RFQ_Elevator_ModernizationProject.pdf

Solicitation Number: AG-91S8-S-16-0031

USDA Forest Service Elevator Modernization Project

DESCRIPTION/SPECIFICATION /STATEMENT OF WORK

Elevator Modernization Project

STATEMENT OF WORK

All work to be performed and materials furnished shall be in accordance with appropriate State of California elevator codes including ASME A17.1 2004 edition of Elevator Code Title B.

North Building Passenger Elevator Description Brand: Dover Manufacturer: Vertrans Voltage: 480 Capacity: 4,500 lbs.

Rating: 28 Doors: Front and Rear Controller: Siemens No. of Stops: 4

Car Signaling Devices Car operating panel: Furnish and install one (1) new car operating panel. The new car operating panel shall be manufactured and installed in accordance to the American Disabilities Act (ADA), and ANSI code A17.1, CAC Title 24 and other applicable State and local codes. The new car panel shall be constructed of stainless steel with a #4 brush finish and vertical grain. The car station shall have the following integrally mounted components:

o Illuminating self-cancelling floor call buttons labeled 1 through 4 for each landing served. The buttons shall have a black indication on a contrasting white background. The highest call button shall not exceed

54” above the floor.

o Alarm button. The Alarm button shall illuminate and extinguish when pushed and released.

o Non-Illuminating buttons labeled Door Open, Door Close. These buttons shall be grouped at the bottom of the panel at 35 inches dead center as required by code. The Emergency Stop and Alarm buttons shall have red characters on contrasting white backgrounds. The Door Open and Door Close buttons shall have black indications on a white background.

o Braille indication to the left of and adjacent to each button designating the function and operation of that button.

o Firefighters Service Cabinet with the following devices behind a locked, hinged door: Key operated 3 position (Off-Hold-On) Fire Service switch with Fire jewel, Door Open, Door Close and Call Cancel buttons with buzzer that shall operate as required by code in the event of a fire. The cabinet door for firefighters shall have one (1) signage plate with Fire Emergency Operations instructions mounted on its interior side of the elevator in the event of a loss of power to the elevator light circuit. The emergency light unit shall also be capable of supplying power to the alarm bell.

o One (1) programmable ADA compliant hands free speaker phone assembly.

o One (1) Capacity Plate indicating the weight, in pounds, that the elevator is designed to carry.

o One (1) floor passing gong.

o One (1) two position key operated switch labeled “Inspection”.

o One (1) three position key operated switch labeled “Light”, “Fan”, and “Off”.

o One (1) Inspection key operated switch for Elevator Inspectors as required by code.

o One (1) independent Service key operated switch which will allow the elevator to be removed from automatic service and placed on manual operation from within the elevator cab.

o One (1) Stop/Run key switch.

o Additional key or toggle switches as required to match the existing function of any key or toggle switches.

Car Position Indicator: The new Car Operating panel will have a new position indicator.

Car Top Inspection Station: Furnish and install one (1) new car top inspection station. The inspection station shall consist of a box with the following integrally-mounted components:

o Up and Down buttons o Safety/Run button o Automatic/Inspection toggle switch o Stop/Run toggle switch o Light fixture o GFCI outlet o Fire Indicator and Buzzer o Emergency Alarm Bell

Hall Signal Fixtures Hall Call Stations: Furnish and install new surface mounted hall stations, one (1) at each landing. Each hall station shall be manufactured of stainless steel with a vertical grain and a #4 brush finish. The new hall stations shall have some combination of the following components:

o Illuminating up and or down buttons.

o Fire emergency recall switch at the designated landing.

o Fire Service Operating signage as required by ANSI Code.

o Inspectors Access Key Operated Switches.

o Surface mount design to facilitate easy installation in existing buildings.

Hall Lanterns and Gongs: Furnish and install (1) new combination digital position indicator hall lantern and gong assembly at each landing on the interior side of the building. The position indicator shall be of the 3 wire type as manufactured by CE Electronics or E-Motive. The hall lantern and gongs shall light and sound once when the elevator is responding to an up hall call and twice in response to a down hall call.

Hall Jamb Braille: Furnish and install new jamb braille plates at each landing.

Control and Drive Systems Controller: Furnish and install one (1) microprocessor based simplex (1 elevator) controller system and wiring. The new controllers shall have the following design features:

o Non-proprietary micro-processor based control system.

o Isolated inputs and outputs to provide maximum protection of the processor.

o Current code compliant and ADA compatible for future upgrades.

o Solid state motor starting to minimized hi-current transients to the pump motor upon initial start.

o Programmable software that can be modified to meet changing conditions or building owner requirements.

o Motor timers to protect the motor from running too long eliminating the potential for damaged motors.

o Computerized dispatching to provide minimum response time to car and hall calls.

o Current technology with an established record of reliability.

o Readily available parts off the shelf.

o Complies with California Administrative Code Title 8 and 24.

o Controller to be as manufactured by Elevator Controls Corporation, or SmartRise Controls.

Selector: Furnish and install one (1) new solid state tape mounted selector in the hoistway. The new selector shall be a solid state selector mounted to the elevator crosshead. It shall be state of the art electronic design to achieve faster, more accurate, more consistent acceleration, stepping, deceleration, and leveling of the elevator. The selector consists of the following components:

o One (1) car top mounted solid state control box that initiates the signals for the elevator control system to step up, step down, slowdown, stop at the floor.

o One (1) hoistway mounted tape and magnets. Magnets are mounted at specific intervals with respect to each floor.

o One (1) car top mounted selector head. The selector head utilizes nylon composite guides to ride the selector tape. The selector head is a floating design that allows the selector to move independent of the car and stay in proper alignment with the tape. The selector utilizes solid state switches to sense the tape mounted magnets and send a signal to the car top control box to initiate the proper response in the controller including, changing the position indicator designation, slowing down for a call, initiating leveling speed and stopping.

Power Units Retain the existing Power Unit in place. Furnish and install a new valve in place of the existing valve. The valve shall be either a Maxton UC-2 or EEXCO UV7 and shall be designed to run the elevator at the original design speed and capacity.

The new valve shall be a single unit body valve. The valve controls acceleration, deceleration, leveling speed, and down speed. The valve shall be equipped with an internal relief valve designed to bypass oil in the event that pressure in the system becomes excessive. Remove and filter the oil (minimum 2 times) using NEW filters that filter particles down to 10 microns. Clean the tank of any sludge or other sediment from the bottom of the tank and dispose of same in an environmentally safe manner in accordance with California State Law, rules, and regulations.

Machine Room Shut Off Valve: Retain the existing machine room shut off valve, if none exists, install one.

Door Operation

Door Operator and Equipment: Furnish and install two (2) new closed loop door operators and related equipment as described herein to provide smooth, reliable door operation.

o One (1) front and one (1) rear G.A.L. Mover, closed loop door operator including car top mounted microprocessor and drive, linkages, drive motor, encoder, drive arms, and all related equipment and hardware.

o One (1) front and one (1) rear new car door hanger track and rollers. The new car door hanger assembly shall include 3.25 inch hanger roller assemblies mounted on stamped steel frames. Each hanger roller assembly shall include a lubricator to insure quiet operation of the car door and optimum of life of the hanger roller.

o One (1) front and One (1) rear card door clutch with integral restrictor device designed to prevent the elevator car doors from opening from inside if the elevator is more than 4 inches above or below the floor.

o One (1) at each landing rebuild the existing hoistway door interlock assemblies with new contact assemblies, new pick up rollers, and any related materials. Clean and lubricate all pins and pivots.

o Furnish and install new fire rated wire as required by ANSI/SAME A17.1.

o The door operator shall be of a non-proprietary design and manufacture with replacement parts available from an independent owned and operated supplier to the elevator industry.

o Rebuilding or replace all car and hoistway door hanger rollers.

Detector Edge: Furnish and install one (1) new detector edge on each car door (2 total). The new detector edge shall be designed and manufactured to interface with the new door operator assemblies. The detector edge is a reopening device consisting of an emitter and detector designed to cause the elevator car doors to reopen if the plane which forms the leading edge of the car doors is broken.

Hoistway Switches: Furnish and install any required hoistway limit switches necessary to make the installation complete. The limit switches shall be designed and manufactured for elevator duty only. The limit switches shall be equipped with a roller designed to operate quietly as it engages and disengages from the car mounted cam.

Wiring Furnish and install new car and hoistway wiring as indicated herein.

The old traveling cables and hoistway wiring requires replacement as part of this work. The work shall include the installation of new traveling cable. Furnish and install new traveling cables on each elevator as follows:

o New traveling cable utilizing a minimum of one (1) 18 AWG stranded copper wire conductor for each connection required. The traveling cable shall have a minimum of 10% spare 18Awg wires.

o Minimum of 4 shielded pair 20 AWG wire o Minimum of 6 14 AWG wires for lights and fan operation.

o Oil and water resistance jacket to prevent water intrusion into the cable.

o Jute core to support cable and minimize strain on the conductors.

o Terminated at both ends with “Kellum” type grips.

The traveling cable will be terminated at the existing hoistway junction box and the elevator car. The traveling cable will be hung in such a manner as to prevent twist of the cable.

Hoistway wiring shall be as follows:

o New hoistway wiring utilizing a minimum of one (1) 18 AWG stranded copper wire conductor for each connection required.

o All interlock wiring shall be fire rated wire as required by code.

o Any boxes, wiring or devices added below 4 feet in a sprinklered elevator pit shall be waterproof and shall use water proof fittings at all entry/exit points on boxes or conduit.

Pit Lighting: Furnish and install new pit lighting fixtures necessary to meet the code required illumination levels in the pit.

Pit Light Switch: Furnish and install a new Pit Light switch.

Pit Stop Switch: Furnish and install a new Pit Stop switch.

PROJECT LOCATION

All work is to be done on site at the USDA Forest Service Regional Office, 1323 Club Drive, Vallejo, CA 94592 Attention: Jeff Sheahan, Building Manager, Telephone: 707.562.9192.

Estimated Start Date Contractor must begin work within 10 days of the effective date of the Notice to Proceed.

Project Schedule and Timeline The contractor shall provide a schedule/timeline for scheduling and completion of all work at pre-construction meeting.

In particular, a scheduled maintenance plan must be provided to the qualified USDA Forest Service staff, the COR, or the CO, only, before the date of Notice to Proceed. Work should be completed within 30 days of the Notice to Proceed.

Restrictions of Work Hours of work are restricted to 7 a.m. to 5 p.m. each day, with regular work days of Monday through Friday, unless otherwise agreed upon by authorized U.S. Forest Service representatives. Weekend work may be conducted only with preapproval by the Contracting Officer or their representative.

Permits and Fees All permits, fees, inspection fees, licenses or taxes incurred by the contractor on this contractor shall be the contractors expense.

Safety Contractor shall require his/her employees to work within proper safety standards, practices and wear proper safety equipment required for each specific job, including the wearing of goggles, ear protection gloves and other appropriate safety equipment and protocols based on industry standards and the well-being of the property, building, vehicles and staff at all times.

Clean up and Disposal All areas that have completed work shall be cleaned and approved by the authorized U. S. Forest Service representative.

All surplus materials and old materials removed such as obsolete parts, updated parts, wiring and any and all hardware shall be disposed of by the contractor off site according to current California hazardous waste rules, laws and regulations.

Acceptance The U. S. Forest Service, its’ agents and staff shall not receive the elevator back into service until such time that a qualified and appropriately licensed elevator inspector inspects and passes the work completed on this contract and said inspector signs off that the work is completed, and completely complies with and in accordance with appropriate State of California elevator codes including ASME A17.1 2004 edition of Elevator Code Title B. All scratches in the surrounding area, the elevator and walls shall be painted as to look like new as part of the acceptance criteria.

Warranty All work on this contract completed by the contractor or alternate contractor shall be the expense of the contractor awarded this contract. The warranty on all work completed on this contract shall be for the period of one (1) year and shall include all parts, programming and labor.

OFFEROR REPRESENTATIONS AND CERTIFICATIONS - COMMERCIAL ITEMS

FAR Clause 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS - COMMERCIAL ITEMS (March 2016)

An offeror shall complete only paragraphs (b) of this provision if the offeror has completed the annual representations and certifications electronically via the system for Award management (SAM) Website accessed through http://www.acquisition.gov. If an 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), applies in accordance with the rules and definitions of 6 U.S.C. (c).

Manufactured end product means any end product in Federal Supply Classes (FSC) 1000-9999, except—

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

(2) Federal Supply Group (FSG) 87, Agricultural Supplies;

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

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

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

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

(8) FSC 9610, Ores;

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

(10) FSC 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.

http://www.acquisition.gov/

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 stock of which 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 its stock 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 at 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 (q) 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.

http://www.acquisition.gov/

(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 change 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 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:

Line Item No. Country of Origin

(List as necessary)

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

Other Foreign End Products Line Item No.: ___________________________________________________________ Country of Origin:________________________________________________________

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

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

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

Canadian End Products Line Item No.:_____________________________________________________

(List as necessary)

(3) Buy American--Free Trade Agreements--Israeli Trade Act Certificate, Alternate II. If Alternate II to the clause at FAR

52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

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

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 “Buy American—Free Trade Agreements—Israeli Trade Act:”

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

Line Item No. Country of Origin

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

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

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

Other End Products Line Item No.:__________________________________________________________ Country of Origin: ______________________________________________________

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

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

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

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

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

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

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

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

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

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

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

(C) The taxpayer has entered into an installment agreement pursuant to I.R.C. Sec. 6159. The taxpayer is making timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the taxpayer is not currently required to make full payment.

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

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

(1) Listed end products.

Listed End Product Listed Countries of Origin

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

[ ] (i) The offeror will not supply any end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product.

[ ] (ii) The offeror may supply an end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product. The offeror certifies that it has made a good faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture any such end product furnished under this contract. On the basis of those efforts, the offeror certifies that it is not aware of any such use of child labor.

(j) Place of manufacture. (Does not apply unless the solicitation is predominantly for the acquisition of manufactured end products.) For statistical purposes only, the offeror shall indicate whether the place of manufacture of the end products it expects to provide in response to this solicitation is predominantly–

(1) [ ] In the United States (Check this box if the total anticipated price of offered end products manufactured in the United

States exceeds the total anticipated price of offered end products manufactured outside the United States); or

(2) [ ] Outside the United States.

(k) Certificates regarding exemptions from the application of the Service Contract Labor Standards.

(Certification by the offeror as to its compliance with respect to the contract also constitutes its certification as to compliance by its subcontractor if it subcontracts out the exempt services.)

[The contracting officer is to check a box to indicate if paragraph (k)(1) or (k)(2) applies.]

[ ] (1) Maintenance, calibration, or repair of certain equipment as described in FAR 22.1003-4(c)(1).

The offeror [ ] does [ ] does not certify that--

(i) The items of equipment to be serviced under this contract are used regularly for other than Governmental purposes and are sold or traded by the offeror (or subcontractor in the case of an exempt subcontract) in substantial quantities to the general public in the course of normal business operations;

(ii) The services will be furnished at prices which are, or are based on, established catalog or market prices (see FAR 22.1003-4(c)(2)(ii)) for the maintenance, calibration, or repair of such equipment; and

(iii) The compensation (wage and fringe benefits) plan for all service employees performing work under the contract will be the same as that used for these employees and equivalent employees servicing the same equipment of commercial customers.

[ ] (2) Certain services as described in FAR 22.1003-4(d)(1).

The offeror [ ] does [ ] does not certify that--

(i) The services under the contract are offered and sold regularly to non-Governmental customers, and are provided by the offeror (or subcontractor in the case of an exempt subcontract) to the general public in substantial quantities in the course of normal business operations;

(ii) The contract services will be furnished at prices that are, or are based on, established catalog or market prices (see FAR 22.1003-4(d)(2)(iii));

(iii) Each service employee who will perform the services under the contract will spend only a small portion of his or her time (a monthly average of less than 20 percent of the available hours on an annualized basis, or less than 20 percent of available hours during the contract period if the contract period is less than a month) servicing the Government contract; and

(iv) The compensation (wage and fringe benefits) plan for all service employees performing work under the contract is the same as that used for these employees and equivalent employees servicing commercial customers.

(3) If paragraph (k)(1) or (k)(2) of this clause applies—

(i) If the offeror does not certify to the conditions in paragraph (k)(1) or (k)(2) and the Contracting officer did not attach a Service Contract Labor Standards wage determination to the solicitation, the offeror shall notify the Contracting Officer as soon as possible; and

(ii) The Contracting Officer may not make an award to the offeror if the offeror fails to execute the certification in paragraph (k)(1) or (k)(2) of this clause or to contact the Contracting Officer as required in paragraph (k)(3)(i) of this clause.

(l) Taxpayer Identification Number (TIN) (26 U.S.C. 6109, 31 U.S.C. 7701). (Not applicable if the offeror is required to provide this information to the SAM database to be eligible for award.)

(1) All offerors must submit the information required in paragraphs (l)(3) through (l)(5) of this provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by the Internal Revenue Service (IRS).

(2) The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the resulting contract is subject to the payment reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror's TIN.

(3) Taxpayer Identification Number (TIN).

[ ] TIN: _______________________.

[ ] TIN has been applied for.

[ ] TIN is not required because:

[ ] Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States;

[ ] Offeror is an agency or instrumentality of a foreign government;

[ ] Offeror is an agency or instrumentality of the Federal Government.

(4) Type of organization.

[ ] Sole proprietorship;

[ ] Partnership;

[ ] Corporate entity (not tax-exempt);

[ ] Corporate entity (tax-exempt);

[ ] Government entity (Federal, State, or local);

[ ] Foreign government;

[ ] International organization per 26 CFR 1.6049-4;

[ ] Other _________________________________.

(5) Common parent.

[ ] Offeror is not owned or controlled by a common parent;

[ ] Name and TIN of common parent:

Name _______________________________________.

TIN _________________________________________.

(m) Restricted business operations in Sudan. By submission of its offer, the offeror certifies that the offeror does not conduct any restricted business operations in Sudan.

(n) Prohibition on Contracting with Inverted Domestic Corporations.

(1) Government agencies are not permitted to use appropriated (or otherwise made available) funds for contracts with either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation, unless the exception at 9.108-2(b) applies or the requirement is waived in accordance with the procedures at 9.108-4.

(2) Representation. By submission of its offer, the offeror represents that—

(i) It is [ ], [ ] is not an inverted domestic corporation; and

(ii) It is [ ], [ ] is not a subsidiary of an inverted domestic corporation.

(o) Prohibition on contracting with entities engaging in certain activities or transactions relating to Iran. (1) The offeror shall email questions concerning sensitive technology to the Department of State at CISADA106@state.gov.

(2) Representation and Certification.