80NSSC20722519Q RFQ.pdf

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1 V2.0 9-22

National Aeronautics and Space Administration

NASA Shared Services Center Stennis Space Center, MS 39529-6000

4/3/2020

SUBJECT: Request for Quotation (RFQ) 80NSSC20722519Q, Dual Cryogenic Pump Skid

This solicitation includes the following sections:

1. Statement of Work/Bid Schedule – Section 1

2. Instructions to Offerors – Section 2

3. Solicitation Provisions/Representations and Certifications – Section 3

4. Clauses/Terms and Conditions – Section 4

5. Quote Evaluation Criteria – Section 5

2 V2.0 9-22

SECTION 1

STATEMENT OF WORK/BID SCHEDULE

This a Brand Name or Equal To requirement.

ENTER SOW/BID SCHEDULE:

Dual Cryogenic Pump Skid

Scalable Mobile Autonomous Rocket Engine Test (SMART) System Project at

NASA Stennis Space Center

Dual Cryogenic Pump Skid

Spec Number

March 18, 2020

TABLE OF CONTENTS

GENERAL REQUIREMENTS

1.1 Summary

1.2 References

1.3 Submittals

1.4 Requirements

1.5 Quality Assurance

1.6 Welding Procedure and Welding Operator Qualifications

1.7 Fabrication Plan for Additive Manufacture Components/Parts

1.8 Quality and Inspections of Additive Manufacture Parts

1.9 Cleaning

1.10 Testing

APPENDIX A PUMP SKID REQUIREMENTS

I. PUMP SKID

Skid Frame Pump Assembly: Tubing and Components Motor Electrical Enclosures Electrical Connections

II. DATA SHEET: PUMP FOR LIQUID OXYGEN SERVICE

III. DATA SHEET: PUMP FOR LIQUID METHANE SERVICE

APPENDIX B NASA AND STENNIS SPACE CENTER (SSC) STANDARDS AND

SPECIFICATIONS

-- End of Project Table of Contents –

GENERAL REQUIREMENTS

1.1 Summary

The work to be performed under this project consists of the design, fabrication, inspection, testing and delivery to Stennis Space Center, Mississippi of a pump skid with two variable speed cryogenic pumps as indicated in this specification and the data sheets in the Appendix.

1.2 References

The publications listed below forms a part of the specification to the extent referenced.

American Society of Non Destructive Testing (ASNT)

ASNT-TC-1A Manual of Recommended Practice

American Society of Mechanical Engineers Boiler and Pressure Vessel Code

ASME B31.3 Process Piping

ASTM International

ASTM F629 Standard Practice for Radiography of Cast Metallic Surgical Implants

NASA and Stennis Space Center (SSC) Standards and Specifications

SSTD-8070-0126-PIPE Tubing Systems for Facility Systems, Special Test Equipment, and Aerospace Hardware

NASA-RPT-STD-8070-0001 Surface Cleanliness Standards for Fluid Systems for Rocket Engine Test Facilities of the NASA Rocket Propulsion Test Program

54000-GM30 Specification for Material Used in LOX and GOX Service Exempt from Batch Test Requirements

1.3 Submittals

The following shall be submitted in sufficient detail to show full compliance with the specification:

Due no later than three (3) weeks after award of the contract:

1. A copy of fabrication time and test and inspection schedules shall be submitted electronically in standard Gantt chart format.

2. Fabrication Plan of additive manufactured components and parts per Section 1.7 of this specification.

3. Cleaning Procedures per Section 1.9.

4. Hydrostatic Leak Check Procedures per Section 1.10 of this specification.

5. Functional and Acceptance Test Procedures per Section 1.10 of this specification.

6. The Contractor shall furnish design calculations covering performance features of the pump. Design calculations shall include:

• Calculations showing how pump speed, discharge pressure, inlet pressure, and flowrate were determined and will be achieved in Liquid Oxygen (LOX), Liquid Methane (LCH4), and Liquid Nitrogen (LN) service.

• Motor Data Sheet

• Spare Parts List

7. The Contractor shall provide the following pump curves for each of the pumps in the intended service fluid (LOX, LCH4, and LN) in electronic format that indicate:

• Head Rise (in FT and PSI) versus Flowrate (in GPM)

• Efficiency (%) versus Flowrate (in GPM).

• NPSH-values (FT) versus Flowrate (in GPM).

• Shaft Power (HP) versus Flowrate (in GPM).

Due weekly after three (3) weeks of contract awarded:

The contractor shall provide informal weekly updates (by Friday Close of Business) via email to the Contracting Officer’s Representative (COR) on the status of the pump skid and components.

Prior to start of fabrication:

8. Certifications of raw powder materials used for additive manufacturing.

9. Shop Fabrication Drawings for the pump skid and for each component of the completed pump skid shall be submitted prior to fabrication. Shop drawings shall show the location and details of:

• All dimensions and details of construction

• Design Pressure rating

• Total weight of pumps

• All interface connection locations and types/sizes

• Lifting points

• Center of gravity (of complete assembly)

• Weld Map

• Support design requirements (as needed)

• Bill of materials for all parts and components

Prior to cleaning:

10. Complete listing of all materials

11. Mill Test Reports and certifications for all metallic parts

12. Certifications for soft goods materials per 54000-GM30

Immediately after inspection and examination for review and approval:

13. Hydrostatic Test Report including test set-up configuration and log of time versus pressure

14. Functional and Acceptance Test Report

15. Cleaning and Sampling Reports

16. Certified Pump Curves

Prior to shipment:

17. Final PDF binder for each pump assembly that includes a detailed as-built configuration drawing and all material certifications, inspection reports, functional test reports, Cleaning and Sampling Reports, Pump Curves, and any other applicable documentation

18. Installation, operation, and maintenance manual for the pump skid in hard-copy and electronic format.

1.4 Requirements

The pumps shall be designed, fabricated, tested, cleaned and delivered in accordance with the detailed requirements of this specification and any attached data sheets. The requirements specified herein are minimum requirements. The Contractor shall take whatever additional measures are necessary in design, fabrication, inspection and testing to produce the pump skid, which will satisfactorily pass the tests specified herein without damage. Where specific requirements are set forth, and where such specific requirements depart from requirements or alternatives contained in any documents referenced herein, the specific requirements contained herein shall govern and take precedence.

1.5 Quality Assurance

The Contract Administrator and Government reserve the right to inspect all work at all times during and upon completion of fabrication and to witness any or all tests. The Contractor shall cooperate fully to enable the NASA SSC COR or Government designated representative to be present at the performance of any or all tests and any other activity as specifically requested. The Contractor shall furnish all equipment and materials for all tests except where specially stated otherwise. The Contractor shall notify the COR fourteen calendar (14) days prior to performance of any and all tests.

As a minimum, the following hold points shall apply:

Item No. Surveillance Required for Before Proceeding to Requirement to satisfy

Hold Point

1 Design Calculations Fabrication Review and approval by NASA COR via email.

2 Fabrication Plan Fabrication Review and approval by NASA COR via email.

3 Fabrication Drawings Fabrication Review and approval by NASA COR via email.

Material Certifications for metal parts and soft goods, Radiography Reader Sheets, and Cleaning

Procedures

Precision Cleaning Review and approval by NASA COR via email.

Hydrostatic, Functional and Acceptance Tests, Final

Cleaning Verification Post- Test, and Packaging For

Shipment

Shipment On-site witness by NASA appointed representative.

Review of Radiographs, Examinations, and all Final Inspection Reports

Shipment NASA Level III Inspector Review and Approval

1.6 Welding Procedure and Welding Operator Qualifications

If welding is required, welding procedure and welders qualifications shall be performed in accordance with Section IX of the ASME Boiler and Pressure Vessel Code. All pressure containing welds must be 100% radiographed. Radiographs must be submitted for approval and approval granted before proof pressure tests. The NASA COR has final approval of all radiographic inspection results/reports.

1.7 Fabrication Plan for Additive Manufacture Components/Parts A fabrication plan for each component and part to be made via additive manufacturing shall be submitted. The plan should contain:

• feedstock information (powder type, size distribution, shape, composition),

• additive manufacture process parameters and conditions

• parameters and conditions used during post processing (hot isostatic pressurization, solution and age treatment, surface finishing, machining)

Where a process is consider proprietary for the Contractor, the documentation shall be labeled accordingly and provided only to the Program Manager. The NASA COR shall have final approval of the fabrication plan.

1.8 Quality and Inspections of Additive Manufacture Parts

All additive manufactured components/parts, as received by NASA SSC, shall meet engineering tolerances and notes and other requirements of the purchaser order.

All additive manufactured components and parts shall be subject to 100 % inspection by radiographic examination in accordance with ASTM Practice F629. Components/parts shall be free from cracks, defects, discontinuities, foreign material, inclusions, imperfections, and porosity detrimental to the usage of the component

The internal surfaces of the castings that can be exposed to Liquid Oxygen, Liquid Methane, and Liquid Nitrogen shall have no traces of voids, pits or any other surface irregularities which can be a source of trapped contaminates or particles.

The NASA COR shall have final approval of all inspection and examination results/reports.

1.9 Cleaning

All pump components and tubing shall be cleaned per NASA RPT STD 8070-0001. The Liquid Oxygen (LOX) pump and associated components and tubing intended for LOX service shall be cleaned to Level 400A. The Liquid Methane (LCH4) pump and associated components and tubing shall be cleaned to Level Visual Clean (VC).

A report showing the particulate and NVR sampling results must be kept and submitted at the end of the contract. After acceptance test, pump discharge fluid must be sampled and must meet the above clean level or re-cleaning and re-testing will be required.

Pumps and components and tubing shall be packaged in accordance with NASA RPT STD 8070- 0001. Inspection and sampling will be conducted at SSC at arrival. The inspections and sampling results shall indicate the components are cleaned to the specified clean level, if not, the non-conforming components will be sent for cleaning and reassembly at the expense of the contractor.

1.10 Testing

Acceptance testing of the pumps using Liquid Nitrogen is required following cleaning procedure.

Acceptance testing will include data collection during: chill in, ramp up, steady state, and shutdown operations. SSC personnel shall witness successful acceptance testing. Acceptance test shall successfully demonstrate that flowrate and pressure requirements of the pump have been met. Tests that do not fully meet discharge pressure or flowrate will be deemed to have failed. The NASA COR shall have final approval of all testing, inspection, and examination results/reports.

-- End of Section --

APPENDIX A PUMP SKID REQUIREMENTS

I. PUMP SKID

The Dual Cryogenic Pump Skid consists of one (1) Liquid Oxygen electric pump, and (1) Liquid Methane electric pump assembled into a skid that is capable of delivering propellants at the conditions specified in the data sheets contained in Sections II and III of this appendix. The pumps shall be mounted such that they are removable from the skid for maintenance/cleaning via threaded fasteners rated to withstand the forces anticipated during operation of the skid.

Skid Frame

• The skid is intended to mount onto a larger platform that will be outdoors, unprotected for the majority of its life cycle, and subjected to deluge water spray.

• The frame shall be constructed of austenitic stainless steel 304L or 316.

• The footprint of the pump skid shall be 4 feet width maximum by 4 feet length maximum, if larger area is needed, the COR shall be contacted to approve the change.

Pump Assembly: Tubing and Components

• The contractor shall integrate and install all components and tubing required in order to form the complete assembly of the pumps.

• All tubing shall be stainless steel.

• All tubing shall be designed and installed per SSTD-8070-0126-PIPE.

• Tubing shall be 37 degree flare type per SSTD-8070-0126-PIPE at a minimum.

Motor

• The main drive motor for each pump shall be no larger than 50 horsepower.

• Protective shrouding shall be installed around moving/rotating parts to protect personnel.

• Motor electrical connections shall conform to NFP 70 Class 1 Division II requirements.

Electrical Enclosures

• Electrical enclosures should be mounted such that they are easily accessible i.e. mounted on the periphery of the skid.

• All electric enclosures must be NEMA rated outdoor enclosures.

• All enclosures shall conform to NFP 70 Class 1 Division II requirements.

• All enclosures shall be capable of accepting a nitrogen purge for maintaining positive pressure.

Electrical Connections

• Each pump shall have independent control wiring.

• Electrical connections to motor and instrumentation terminated at DIN rail mounted terminal blocks rated to handle the voltage and current necessary to power the cryogenic pumps.

• Allen Bradley motor controllers are the preferred option for driving the pump motors. Should appropriate Allen Bradley selection/availability be incomplete at time of contract, the vendor shall provide NASA with all necessary information to select a motor controller for each pump.

II. DATA SHEET: PUMP FOR LIQUID OXYGEN SERVICE

• Target Operating Point:

o 65 gpm @ 1453 ft tdh liquid oxygen @ approx. 42000 rpm o Efficiency = no less than 50%

• MAWP: 933 psig

• Service Fluid: Liquid Oxygen and Liquid Nitrogen

• Liquid Oxygen Service Temperature Range: -300°F to -270°F

• Liquid Oxygen Service Pressure Inlet: 30 - 50 psig

• Liquid Oxygen Service Pressure Outlet: 500 - 700 psig

• Liquid Nitrogen Service Temperature Range: -320°F to -300°F

• Liquid Nitrogen Service Pressure Inlet: 30 - 50 psig

• Liquid Nitrogen Service Pressure Outlet: 500 - 700 psig

• Pump shall be capable of operating at 0.7 ≤ Q/N ≤ 1.3.

• Inlet End Connection: 1.5” ASA/ANSI 37° flare connections

• Outlet End Connection: 1” ASA/ANSI 37° flare connections

• Inlet/Outlet orientation: Inlet and discharge orientation are parallel to each other

• Materials of construction:

o Housing: Inconel 718 or better oxygen-compatible o Impeller, Diffuser: Inconel 718 or better oxygen-compatible o Seals: Virgin PTFE per 54000-GM30 o Bearing: Sealed bearings in motor shaft

• Coupling: Direct Shaft mounted

• Mounting: Motor mounted on Base plate pump cantilevered from motor shaft.

• The operating environment of the pump will be 20°F to 130°F, 100% relative humidity

• The pump assembly shall be acceptance tested at manufacturer using Liquid Nitrogen per

Sec. 1.10 above. At the conclusion of the successful test, a liquid sample shall be taken from the discharge connection. This sample must meet RPT STD-8070-0001 Level 400A clean requirements or the acceptance test shall be deemed failed and the acceptance test shall be repeated until performance requirements and clean requirements are met.

• Pump construction shall meet ASME B31.3. Welds, if required, shall be backed with Argon only, no Nitrogen. All pressure containing welds shall be 100% radiographed per ASME B31.3. Radiographs must be submitted for approval and approval granted before hydrostatic test.

• The Purchaser reserves the right to inspect any or all component piece parts for cleanliness and workmanship prior to assembly with advanced two week notice.

• All pump components shall be hydrostatically proof tested in accordance with ASME B31.3, to a pressure of not less than 1.5 times the MAWP for no less than 10 minutes.

• Manufacturer shall supply any special tools needed for disassembly or reassembly of pump.

• Along with pump assembly, delivery shall include detailed drawings of pump, test procedures, test reports and material certifications for all metallic parts.

• All pump components shall be permanently marked with the following:

o Manufacturer o Model # o Serial # o MAWP o Pressure Rating and Temperature Rating o Proof Test Type / Pressure / Date

III. DATA SHEET: PUMP FOR LIQUID METHANE SERVICE

• Target Operating Point:

o 70 gpm @ 3126 ft tdh liquid methane @ approx. 42000 rpm o Efficiency = no less than 50%

• MAWP: 933 psig

• Service Fluid: Liquid Methane and Liquid Nitrogen

• Liquid Methane Service Temperature Range: -260°F to -230°F

• Liquid Methane Service Pressure Inlet: 30 - 50 psig

• Liquid Methane Service Pressure Outlet: 500 - 700 psig

• Liquid Nitrogen Service Temperature Range: -320°F to -300°F

• Liquid Nitrogen Service Pressure Inlet: 30 - 50 psig

• Liquid Nitrogen Service Pressure Outlet: 500 - 700 psig

• Pump shall be capable of operating at 0.7 ≤ Q/N ≤ 1.3.

• Inlet End Connection: 1.5” ASA/ANSI 37° flare connections

• Outlet End Connection: 1” ASA/ANSI 37° flare connections

• Inlet/Outlet orientation: Inlet and discharge orientation are parallel to each other

• Materials of construction:

o Housing: Inconel 718 o Impeller, Diffuser: Inconel 718 o Seals: Virgin PTFE o Bearing: Sealed bearings in motor shaft

• Coupling: Direct Shaft mounted

• Mounting: Motor mounted on Base plate pump cantilevered from motor shaft

• The operating environment of the pump will be 20°F to 130°F, 100% relative humidity

• The pump assembly shall be acceptance tested at manufacturer using Liquid Nitrogen per

Sec. 1.10 above. At the conclusion of the successful test, a liquid sample shall be taken from the discharge connection. This sample must meet RPT STD-8070-0001 Level VC clean requirements or the acceptance test shall be deemed failed and the acceptance test shall be repeated until performance requirements and clean requirements are met.

• Pump construction shall meet ASME B31.3. Welds, if required, shall be backed with Argon only, no Nitrogen. All pressure containing welds shall be 100% radiographed per ASME B31.3. Radiographs must be submitted for approval and approval granted before hydrostatic test.

• The Purchaser reserves the right to inspect any or all component piece parts for cleanliness and workmanship prior to assembly with advanced two week notice.

• All pump components shall be hydrostatically proof tested in accordance with ASME B31.3, to a pressure of not less than 1.5 times the MAWP for no less than 10 minutes.

• Manufacturer shall supply any special tools needed for disassembly or reassembly of pump.

• Along with pump assembly, delivery shall include detailed drawings of pump, test procedures, test reports and material certifications for all metallic parts.

• All pump components shall be permanently marked with the following:

o Manufacturer o Model # o Serial # o MAWP o Pressure Rating and Temperature Rating o Proof Test Type / Pressure / Date

-- End of Appendix A –

APPENDIX B NASA AND STENNIS SPACE CENTER (SSC)

STANDARDS AND SPECIFICATIONS

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SECTION 2

INSTRUCTION TO OFFERORS

☒52.212-1 Instructions to Offerors – Commercial Items (Oct. 2018) Addendum to 52.212-1

Quotes for the item(s) described in the RFQ are due by 4/20/2020 by 2 p.m. CT to Kaitlyn Smith at kaitlyn.d.smith@nasa.gov in order to be considered for award. If it is in the best interest of the Government, quotes submitted after the due date may be accepted. Quotes shall remain valid for 30 days unless otherwise expressly stated on the quote. Submitted Quotes shall list two points of contacts including name, phone number, and email address.

All contractual and technical questions must be in writing (e-mail) to Kaitlyn Smith at kaitlyn.d.smith@nasa.gov no later than 4/19/2020 by 2 p.m. CT. Telephone questions shall not be accepted.

The NAICS Code for this procurement is 336415.

This procurement is set aside for small business.

Offeror’s shall be registered at www.sam.gov in order to be considered for award.

Delivery is FOB Destination.

http://www.sam.gov/

19 V2.0 9-22

SECTION 3

SOLICITATION PROVISION/REPRESENTATIONS AND CERTIFICATIONS

☒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):

FAR http://farsite.hill.af.mil/vffara.htm NFS http://farsite.hill.af.mil/vfnasaa.HTM

FEDERAL ACQUISITIONI REGULATION (FAR) PROVISIONS INCORPORATED BY

REFERENCE:

☒52.204-07 System for Award Management (Oct 2018) ☒52.204-16 Commercial and Government Entity Code Reporting (Jul 2016) ☒52.204-17 Ownership or Control of Offeror (Jul 2016) ☒52.209-02 Prohibition on Contracting with Inverted Domestic Corporations – Representation (Nov

2015) ☒52.225-25 Prohibition on Contracting with Entities Engaging in Sanctioned Activities Or

Transactions Relating to Iran – Representation and Certifications (Aug 2018) ☐52.223-1 Biobased Product Certification (May 2012)

FAR PROVISISIONS IN FULL TEXT:

☒52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS

(OCT. 2018)

The offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site located at http://www.sam.gov/portal. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (u) of this provision.

(a) Definitions. As used in this provision--

“Economically disadvantaged women-owned small business (EDWOSB) concern” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and http://farsite.hill.af.mil/vffara.htm http://farsite.hill.af.mil/vfnasaa.HTM http://www.sam.gov/portal

20 V2.0 9-22 who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

“Forced or indentured child labor” means all work or service—

(6) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(7) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

“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.

“Inverted domestic corporation,” means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C.

395(c).

“Manufactured end product” means any end product in product and service codes (PSCs) 1000-9999, except—

(1) PSC 5510, Lumber and Related Basic Wood Materials;

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

(5) PSC 9410, Crude Grades of Plant Materials;

(6) PSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) PSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) PSC 9610, Ores;

(9) PSC 9620, Minerals, Natural and Synthetic; and

(10) PSC 9630, Additive Metal Materials.

“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

21 V2.0 9-22

“Predecessor” means an entity that is replaced by a successor and includes any predecessors of the predecessor.

“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

Sensitive technology—

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically—

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).

“Service-disabled veteran-owned small business concern”—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

22 V2.0 9-22

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

“Small business concern” 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 size standards in this solicitation.

“Small disadvantaged business concern, consistent with 13 CFR 124.1002,” means a small business concern under the size standard applicable to the acquisition, that--

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by--

(i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States;

and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

“Subsidiary” means an entity in which more than 50 percent of the entity is owned—

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

“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.

“Veteran-owned small business concern” means a small business concern—

(1) Not less than 51 percent of which is owned by one or more veterans(as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

“Women-owned business concern” means a concern 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 its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

“Women-owned small business concern” means a small business concern --

23 V2.0 9-22

(1) That 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.

“Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127),” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States.

(b)

(1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the SAMwebsite.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representation 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 (see FAR 4.1201), except for paragraphs ____________. [Offeror to identify the applicable paragraphs at (c) through (u) of this provision that the offeror has completed for the purposes of this solicitation only, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

(c) Offerors must complete the following representations when the resulting contract is to be performed in the United States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it [_] is, [_] is not a small business concern.

(2) Veteran-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it [_] is, [_] is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that it [_] is, [_] is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [_] is, [_] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

https://www.acquisition.gov/

24 V2.0 9-22

(5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [_] is, [_] is not a women-owned small business concern.

Note: Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold.

(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that—

(i) It [_] is, [_] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [_] is, [_] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: _________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(7) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.] The offeror represents that—

(i) It [_] is, [_] is not an EDWOSB concern, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [_] is, [_] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture:

_____________.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

(8) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [_] is, a women-owned business concern.

(9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price:

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(10) HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that--

(i) It [_] is, [_] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [_] is, [_] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: __________.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

(d) Representations required to implement provisions of Executive Order 11246 --

(1) Previous contracts and compliance. The offeror represents that --

(i) It [_] has, [_] has not, participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and

(ii) It [_] has, [_] has not, filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that --

(i) It [_] has developed and has on file, [_] has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR parts 60-1 and 60-2), or

(ii) It [_] has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American – Supplies, is included in this solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of

26 V2.0 9-22 unknown origin tohave been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.” The terms “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American— Supplies.”

(2) Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

(3) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(g)

(1) Buy American -- Free Trade Agreements -- Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American -- Free Trade Agreements -- Israeli Trade Act, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The terms “Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product,” “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” “Free Trade Agreement country,” “Free Trade Agreement country end product,” “Israeli end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American--Free Trade Agreements--Israeli Trade Act.”

(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements—Israeli Trade Act”:

Free Trade Agreement Country End Products (Other than Bahrainian, Moroccan, Omani, Panamanian, or Peruvian End Products) or Israeli End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

27 V2.0 9-22

[List as necessary]

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) or this provision) as defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements—Israeli Trade Act.” The offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.”

Other Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

(iv) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(2) Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate I. If Alternate I to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products as defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements—Israeli Trade Act”:

Canadian End Products:

Line Item No.:

[List as necessary]

(3) Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate II. If Alternate II to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products or Israeli end products as defined in the clause of this solicitation entitled “Buy American-- Free Trade Agreements--Israeli Trade Act'':

28 V2.0 9-22

Canadian or Israeli End Products:

Line Item No.: Country of Origin:

[List as necessary]

(4) Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate III. If Alternate III to the clause at 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Korean, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements—Israeli Trade Act”:

Free Trade Agreement Country End Products (Other than Bahrainian, Korean, Moroccan, Omani, Panamanian, or Peruvian End Products) or Israeli End Products:

Line Item No.: Country of Origin:

[List as necessary]

(5) Trade Agreements Certificate. (Applies only if the clause at FAR 52.225-5, Trade Agreements, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(5)(ii) of this provision, is a U.S.-made or designated country end product as defined in the clause of this solicitation entitled “Trade Agreements.”

(ii) The offeror shall list as other end products those end products that are not U.S.-made or designated country end products.

Other End Products

Line Item No.: Country of Origin:

29 V2.0 9-22

[List as necessary]

(iii) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25. For line items covered by the WTO GPA, the Government will evaluate offers of U.S.-made or designated country end products without regard to the restrictions of the Buy American statute. The Government will consider for award only offers of U.S.-made or designated country end products unless the Contracting Officer determines that there are no offers for such products or that the offers for such products are insufficient to fulfill the requirements of the solicitation.

(h) Certification Regarding Responsibility Matters (Executive Order 12689). (Applies only if the contract value is expected to exceed the simplified acquisition threshold.) The offeror certifies, to the best of its knowledge and belief, that the offeror and/or any of its principals--

(1) [_] Are, [_] are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;

(2) [_] Have, [_] have not, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property; and

(3) [_] Are, [_] are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses enumerated in paragraph (h)(2) of this clause; and

(4) [_] Have, [_] have not, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds $3,500 for which the liability remains unsatisfied.

(i) Taxes are considered delinquent if both of the following criteria apply:

(A) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.

(B) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.

(ii) Examples.

(A) The taxpayer has received a statutory notice of deficiency, under I.R.C. §6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appear rights.

30 V2.0 9-22

(B) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. §6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals Contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. In the course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.

(C) The taxpayer has entered into an installment agreement pursuant to I.R.C. §6159. The taxpayer is making timely payments and is in full compliance with the agreement terms.

The taxpayer is not delinquent because the taxpayer is not currently required to make full payment.

(D) The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. §362 (the Bankruptcy Code).

(i) Certification Regarding Knowledge of Child Labor for Listed End Products (Executive Order 13126). [The Contracting Officer must list in paragraph (i)(1) any end products being acquired under this solicitation that are included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, unless excluded at 22.1503(b).]

(1) Listed End Product

Listed End Product: Listed Countries of Origin:

(2) Certification. [If the Contracting Officer has identified end products and countries of origin in paragraph (i)(1) of this provision, then the offeror must certify to either (i)(2)(i) or (i)(2)(ii) by checking the appropriate block.]

[_] (i) The…

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