SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30. 1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER 5. SOLICITATION NUMBER

FA468626QS020

6. SOLICITATION ISSUE DATE

14 Aug 2026

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

EZEKIEL ONUMAH

b. TELEPHONE NUMBER (no collect calls) 5306344094

8. OFFER DUE DATE/

LOCAL TIME

24 Aug 2026

10:00 AM

9. ISSUED BY CODE: FA4686

FA4686 9 CONS PK

CONS EX ADMIN ONLY CP 530 634 2203, 6500 B ST RM 101

BEALE AFB, CA 95903-1702

UNITED STATES

EZEKIEL ONUMAH, Email: ezekiel.onumah.1@us.af.mil Telephone: 5306344094 TERESA ROMIG, Email: teresa.romig@us.af.mil Telephone: 530-634-3405

10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR: 100

SMALL BUSINESS WOMEN-OWNED SMALL

BUSINESS (WOSB)

NORTH AMERICAN

INDUSTRY

CLASSIFICATION

STANDARD (NAICS):

562910

HUBZONE SMALL

BUSINESS

ECONOMICALLY

DISADVANTAGED WOMEN-

OWNED SMALL BUSINESS

(EDWOSB)

SIZE STANDARD:

USD 25,000,000.00

SERVICE-DISABLED

VETERAN-OWNED SMALL

BUSINESS (SDVOSB)

8(A)

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS 13a.THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM-DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

REQUEST FOR

QUOTE (RFQ)

INVITATION

FOR BID (IFB)

REQUEST FOR

PROPOSAL (RFP)

15. DELIVER TO CODE:

See Schedule

16. ADMINISTERED BY CODE:

17a. CONTRACTOR/

OFFERER

CODE FACILITY

CODE:

TELEPHONE NUMBER

18a. PAYMENT WILL BE MADE BY CODE:

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

OFFER

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

BELOW IS CHECKED SEE ADDENDUM

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT

PRICE

24.

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA

See Section G - Contract Administration Data

26. TOTAL AWARD AMOUNT (For Government Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR

52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE ARE NOT ATTACHED

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

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

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

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE

TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REFERENCE OFFER DATED . YOUR

OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR

CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS: See Schedule

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

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

31c. DATE SIGNED

COMPUTER GENERATED STANDARD FORM 1449 (REV. 11/2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

Solicitation/Contract Form 9 MUNS Bldg 1358 Mold abatement

Mold Abatement and Disposal Services for Bldg 1358 IAW attached PWS.

Product Service Code: F108

FA468626QS020

Supplies or Services & Prices or Costs Additional Information/Notes

Item Supplies / Services Quantity Unit Unit Price Amount

Site Prep & Containment (Set up negative pressure HEPA air scrubbers, physical dust barriers, and safety containment for the 443 sq ft footprint)

Product Service Code: F108 Pricing Arrangement: Firm Fixed Price

1 Job

Mold Remediation, Demolition, & Disposal (Tear out 1,670 sq ft of contaminated drywall/insulation, disassemble and dispose of all restroom fixtures and water heater, cap all plumbing lines, apply antimicrobial sanitization, and transport all waste off-base)

Product Service Code: F108 Pricing Arrangement: Firm Fixed Price

1 Job

Description/Specifications/Statement of Work

Requirements Mold Abatement and Disposal Services for Bldg 1358 IAW attached PWS.

Packaging and Marking

Inspection and Acceptance Overall Contract Inspection/Acceptance Locations

Inspection and Acceptance Location

Both Destination Instructions: See Performance Work Statement (PWS) for Acceptance/inspection criteria.

DoDAAC: F1H2A0 CountryCode: USA

F1H2A0 9 MUNS MXWM

AF BPN NO MLSBLS PROC CP5306348184, 19001 ALERT DR

BEALE AFB, CA 95903-1545

UNITED STATES

TSgt Jake Kormos Email: jake.kormos@us.af.mil Telephone: 5306343689

Inspection and Acceptance Location

Both Destination Instructions: See Performance Work Statement (PWS) for Acceptance/inspection criteria.

DoDAAC: F1H2A0 CountryCode: USA

F1H2A0 9 MUNS MXWM

AF BPN NO MLSBLS PROC CP5306348184, 19001 ALERT DR

BEALE AFB, CA 95903-1545

UNITED STATES

TSgt Jake Kormos Email: jake.kormos@us.af.mil Telephone: 5306343689

Deliveries or Performance

Line Item Delivery Schedule Quantity Address and POC

1 Job

Period of Performance From 01 Sep 2026 To 30 Nov 2026

1 Job

Period of Performance From 01 Sep 2026 To 30 Nov 2026

FAR Clauses Incorporated by Reference

Number Title Effective Date Alternate/ Deviation

Variation Effective Date

52.247-34 F.o.b. Destination. Jan 1991

Contract Administration Data

DFARS Clauses Incorporated by Reference

Number Title Effective Date Alternate/ Deviation

Variation Effective Date

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports. Dec 2018

DFARS Clauses Incorporated by Full Text

252.232-7006 Wide Area WorkFlow Payment Instructions. (Jan 2023)

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

(a) Definitions. As used in this clause-

"Department of Defense Activity Address Code (DoDAAC)" is a six position code that uniquely identifies a unit, activity, or organization.

"Document type" means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

"Local processing office (LPO)" is the office responsible for payment certification when payment certification is done external to the entitlement system.

"Payment request" and "receiving report" are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall-

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the "Web Based Training" link on the WAWF home page at https://wawf.eb.mil/

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

(1) Document type. The Contractor shall submit payment requests using the following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items-

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

(Contracting Officer: Insert applicable invoice and receiving report document type(s) for fixed price line items that require shipment of a deliverable.)

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

(Contracting Officer: Insert either "Invoice 2in1" or the applicable invoice and receiving report document type(s) for fixed price line items for services.)

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial financing, submit a commercial financing request.

(2) ) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

[Note: The Contractor may use a WAWF "combo" document type to create some combinations of invoice and receiving report in one step.]

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC F87700 Issue By DoDAAC FA4686 Admin DoDAAC FA4686 Inspect By DoDAAC F1H2A0 Ship To Code ____ Ship From Code ____ Mark For Code ____ Service Approver (DoDAAC) F1H2A0 Service Acceptor (DoDAAC) F1H2A0 Accept at Other DoDAAC ____ LPO DoDAAC ____ DCAA Auditor DoDAAC ____ Other DoDAAC(s) ____ (*Contracting Officer: Insert applicable DoDAAC information. If multiple ship to/acceptance locations apply, insert "See Schedule" or "Not applicable.")

(**Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)

(4) Payment request. The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) Receiving report. The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F.

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.

TSgt Jake Kormos Work: 530-634-3689, and Email: jake.kormos@us.af.mil

(Contracting Officer: Insert applicable information or "Not applicable.")

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.

(End of clause)

Special Contract Requirements

Contract Clauses 52.204-26 Covered Telecommunications Equipment or Services-Representation.

As prescribed in , insert the following provision:(c)4.2105

Covered Telecommunications Equipment or Services-Representation (Oct 2020)

(a)Definitions. As used in this provision, "covered telecommunications equipment or services" and "reasonable inquiry" have the meaning provided in the clause , 52.204-25 Prohibition on for Certain Telecommunications and Video Surveillance Services or Equipment.Contracting

(b)Procedures. The review the list of excluded parties in the ) ( ) for entities excluded from receiving Offeror shall System for Award Management (SAM https://www.sam.gov federal awards for "covered telecommunications equipment or services".

(c)

(1)Representation. The represents that it does, does not provide covered telecommunications equipment or services as a part of its offered or services to Offeror products the Government in the performance of any contract, subcontract, or other contractual instrument.

(2)After conducting a reasonable inquiry for purposes of this representation, the represents that it does, does not use covered telecommunications equipment or offeror services, or any equipment, system, or service that uses covered telecommunications equipment or services.

(End of provision)

52.232-40Providing Accelerated Payments to Small Business Subcontractors.

As prescribed in , insert the following clause:32.009-2

Providing Accelerated Payments to (Mar 2023)Small Business Subcontractors

(a)(1)In accordance with and , within 15 days after receipt of accelerated payments from the Government, the Contractor make 31 U.S.C. 3903 10 U.S.C. 3801 shall accelerated payments to its under this contract, to the maximum extent practicable and prior to when such payment is otherwise required small business sub contractors under the applicable contract or subcontract, after receipt of a and all other required documentation from the .proper invoice small business subcontractor

(2)The Contractor agrees to make such payments to its without any further consideration from or fees charged to the subcontractor.small business sub contractors

(b)The acceleration of payments under this clause does not provide any new rights under the Prompt Payment Act.

(c)Include the substance of this clause, including this paragraph (c), in all subcontracts with small business concerns, including subcontracts with small business concerns for the of or .acquisition commercial products commercial services

(End of clause)

52.212-3Offeror Representations and Certifications--Commercial Products and Commercial Services.

As prescribed in , insert the following provision:(b)(2)12.301

Offeror Representations and Certifications-- and (Oct 2025)Commercial Products Commercial Services

The complete only paragraph (b) of this provision if the has completed the annual representations and certification electronically in the System for Offer or shall Offeror Award Management (SAM) accessed through . If the has not completed the annual representations and certifications electronically, the https://www.sam.gov Offeror Offeror complete only paragraphs (c) through (v) of this provision.shall

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

Covered telecommunications equipment or services has the meaning provided in the clause , Prohibition on for Certain Telecommunications and 52.204-25 Contracting Video Surveillance Services or Equipment.

FA468626QS020

https://www.acquisition.gov/far/4.2105#FAR_4_2105 https://www.acquisition.gov/far/52.204-25#FAR_52_204_25 https://www.sam.gov/ https://www.acquisition.gov/far/32.009-2#FAR_32_009_2 https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section3903&num=0&edition=prelim https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title10-section3801&num=0&edition=prelim https://www.acquisition.gov/far/12.301#FAR_12_301 https://www.sam.gov/ https://www.acquisition.gov/far/52.204-25#FAR_52_204_25

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 who are States and economically disadvantaged in accordance with , and the concern is certified by SBA or an approved third-party certifier in accordance with13 CFR part 127 13 CFR 127.300 . 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 himself voluntarily; oroffer

(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 of the , or that owns or controls one or more entities that control an immediate owner offeror immediate owner of the . No entity owns or exercises control of the highest level owner.offeror

Immediate owner means an entity, other than the , that has direct control of the . Indicators of control include, but are not limited to, one or more of the offeror offeror 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 under6 U.S.C. 395(b), applied in accordance inverted domestic corporation with the rules and definitions of6 U.S.C. 395(c).

Manufactured end productmeans any in product and service codes (PSCs) 1000-9999, except--end product

(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 , Inedible;Products

(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 manufacturemeans the place where an is assembled out of , or otherwise made or processed from raw materials into the finished product end product components 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

Predecessormeans an entity that is replaced by a and includes any of the .successor predecessors predecessor

Reasonable inquiryhas the meaning provided in the clause , Prohibition on for Certain Telecommunications and Video Surveillance Services or 52.204-25 Contracting Equipment.

Restricted business operationsmeans 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). do Restricted business operations 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

Sensitive technology--

FA468626QS020

https://www.ecfr.gov/current/title-13/part-127 https://www.ecfr.gov/current/title-13/section-127.300 https://www.acquisition.gov/far/52.204-25#FAR_52_204_25

(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 Economic Powers Act (50 U.S.C. 1702(b)(3)).Emergency

Service-disabled veteran-owned small business (SDVOSB) concernmeans a --small business concern

(1)

(i)Not less than 51 percent of which is owned and controlled 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; or

(2)A eligible under the SDVOSB Program in accordance with 13 CFR part 128 (see subpart ).small business concern 19.14

(3)Service-disabled veteran, as used in this definition, means a veteran as defined in38 U.S.C. 101(2), with a disability that is service connected, as defined in38 U.S.C.

101(16), and who is registered in the Beneficiary Identification and Records Locator Subsystem, or system that is maintained by the Department of Veterans successor Affairs' Veterans Benefits Administration, as a service-disabled veteran.

Service-disabled veteran-owned small business (SDVOSB) concern eligible under the SDVOSB Programmeans an SDVOSB concern that--

(1)Effective January 1, 2024, is designated in the ) as certified by the Small Business Administration (SBA) in accordance with 13 CFR System for Award Management (SAM 128.300; or

(2)Has represented that it is an SDVOSB concern in SAM and submitted a complete application for certification to SBA on or before December 31, 2023.

Service-disabled veteran-owned small business (SDVOSB) Programmeans a program that authorizes to limit competition, including award on a sole-contracting officers source basis, to SDVOSB concerns eligible under the SDVOSB Program.

Small business concern--

(1)Means a concern, including its , that is independently owned and operated, not dominant in its field of operation, and qualified as a small business under the affiliates criteria in and size standards in this .13 CFR part 121 solicitation

(2)Affiliates, as used in this definition, means business concerns, one of whom directly or indirectly controls or has the power to control the others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13 CFR 121.103.

Small disadvantaged business concern, consistent with 13 CFR 124.1001, means a small business concern under the size standard applicable to the , that--acquisition

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

(i)One or more socially disadvantaged (as defined at13 CFR 124.103) and economically disadvantaged (as defined at ) individuals who are citizens of the13 CFR 124.104 ; andUnited States

(ii)Each individual claiming economic disadvantage has a net worth not exceeding the threshold at 13 CFR 124.104(c)(2) after taking into account the applicable exclusions set forth at 13 CFR124.104(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.

Subsidiarymeans an entity in which more than 50 percent of the entity is owned--

(1)Directly by a parent corporation; or

(2)Through another of a parent corporationsubsidiary

Successormeans an entity that has replaced a by acquiring the assets and carrying out the affairs of the under a new name (often throughpredecessor predecessor acquisition or merger). The term " " does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of successor the for the liabilities of the vary, depending on State law and specific circumstances.successor predecessormay

Veteran-owned small business concernmeans a --small business concern

FA468626QS020

https://www.acquisition.gov/far/subpart-19.14#FAR_Subpart_19_14 https://www.ecfr.gov/current/title-13/part-121

(1)Not less than 51 percent of which is owned and controlled by one or more veterans (as defined at38 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 concernmeans 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 concernmeans 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 least51 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 ), means a small business concern that is at least 13 CFR part 127 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 , and the concern is certified by SBA or an approved third-party certifier in accordance with .United States 13 CFR 127.300

(b)

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

(2)The has completed the annual representations and certifications electronically in SAM accessed throughhttp://www.sam.gov. After reviewing SAM information, theofferor verifies by submission of this that the representations and certifications currently posted electronically at FAR , Representations and Certifications-Offeror offer 52.212-3 Offeror and , have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to thisCommercial Products Commercial Services solicitation (including the business size standard(s) applicable to the NAICS code(s) referenced for this ), at the time this is submitted and are incorporated in this by solicitation offer offer reference (see FAR ), except for paragraphs __.4.1201

[ to identify the applicable paragraphs at (c) through (v) of this provision that the has completed for the purposes of this only, if any.Offeror offeror solicitation

These amended representation(s) and/or certification(s) are also incorporated in this and are current, accurate, and complete as of the date of this .offer offer

Any changes provided by the are applicable to this only, and do not result in an update to the representations and certifications posted electronically on offeror solicitation

SAM.]

(c)Offerorsmustcomplete the following representations when the resulting contract is for to be delivered or services to be performed in the or itssupplies United States outlying , or when the officer has applied in accordance with (b)(1)(ii). Check all that apply.areas contracting part 19 19.000

(1)Small business concern. The represents as part of its that--offeror offer

(i)Itis,is not a small business concern; or

(ii)Itis,is not a small business joint venture that complies with the requirements of and and . [13 CFR 121.103(h) 13 CFR 125.8(a) (b) The enter the name andofferorshall unique ____________.]of each party to the joint venture:entity identifier

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

(3)SDVOSB concern.[ ] The represents Complete only if the represented itself as a veteran-owned in paragraph (c)(2) of this provision.offeror small business concern offeror that itis,is not an SDVOSB concern.

(4)SDVOSB concern joint venture eligible under the SDVOSB Program. The represents that itis,is not an SDVOSB joint venture eligible under the SDVOSB Program offeror that complies with the requirements of 13 CFR 128.402. [ ] [Complete only if the represented itself as an SDVOSB concern in paragraph (c)(3) of this provision.offeror The

____________.]enter the name and of each party to the joint venture:offerorshall unique entity identifier

(5) . [Complete only if the represented itself as a in paragraph (c)(1) of this provision.]Small disadvantaged business concern offeror small business concern Theofferor represents that itis,is not a as defined in .small disadvantaged business concern 13 CFR 124.1001

(6)Women-owned small business concern. [ .] TheComplete only if the represented itself as a in paragraph (c)(1) of this provisionofferor small business concern offeror represents that itis,is not a women-owned .small business concern

(7)WOSB joint venture eligible under the WOSB Program.The represents that itis,is not a joint venture that complies with the requirements ofofferor 13 CFR 127.506(a) through . [ ____________.](c) The enter the name and of each party to the joint venture:offerorshall unique entity identifier

(8)Economically disadvantaged women-owned small business (EDWOSB) joint venture.The represents that it is,is not a joint venture that complies with the offeror requirements of through . [ ____________.]13 CFR 127.506(a) (c) The enter the name and of each party to the joint venture:offerorshall unique entity identifier

FA468626QS020

https://www.ecfr.gov/current/title-13/part-127 https://www.ecfr.gov/current/title-13/section-127.300 https://www.acquisition.gov/node/31866/printable/print#FAR_52_212_3 https://www.acquisition.gov/far/4.1201#FAR_4_1201 https://www.acquisition.gov/far/part-19#FAR_Part_19 https://www.acquisition.gov/far/19.000#FAR_19_000 https://www.ecfr.gov/current/title-13/section-121.103#p-121.103(h) https://www.ecfr.gov/current/title-13/section-125.8#p-125.8(a) https://www.ecfr.gov/current/title-13/section-125.8#p-125.8(b) https://www.ecfr.gov/current/title-13/section-124.1001 https://www.ecfr.gov/current/title-13/section-127.506#p-127.506(a) https://www.ecfr.gov/current/title-13/section-127.506#p-127.506(c) https://www.ecfr.gov/current/title-13/section-127.506#p-127.506(a) https://www.ecfr.gov/current/title-13/section-127.506#p-127.506(c)

Note to paragraphs (c)(9) and (10):Complete paragraphs (c)(9) and (10) only if this is expected to exceed the .solicitation simplified acquisition threshold

(9) (other thanWomen-owned business concern small business concern). [Complete only if the is a and did not represent itself as aofferor women-owned business concern .] The represents that it is a women-owned business concern.in paragraph (c)(1) of this provisionsmall business concern offeror

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

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

(i)Itis,is not a listed, on the date of this representation, as having been certified by SBA as a in the HUBZonesmall business concern HUBZonesmall business concern Dynamic Small Business Search and SAM, and will attempt to maintain an employment rate of residents of 35 percent of its employees during performance of aHUBZone

(see ); andHUBZone contract 13 CFR 126.200(e)(1)

(ii)Itis,is not a joint venture that complies with the requirements of through . [HUBZone 13 CFR 126.616(a) (c) The enter the name and of each offerorshall unique entity identifier ______.] Each participating in the joint venture provide representation of its status.party to the joint venture: HUBZonesmall business concern HUBZone shall HUBZone

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

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

(i)Ithas,has not participated in a previous contract or subcontract subject to the Equal Opportunity clause of this ; andsolicitation

(ii)Ithas,has not filed all required compliance reports.

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

(i)Ithas 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)Ithas 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 (31http://uscode.house.gov/U.S.C. 1352). (Applies only if the contract is expected to exceed $200,000.) By submission of its , the certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any offer offeror 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 with respect to this contract, the complete and submit, with its , OMB Standard Form LLL, Disclosure of Lobbying offeror offerorshall offer Activities, to provide the name of the registrants. The need not report regularly employed officers or employees of the to whom payments of reasonable offeror offeror compensation were made.

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

(1)

(i)The certifies that each , except those listed in paragraph (f)(2) of this provision, is a domestic and that each domestic listed in Offeror end product end product end product paragraph (f)(3) of this provision contains a critical .component

(ii)The list as foreign those manufactured in the that do not qualify as domestic . For those foreignOfferorshall end products end products United States end products end products that do not consist wholly or predominantly of iron or steel or a combination of both, the also indicate whether these foreign exceed 55 percent Offerorshall end products domestic content, except for those that are COTS items. If the percentage of the domestic content is unknown, select "no".

(iii)The separately list the of domestic that contain a critical (see FAR 25.105).Offerorshall line item numbers end products component

(iv)The terms "commercially available off-the-shelf (COTS) item," "critical ," "domestic end product," " ," "foreign ," and " " are component end product end product United States defined in the clause of this entitled "Buy American- ."solicitation Supplies

(2)Foreign :End Products

Line ItemNo. Country of Origin Exceeds 55% domestic content (yes/no)

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[ ]List as necessary

(3)Domestic containing a critical :end products component

Line ItemNo. ___

[ ]List as necessary

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

(g)

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

(i)

(A)The certifies that each , except those listed in paragraph (g)(1)(ii) or (iii) of this provision, is a domestic end product and that each domesticOfferor end product end product listed in paragraph (g)(1)(iv) of this provision contains a critical .component

(B)The terms "Bahraini, Moroccan, Omani, Panamanian, or Peruvian ," "commercially available off-the-shelf (COTS) item," "critical ," "domestic end end product component product," " ," "foreign end product," "Free Trade Agreement country," "Free Trade Agreement country ," "Israeli ," and " " are end product end product end product United States defined in the clause of this entitled "Buy American-Free Trade Agreements-Israeli Trade Act."solicitation

(ii)The certifies that the following are Free Trade Agreement country (other than Bahraini, Moroccan, Omani, Panamanian, or PeruvianOfferor supplies end products end ) or Israeli as defined in the clause of this entitled "Buy American-Free Trade Agreements-Israeli Trade Act."products end products solicitation

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

Line ItemNo. Country of Origin

[ ]List as necessary

(iii)The list those that are foreign (other than those listed in paragraph (g)(1)(ii) of this provision) as defined in the clause of thisOfferorshall supplies end products solicitation entitled "Buy American-Free Trade Agreements-Israeli Trade Act." The list as other foreign those end manufactured in the that Offerorshall end products products United States do not qualify as domestic . For those foreign that do not consist wholly or predominantly of iron or steel or a combination of both, theend products end products Offerorshall also indicate whether these foreign exceed 55 percent domestic content, except for those that are COTS items. If the percentage of the domestic content is end products unknown, select "no".

Other Foreign EndProducts:

Line ItemNo. Country of Origin Exceeds 55% domestic content (yes/no)

FA468626QS020

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[List as necessary]

(iv)The list the of domestic end that contain a critical (see FAR ).Offerorshall line item numbers products component 25.105

Line ItemNo.___

[List as necessary]

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

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

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

IsraeliEnd Products:

Line ItemNo.

[ ]List as necessary

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

(g)(1)(i)(B) The terms "Korean ", " ," "critical ," "domestic ," " ," "foreignend product commercially available off-the-shelf (COTS) item component end product end product end ," "Free Trade Agreement country," "Free Trade Agreement country ," "Israeli ," and " " are defined in the clause of thisproduct end product end product United States solicitation entitled "Buy American--Free Trade Agreements--Israeli Trade Act."

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

Korean or Israeli :End Products End Products

Line ItemNo. Country of Origin

[ ]List as necessary

FA468626QS020

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

(i)The certifies that each , except those listed in paragraph (g)(4)(ii) of this provision, is a U.S.-made or designated country , as defined in the offeror end product end product clause of this entitled "Trade Agreements."solicitation

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

Other EndProducts:

Line ItemNo. Country of Origin

[ ]List as necessary

(iii)The Government will evaluate in accordance with the policies and procedures of FAR . For line items covered by the WTO GPA, the Government will offers part 25 evaluate of U.S.-made or designated country without regard to the restrictions of the Buy American statute. The Government will consider for award onlyoffers end products of U.S.-made or designated country unless the determines that there are no for such or that the for such are offers end products Contracting Officer offers products offers products 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 .) Thesimplified acquisition threshold certifies, to the best of its knowledge and belief, that the and/or any of its principals-offeror offeror

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

(2) Have, have not, within a three-year period preceding this , been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offer 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 ; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax offers 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 , been notified of any delinquent Federal taxes in an amount that exceeds the threshold at (a)(2) for offer 9.104-5 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. (S)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. the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all Should 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. (S)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. the taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial Should appeal rights.

FA468626QS020

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(C)The taxpayer has entered into an installment agreement pursuant to I.R.C. (S)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. (S)362 (the Bankruptcy Code).

(i)Certification Regarding Knowledge of Child Labor for Listed (Executive Order 13126). [The list in paragraph (i)(1) anyEnd Products Contracting Officermust end products being acquired under this that are included in the List of Requiring Contractor Certification as to Forced or Indentured Child Labor, unless excluded atsolicitation Products

(b).]22.1503

(1)Listed .end products

Listed End Product Listed Countries of Origin

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

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

(ii)The supply an listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that offerormay end product product. The 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 offeror end product furnished under this contract. On the basis of those efforts, the certifies that it is not aware of any such use of child labor.offeror

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

(1)In the (Check this box if the total anticipated price of offered manufactured in the exceeds the total anticipated price of offered endUnited States end products United States manufactured outside the ); orproducts United States

(2)Outside the United States.

(k)Certificates regarding exemptions from the application of the Service Contract Labor Standards(Certification by the as to its compliance with respect to the contract offeror also constitutes its certification as to compliance by its subcontractor if it subcontracts out the exempt services.) [The is to check a box to indicate if contracting officer

]paragraph (k)(1) or (k)(2) applies.

(1)Maintenance, calibration, or repair of certain equipment as described in FAR (c)(1). The doesdoes not certify that-22.1003-4 offeror

(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 (or subcontractor offeror 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 (c)(2)(ii)) for the maintenance, calibration, or 22.1003-4 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 (d)(1). The doesdoes not certify that-22.1003-4 offeror

(i)The services under the contract are offered and sold regularly to non-Governmental customers, and are provided by the (or subcontractor in the case of an exempt offeror 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 (d)(2)(iii));22.1003-4

(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

FA468626QS020

https://www.acquisition.gov/far/22.1503#FAR_22_1503 https://www.acquisition.gov/far/22.1003-4#FAR_22_1003_4 https://www.acquisition.gov/far/22.1003-4#FAR_22_1003_4 https://www.acquisition.gov/far/22.1003-4#FAR_22_1003_4 https://www.acquisition.gov/far/22.1003-4#FAR_22_1003_4

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

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

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

(1)All submit the information required in paragraphs (l)(3) through (l)(5) of this provision to comply with debt collection requirements of31 U.S.C.