RFQ_15.pdf

1. REQUSITION NUMBER

See "Schedule B"

2. CONTRACT NO. 3.AWARD/EFFECTIVE DATE 4. ORDER NUMBER 5. SOLICITATION NUMBER

PHCB-15

6. SOLICITATION ISSUE DATE

07/27/2017

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Christy Rios

b. TELEPHONE NUMBER (No collect calls)

623-465-9757

8. OFFER DUE DT/LOCAL TIME

08/05/2017 2:00PM

9. ISSUED BY CODE

Phoenix Cable UNICOR Federal Prison Ind.

Phoenix, AZ 85086-7058

10. THIS AQUISITION IS

UNRESTRICTED

X SET ASIDE100 % FOR

X SMALL BUSINESS

SMALL DISADV.BUSINESS

8(A)

SIC:

SIZE STANDARD: 500 Emp.

11. DELIVERY FOR FOB

DESTINATION UNLESS

BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

Net 30

13a. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

X RFQ IFB RFP

16. ADMINISTERED BY CODE

Phoenix Cable UNICOR Federal Prison Ind.

Phoenix, AZ 85086-7058

17a. CONTRACTOR/OFFEROR CODE 9999999 FACILITY CODE

UNDETERMINED SOURCE

., CA

TELEPHONE NO. TIN:

RFQ: 6000161272

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

18a. PAYMENT WILL BE MADE BY CODE

UNICOR FPI Central Acct Payable

PO BOX 11849

LEXINGTON, KY 40578-1849,

USA

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

IS CHECKED SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

See Section B

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

X 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA X ARE ARE NOT ATTACHED

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 COPIES

TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET

X FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

29. AWARD OF CONTRACT: REFERENCE __________________________________

OFFER DATED __________________. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HERIN,

ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED

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

31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT)

Christy Rios 623-465-9757

31c. DATE SIGNED

07/27/2017

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE

CONTRACT EXCEPT AS NOTED

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

33. SHIP NUMBER

PARTIAL FINAL

34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

36. PAYMENT

COMPLETE PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

39. S/R VOUCHER NUMBER 40. PAID BY

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

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

42d. TOTAL CONTAINERS

15. DELIVER TO CODE

UNICOR Federal Prison Ind.

37940 N. 45th Avenue

PHOENIX, AZ 85086-7058

USA

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (10-95)

Prescribed by GSA - FAR (48 CFR) 53.212

PAGE 1 OF

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

Terms of delivery: DST

TERMS OF DELIVERY IS FOB DESTINATION FOR ALL ITEMS.

UNICOR, Federal Prison Industries, Inc.

ATTN: UNICOR WAREHOUSE

37940 N. 45th Avenue

Phoenix, AZ 85086-7058

Solicitation is issued as a firm fixed price definite delivery-definite quantity type contract.

SOLICITATION IS 100% SET-ASIDE FOR SMALL BUSINESS.

QUESTIONS PERTAINING TO THIS SOLICITATION WILL ONLY BE ADDRESSED IN WRITING VIA EMAIL TO: Christy.Rios@usdoj.gov

Questions will not be accepted after Friday August 4, 2017 at 2:00 PM PST.

NO PHONE CALLS PLEASE.

For a list, description and total estimated quantities of all items, refer to Section B.

UNICOR's desired delivery is 30 days or sooner after issuance of order. Vendors are required to provide their best manufacturing/delivery time for evaluation.

Vendors shall submit signed and dated offers either by facsimile or email. Facsimile number is (352)330-8128.

Offers shall be submitted on the SF1449.

OMB Clearance 1103-0018.

The date and time for receipt of proposals is Friday, August 4, 2017 at 2:00 PM PST. Offer must indicate Solicitation

No. PHCB-15 , time specified for receipt of offer, name, address and telephone number of offeror, technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in the solicitation, terms of any expressed warranty, price and any discount terms. Offer must include acknowledgment of all amendments, if any.

THE FOLLOWING INFORMATION IS REQUIRED TO BE COMPLETED BY THE OFFEROR:

VENDOR'S DUN & BRADSTREET NUMBER:_______________________________

VENDOR'S POINT OF CONTACT: _____________________________________

VENDOR'S TELEPHONE & FAX NUMBER: _______________________________

VENDOR'S EMAIL ADDRESS: ________________________________________

VENDOR'S BUSINESS SIZE (i.e. SMALL, LARGE, ETC.): ________________

By submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the SAM database (System Award Management) prior to award, during performance and through final payment of any contract resulting from this solicitation.

DJU6000161272 PAGE 2 OF 23

Request For Quote

_______________________________________________ Signature

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Item No. SUPPLIES OR SERVICES Quantity U/M UNIT PRICE AMOUNT IN US$ PR Number Del.Date

00001 CMP0210 26 EA 1024360240 10/11/2017

M,85049/52-1-12N,5935012585452

VERIFIED-HAYSTACK

UNICOR PART NUMBER: CMP0210

DESCRIPTION: CLAMP

MILITARY PART NUMBER: M85049/52-1-12N

PROCUREMENT SPEC: MIL-C-85049-A-SUPP1A

QPL REQUIRED: YES

Source Control:

Contract SPE4A613D0030 1444

Priority Code DOA2

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

00002 CMP0446 1,001 EA 1024368920 09/06/2017

NASM-21333-102,5340009848540,CLAMP-LOOP-1/2"X1/4",S9I

VERIFIED-HAYSTACK

UNICOR PART NUMBER: CMP0446

DESCRIPTION: CLAMP

MILITARY PART NO: MS21333-102

PROCUREMENT SPEC: MS21333 REV.F

Source Control:

Contract SPRBL114D0023 0011

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

DJU6000161272 PAGE 3 OF 23

SUPPLIES OR SERVICES AND PRICES/COSTS

Item No. SUPPLIES OR SERVICES Quantity U/M UNIT PRICE AMOUNT IN US$ PR Number Del.Date

00003 CMP0447 2,102 EA 1024368921 11/06/2017

NASM-21333-112,5340000573043,CLAMP

CLAMP,LOOP. SUPPLIER: MILITARY STANDARDS PROMULGATED BY MILITARY

DEPARTMENTS UNDER AUTHORITY OF DEFENSE STANDARDIZATION MANUAL 4120 3-M,

PART #MS21333-112. SUPPLIER: FEDERAL SPECIFICATIONS PROMULGATED BY

GENERAL SERVICES ADMINISTRATION WASHINGTON DC, PART #CMDX2-3PT573043.

SUPPLIER: ARMY WEAPONS COMMAND ATTN AMSWE-REE-S, PART #573043.

ABPX MATERIAL THICKNESS 0.032 INCHES NOMINAL

MATT MATERIAL STEEL COMP 1005 BAND OR STEEL COMP 1006 BAND OR STEEL COMP

1008 BAND OR STEEL COMP 1010 BAND OR STEEL COMP 1011 BAND OR STEEL COMP

1012 BAND OR STEEL COMP 1013 BAND OR STEEL COMP 1015 BAND OR STEEL COMP

1016 BAND OR STEEL COMP 1017 BAND OR STEEL COMP 1018 BAND OR STEEL COMP

1020 BAND

ABMK OVERALL WIDTH 0.562 INCHES NOMINAL

AZDC DISTANCE FROM LOOP CENTER TO TONGUE END 1.062 INCHES NOMINAL

AAAL TONGUE HOLE TYPE ROUND, UNTHREADED

STYL STYLE DESIGNATOR A2 SINGLE LOOP

ABMZ DIAMETER 0.344 INCHES NOMINAL

AZCY CENTER TO CENTER DISTANCE BETWEEN LOOP AND MOUNTING HOLE 0.781

INCHES NOMINAL

MATT MATERIAL RUBBER SYNTHETIC CUSHION

MDCL MATERIAL DOCUMENT AND CLASSIFICATION 66 FED STD ALL MATERIAL

RESPONSES BAND

SFTT SURFACE TREATMENT CADMIUM BAND OR ZINC BAND AND CHROMATE BAND

BZTN LOOP INSIDE DIAMETER 0.500 INCHES NOMINAL

Source Control:

Contract SPRBL114D0023 0011

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

00004 CMP0450 3,415 EA 1024368922 02/01/2018

NASM-21333-98,5340008091490,S9I

VERIFIED-HAYSTACK

UNICOR PART NUMBER: CMP0450

DESCRIPTION: CLAMP

MILITARY PART NUMBER: MS21333-98

PROCUREMENT SPEC: MS21333 F

UNIT/MEASURE: EACH

Source Control:

Contract SPRBL114D0023 0011

DJU6000161272 PAGE 4 OF 23

Item No. SUPPLIES OR SERVICES Quantity U/M UNIT PRICE AMOUNT IN US$ PR Number Del.Date

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

00005 CMP0488 500 EA 1024346139 10/05/2017

D,A3014386-1,5340012985026

VERIFIED-HAYSTACK

UNICOR PART NO:CMP0488

DESCRIPTION: CLAMP

PART NO: DWG#A3014386

PROCUREMENT SPEC: DWG#A3014386 REV-G

Source Control:

Contract 5500123775

Priority Code NOT RATED

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

00006 CMP0489 6,800 EA 1024374685 12/15/2017

D,A3013727-1,5340012010428

VERIFIED-PER-HAYSTACK

UNICOR PART NO: CMP0489

DESCRIPTION: CLAMP

PART NO: DWG#A3013727-1

PROCUREMENT SPEC: DWG#A3013727

Source Control:

Contract SPRBL114D0023 0011

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

DJU6000161272 PAGE 5 OF 23

Item No. SUPPLIES OR SERVICES Quantity U/M UNIT PRICE AMOUNT IN US$ PR Number Del.Date

00007 CMP0489 2,094 EA 1024379300 02/05/2018

D,A3013727-1,5340012010428

VERIFIED-PER-HAYSTACK

UNICOR PART NO: CMP0489

DESCRIPTION: CLAMP

PART NO: DWG#A3013727-1

PROCUREMENT SPEC: DWG#A3013727

Source Control:

Contract SPRBL117D0003 0002

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

00008 CMP0491 2,900 EA 1024368923 10/03/2017

MS,21333-71,CLAMP

"VERIFIED-PER-NASM21333 REV. 1

UNICOR PART NO: CMP0491

DESCRIPTION: CLAMP

MILITARY PART NO: MS21333-71

PROCUREMENT SPEC: NASM21333 REV. 1"

Source Control:

Contract SPRBL114D0023 0011

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

DJU6000161272 PAGE 6 OF 23

Item No. SUPPLIES OR SERVICES Quantity U/M UNIT PRICE AMOUNT IN US$ PR Number Del.Date

00009 CMP2223 8,500 EA 1024363568 09/06/2017

NASM-21333-73,5340000572906,CLAMP-LOOP,5/8"X13/64"

VERIFIED-HAYSTACK

UNICOR PART NUMBER: CMP2223

DESCRIPTION: CLAMP

MILITARY PART NUMBER: MS21333-73

PROCUREMENT SPEC: MS21333 F

UNIT/MEASURE: EACH

Source Control:

Contract SPRBL114D0023 0011

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

00010 CMP2224 2,500 EA 1024369184 10/03/2017

NASM-21333-75,5340000502740,CLAMP-LOOP,3/4"X13/64"

CONTINENTAL,V12-2DR

MILITARY PART NUMBER: MS21333-75

PROCUREMENT SPEC: MS21333 F

Source Control:

Contract SPRBL114D0023 0011

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

00011 CMP2225 1,100 EA 1024369185 10/03/2017

NASM-21333-77,5340009226300,CLAMP-LOOP,1"X13/64"

VERIFIED-HAYSTACK

UNICOR PART NUMBER: CMP2225

DESCRIPTION: CLAMP

MILITARY PART NUMBER: MS21333-77

PROCUREMENT SPEC: MS21333 F

UNIT/MEASURE: EACH

Source Control:

Contract SPRBL114D0023 0011

DJU6000161272 PAGE 7 OF 23

Item No. SUPPLIES OR SERVICES Quantity U/M UNIT PRICE AMOUNT IN US$ PR Number Del.Date

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

00012 CMP2226 700 EA 1024369191 10/03/2017

NASM-21333-79,5340009226301

VERIFIED-HAYSTACK

UNICOR PART NO: CMP2226

DESCRIPTION: CLAMP

MILITARY PART NO: MS21333-79

PROCUREMENT SPEC: MS21333 F

UNIT/MEASURE: EACH

Source Control:

Contract SPRBL114D0023 0011

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

00013 CVR0550 2,500 EA 1024375666 09/06/2017

D,A3167659, UNICOR PART NO: CVR0550

DESCRIPTION: COVER

PART NO: DWG#A3167659

PROCUREMENT SPEC: DWG#A3167659 REV.E

Source Control:

Contract SPRBL114D0023 0011

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

DJU6000161272 PAGE 8 OF 23

Item No. SUPPLIES OR SERVICES Quantity U/M UNIT PRICE AMOUNT IN US$ PR Number Del.Date

00014 GKT0057 20 EA 1024374647 12/11/2017

D,7728311,5365007728311,NONMETALLIC

VERIFIED-HAYSTACK

UNICOR PART NO:GKT0057

DESCRIPTION: GASKET

PART NO:DWG#7728311

PROCUREMENT SPEC:DWG#7728311,REV-D

Source Control:

Contract SPE4A616D5700 0005

Priority Code DOC9

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

00015 GRM0085 60 EA 1024374648 12/11/2017

*D,10874858,5935007708274

Source Control:

Contract SPE4A616D5700 0005

Priority Code DOC9

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

00016 GRM0220 3,590 EA 1024368547 09/06/2017

MS,20230-BP1,5325008115071

VERIFIED-HAYSTACK

UNICOR PART NO: GRM0220

DESCRIPTION: GROMMET

MILITARY PART NO: MS20230-BP1

PROCUREMENT SPEC: MS20230,REV-D

Source Control:

Contract SPRBL114D0023 0011

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

DJU6000161272 PAGE 9 OF 23

Item No. SUPPLIES OR SERVICES Quantity U/M UNIT PRICE AMOUNT IN US$ PR Number Del.Date

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

00017 GRM0327 60 EA 1024375030 09/06/2017

MS,35489-48,5325001749332,GROMMET,NON-METALLIC

PROCUREMENT SPEC: MIL-G-3036C

Source Control:

Contract SPRBL1-14-D-0023 0011

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

00018 HKL0188 8,200 EA 1024368494 09/06/2017

5/16",HOOK-W-TONGUE

UNICOR PART#HKL0188

DESCRIPTION:HOOK W TONGUE

SDJECTIVE:

SIZE:5/16"

COLOR:

U/M:EA

M/L:

Source Control:

Contract SPRBL114D0023 0011

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

DJU6000161272 PAGE 10 OF 23

Item No. SUPPLIES OR SERVICES Quantity U/M UNIT PRICE AMOUNT IN US$ PR Number Del.Date

00019 GRM0340 4,140 EA 1024363404 09/06/2017

MS,35489-7,5325001745315,.250IDX1.00ODX*

.750GROD,(RUB)

VERIFIED-HAYSTACK

UNICOR PART NUMBER: GRM0340

DESCRIPTION: GROMMET

MILITARY PART NO: MS35489-7

PROCUREMENT SPEC: MIL-G-3036C

Source Control:

Contract SPRBL114D0023 0011

Priority Code DOA7

This is a rated order certified for national defense use, and you are required to follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR Part 700)

Manuf Lead Time ______ Days/Wks ARO

Name of Manufacturer: ____________________

Country of Manufacture: ____________________

DJU6000161272 PAGE 11 OF 23

PART I: INFORMATION

UNICOR, Federal Prison Industries, Inc. intends to enter into a firm-fixed-price, definite delivery-definite quantity contract for the following commercial item(s):

SEE SECTION B FOR ITEMS

Packaging shall comply with the specifications of ASTM D-3951-95, standard practice for commercial packages.

INVOICES ARE TO BE MAILED TO:

UNICOR, Federal Prison Industries

Central Accounts Payable

P.O. Box 11849

Lexington, KY 40578-1849

ATTN: Carla Coleman, Supervisory Operating Accountant

PH: 1-800-827-3168

Or

INVOICES ARE TO BE EMAILED TO:

accounts.payable@usdoj.gov

PART II: FAR CLAUSES

52.209-1 Qualification Requirements (FEB 1995)

(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___________________________________________

Address__________________________________________

(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______ __________________________

DJU6000161272 PAGE 12 OF 23

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.

52.211-15, Defense Priority and Allocation Requirements (APR 2008);

52.212-4, Contract Terms and Conditions - Commercial Items (DEC 2014).

52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders-Commercial Items (JAN 2017)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015)

(2) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(3) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004)(Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

Contracting Officer check as appropriate.

__ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41

DJU6000161272 PAGE 13 OF 23

U.S.C. 4704 and 10 U.S.C. 2402).

__ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509)).

__ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (June 2010)

(Section 1553 of Pub. L. 111-5).

_X_ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2016) (Pub. L. 109-282) (31

U.S.C. 6101 note).

__ (5) [Reserved].

__ (6) 52.204-14, Service Contract Reporting Requirements (Oct 2016) (Pub. L. 111-117, section 743 of Div. C).

__ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (Oct 2016) (Pub. L.

111-117, section 743 of Div. C).

_X_ (8) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or

Proposed for Debarment. (Oct 2015) (31 U.S.C. 6101 note).

__ (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Jul 2013) (41 U.S.C.

2313).

__ (10) [Reserved].

__ (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Nov 2011) (15 U.S.C. 657a).

__ (ii) Alternate I (Nov 2011) of 52.219-3.

__ (12)(i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (OCT 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

__ (ii) Alternate I (JAN 2011) of 52.219-4.

__ (13) [Reserved]

__ (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (Nov 2011) (15 U.S.C. 644).

__ (ii) Alternate I (Nov 2011).

__ (iii) Alternate II (Nov 2011).

__ (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).

__ (ii) Alternate I (Oct 1995) of 52.219-7.

__ (16) 52.219-8, Utilization of Small Business Concerns (Oct 2014) (15 U.S.C. 637(d)(2) and (3)).

__ (17)(i) 52.219-9, Small Business Subcontracting Plan (Oct 2015) (15 U.S.C. 637(d)(4)).

__ (ii) Alternate I (Oct 2001) of 52.219-9.

DJU6000161272 PAGE 14 OF 23

__ (iii) Alternate II (Oct 2001) of 52.219-9.

__ (iv) Alternate III (Oct 2015) of 52.219-9.

__ (18) 52.219-13, Notice of Set-Aside of Orders (Nov 2011) (15 U.S.C. 644(r)).

__ (19) 52.219-14, Limitations on Subcontracting (Nov 2011) (15 U.S.C. 637(a)(14)).

__ (20) 52.219-16, Liquidated Damages-Subcontracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

__ (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (Nov 2011) (15 U.S.C. 657 f).

_x_ (22) 52.219-28, Post Award Small Business Program Rerepresentation (Jul 2013) (15 U.S.C. 632(a)(2)).

__ (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women-Owned Small

Business Concerns (Dec 2015) (15 U.S.C. 637(m)).

__ (24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business Concerns Eligible

Under the Women-Owned Small Business Program (Dec 2015) (15 U.S.C. 637(m)).

_x_ (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

_x_ (26) 52.222-19, Child Labor-Cooperation with Authorities and Remedies (Oct 2016) (E.O. 13126). All supplies

_x_ (27) 52.222-21, Prohibition of Segregated Facilities (Sep 2016).

_x_ (28) 52.222-26, Equal Opportunity (Sep 2016) (E.O. 11246).

__ (29) 52.222-35, Equal Opportunity for Veterans (Oct 2015)(38 U.S.C. 4212).

_x_ (30) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29 U.S.C. 793).

__ (31) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212).

__ (32) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496).

_x_ (33)(i) 52.222-50, Combating Trafficking in Persons (Mar 2015) (22 U.S.C. chapter 78 and E.O. 13627).

__ (ii) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

__ (34) 52.222-54, Employment Eligibility Verification (OCT 2015). (Executive Order 12989).

__ (35) 52.222-59, Compliance with Labor Laws (Executive Order 13673) (OCT 2016).

Note to paragraph (b)(35): By a court order issued on October 24, 2016, 52.222-59 is enjoined indefinitely as of the date of the order. The enjoined paragraph will become effective immediately if the court terminates the injunction. At that time, GSA, DoD and NASA will publish a document in the Federal Register advising the public of the termination of the injunction.

__ (36) 52.222-60, Paycheck Transparency (Executive Order 13673) (OCT 2016).

DJU6000161272 PAGE 15 OF 23

__37)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA-Designated Items (May 2008) (42 U.S.C.

6962(c)(3)(A)(ii)).

__ (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ (38) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (JUN 2016)(E.O.

13693)

__ (39) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners (JUN

2016)(E.O. 13693)

__ (40)(i)52.223-13, Acquisition of EPEAT®-Registered Imaging Equipment (JUN 2014) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Oct 2015) of 52.223-13.

__ (41)(i) 52.223-14, Acquisition of EPEAT®-Registered Televisions (JUN 2014) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Jun 2014) of 52.223-14.

__ (42) 52.223-15, Energy Efficiency in Energy-Consuming Products (DEC 2007) (42 U.S.C. 8259b).

__ (43)(i) 52.223-16, Acquisition of EPEAT®-Registered Personal Computer Products (OCT 2015) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Jun 2014) of 52.223-16.

_x_ (44) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (AUG 2011) (E.O. 13513).

__ (45) 52.223-20, Aerosols (JUN 2016)(E.O. 13693)

__ (46) 52.223-21, Foams (JUN 2016)(E.O. 13693)

_x_ (47) 52.225-1, Buy American-Supplies (May 2014) (41 U.S.C. chapter 83).

__ (48)(i) 52.225-3, Buy American-Free Trade Agreements-Israeli Trade Act (May 2014) (41 U.S.C. chapter 83, 19 U.S.C.

3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L. 103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43.

__ (ii) Alternate I (May 2014) of 52.225-3.

__ (iii) Alternate II (May 2014) of 52.225-3.

__ (iv) Alternate III (May 2014) of 52.225-3.

__ (49) 52.225-5, Trade Agreements (Oct 2016) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

_x_ (50) 52.225-13, Restrictions on Certain Foreign Purchases (June 2008) (E.O.'s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

__ (51) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Jul 2013) (Section

DJU6000161272 PAGE 16 OF 23

862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

__ (52) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) (42 U.S.C. 5150).

__ (53) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007) (42 U.S.C. 5150).

__ (54) 52.232-29, Terms for Financing of Purchases of Commercial Items (Feb 2002) (41 U.S.C. 4505, 10 U.S.C.

2307(f)).

__ (55) 52.232-30, Installment Payments for Commercial Items (Oct 1995) (41 U.S.C. 4505, 10 U.S.C. 2307(f)).

_x_ (56) 52.232-33, Payment by Electronic Funds Transfer-System for Award Management (Jul 2013) (31 U.S.C. 3332). all

__ (57) 52.232-34, Payment by Electronic Funds Transfer-Other than System for Award Management (Jul 2013) (31 U.S.C.

3332).

_x_ (58) 52.232-36, Payment by Third Party (May 2014) (31 U.S.C. 3332).

__ (59) 52.239-1, Privacy or Security Safeguards (Aug 1996) (5 U.S.C. 552a).

__ (60)(i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx. 1241(b) and 10 U.S.C. 2631).

__ (ii) Alternate I (Apr 2003) of 52.247-64.

(c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

Contracting Officer check as appropriate. (for Services)

__ (1) 52.222-17, Nondisplacement of Qualified Workers (May 2014)(E.O. 13495).

__ (2) 52.222-41, Service Contract Labor Standards (May 2014) (41 U.S.C. chapter 67).

__ (3) 52.222-42, Statement of Equivalent Rates for Federal Hires (May 2014) (29 U.S.C. 206 and 41 U.S.C. chapter 67).

__ (4) 52.222-43, Fair Labor Standards Act and Service Contract Labor Standards-Price Adjustment (Multiple Year and

Option Contracts) (May 2014) (29 U.S.C. 206 and 41 U.S.C. chapter 67).

__ (5) 52.222-44, Fair Labor Standards Act and Service Contract Labor Standards-Price Adjustment (May 2014) (29 U.S.C.

206 and 41 U.S.C. chapter 67).

__ (6) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment-Requirements (May 2014) (41 U.S.C. chapter 67).

__ (7) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain

Services-Requirements (May 2014) (41 U.S.C. chapter 67).

__ (8) 52.222-55, Minimum Wages Under Executive Order 13658 (MAR 2016) (E.O. 13658).

__ (9) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (May 2014) (42 U.S.C. 1792).

DJU6000161272 PAGE 17 OF 23

__ (10) 52.237-11, Accepting and Dispensing of $1 Coin (Sept 2008) (31 U.S.C. 5112(p)(1)).

(d) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph (d) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records-Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor's directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(e)(1) Notwithstanding the requirements of the clauses in paragraphs (a), (b), (c), and (d) of this clause, the

Contractor is not required to flow down any FAR clause, other than those in this paragraph (e)(1) in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause-

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509).

(ii) 52.219-8, Utilization of Small Business Concerns (Oct 2014) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $700,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(iii) 52.222-17, Nondisplacement of Qualified Workers (May 2014) (E.O. 13495). Flow down required in accordance with paragraph (l) of FAR clause 52.222-17.

(iv) 52.222-21, Prohibition of Segregated Facilities (Apr 2015)

(v) 52.222-26, Equal Opportunity (Apr 2015) (E.O. 11246).

(vi) 52.222-35, Equal Opportunity for Veterans (Oct 2015) (38 U.S.C. 4212).

(vii) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29 U.S.C. 793).

(viii) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212)

(ix) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496). Flow down required in accordance with paragraph (f) of FAR clause 52.222-40.

(x) 52.222-41, Service Contract Labor Standards (May 2014) (41 U.S.C. chapter 67).

DJU6000161272 PAGE 18 OF 23

(xi)

__(A) 52.222-50, Combating Trafficking in Persons (Mar 2015) (22 U.S.C. chapter 78 and E.O 13627).

__(B) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O 13627).

(xii) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment-Requirements (May 2014) (41 U.S.C. chapter 67).

(xiii) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain

Services-Requirements (May 2014) (41 U.S.C. chapter 67).

(xiv) 52.222-54, Employment Eligibility Verification (OCT 2015) (E.O. 12989).

(xv) 52.222-55, Minimum Wages Under Executive Order 13658 (MAR 2016) (E.O. 13658).

(xvi) 52.222-59, Compliance with Labor Laws (Executive Order 13673) (OCT 2016) (Applies at $50 million for solicitations and resultant contracts issued from October 25, 2016 through April 24, 2017; applies at $500,000 for solicitations and resultant contracts issued after April 24, 2017).

(xvii) 52.222-60, Paycheck Transparency (Executive Order 13673) (OCT 2016)).

(xviii) 52.222-62, Paid Sick Leave Under Executive Order 13706 (JAN 2017) (E.O. 13706).

(xix) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Oct 2016) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

(xx) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (May 2014) (42 U.S.C. 1792). Flow down required in accordance with paragraph (e) of FAR clause 52.226-6.

(xxi) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx. 1241(b) and

10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the Contractor may include in its subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligations.

52.216-20, Definite Quantity (OCT 1995) - applies until delivery time calendar days after contract validity end date;

[52.232-18, Availability of Funds (APR 1984);] (By Reference) all awarded in one FY which will use funds from subsequent FY

52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004);

[52.246-15, Certificate of Conformance (APR 1984)

With the original invoice, the vendor will furnish the original Certificate of Conformance that will be signed by the person who has certification authority with their title and position included. A copy of this Certificate of

Conformance and the packing slip will accompany each shipment. The furnishing of the Certificate of Conformance will be a condition of acceptance at destination and payment will not be made until it is received. Inspection and acceptance will be by FPI.

DJU6000161272 PAGE 19 OF 23

Awardee must maintain documented evidence that demonstrates the traceability of the materials that the Awardee provides for this contract/purchase order. The Awardee's Certificate of Conformance shall only be signed by the individual who is the Awardee's authorized Quality Representative, or acting Quality Representative.

52.247-34, F.O.B. Destination, (NOV 1991)

52.252-2, Clauses Incorporated By Reference (Feb 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

___________www.acquisition.gov__________________

PART III: PROVISIONS

52.211-14, Notice of Priority Rating for National Defense Use (APR 2008);

52.212-1, Instructions to Offerors - Commercial Items (FEB 2012);

52.212-2, Evaluation - Commercial Items (OCT 2014),past performance, delivery and price. Past performance and delivery are significantly more important than price. Quality, delivery, and customer service will be evaluated under past performance. The Government may make award without discussions; therefore, the offeror's initial offer should contain their best pricing. Award will be based on the best value to the Government considering the evaluation factors listed above. Best value may be determined using tradeoffs among the evaluation factors, so that award may be made to other than the lowest-priced or highest technically-rated proposal. Please note that all offers which fail to furnish required representations and certifications or past performance information or reject the terms and conditions of the solicitation may be excluded from consideration for award;

52.212-3 Offeror Representations and Certifications - Commercial Items. (MAR 2015)

In accordance with FAR 4.1201(a), prospective contractors shall complete electronic annual representations and certifications at the System for Award Management (SAM) website (www.sam.gov). If an offeror has not completed the annual representations and certifications electronically at the System for Award Management (SAM) website, the offeror shall complete only paragraphs (c) through (o) of this provision. (b) Prospective contractors shall update the representations and certifications submitted to SAM.gov as necessary, but at least annually, to ensure they are kept current, accurate, and complete. The representations and certifications are effective until one year from date of submission or update to SAM.gov. To make a change that affects only one solicitation, contractors are required to complete the appropriate sections of FAR 52.212-3(j) or 52.204-8, whichever is included in the solicitation. (see

4.1102)

52.215-5, Facsimile Proposals (OCT 1997)

52.215-6, Place of Performance (OCT 1997);

(a) The offeror or respondent, in the performance of any contract resulting from this solicitation, __ intends, __ does not intend [check applicable block] to use one or more plants or facilities located at a different address from the address of the offeror or respondent as indicated in this proposal or response to request for information.

(b) If the offeror or respondent checks "intends" in paragraph (a) of this provision, it shall insert in the following spaces the required information:

PLACE OF PERFORMANCE (STREET ADDRESS, CITY, STATE, COUNTY, ZIP CODE) NAME AND ADDRESS OF OWNER AND OPERATOR OF

DJU6000161272 PAGE 20 OF 23

THE PLANT OR FACILITY IF OTHER THAN OFFEROR OR RESPONDENT

52.222-22, Previous Contracts and Compliance Reports (Feb 1999)

The offeror represents that-

(a) It ____ has, _____ has not participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation;

(b) It _____ has, _____ has not filed all required compliance reports; and

(c) Representations indicating submission of required compliance reports, signed by proposed subcontractors, will be obtained before subcontract awards solicitation.

52.222-25, Affirmative Action Compliance (Apr 1984)

The offeror represents that-

(a) It _____ has developed and has on file, _____ has not developed and does not have on file, at each establishment, affirmative action programs required by the rules and regulations of the Secretary of Labor (41 CFR

60-1 and 60-2); or

(b) It _____ has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.

52.225-25, Prohibition on Contracting with Entities Engaging in Sanctioned Activity Relating to Iran - Certification

(DEC 2012)

52.252-1 Solicitation Provisions Incorporated by Reference (Feb 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):

_______www.acquisition.gov_____________________

52.252-1 Solicitation Provisions Incorporated by Reference (2/98)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text.

52.252-2 Clauses Incorporated by Reference (2/98)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at: http://www.arnet.gov/far/

52.204-6 Data Universal Numbering System (DUNS) Number

52.207-4 Economic Purchase Quantity-Supplies

DJU6000161272 PAGE 21 OF 23

52.212-1 Instructions to Offerors-Commercial Items

52.212-2 Evaluation - Commercial Items

52.212-4 Terms and Conditions-Commercial Items

52.212-5 Contract Terms and Conditions Required To Implement Statutes Or Executive Orders-Commercial Items

52.216-24 Limitation of Government Liability

52.219-1 Small Business Program Presentations

52.219-6 Notice of Total Small Business Set-Aside

52.244-6 Subcontracts for commercial Items

52.247-34 F.o.b. Destination

REQUEST FOR QUOTE

REPRESENTATIONS, CERTIFICATIONS, AND PROVISIONS

52.219-1 SMALL BUSINESS PROGRAM REPRESENTATIONS (OCT 1998)

(a)(1) The standard industrial classification (SIC) code for this acquisition is ________________________ [insert SIC code].

(2) The small business size standard is _____________ [insert size standard].

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b) Representations.

(1) The offeror represents as part of its offer that it___is, ___is not, a small business concern.

(2) (Complete only if offeror represented itself as a small business concern in paragraph (b)(1) of this provision.)

The offeror represents, for general statistical purposes, that it __is, __is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(3) (Complete only if offeror represented itself as a small business concern in paragraph (b)(1) of this provision.)

The offeror represents as part of its offer that it __is, __is not a women-owned small business concern.

(c) Definitions.

"Small business concern," as used in this provision, means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and the size standard in paragraph (a) of this provision.

"Woman-owned small business concern," as used in this provision, means a small business concern--

(1) Which is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least

51 percent of the stock of which is owned by one or more women; and

(2) Whose management and daily business operations are controlled by one or more women.

DJU6000161272 PAGE 22 OF 23

(d) Notice. (1) If this solicitation is for supplies and has been set aside, in whole or in part, for small business concerns, then the clause in this solicitation providing notice of the set-aside contains restrictions on the source of the end items to be furnished.

(2) Under 15 U.S.C. 645(d), any person who misrepresents a firm's status as a small or small disadvantaged business concern in order to obtain a contract to be awarded under the preference programs established pursuant to section

8(a), 8(d), 9, or 15 of the Small Business Act or any other provision of Federal law that specifically references section 8(d) for a definition of program eligibility, shall--

(i) Be punished by imposition of fine, imprisonment, or both;

(ii) Be subject to administrative remedies, including suspension and debarment; and

(iii) Be ineligible for participation in programs conducted under the authority of the Act.

(End of provision)

DJU6000161272 PAGE 23 OF 23