official for issues concerning 552.238-74, Industrial Funding Fee and Sales Reporting (JUL 2003), including reviews of contractor records. The Contractor’s designation of representatives to handle certain functions under this contract does not relieve the contract administrator of responsibility for contract compliance. Any changes to the designated individual must be provided to the Contracting Officer in writing, with the proposed effective date of the change
| (a) | Domestic: |
| NAME ______________________________________________________________________ | |
| TITLE ______________________________________________________________________ | |
| ADDRESS ___________________________________________________________________ | |
| ZIP CODE ___________________________________________________________________ | |
| TELEPHONE NO. (_______) __________________ FAX NO. ________________________ | |
| E-MAIL ADDRESS ___________________________________________________________ | |
| (b) | Overseas: Overseas contact points are mandatory for local assistance with the resolution of any delivery, performance, or quality complaint from customer agencies. (Also, see the requirement in I‑FSS‑594, Parts and Service.) At a minimum, a contact point must be furnished for each area in which deliveries are contemplated, e.g., Europe, South America, Far East, etc. |
| NAME ______________________________________________________________________ | |
| TITLE ______________________________________________________________________ | |
| ADDRESS ___________________________________________________________________ | |
| ZIP CODE ___________________________________________________________________ | |
| TELEPHONE NO. (_______) __________________ FAX NO. ________________________ | |
| E-MAIL ADDRESS ___________________________________________________________ |
K-FSS-1 AUTHORIZED NEGOTIATORS (MAR 1998)
The offeror shall, in the spaces provided below, fill in the names of all persons authorized to negotiate with the Government in connection with this request for proposals or quotations. (List the names, titles, telephone numbers and electronic mail addresses of the authorized negotiators.)
NAMES &
TITLES
TELEPHONE
NUMBERS
ELECTRONIC MAIL
ADDRESSES
GOODS & SERVICES:
The offeror must select one or more Special Item Numbers (SIN). Insert (Y/N) to indicate which SINs are being requested in this proposal or the offeror may delete all SIN(s) which are not being proposed in order to decrease the size of the Vendor Response Document. If a SIN is selected, the offer must contain all the requested information for that SIN. If SubSIN categories exist, at least one SubSIN category must be selected for each SIN.
___31 301 Broadloom carpet
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___31 302 Broadloom carpet
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___31 303 Carpet tiles
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___31 304 Special use broadloom carpet and carpet tiles.
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___31 305 Carpet cushion
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___31 401 Resilient (hard surface) tile
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___31 402 Resilient (hard surface) sheet flooring
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___31 501 Mats and matting (with and without logos)
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___31 502 Mats and matting (with and without logos)
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___31 601 Recycled and/or biobased content (as defined in the Farm Security and Rural Investment Act of 2002, as amended) flooring
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___31 602 Flooring Recycling Programs
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___31 604 Ancillary Supplies and Services
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___31 998 FLOOR COVERINGS
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___31 999 FLOOR COVERINGS
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___722 01 LAMPS/SHADES
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___722 02 WINDOW TREATMENTS
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___722 03 COORDINATING BEDSPREADS AND COMFORTERS
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___722 04 CUBICLE CURTAINS AND HARDWARE
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___722 05 WALL ART INCLUDING PAINTINGS, PHOTOGRAPHS, AND POSTERS
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___722 06 ARTIFICIAL TREES, PLANTS, DRIED FOLIAGE, AND PLANTERS FOR INDOOR USE.
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___722 08 Ancillary Supplies and Services (Small Business Set Aside)
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___722 97 OVERSEAS (INTERNATIONAL) PRODUCTS
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___722 98 OVERSEAS (INTERNATIONAL) FABRIC
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
___722 99 INTRODUCTION OF NEW PRODUCTS
Scope of Contract (552.238-78 Alternate I) select one of the following:
___ Contractor will provide domestic and overseas delivery.
___ Contractor will provide overseas delivery only.
___ Contractor will provide domestic delivery only.
Enter a single NAICS which is expected to have a majority of the sales for this SIN (see Goods & Services in the Solicitation)? _______
What is the offeror's total projected annual sales to the Government under this SIN for the contract base period (excluding optional contract renewals)?
If applicable, complete the following(552.211-78):
___ (Days) Contractor's normal delivery time.
___ (Days) Contractor's expedited delivery time.
OFFEROR RESPONSES:
The following responses and regulations (contract clauses/solicitation provisions) contained within this solicitation must be responded to by the offeror (the provisions responded to on the ORCA website are not necessary here).
Disaster Recovery Purchasing Program Does the offeror agree to voluntarily participate in the Recovery Purchasing Program as described in GSAR 552.238-80, "Use of Federal Supply Contracts by Certain Entities-Recovery Purchasing" in this solicitation?
____ Yes ____ No
Exceptions to Terms and Conditions Does the offeror take exception to any of the Terms and Conditions (Contract Clauses) presented in Part III of the Solicitation Document?
____ No ____ Yes (If 'Yes' is selected, the offeror must provide an attachment listing each contract clause and their exception. The exception the offeror are requesting will be negotiated with the GSA Contracting Official(s). Please title the attachment, 'Exceptions to Terms and Conditions.')
Verification of ORCA Reps and Certs (52.212-3) The offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications - Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference ____ Yes ____ No (If 'No' is selected, the offeror must submit an attachment listing the paragraph(s) which have changed and identify, after each paragraph, what has changed.) Please title the attachment, 'Exceptions to Reps and Certs - 52.212-3.'
Industrial Funding Fee - POC Is the offeror's Point-of-Contact (POC) for the Industrial Funding Fee (IFF) different than the Primary Contract Administrator provided in Contact for Contract Administration G-FSS-900-C?
____ No ____ Yes (If 'Yes' is selected, the offeror must provide an additional IFF POC here.)
American Recovery and Reinvestment Act of 2009 (ARRA) In order for Contractors to accept orders placed with funds, in whole or in part, allocated to the "American Recovery and Reinvestment Act of 2009", clauses 52.203-15 and 52.204-11 must be incorporated by reference under clause 52.212-5. Contractors hereby agree to have clauses 52.203-15 and 52.204-11 in the contract. :
____ Yes ____ No
Employment Eligibility Verification As per the FAR, Clause 52.222-54, Employment Eligibility Verification (Jan 2009), Federal contractors and subcontractors are required to begin using the U.S. Citizenship and Immigration Services' E-Verify system to verify their employees' eligibility to legally work in the United States. :
____ Yes ____ Not Applicable
REGULATION RESPONSES:
Please enter response(s) as necessary for each regulation listed (If attachments are required for a response, please indicate so and document the title of the attachment which contains the response):
| 52.204-17 | OWNERSHIP OR CONTROL OF OFFEROR (JUL 2016) 4.1804(a) | |
| (a) | Definitions. As used in this provision — | |
| Commercial and Government Entity (CAGE) code means — | ||
| (1) | An identifier assigned to entities located in the United States or its outlying areas by the Defense Logistics Agency (DLA) Commercial and Government Entity (CAGE) Branch to identify a commercial or government entity; or | |
| (2) | An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support and Procurement Agency (NSPA) to entities located outside the United States and its outlying areas that the DLA Commercial and Government Entity (CAGE) Branch records and maintains in the CAGE master file. This type of code is known as a NATO CAGE (NCAGE) code. | |
| Highest-level owner means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner. | ||
| Immediate owner means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: Ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees. | ||
| (b) | The Offeror represents that it ______ has or ______ does not have an immediate owner. If the Offeror has more than one immediate owner (such as a joint venture), then the Offeror shall respond to paragraph (c) and if applicable, paragraph (d) of this provision for each participant in the joint venture. | |
| (c) | If the Offeror indicates ‘‘has’’ in paragraph (b) of this provision, enter the following information: | |
| Immediate owner CAGE code: ______ | ||
| Immediate owner legal name: ______ (Do not use a ‘‘doing business as’’ name) | ||
| Is the immediate owner owned or controlled by another entity?: ______ Yes or ______ No. | ||
| (d) | If the Offeror indicates ‘‘yes’’ in paragraph (c) of this provision, indicating that the immediate owner is owned or controlled by another entity, then enter the following information: | |
| Highest-level owner CAGE code: | ||
| ______ | ||
| Highest-level owner legal name: | ||
| ______ (Do not use a ‘‘doing business as’’ name) |
| 52.204-20 | PREDECESSOR OF OFFEROR (JUL 2016) 4.1804(d) |
| (a) | Definitions. As used in this provision — |
“Commercial and Government Entity (CAGE) code” means —
| (1) | An identifier assigned to entities located in the United States or its outlying areas by the Defense Logistics Agency (DLA) Commercial and Government Entity (CAGE) Branch to identify a commercial or government entity; or |
| (2) | An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support and Procurement Agency (NSPA) to entities located outside the United States and its outlying areas that the DLA Commercial and Government Entity (CAGE) Branch records and maintains in the CAGE master file. This type of code is known as a NATO CAGE (NCAGE) code. |
“Predecessor” means an entity that is replaced by a successor and includes any predecessors of the predecessor.
“Successor” means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.
| (b) | The Offeror represents that it ______ is or ______ is not a successor to a predecessor that held a Federal contract or grant within the last three years. |
| (c) | If the Offeror has indicated “is” in paragraph (b) of this provision, enter the following information for all predecessors that held a Federal contract or grant within the last three years (if more than one predecessor, list in reverse chronological order): |
Predecessor CAGE code: ______ (or mark “Unknown”) Predecessor legal name: _________________________ (Do not use a “doing business as” name)
| 52.209-1 | QUALIFICATION REQUIREMENTS (FEB 1995) 9.206-2 |
| (a) | Definition: "Qualification requirement," as used in this clause, means a Government requirement for testing or other quality assurance demonstration that must be completed before award. |
| (b) | One or more qualification requirements apply to the supplies or services covered by this contract. For those supplies or services requiring qualification, whether the covered product or service is an end item under this contract or simply a component of an end item, the product, manufacturer, or source must have demonstrated that it meets the standards prescribed for qualification before award of this contract. The product, manufacturer, or source must be qualified at the time of award whether or not the name of the product, manufacturer, or source is actually included on a qualified products list, qualified manufacturers list, or qualified bidders list. Offerors should contact the agency activity designated below to obtain all requirements that they or their products or services, or their subcontractors or their products or services, must satisfy to become qualified and to arrange for an opportunity to demonstrate their abilities to meet the standards specified for qualification. |
| (Name) See specific order | |
| (Address) See specific order | |
| (c) | If an offeror, manufacturer, source, product or service covered by a qualification requirement has already met the standards specified, the relevant information noted below should be provided. |
| Offeror's Name **____** | |
| Manufacturer's Name **____** | |
| Source's Name **____** | |
| Item Name **____** | |
| Service Identification **____** | |
| Test Number **____** (to the extent known) | |
| (d) | Even though a product or service subject to a qualification requirement is not itself an end item under this contract, the product, manufacturer, or source must nevertheless be qualified at the time of award of this contract. This is necessary whether the Contractor or a subcontractor will ultimately provide the product or service in question. If, after award, the Contracting Officer discovers that an applicable qualification requirement was not in fact met at the time of award, the Contracting Officer may either terminate this contract for default or allow performance to continue if adequate consideration is offered and the action is determined to be otherwise in the Government's best interests. |
| (e) | If an offeror, manufacturer, source, product or service has met the qualification requirement but is not yet on a qualified products list, qualified manufacturers list, or qualified bidders list, the offeror must submit evidence of qualification prior to award of this contract. Unless determined to be in the Government's interest, award of this contract shall not be delayed to permit an offeror to submit evidence of qualification. |
| (f) | Any change in location or ownership of the plant where a previously qualified product or service was manufactured or performed requires reevaluation of the qualification. Similarly, any change in location or ownership of a previously qualified manufacturer or source requires reevaluation of the qualification. The reevaluation must be accomplished before the date of award. |
| 52.209-11 | REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016) | |
| (a) | As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113–235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that — | |
| (1) | Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or | |
| (2) | Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government. | |
| (b) | The Offeror represents that — | |
| (1) | It is ______ is not ______ a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and | |
| (2) | It is ______ is not ______ a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months. |
| 52.209-12 | CERTIFICATION REGARDING TAX MATTERS (FEB 2016) | |
| (a) | This provision implements section 523 of Division B of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts. | |
| (b) | If the Offeror is proposing a total contract price that will exceed $5,000,000 (including options), the Offeror shall certify that, to the best of its knowledge and belief, it — | |
| (1) | Has ______ filed all Federal tax returns required during the three years preceding the certification; | |
| (2) | Has not ______ been convicted of a criminal offense under the Internal Revenue Code of 1986; and | |
| (3) | Has not ______, more than 90 days prior to certification, been notified of any unpaid Federal tax assessment for which the liability remains unsatisfied, unless the assessment is the subject of an installment agreement or offer in compromise that has been approved by the Internal Revenue Service and is not in default, or the assessment is the subject of a non-frivolous administrative or judicial proceeding. |
| 52.209-7 | INFORMATION REGARDING RESPONSIBILITY MATTERS (JUL 2013) |
| (a) | Definitions. As used in this provision — |
| Administrative proceeding means a non-judicial process that is adjudicatory in nature in order to make a determination of fault or liability (e.g., Securities and Exchange Commission Administrative Proceedings, Civilian Board of Contract Appeals Proceedings, and Armed Services Board of Contract Appeals Proceedings). This includes administrative proceedings at the Federal and State level but only in connection with performance of a Federal contract or grant. It does not include agency actions such as contract audits, site visits, corrective plans, or inspection of deliverables. |
Federal contracts and grants with total value greater than $10,000,000 means —
| (1) | The total value of all current, active contracts and grants, including all priced options; and | ||
| (2) | The total value of all current, active orders including all priced options under indefinite-delivery, indefinite-quantity, 8(a), or requirements contracts (including task and delivery and multiple-award Schedules). | ||
| Principal means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions). | |||
| (b) | The offeror **____** has **____** does not have current active Federal contracts and grants with total value greater than $10,000,000. | ||
| (c) | If the offeror checked “has” in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information: | ||
| (1) | Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the Federal or State level that resulted in any of the following dispositions: | ||
| (i) | In a criminal proceeding, a conviction. | ||
| (ii) | In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more. | ||
| (iii) | In an administrative proceeding, a finding of fault and liability that results in — | ||
| (A) | The payment of a monetary fine or penalty of $5,000 or more; or | ||
| (B) | The payment of a reimbursement, restitution, or damages in excess of $100,000. | ||
| (iv) | In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision. | ||
| (2) | If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence. | ||
| (d) | The offeror shall post the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in FAPIIS as required through maintaining an active registration in System for Award Management database via https://www.acquisition.gov (see 52.204-7). |
| 52.223-3 | HAZARDOUS MATERIAL IDENTIFICATION AND MATERIAL SAFETY DATA (JAN 1997) |
| (a) | “Hazardous material,” as used in this clause, includes any material defined as hazardous under the latest version of Federal Standard No. 313 (including revisions adopted during the term of the contract). |
| (b) | The offeror must list any hazardous material, as defined in paragraph (a) of this clause, to be delivered under this contract. The hazardous material shall be properly identified and include any applicable identification number, such as National Stock Number or Special Item Number. This information shall also be included on the Material Safety Data Sheet submitted under this contract. |
| (c) | This list must be updated during performance of the contract whenever the Contractor determines that any other material to be delivered under this contract is hazardous. | ||
| (d) | The apparently successful offeror agrees to submit, for each item as required prior to award, a Material Safety Data Sheet, meeting the requirements of 29 CFR 1910.1200(g) and the latest version of Federal Standard No. 313, for all hazardous material identified in paragraph (b) of this clause. Data shall be submitted in accordance with Federal Standard No. 313, whether or not the apparently successful offeror is the actual manufacturer of these items. Failure to submit the Material Safety Data Sheet prior to award may result in the apparently successful offeror being considered nonresponsible and ineligible for award. | ||
| (e) | If, after award, there is a change in the composition of the item(s) or a revision to Federal Standard No. 313, which renders incomplete or inaccurate the data submitted under paragraph (d) of this clause, the Contractor shall promptly notify the Contracting Officer and resubmit the data. | ||
| (f) | Neither the requirements of this clause nor any act or failure to act by the Government shall relieve the Contractor of any responsibility or liability for the safety of Government, Contractor, or subcontractor personnel or property. | ||
| (g) | Nothing contained in this clause shall relieve the Contractor from complying with applicable Federal, State, and local laws, codes, ordinances, and regulations (including the obtaining of licenses and permits) in connection with hazardous material. | ||
| (h) | The Government's rights in data furnished under this contract with respect to hazardous material are as follows: | ||
| (1) | To use, duplicate and disclose any data to which this clause is applicable. The purposes of this right are to— | ||
| (i) | Apprise personnel of the hazards to which they may be exposed in using, handling, packaging, transporting, or disposing of hazardous materials; | ||
| (ii) | Obtain medical treatment for those affected by the material; and | ||
| (iii) | Have others use, duplicate, and disclose the data for the Government for these purposes. | ||
| (2) | To use, duplicate, and disclose data furnished under this clause, in accordance with subparagraph (h)(1) of this clause, in precedence over any other clause of this contract providing for rights in data. | ||
| (3) | The Government is not precluded from using similar or identical data acquired from other sources. |
| 52.223-3 | HAZARDOUS MATERIAL IDENTIFICATION AND MATERIAL SAFETY DATA (JAN 1997) (ALTERNATE I—JUL 1995) |
| (a) | Hazardous material, as used in this clause, includes any material defined as hazardous under the latest version of Federal Standard No. 313 (including revisions adopted during the term of the contract). |
| (b) | The offeror must list any hazardous material, as defined in paragraph (a) of this clause, to be delivered under this contract. The hazardous material shall be properly identified and include any applicable identification number, such as National Stock Number or Special Item Number. This information shall also be included on the Material Safety Data Sheet submitted under this contract. |
| (c) | This list must be updated during performance of the contract whenever the Contractor determines that any other material to be delivered under this contract is hazardous. | ||
| (d) | The apparently successful offeror agrees to submit, for each item as required prior to award, a Material Safety Data Sheet, meeting the requirements of 29 CFR 1910.1200(g) and the latest version of Federal Standard No. 313, for all hazardous material identified in paragraph (b) of this clause. Data shall be submitted in accordance with Federal Standard No. 313, whether or not the apparently successful offeror is the actual manufacturer of these items. Failure to submit the Material Safety Data Sheet prior to award may result in the apparently successful offeror being considered nonresponsible and ineligible for award. | ||
| (e) | If, after award, there is a change in the composition of the item(s) or a revision to Federal Standard No. 313, which renders incomplete or inaccurate the data submitted under paragraph (d) of this clause, the Contractor shall promptly notify the Contracting Officer and resubmit the data. | ||
| (f) | Neither the requirements of this clause nor any act or failure to act by the Government shall relieve the Contractor of any responsibility or liability for the safety of Government, Contractor, or subcontractor personnel or property. | ||
| (g) | Nothing contained in this clause shall relieve the Contractor from complying with applicable Federal, State, and local laws, codes, ordinances, and regulations (including the obtaining of licenses and permits) in connection with hazardous material. | ||
| (h) | The Government's rights in data furnished under this contract with respect to hazardous material are as follows: | ||
| (1) | To use, duplicate and disclose any data to which this clause is applicable. The purposes of this right are to— | ||
| (i) | Apprise personnel of the hazards to which they may be exposed in using, handling, packaging, transporting, or disposing of hazardous materials; | ||
| (ii) | Obtain medical treatment for those affected by the material; and | ||
| (iii) | Have others use, duplicate, and disclose the data for the Government for these purposes. | ||
| (2) | To use, duplicate, and disclose data furnished under this clause, in accordance with subparagraph (h)(1) of this clause, in precedence over any other clause of this contract providing for rights in data. | ||
| (3) | The Government is not precluded from using similar or identical data acquired from other sources. | ||
| (i) | Except as provided in paragraph (i)(2) the Contractor shall prepare and submit a sufficient number of Material Safety Data Sheets (MSDS's), meeting the requirements of 29 CFR 1910.1200(g) and the latest version of Federal Standard No. 313, for all hazardous materials identified in paragraph (b) of this clause. | ||
| (1) | For items shipped to consignees, the Contractor shall include a copy of the MSDS with the packing list or other suitable shipping document which accompanies each shipment. Alternatively, the Contractor is permitted to transmit MSDS's to consignees in advance of receipt of shipments by consignees, if authorized in writing by the Contracting Officer. | ||
| (2) | For items shipped to consignees identified by mailing address as agency depots, distribution centers or customer supply centers, the Contractor shall provide one copy of the MSDS's in or on each shipping container. If affixed to the outside of each container, the MSDS must be placed in a weather resistant envelope. |
| 552.216-73 | ORDERING INFORMATION (AUG 2010) |
| (a) | In accordance with the Placement of Orders clause of this solicitation, the offeror elects to receive orders placed by GSA’s Federal Acquisition Service (FAS) by either facsimile transmission or computer-to-computer Electronic Data Interchange (EDI). |
| (b) | An offeror electing to receive computer-to-computer EDI is requested to indicate below the name, address, and telephone number of the representative to be contacted regarding establishment of an EDI interface. |
| _____________________________________ |
| (c) | An offeror electing to receive orders by facsimile transmission is requested to indicate below the telephone number(s) for facsimile transmission equipment where orders should be forwarded. |
| _____________________________________ |
| (d) | For mailed orders, the offeror is requested to include the postal mailing address(es) where paper form orders should be mailed. |
| _____________________________________ |
| (e) | Offerors marketing through dealers are requested to indicate below whether those dealers will be participating in the proposed contract. |
| YES NO |
If “yes” is checked, ordering information to be inserted above shall reflect that in addition to offeror’s name, address, and facsimile transmission telephone number, orders can be addressed to the offeror’s name, c/o nearest local dealer. In this event, two copies of a list of participating dealers shall accompany this offer, and shall also be included in Contractor’s Federal Supply Schedule pricelist.
| 552.232-82 | CONTRACTOR'S REMITTANCE (PAYMENT) ADDRESS (MAY 2003) |
| (a) | Payment by electronic funds transfer (EFT) is the preferred method of payment. However, under certain conditions, the ordering activity may elect to make payment by check. The offeror shall indicate below the payment address to which checks should be mailed for payment of proper invoices submitted under a resultant contract. |
PAYMENT ADDRESS
| (b) | Offeror shall furnish by attachment to this solicitation, the remittance (payment) addresses of all authorized participating dealers receiving orders and accepting payment by check in the name of the Contractor in care of the dealer, if different from their ordering address(es) specified elsewhere in this solicitation. If a dealer’s ordering and remittance address differ, both must be furnished and identified as such. |
| (c) | All offerors are cautioned that if the remittance (payment) address shown on an actual invoice differs from that shown in paragraph (b) of this provision or on the attachment, the remittance address(es) in paragraph (b) of this provision or attached will govern. Payment to any other address, except as provided for through EFT payment methods, will require an administrative change to the contract. |
| Note: | All orders placed against a Federal Supply Schedule contract are to be paid by the individual ordering activity placing the order. Each order will cite the appropriate ordering activity payment address, and proper invoices should be sent to that address. Proper invoices should be sent to GSA only for orders placed by GSA. Any other ordering activity’s invoices sent to GSA will only delay your payment. |
| C-FSS-411 | FIRE OR CASUALTY HAZARDS, OR SAFETY OR HEALTH REQUIREMENTS (OCT 1992) | ||
| (a) | Items in this solicitation which involve fire or casualty hazards (e.g., items containing electrical components), or safety or health requirements, shall conform to the safety standards (if any) for such products issued by a nationally recognized standards developing organization. The offeror shall identify in the spaces below whether any such standards are applicable to the products offered, and if so, which standard(s) applies. (Check one). | ||
| **____** | 1. | There are no nationally recognized safety standards which are applicable to any of the products offered under this solicitation. | |
| **____** | 2. | The safety standard(s) identified below are applicable to the following products offered under this solicitation: |
| **____** | Check if there are no nationally recognized safety standards which are applicable to the other products offered (if any). |
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