AG-8371-S-17-0005.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

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

OFFEROR

ALBUQUERQUE NM 87102

333 BROADWAY SE

SOUTHWESTERN REGION

CODE 16. ADMINISTERED BYCODE

X

X

X

621111

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR8371

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

01/17/2017 1630 MT

12/13/2016

(505)842-3128SARAH VALENCIA

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

AG-8371-S-17-0005

5. SOLICITATION NUMBER

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

1 47 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

ALBUQUERQUE NM 87102

333 BROADWAY SE

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$11.00

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

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

SOUTHWESTERN REGION

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Forest Service Southwestern Region (R3) Medical Direction for FS Emergency Medical Service Providers Period of Performance: 02/06/2017 to 02/05/2018

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

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

SARAH J. VALENCIA

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

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

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

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

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

47 2 of

Supplies or Services and Prices/Costs

The period of performance is a base year with 4 option periods.

Schedule of Items

Service Location – New Mexico

Base – Emergency Medical Services from February 15, 2017 through February 14, 2018

Line Item

Description Quantity Unit of Issue

Unit Price Total

Providing Services listed in the Statement of Work

5 – 50 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

51 – 75 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

76 –100 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

101 –125 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

126 – 175 EMR to EMTA LS $ $

006 Travel 1 LS $ $

Option 1 Year 2 – Emergency Medical Services from February 15, 2018 through February 14, 2019

Line Item

Description Quantity Unit of Issue

Unit Price Total

Providing Services listed in the Statement of Work

5 – 50 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

51 – 75 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

76 –100 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

101 –125 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

126 – 175 EMR to EMTA LS $ $

006 Travel 1 LS $ $

Option 2 Year 3 – Emergency Medical Services from February 15, 2019 through February 14, 2020

Line Item

Description Quantity Unit of Issue

Unit Price Total

Providing Services listed in the Statement of Work

5 – 50 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

51 – 75 EMR to EMTA LS $ $

003 Providing Services listed in the 76 –100 LS $ $

Statement of Work EMR to EMTA

Providing Services listed in the Statement of Work

101 –125 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

126 – 175 EMR to EMTA LS $ $

006 Travel 1 LS $ $

Option 3 Year 4 – Emergency Medical Services from February 15, 2020 through February 14, 2021

Line Item

Description Quantity Unit of Issue

Unit Price Total

Providing Services listed in the Statement of Work

5 – 50 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

51 – 75 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

76 –100 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

101 –125 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

126 – 175 EMR to EMTA LS $ $

006 Travel 1 LS $ $

Option 4 Year 5 – Emergency Medical Services from February 15, 2021 through February 14, 2022

Line Item

Description Quantity Unit of Issue

Unit Price Total

Providing Services listed in the Statement of Work

5 – 50 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

51 – 75 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

76 –100 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

101 –125 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

126 – 175

006 Travel 1 LS $ $

Service Location – Arizona

Base – Emergency Medical Services from February 15, 2017 through February 14, 2018

Line Item

Description Quantity Unit of Issue

Unit Price Total

Providing Services listed in the Statement of Work

5 – 50 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

51 – 75 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

76 –100 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

101 –125 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

126 – 175 EMR to EMTA LS $ $

006 Travel 1 LS $ $

Option 1 Year 2 – Emergency Medical Services from February 15, 2018 through February 14, 2019

Line Item

Description Quantity Unit of Issue

Unit Price Total

Providing Services listed in the Statement of Work

5 – 50 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

51 – 75 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

76 –100 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

101 –125 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

126 – 175 EMR to EMTA LS $ $

006 Travel 1 LS $ $

Option 2 Year 3 – Emergency Medical Services from February 15, 2019 through February 14, 2020

Line Item

Description Quantity Unit of Issue

Unit Price Total

Providing Services listed in the Statement of Work

5 – 50 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

51 – 75 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

76 –100 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

101 –125 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

126 – 175

Option 3 Year 4 – Emergency Medical Services from February 15, 2020 through February 14, 2021

Line Item

Description Quantity Unit of Issue

Unit Price Total

Providing Services listed in the Statement of Work

5 – 50 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

51 – 75 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

76 –100 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

101 –125 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

126 – 175 EMR to EMTA LS $ $

006 Travel 1 LS $ $

Option 4 Year 5 – Emergency Medical Services from February 15, 2021 through February 14, 2022

Line Item

Description Quantity Unit of Issue

Unit Price Total

Providing Services listed in the Statement of Work

5 – 50 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

51 – 75 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

76 –100 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

101 –125 EMR to EMTA LS $ $

Providing Services listed in the Statement of Work

126 – 175

Scope of Work

Scope of Contract

The purpose of this statement of work is to secure one or more qualified contractors to provide medical direction for Forest Service emergency medical service providers located in the Southwestern Region (R3) if the Forest Service (New Mexico and Arizona ). These employees are collateral duty Emergency Care Providers and as such are normally employed as Wildland Firefighters. These employees are currently credentialed in Arizona and New Mexico, or other states, as Emergency Medical Responders (EMR), Basic Emergency Medical Technicians, Intermediate Emergency Medical Technicians, or Advanced Emergency Medical Technicians

(EMTA).

These Forest Service employees occasionally provide emergency medical care for employees and visitors that are participating in remote outdoor recreation and other high risk work activities such as wildland fire operations and law enforcement. Medical care providers in the Southwestern Region, on average respond to 20 emergency care events per year.

The number of Forest Service Emergency Medical Care Providers that will be covered under the Medical Director will vary from year to year. These employees are distributed across various locations within R3.

R3 includes 6 National Forests in Arizona (Apache-Sitgreaves, Coconino, Coronado, Kaibab, Prescott and Tonto); and 5 National Forests in New Mexico (Carson NF, Cibola NF, Gila NF, Lincoln NF and Santa Fe NM); and the Regional Office in Albuquerque, New Mexico.

The Forest Service anticipates the range of employees on a yearly basis identified in the scale below:

Medical personnel located on the following forests in Arizona: (93 Total)

1. Apache-Sitgreaves National Forest - 8

2. Coconino National Forest - 27

3. Coronado National Forest - 13

4. Kaibab Challis National Forest - 11

5. Prescott National Forest - 16

6. Tonto National Forest - 30

Medical personnel located on the following forests in New Mexico: (53 Total)

1. Carson National Forest - 8

2. Cibola National Forest – 11

3. Gila National Forest - 15

4. Lincoln National Forest - 8

5. Santa Fe National Forest - 11

Technical Specifications

The Contractor must be a licensed physician in the state in which a quote is being provided and will be responsible for the medical aspects of the care provided by R3 Forest Service emergency medical personnel under his/her direction.

The contractor must have the following qualifications and background:

1. Experience in providing or identifying available tactical EMS courses or emergency medical presentations.

2. Has the following current licenses and certifications:

a. American Board of Emergency0 Medicine board certification

b. American Board of Emergency Medicine – EMS subspecialty board certified or board eligible (preferred) Arizona and New Mexico State Board of Medicine licenses

c. Unrestricted DEA license

Medical Director Services shall include:

1. Training: The contractor or his/her designee will provide annual face to face training two sessions in New Mexico and two sessions in Arizona. The contractor will provide input for training which will cover the dynamics of emergency medical care for wildland fire operations, law enforcement activities and employees participating in remote work projects.

2. Credentialing: The contractor will support and advise Forest Service Outdoor Emergency Care Providers, (Emergency Medical Responders, Basic Emergency Medical Technicians, Intermediate Emergency Medical Technicians, and Advanced Emergency Medical Technicians) to ensure continuing education is completed.

3. Protocol Development, Review and Approval: The contractor will assist in developing treatment protocols and will function as the medical director who will review and approve the protocols annually or as necessary.

4. Subject Matter Expert (SME): As requested by the employees under medical direction, the contractor will provide advice and guidance on emergency medical service issues affecting the Forest Service.

5. Patient Care Report (PCR) review: The contractor will review an adequate sample of PCR’s annually to determine quality of documentation for problem assessment/reassessment, treatment, and disposition. Based on this review, he/she will provide a written response with recommendations such as a change in documentation or treatment protocol and topics for continuing education.

6. Emergency Medical Direction: The contractor will be available via telephone to answer questions and provide direction to the EMS providers in the field. The contractor or his/her approved designee will provide a response within 15 minutes from initial contact from a Forest Service EMS personnel engaged in an emergency medical response. The contractor will also have a designated email address for non-urgent question from the field. The contractor or his/her designee will respond to email questions from the field within 48 hours.

7. Liability Insurance: The medical director will maintain and provide proof of liability insurance on an annual basis to the Contracting Officer (CO) or Contracting Officer’s Representative (COR).

8. Quality Assurances Performance Plan (QAPP): As the medical director, the contractor will submit twice a year written reports to the COR reporting:

a. Summary of all submitted patient care reports (PCR.)

b. Summary of issues and concerns with Forest Service emergency care providers covered under this medical direction.

Task Identified Due Date Base Year

02/15/17-02/14/18

Due Date Option Year 1

02/15/17-02/14/18

Due Date Option Year 2

02/15/17- 02/14/18

Due Date Option Year 3

02/15/17-02/14/18

Due Date Option Year 4

02/15/17- 02/14/18

Plans and Location for face-to-face training for R3 EMS providers at all levels

October 31, October 31, 2018 October 31, October 31, 2020 October 31, Review and provide recommendations to the EMS plans, policies and protocols, preparing for each season

February 31, January 31, 2018 January 31, January 31, 2020 January 31, On-call oversite and support for providers in the field

February 15, 2017 through February 14, February 15, 2018 through

February 14, 2019

February 15, 2019 through February 14, February 15, 2020 through

February 14, 2021

February 15, 2021 through February 14, Continue credentialing and training of EMS providers. Task will be considered complete when the EMS providers that submit their paperwork have received their credentials that identify Medical Director

June 15, 2017 June 15, 2018 June 15, 2019 June 15, 2020 June 15, 2021

Travel

Limited travel will be required. The contractor(s) will be reimbursed for travel expenses in accordance with Federal Travel Regulations. (www.gsa.gov/ftr) while in travel status on government business.

http://www.gsa.gov/ftr

Contract Clauses

52.212-1 Instructions to Offerors - Commercial Items. (OCT 2016)

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code and small business size standard for this acquisition appear in Block 10 of the solicitation cover sheet (SF 1449). However, the small business size standard for a concern which submits an offer in its own name, but which proposes to furnish an item which it did not itself manufacture, is 500 employees.

Socio-economic Status – This requirement is set-aside 100% to small businesses under NAICS code 621111. The government will review the size standard of your company through the self-certification within your SAM registration. Responses received from other than small businesses will result in the quote being eliminated from further consideration.

(b) Submission of offers.

Offers must be submitted electronically by email to svalencia@fs.fed.us on or before January 17, 2017 at 4:30PM Mountain time.

Questions in regard to this requirement shall be submitted in writing to svalencia@fs.fed.us no later than December 30, 2017

Offers shall clearly demonstrate an understanding of the requirements outlined in this Request for Quotation

Return the Following:

1. Completed SF1449

2. Schedule of Items

3. Technical Proposal:

a. Experience: Describe your involvement or the clinic’s/practice’s involvement with Emergency Management Services and explain your knowledge, understanding and managing methods of the following: incident management system experience, fire experience, wilderness experience, search and rescue experience and rural medical emergency experience.

b. Personnel Qualifications: Provide a list of key personnel that may be used in contract performance. Provide evidence of current licensure, board certification and a brief resume/curriculum vita for key personnel used in contract performance; this may include, but is not limited to board certified in family medicine with a strong background of experience in emergency medicine, American Board of Emergency Medicine –EMS subspecialty board certified or board eligible, unrestricted DEA license, state license and liability insurance.

c. Past Performance: Identify all federal, state and local government contracts, as well as any private/ commercial contracts that are similar in scope, size and complexity to the requirements outlined in the statement of work that are ongoing or have been completed within the last 3 years Include the following information for each contract:

i. Agency/company and Point of Contact (Phone Number and Email)

ii. Project Title/Description

iii. Period of Performance

iv. Dollar value of contract

v. Contract number and type

4. AGAR 452.209-70 Representation by Corporations Regarding an Unpaid Delinquent Tax mailto:svalencia@fs.fed.us mailto:svalencia@fs.fed.us

(c) Period for acceptance of offers. The offeror agrees to hold the prices in its offer firm for 30 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

(d) Product samples. When required by the solicitation, product samples shall be submitted at or prior to the time specified for receipt of offers. Unless otherwise specified in this solicitation, these samples shall be submitted at no expense to the Government, and returned at the sender's request and expense, unless they are destroyed during preaward testing.

(e) Multiple offers. Offerors are encouraged to submit multiple offers presenting alternative terms and conditions or commercial items for satisfying the requirements of this solicitation. Each offer submitted will be evaluated separately.

(f) Late submissions, modifications, revisions, and withdrawals of offers. (1) Offerors are responsible for submitting offers, and any modifications, revisions, or withdrawals, so as to reach the Government office designated in the solicitation by the time specified in the solicitation. If no time is specified in the solicitation, the time for receipt is 4:30 p.m., local time, for the designated Government office on the date that offers or revisions are due.

(2)(i) Any offer, modification, revision, or withdrawal of an offer received at the Government office designated in the solicitation after the exact time specified for receipt of offers is "late" and will not be considered unless it is received before award is made, the Contracting Officer determines that accepting the late offer would not unduly delay the acquisition; and-

(A) If it was transmitted through an electronic commerce method authorized by the solicitation, it was received at the initial point of entry to the Government infrastructure not later than 5:00 p.m. one working day prior to the date specified for receipt of offers; or

(B) There is acceptable evidence to establish that it was received at the Government installation designated for receipt of offers and was under the Government's control prior to the time set for receipt of offers; or

(C) If this solicitation is a request for proposals, it was the only proposal received.

(ii) However, a late modification of an otherwise successful offer, that makes its terms more favorable to the Government, will be considered at any time it is received and may be accepted.

(3) Acceptable evidence to establish the time of receipt at the Government installation includes the time/date stamp of that installation on the offer wrapper, other documentary evidence of receipt maintained by the installation, or oral testimony or statements of Government personnel.

(4) If an emergency or unanticipated event interrupts normal Government processes so that offers cannot be received at the Government office designated for receipt of offers by the exact time specified in the solicitation, and urgent Government requirements preclude amendment of the solicitation or other notice of an extension of the closing date, the time specified for receipt of offers will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal Government processes resume.

(5) Offers may be withdrawn by written notice received at any time before the exact time set for receipt of offers. Oral offers in response to oral solicitations may be withdrawn orally. If the solicitation authorizes facsimile offers, offers may be withdrawn via facsimile received at any time before the exact time set for receipt of offers, subject to the conditions specified in the solicitation concerning facsimile offers. An offer may be withdrawn in person by an offeror or its authorized representative if, before the exact time set for receipt of offers, the identity of the person requesting withdrawal is established and the person signs a receipt for the offer.

(g) Contract award (not applicable to Invitation for Bids). The Government intends to evaluate offers and award a contract without discussions with offerors. Therefore, the offeror's initial offer should contain the offeror's best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government may reject any or all offers if such action is in the public interest; accept other than the lowest offer; and waive informalities and minor irregularities in offers received.

(h) Multiple awards. The Government may accept any item or group of items of an offer, unless the offeror qualifies the offer by specific limitations. Unless otherwise provided in the Schedule, offers may not be submitted for quantities less than those specified. The Government reserves the right to make an award on any item for a quantity less than the quantity offered, at the unit prices offered, unless the offeror specifies otherwise in the offer.

(i) Availability of requirements documents cited in the solicitation. (1)(i) The GSA Index of Federal Specifications, Standards and Commercial Item Descriptions, FPMR Part 101-29, and copies of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained for a fee by submitting a request to- GSA Federal Supply Service Specifications Section, Suite 8100, 470 East L'Enfant Plaza, SW, Washington, DC 20407, Telephone (202) 619- 8925, Facsimile (202) 619-8978.

(ii) If the General Services Administration, Department of Agriculture, or Department of Veterans Affairs issued this solicitation, a single copy of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained free of charge by submitting a request to the addressee in paragraph (i)(1)(i) of this provision. Additional copies will be issued for a fee.

(2) Most unclassified Defense specifications and standards may be downloaded from the following ASSIST websites:

(i) ASSIST (https://assist.dla.mil/online/start/).

(ii) Quick Search (http://quicksearch.dla.mil/).

(iii) ASSISTdocs.com (http://assistdocs.com).

(3) Documents not available from ASSIST may be ordered from the Department of Defense Single Stock Point (DoDSSP) by-

(i) Using the ASSIST Shopping Wizard (https://assist.dla.mil/wizard/index.cfm);

(ii) Phoning the DoDSSP Customer Service Desk (215) 697-2179, Mon-Fri, 0730 to 1600 EST; or

(iii) Ordering from DoDSSP, Building 4, Section D, 700 Robbins Avenue, Philadelphia, PA 19111-5094, Telephone (215) 697-2667/2179, Facsimile (215) 697-1462.

(4) Nongovernment (voluntary) standards must be obtained from the organization responsible for their preparation, publication, or maintenance.

(j) Unique entity identifier. (Applies to all offers exceeding $3,500, and offers of $3,500 or less if the solicitation requires the Contractor to be registered in the System for Award Management (SAM) database.) The Offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation "Unique Entity Identifier" followed by the unique entity identifier that identifies the Offeror's name and address. The Offeror also shall enter its Electronic Funds Transfer (EFT) indicator, if applicable. The EFT indicator is a four-character suffix to the unique entity identifier. The suffix is assigned at the discretion of the Offeror to establish additional SAM records for identifying alternative EFT accounts (see subpart 32.11) for the same entity. If the Offeror does not have a unique entity identifier, it should contact the entity designated at www.sam.gov for unique entity identifier establishment directly to obtain one. The Offeror should indicate that it is an offeror for a Government contract when contacting the entity designated at www.sam.gov for establishing the unique entity identifier.

(k) System for Award Management. Unless exempted by an addendum to this solicitation, by submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the SAM database prior to award, during performance and through final payment of any contract resulting from this solicitation. If the Offeror does not become registered in the SAM database in the time prescribed by the Contracting Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror. Offerors may obtain information on registration and annual confirmation requirements via the SAM database accessed through https://www.acquisition.gov.

(l) Debriefing. If a post-award debriefing is given to requesting offerors, the Government shall disclose the following information, if applicable:

(1) The agency's evaluation of the significant weak or deficient factors in the debriefed offeror's offer.

(2) The overall evaluated cost or price and technical rating of the successful and the debriefed offeror and past performance information on the debriefed offeror.

(3) The overall ranking of all offerors, when any ranking was developed by the agency during source selection.

(4) A summary of the rationale for award;

(5) For acquisitions of commercial items, the make and model of the item to be delivered by the successful offeror.

(6) Reasonable responses to relevant questions posed by the debriefed offeror as to whether source-selection procedures set forth in the solicitation, applicable regulations, and other applicable authorities were followed by the agency.

(End of provision)

52.212-2 Evaluation - Commercial Items. (OCT 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Technical Factors:

o Experience o Personnel Qualifications o Past Performance

Price Socio Economic Status: This requirement is set-aside 100% to small businesses under

NAICS code 621111. The government will review the size standard of your company through the self-certification within your SAM registration. Responses received from other than small businesses will result in the quote being eliminated from further consideration.

Experience, personnel qualifications and past performance are of equal importance. The total weight of the technical factors are equal in weight to price.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of provision)

52.212-3 Offeror Representations and Certifications-Commercial Items. (OCT 2016)

The Offeror shall complete only paragraph (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 https://www.sam.gov/portal" If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (r) 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;

(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.

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.

(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 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 SAM website.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through http://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications-Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs _____.

(Offeror to identify the applicable paragraphs at (c) through (r) 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 will 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.

(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.

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

(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…