SOLICITATION_AG04GGS150021_OFFERORS_RETURN_PACKAGE_.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE 1 OF 32

Offeror to complete blocks 12, 17, 23, 24, & 30

2. CONTRACT NO. 3. AWARD/

EFFECTIVE DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION

ISSUE DATE

AG-04GG-S-15-0021 04/27/15

7. FOR SOLICITATION

a. NAME

Darrell Meadows, Technical Contact

b. TELEPHONE (No Collect Calls)

541-433-3263

8. OFFER DUE

DATE/LOCAL TIME

06/08/15, 4:30 PM

INFORMATION CALL Maria Gonzalez, Contracting Officer 541-383-5547

9. ISSUED BY (MAIL OFFERS TO) CODE 9JNE 10. THIS ACQUISITION IS

UNRESTRICTED

SET-ASIDE.100% FOR

SMALL

BUSINESS,

HUBZONE SMALL

BUSINESS

8(A)

SOLE SOURCE

NAICS: 561720

SIZE STANDARD:

11. DELIVERY FOR

FOB DESTINATION

UNLESS BLOCK IS

MARKED.

12. DISCOUNT TERMS

Deschutes National Forest

63095 Deschutes Market Road

Bend, OR 97701

SEE SCHEDULE

13a. THIS CONTRACT IS A RATED

ORDER

UNDER DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO: CODE 16. ADMINISTERED BY CODE

Deschutes National Forest

Bend, OR 97701

Same as Block 9

17a.

CONTRACTOR/OFFEROR

CAGE FACILITY

CODE

18a. PAYMENT WILL BE MADE BY CODE

DUNS#____________________

Deschutes National Forest

Bend, OR 97701

TELEPHONE TIN:

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

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH

ADDRESS IN OFFER

IS CHECKED: SEE ADDENDA

19.

ITEM NO,

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

DESCHUTES NATIONAL FOREST – CRESCENT

RANGER DISTRICT JANITORIAL SERVICES

DO NOT ENTER PRICES

ENTER PRICES IN ATTACHED SCHEDULE OF ITEMS

Note:

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

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

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

28.

CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN ORIGINAL TO ISSUING OFFICE.

CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

29.

AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION (BLOCK 5), DATED

(BLOCK 30c) INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

HEREIN, IS ACCEPTED AS TO ITEMS:

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

OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR

PRINT)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER 31c. DATE

SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (Rev. 4/2002) PREVIOUS EDITION IS NOT USABLE Prescribed by GSA FAR (48 CFR) 53.212

REFERENCE NO. OF DOCUMENT

Deschutes National Forest Crescent Ranger District AG-04GG-S-15-0021 Janitorial Services

SCHEDULE OF ITEMS

Perform janitorial services for the Crescent Ranger District Office and Rosedale Warehouses in accordance with the attached specifications, clauses, terms, and conditions. Contract time is estimated to be: July 1, 2015 through September 2015, with four one-year options beginning

October 1, 2015. Bid Items are based on Federal Fiscal Years, October 1 thru September 30.

ITEM

NO.

SUPPLIES/SERVICES ESTIMATED

QUANTITY

UNIT UNIT

PRICE

AMOUNT

BASE YEAR - FY15 (JULY 1, 2015 – 09/30/15)

01 A Office Janitorial Services

Summer Schedule. July 1 thru September 30, 2015.

MO

01 B Office Janitorial Services

Winter Schedule. No

WINTER Schedule in

FY15

$ __-0-__

$ ___-0-_____

01 C Office Interior Window

Cleaning. None in FY15

EA

$__-0-__

$____-0-___

01 D Peterson Room Janitorial

Services July 1 thru

September 30, 2015.

OPTION YEAR 1 – FY16 (10/01/15-09/30/16)

02 A Office Janitorial Services

Winter Schedule.

November 1, 2015 thru

March 31, 2016.

02 B Office Janitorial Services

Summer Schedule.

October 1-31, 2015 &

April 1 thru September 30, 2016.

02 C Office Interior Window

Cleaning. October 2015 &

January, April, July 2016.

02 D Peterson Room Janitorial

Services. October 1, 2015 thru September30, 2016.

OPTION YEAR 2 – FY17 (10/01/16 – 09/30/17)

03 A Office Janitorial Services

Winter Schedule.

November 1, 2016 thru

March 31, 2017.

03 B Office Janitorial Services

Summer Schedule.

October 1-31, 2016 &

2017.

03 C Office Interior Window

Cleaning. October 2016 &

January, April, July 2017.

03 D Peterson Room Janitorial

Services. October 1,2016 thru September 30, 2017.

OPTION YEAR 3 – FY18 (10/01/17 – 09/30/18)

04 A Office Janitorial Services

Winter Schedule.

November 1,2017 thru

March 31, 2018.

04 B Office Janitorial Services

Summer Schedule.

October 1-31, 2017 &

2018.

04 C Office Interior Window

Cleaning. October 2017 &

January, April, July 2018.

04 D Peterson Room Janitorial

Services. October 1, 2017 thru September 30, 2018.

OPTION YEAR 4 – FY19 (10/01/18 – 09/30/19)

05 A Office Janitorial Services

Winter Schedule.

November 1, 2018 thru

March 31, 2019.

05 B Office Janitorial Services

Summer Schedule.

October 1-31, 2018 &

2019.

05 C Office Interior Window

Cleaning. October 2018 &

January, April, July 2019.

05 D

Peterson Room Janitorial

Services. October 1, 2018 thru September 30, 2019.

TOTAL BASE ITEM

PLUS OPTIONAL

ITEMS COMBINED

XXXXXXXX

XXX

XXXXXX

FAXED OR EMAILED QUOTES WILL NOT BE ACCEPTED.

For technical information contact: Darrell Meadows, 541-433-3263

For contractual information contact: Maria Gonzalez, 541-383-5547

Should you need directions to the Crescent Ranger District Office, please contact Darrell

Meadows.

See Page 16 FAR 52.237-1 Site Visit (Apr 1984)

NOTE:

SET--ASIDE: This acquisition is Set-Aside for Total Small Business. All potential offerors may submit a quote for this acquisition. If a minimum of two competitive offers from eligible small business concerns are not received, any awards resulting from this combined solicitation and synopsis will be made on the basis of full and open competition from all responsible business concerns submitting an offer. The NAICS Code is 561720 and small business size standard is $18.0 Million. The

Government will issue an order as a result of this Request for Quotations to the responsible quoter whose quote, conforming to the solicitation, will be most advantageous to the Government, cost or price and other factors considered. The Government may reject any or all quotes, issue orders to other than the lowest quote, and waive minor informalities or irregularities in quotes received. If necessary, the

Government may conduct discussion with any or all quoters.

Attachment No.2 Bio Based Products and Certifications

Bio-Based Products/Certifications

Background Congress passed a law to encourage the purchase of biobased products: the Farm Security and

Rural Investment Act, Section 9002. Federal agencies must purchase designated biobased products and will establish agency preferential procurement programs for such products. Benefits of biobased products are to: enhance the nation's energy security by substituting domestically produced biobased products for fossil fuel based products derived from imported oil and natural gas; improve demands for biobased products to increase demand for agricultural commodities, which are the feedstock of biobased products; spur the development of value added agricultural processing and manufacturing in rural communities, which would create new jobs and income in rural regions; and establish an healthier environment for users.

Supplies, Materials, and Equipment to be Provided by the Contractor Unless otherwise specified herein, the Contractor shall furnish all supplies, materials, and equipment necessary for the performance of work under this contract. All supplies and materials shall be of a type and quality that conform to applicable Federal specifications and standards.

All supplies, materials, and equipment to be used in the performance of work described herein are subject to the approval of the Contracting Officer's Technical Representative (COTR).

The Contractor must submit to the COTR a list of product to be utilized in the performance of its work. The Contractor shall not use any materials, chemicals, or compounds that the COTR determines to be unsuitable to perform the required work. The Contractor shall utilize products and material made from biobased materials (e.g., biobased cleaners, biobased degreasers, biobased laundry detergent) to the maximum extent possible. For the biobased content products evaluation, products proposed for use under this contract must conform to the Department of

Agriculture (USDA) Designated Biobased Products List (DBPL). If requested in the contract, contractors shall provide data for their biobased solvents and cleaners to document the level of biobased content. Any biobased product that the COTR suspects does not meet USDA specifications or standards shall be tested at the Contractor's expense by an independent laboratory qualified to perform such tests. A copy of the laboratory report of findings shall be submitted to the COTR. These products shall meet the requirements established by applicable

Federal specifications and standards or be considered unacceptable for use.

Biobased Products to Be Provided by the Contractor The following is a list of products USDA requires for custodial purposes. Each product submitted must be identified with one of these categories. It is desirable that vendors be able to supply the greatest number of biobased products listed meeting the health and environmental specifications. Labeling should be printed on all containers.

All Purpose Cleaner Degreaser/cleaner

Heavy duty cleaner Deodorizer

Wood floor cleaner Floor finish

Gum Remover Floor finish restorer

Disinfectant sanitizer Floor sealer

Extraction fluid Furniture polish

Floor stripper Glass cleaner

Neutral cleaner (liquid) Solvent spotter

Spot and stain remover Lime and scale remover (tub and tile cleaner)

Air freshener Liquid hand soap

Bathroom cleaner Stainless steel polish

Brass polish/cleaner Toilet bowl cleaner

Chrome polish/cleaner Cream cleaner

In addition, trash bags shall be used. They must contain at least 25% recycled post consumer content and also be biodegradable material.

The offered products must meet the required content levels as stated in the USDA Final Rule for that designated item. Products which do not meet the mandatory specifications or for which the appropriate information has not been submitted will be disqualified from further consideration.

Required Submittals and Reports All offerors shall submit with their initial proposal a complete list of products that are to be used in carrying out the requirements of the contract. Additionally, the winning contractor on each anniversary date of the contract shall submit a complete list of products purchased to carry out the contract requirements. The products list shall be organized into the following categories:

Designated Biobased products, Non-designated Biobased products, and all other "Green" products (e.g. recycled content products, energy- and water-efficient products, products using renewable energy, and alternatives to hazardous or toxic chemicals). The offeror shall list volume to be used and total cost for each individual product in each category. This information will be used for reporting purposes and to determine the reasonableness of cost.

Once USDA designates a biobased item that is part of the existing contract, the contractor may utilize the remainder of the biobased products that was originally purchased to carry out the requirements of the contract. Once the product has been completely consumed, the contractor shall replace that product with a product that meets the requirements and specifications of the designated Item. The Contracting Officer shall inform the contractor and COTR when an item has been designated. Additionally, the contractor will provide supporting documentation if there is an upward cost impact so that contract pricing can be adjusted accordingly. Likewise, the contract will be adjusted downward if so warranted. To the greatest extent feasible, the

Contractor shall also use biobased products.

a. Cleaning Operations and Stewardship Plan. The Plan must be reviewed and updated annually, and as required by the Contracting Officer. The Plan must contain and define the following elements and be submitted within thirty (30) days of contract award:

1. The Contractor's written policy stating its commitment to the use of biobased products, employee health and safety, and sound environmental management practices;

2. Proposed biobased cleaning-products that must be selected in accordance with the criteria included in this Solicitation. At a minimum, the Plan must identify products by brand name for each of the above product types;

NOTE: Contractors may propose more than one product within a designated item and/or propose a product or products addressing more than one designated item

3. Once this list of products has been approved by the Contracting Officer, the

Contractor is responsible for using only those approved cleaning chemical products in the building. If for some reason the product is found later to be ineffective, or the Contractor would otherwise like to propose an alternative product, either the Contractor or Contracting Officer may propose for consideration an "equal" product. The Contracting Officer is the final decision-maker for such substitutions and must approve each in writing;

4. Product Use and Cleaning Guides which define standard operating procedures for instructing staff in the following areas: the proper use, storage, and disposal of cleaning products; proper cleaning procedures; proper operation of equipment;

and other procedures/instructions to accomplish work under this contract; and

5. The Contractor shall define proper procedures for the storage of hazardous materials in conformance with good housekeeping practices, the National Fire

Prevention Association (NFPA) Code, and applicable Federal and municipal regulations. The Plan also must define proper procedures for the identification and disposal of hazardous wastes in accordance with Federal RCRA regulations and the District of Columbia Municipal Regulations (DCMR), Title 20, Subpart E prior to use with personnel.

6. The Contractor shall provide data on the quantity and dollar value of biobased products used in the contract. This shall be submitted on an annual basis.

b. Affirmative Procurement Program The Contractor must implement the requirements of the agency's comprehensive Affirmative Procurement Program for the purchasing of biobased products to the maximum extent possible. The Contractor shall detail how it intends to keep abreast of the development and increasing availability of biobased products and how any new or improved products will be incorporated on an ongoing basis into contract performance.

FAR 52.223-2

(a) In the performance of this contract, the Contractor shall make maximum use of biobased products that are USDA-designated items, unless the product cannot be acquired-

(1) Competitively within a time frame providing for compliance with the contract performance schedule;

(2) Meeting contract performance requirements; or

(3) At a reasonable price.(b) Information about this requirement and these products is available at www.biopreferred.gov http://www.biopreferred.gov/

Representations, Certifications, And Other Statements of Bidders

52.223-1, Biobased Product Certification

The Contractor shall execute the following certification required by the Farm Security and Rural

Investment Act of 2002 (7 U.S.C. 8102(c) (3) :

I, ____________(name of certifier), am an officer or employee responsible for the performance of this contract and I hereby certify that biobased products (within categories of products listed by the United States Department of Agriculture in 7 CFR part 2902, subpart B) to be used or delivered in the performance of the contract, other than biobased products that are not purchased by the officer as a direct result of this contract, will comply with the applicable specifications of other contractual requirements.

{Signature of the Officer or Employee}

{Typed Name of the Officer or Employee}

{Title}

{Name of Company, Firm, or Organization}

{Date}

Instructions to Offerors

In the technical proposal, the officer shall identify the biobased products to be purchased and used under this operations and maintenance contract. For each biobased product, the officer shall specify the percentage of biobased content, and for the USDA-designated biobased content products, the offeror shall demonstrate that the products to be used under this contract will contain the percentage specified in the USDA recommendations or the highest level of biobased material practicable, consistent with USDA’s recommended percentages of biobased content.

The offeror shall document prior experience in specifying, purchasing, using, and installing biobased products. The offeror shall provide a list for all relevant contracts over the past two years involving the specification, purchase, and/or use of biobased products. The offeror shall include a list of the biobased products specified, purchased, used, and installed.

Quality Control Program The Contractor shall institute a complete quality-control program to ensure that the products required by this contract are supplied or used, as specified. The overall goal of the program should be to identify and correct any problems that may exist before they are identified by or reported to the COTR and/or the building-management staff. As a minimum, the program shall include:

a. An inspection system covering all the services required with a comprehensive checklist to be used to inspect contract performance during scheduled and unscheduled inspections, and the name(s) of the individuals who will be performing the inspections.

b. A system for identifying and correcting deficiencies and/or a pattern of deficiencies in the quality or quantity of services provided before the level of performance becomes unacceptable and/or Government inspectors point out the deficiencies.

c. A file of all inspections conducted by the Contractor and corrective actions taken. This should include follow-up inspections to ensure that corrective action was appropriate, complete, and timely. This documentation shall be organized in a logical manner, kept current, and made available to the COTR and the Contracting Officer during the term of the contract.

The intent of this Green Cleaning and Maintenance Policy is to improve the health and well-being of building occupants and maintenance personnel by reducing their exposure to potentially hazardous chemical, biological, and particulate contaminants that are common with standard cleaning products and practices. The janitorial company hired by US Forest Service to provide

Crescent Ranger District cleaning and maintenance shall adhere to all guidelines listed below.

Sustainable Cleaning Products and Materials:

Sustainable purchasing methods shall be implemented for all cleaning materials and products, disposable janitorial paper products, and trash bags used in the certified building. A log shall be kept of all cleaning products and materials to document that they meet the following requirements;

(see www.greenseal.org,www.environmentalchoice.com, and www.ecologo.com for descriptions of green cleaning standards):

General cleaning products:

general-purpose, bathroom, glass, and carpet cleaners : Green Seal GS-37 cleaning and degreasing compounds: Environmental Choice CCD-110 hard-surface cleaners: Environmental Choice CCD-146 carpet and upholstery care: Environmental Choice CCD-148

Disinfectants, metal polish, floor finishes, and strippers:

floor care products: Green Seal GS-40 digestion additives for cleaning and odor control: Environmental Choice CCD-112 drain or grease traps additives: Environmental Choice CCD-113 odor control additives: Environmental Choice CCD-115 hard floor care: Environmental Choice CCD-147 disinfectants, metal polish, floor finishes, and strippers not to exceed California Code of

Regulations maximum allowable VOC levels

Sustainable Green Cleaning Equipment:

All janitorial equipment used in the certified building shall be selected according to the guidelines listed below, and shall serve to reduce building contaminants and minimize environmental impacts with each use. A log shall be kept for all powered cleaning equipment to document the date of equipment purchase and all repair and maintenance activities, and shall include vendor specification sheets for each type of equipment used in the certified building.

Cleaning equipment shall meet the following requirements:

Vacuum cleaners shall be certified by the Carpet and Rug Institute “Green Label” Testing

Program (www.carpet-rug.org) for vacuum cleaners and operate with a sound level of less than 70dBA.

Carpet extraction equipment used for restorative deep cleaning shall be certified by the

Carpet and Rug Institute’s “Seal of Approval” Testing Program for deep-cleaning extractors.

Powered floor maintenance equipment (including electric and battery-powered floor buffers and burnishers) shall be equipped with vacuums, guards, and/or other devices for capturing fine particulates and operate with a sound level of less than 70dBA.

Propane-powered floor equipment shall have high-efficiency, low-emissions engines with catalytic converters and mufflers that meet the California Air Resources Board (CARB) or Environmental Protection Agency (EPA) standards for the specific engine size, and shall operate with a sound level of less than 90dBA.

Automated scrubbing machines shall be equipped with variable-speed feed pumps and onboard chemical metering to optimize the use of cleaning fluids, or shall use only tap water with no added cleaning products.

Battery-powered equipment shall be equipped with environmentally preferable gel batteries.

Powered equipment shall be ergonomically designed to minimize vibration, noise, and user fatigue.

Equipment shall be designed with safeguards, such as rollers or rubber bumpers, to reduce potential damage to building surfaces.

Standard Operating Procedures:

It shall be standard operating policy for the janitorial company to encourage all employees and staff to become familiar with the approved cleaning products and procedures, whether or not all staff will be involved in the cleaning of the certified building. A log shall be kept of all cleaning products and materials, indicating the date of purchase and quantity purchased, and including manufacturer’s instructions for use and documentation that the product’s sustainable features meet the requirements set forth in the “Sustainable Cleaning Products and Materials” section of this policy.

All employees that will be involved in the cleaning and maintenance of the certified building shall be thoroughly trained in the hazards, use, maintenance, disposal, and recycling of cleaning chemicals, dispensing equipment, and packaging for all cleaning products, materials, and equipment used in the building.

If a new item is introduced to the cleaning palette at any point, it shall be added to the log and a training seminar shall be held for all staff that may potentially use the product. All required and recommended manufacturer’s instructions shall be discussed in these seminars and shall be followed at all times. It shall be standard policy that all product packaging be recycled whenever possible.

Hand Hygiene Strategies:

Each restroom in the certified building is equipped with easily accessible soap dispensers to encourage the regular washing of hands. Building tenants will be encouraged to incorporate a standard for washing hands and/or using waterless hand sanitizer to avoid the spread of germs.

Attachment No.2 Continued Green Cleaning and Maintenance Policy

Handling and Storage of Cleaning Products and Materials:

All cleaning supplies and products shall be stored in designated areas (i.e., janitor’s closet, storage cabinet, etc.) only. At no time shall the janitorial company leave any product unattended in any other location in the building.

Should a product require mixing or preparation prior to its use, such preparation shall occur in a designated area only, and the product shall be ready for use before being moved out of such area.

Cleaning and maintenance staff shall be familiar with the manufacturer’s handling and storage requirements, and shall follow them at all times. Should a product be spilled or mishandled at any point, manufacturer’s recommended instructions shall be strictly followed during cleanup and removal, and all traces of the product shall be thoroughly removed from the location where the incident occurred. Such situations shall be documented in the log, including documentation of the cleanup procedure.

Building-Specific Staff Training:

Cleaning and maintenance staff shall be familiar with the requirements and limitations of all surfaces and building finishes that they will be cleaning in the certified building, so as not to damage the building in any way. All required and recommended manufacturer’s cleaning instructions for building finishes shall be adhered to at all times. Packaging shall be properly disposed of, recycled when possible, and placed directly in the exterior trash/recycling area rather than left in the building for tenants to deal with. All chemicals shall be properly disposed of, recycled when possible, following the strictest environmental and manufacturers’ requirements.

Feedback & Evaluation Procedures:

It is recommended that the janitorial company perform an annual “building appearance audit” in accordance with APPA Leadership in Educational Facilities’ “Custodial Staffing Guidelines” to determine the appearance level of the facility. Any feedback on the cleaning quality given by building occupants shall be taken into consideration, and adjustments shall be made to improve the quality of cleanliness whenever necessary. The building owner’s representative shall make an annual evaluation of the cleaning program’s effectiveness, and bring any problem areas to the attention of the janitorial company’s representative.

Note: This ID Credit Green Cleaning and Maintenance Policy was influenced by LEEDEBOM

IEQp3, IEQc3.1, IEQc3.2, IEQc3.3, and IEQc3.4, dated November 2008.

Attachment No. 3

Contractor Performance Data Sheet

This RFP/RFQ Number:

Contractor Name:

Address:

Contractor’s POC (Person to verify data):

Telephone:

FAX:

CONTRACT PERFORMANCE INFORMATION

Contract Number: Date Completed:

Contract Type: FFP___ Cost Reimbursement ___ Other (Specify) ___________

Brief Item/Service Description (See Quality (1) below to provide additional detail):

Project Location

Project Size/Period of Performance:

Customer Name:

Customer POC (Person who can verify data):

Address:

Telephone:

FAX:

CONTRACTOR MUST COMPLETE THE FOLLOWING TO BE CONSIDERED

RESPONSIVE

QUALITY

YES NO

1 Were supplies/services similar in nature to this solicitation’s work description? *

2 Was/is any part of this contract terminated for default and/or in litigation? *

3 Was consideration or a monetary withhold for non-conforming supplies/services?

4 Was any warranty work completed on delivered items or rework of services?

5 Did you receive any quality awards in the past three years?

CUSTOMER SATISFACTION

6 Were the customers completely satisfaction with the completed products & services?

TIMELINESS

7 Were all items (including products, services, reports, etc.) delivered within the original contract schedule?

8 Were liquidated damages or consideration assessed for late delivery

BUSINESS RELATIONS

9 Did subcontractor get effectively managed where subcontracts were necessary?

N/A

10 Was an environment of reasonableness and cooperation nurtured whereby flexibility existed and solutions were recommended?

11 Was there a good working relationship with the Contracting Officer and COR? *

OTHER PERTINENT INFORMATION

12 Describe any corrective action(s) initiated to solve any of the above-described problems/deficiencies on this contract. Discuss the success of the corrective action(s) taken.****

NOTES: (1) Answers in columns containing an asterisk (*) require an explanatory narrative attached to this form.Other answers may include narrative response at the offerors election. (2) The information provided may be used to evaluate the offeror’s past performance in meeting cost, price, technical, and performance objectives. The results may be used in the overall comparative evaluation of the offeror(s) in accordance with Evaluation

Factors for Award provisions.

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

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 accessed through http://www.acquisition.gov . If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (p) 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 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—

(1) 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

(2) 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;

http://www.acquisition.gov/

(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.

“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.

(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.

“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 --

(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 https://www.acquisition.gov/

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 (p) 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.

(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:

(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 unknown origin to have 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:

(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:

(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.:

(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'':Canadian or Israeli End Products:

Line Item No.: Country of Origin:

(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…