Attachment 1 - Solicitation - FA468626QS026.pdf

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

FA468626QS026

6. SOLICITATION ISSUE DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

EZEKIEL ONUMAH

b. TELEPHONE NUMBER (no collect calls) 5306344094

8. OFFER DUE DATE/

LOCAL TIME

26 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

Created On:

20 Aug 2026, 13:10 PM Pacific Daylight Time

Solicitation/Contract Form 9 MUNS B1322 Asbestos Abatement & Carpet Replacement

Asbestos Abatement and Carpet Tile Replacement for Bldg 1322 IAW SOW.

Product Service Code: F108

FA468626QS026

Supplies or Services & Prices or Costs Additional Information/Notes

Item Supplies / Services Quantity Unit Unit Price Amount

Carpet Tile Materials Supply of carpet tiles meeting the specifications outlined in the Statement of Need (SON)

Product Service Code: F108 Pricing Arrangement: Firm Fixed Price

212 Square Yard

Carpet Tile Installation Labor. All labor required specifically for the installation of carpet tiles, excluding material costs.

Product Service Code: F108 Pricing Arrangement: Firm Fixed Price

212 Square Yard

Adhesive Materials Supply of adhesive compatible with the specified carpet tiles and suitable for the existing subfloor. Must meet all applicable regulations and standards

Product Service Code: F108 Pricing Arrangement: Firm Fixed Price

2 Gallon

Cove Base Materials. Supply of cove base meeting the specifications outlined in the Statement of Need

(SON).

Product Service Code: F108 Pricing Arrangement: Firm Fixed Price

520 Linear Foot

Cove Base Installation Labor. All labor required specifically for the installation of cove base, excluding material costs

Product Service Code: F108 Pricing Arrangement: Firm Fixed Price

520 Linear Foot

All other materials needed to complete carpet removal/installation.

Product Service Code: F108 Pricing Arrangement: Firm Fixed Price

1 Lot

Asbestos Abatement. Complete asbestos abatement services as described in the SON, including:

Removal of ACM in designated areas;

Preparation of concrete subfloor;

Submission of required plans, certifications, and notifications (including EPA notification);

Removal and disposal of all asbestos-containing materials according to regulations; Air clearance sampling and reporting;

Hazardous waste manifest submission.

Product Service Code: F108 Pricing Arrangement: Firm Fixed Price

1 Lot

Description/Specifications/Statement of Work

Requirements FY25-F7818-34GIE9-FM9-9 MUNS 1322 Carpet Replacement/Abatement

Packaging and Marking

Inspection and Acceptance Overall Contract Inspection/Acceptance Locations

Inspection and Acceptance Location

Both Destination Instructions: See Statement of Work (SOW) 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

Destination Instructions: See Statement of Work (SOW) 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

Destination Instructions: See Statement of Work (SOW) 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

Destination Instructions: See Statement of Work (SOW) 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

Destination Instructions: See Statement of Work (SOW) 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

Destination Instructions: See Statement of Work (SOW) 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

Destination Instructions: See Statement of Work (SOW) 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

212 Square Yard

Period of Performance From 28 Sep 2026 To 27 Sep 2027

212 Square Yard

Period of Performance From 28 Sep 2026 To 27 Sep 2027

2 Gallon

Period of Performance From 28 Sep 2026 To 27 Sep 2027

520 Linear Foot

Period of Performance From 28 Sep 2026 To 27 Sep 2027

520 Linear Foot

Period of Performance From 28 Sep 2026 To 27 Sep 2027

1 Lot

Period of Performance From 28 Sep 2026 To 27 Sep 2027

1 Lot

Period of Performance From 28 Sep 2026 To 27 Sep 2027

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) As used in this clause- Definitions.

"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) The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Electronic invoicing.

Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

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

(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) The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before WAWF training.

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

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

or task or delivery order:

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

(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.

(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.

(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.

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

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 ____

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) ____

(4) The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the Payment request.

payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

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

(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.

jake.kormos@us.af.mil / Phone: 530-634-3689TSgt Jake Kormos, Email: ___

(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 in4.2105(c), insert the following provision:

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 clause52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

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

(c)

(1)Representation. The Offeror represents that it does, does not provide covered telecommunications equipment or services as a part of its offered products or services to 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 offeror represents that it does, does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services.

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

As prescribed in12.301(b)(2), insert the following provision:

OfferorRepresentations and Certifications--Commercial ProductsandCommercial Services(Oct 2025)

TheOfferorshallcomplete only paragraph (b) of this provision if theOfferorhas completed the annual representations and certification electronically in the System for Award Management (SAM) accessed throughhttps://www.sam.gov. If theOfferorhas not completed the annual representations and certifications electronically, theOfferorshallcomplete only paragraphs (c) through (v) of this provision.

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

Covered telecommunications equipment or serviceshas the meaning provided in the clause52.204-25, Prohibition onContractingfor Certain Telecommunications and Video Surveillance Services or Equipment.

Economically disadvantaged women-owned small business (EDWOSB) concernmeans 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 theUnited Statesand who are economically disadvantaged in accordance with13 CFR part 127, and the concern is certified by SBA or an approved third-party certifier in accordance with13 CFR

127.300. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

Forced or indentured child labormeans 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 notofferhimself 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 ownermeans the entity that owns or controls animmediate ownerof theofferor, or that owns or controls one or more entities that control animmediate ownerof theofferor. No entity owns or exercises control of the highest level owner.

Immediate ownermeans an entity, other than theofferor, that has direct control of theofferor. 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 aninverted domestic corporationunder6 U.S.C. 395(b), applied in accordance with the rules and definitions of6 U.S.C. 395(c).

Manufactured end productmeans anyend productin product and service codes (PSCs) 1000-9999, except--

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

(2)Product or Service Group (PSG) 87, AgriculturalSupplies;

(3)PSG 88, Live Animals;

(4)PSG 89, Subsistence;

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

(6)PSC 9430, Miscellaneous Crude AnimalProducts, Inedible;

(7)PSC 9440, Miscellaneous Crude Agricultural and ForestryProducts;

(8)PSC 9610, Ores;

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

(10)PSC 9630, Additive Metal Materials.

Place of manufacturemeans the place where anend productis assembled out ofcomponents, 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 theplace of manufacture.

Predecessormeans an entity that is replaced by asuccessorand includes anypredecessorsof thepredecessor.

Reasonable inquiryhas the meaning provided in the clause52.204-25, Prohibition onContractingfor Certain Telecommunications and Video Surveillance Services or 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).Restricted business operationsdo 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--

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

Service-disabled veteran-owned small business (SDVOSB) concernmeans asmall 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)Asmall business concerneligible under the SDVOSB Program in accordance with 13 CFR part 128 (see subpart19.14).

(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, orsuccessorsystem that is maintained by the Department of Veterans 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 theSystem for Award Management (SAM) as certified by the Small Business Administration (SBA) in accordance with 13 CFR 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 authorizescontracting officersto limit competition, including award on a sole-source basis, to SDVOSB concerns eligible under the SDVOSB Program.

Small business concern--

(1)Means a concern, including itsaffiliates, that is independently owned and operated, not dominant in its field of operation, and qualified as a small business under the criteria in13 CFR part 121and size standards in thissolicitation.

(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 theacquisition, that--

(1)Is at least 51 percent unconditionally and directly owned (as defined at13 CFR 124.105) by--

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

(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 anothersubsidiaryof a parent corporation

Successormeans an entity that has replaced apredecessorby acquiring the assets and carrying out the affairs of thepredecessorunder a new name (often throughacquisitionor merger). The term "successor" does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of thesuccessorfor the liabilities of thepredecessormayvary, depending on State law and specific circumstances.

Veteran-owned small business concernmeans asmall business concern--

(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 asmall 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 with13 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 theUnited States, and the concern is certified by SBA or an approved third-party certifier in accordance with13 CFR 127.300.

(b)

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

(2)Theofferorhas completed the annual representations and certifications electronically in SAM accessed throughhttp://www.sam.gov. After reviewing SAM information, theOfferorverifies by submission of thisofferthat the representations and certifications currently posted electronically at FAR52.212-3,OfferorRepresentations and Certifications-Commercial ProductsandCommercial Services, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to thissolicitation(including the business size standard(s) applicable to the NAICS code(s) referenced for thissolicitation), at the time thisofferis submitted and are incorporated in thisofferby reference (see FAR4.1201), except for paragraphs __.

[Offerorto identify the applicable paragraphs at (c) through (v) of this provision that theofferorhas completed for the purposes of thissolicitationonly, if any.

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

Any changes provided by theofferorare applicable to thissolicitationonly, and do not result in an update to the representations and certifications posted electronically on

SAM.]

(c)Offerorsmustcomplete the following representations when the resulting contract is forsuppliesto be delivered or services to be performed in theUnited Statesor itsoutlying areas, or when thecontractingofficer has appliedpart 19in accordance with19.000(b)(1)(ii). Check all that apply.

(1)Small business concern. Theofferorrepresents as part of itsofferthat--

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

(ii)Itis,is not a small business joint venture that complies with the requirements of13 CFR 121.103(h)and13 CFR 125.8(a)and(b). [Theofferorshallenter the name andunique entity identifierof each party to the joint venture:____________.]

(2)Veteran-owned small business concern. [Complete only if theofferorrepresented itself as asmall business concernin paragraph (c)(1) of this provision.] Theofferorrepresents as part of itsofferthat itis,is not a veteran-ownedsmall business concern.

(3)SDVOSB concern.[Complete only if theofferorrepresented itself as a veteran-ownedsmall business concernin paragraph (c)(2) of this provision.] Theofferorrepresents that itis,is not an SDVOSB concern.

(4)SDVOSB concern joint venture eligible under the SDVOSB Program. Theofferorrepresents that itis,is not an SDVOSB joint venture eligible under the SDVOSB Program that complies with the requirements of 13 CFR 128.402. [Complete only if theofferorrepresented itself as an SDVOSB concern in paragraph (c)(3) of this provision.] [Theofferorshallenter the name andunique entity identifierof each party to the joint venture:____________.]

(5)Small disadvantaged business concern. [Complete only if theofferorrepresented itself as asmall business concernin paragraph (c)(1) of this provision.]Theofferorrepresents that itis,is not asmall disadvantaged business concernas defined in13 CFR 124.1001.

(6)Women-owned small business concern. [Complete only if theofferorrepresented itself as asmall business concernin paragraph (c)(1) of this provision.] Theofferorrepresents that itis,is not a women-ownedsmall business concern.

(7)WOSB joint venture eligible under the WOSB Program.Theofferorrepresents that itis,is not a joint venture that complies with the requirements of13 CFR

127.506(a)through(c). [Theofferorshallenter the name andunique entity identifierof each party to the joint venture:____________.]

(8)Economically disadvantaged women-owned small business (EDWOSB) joint venture.Theofferorrepresents that it is,is not a joint venture that complies with the requirements of13 CFR 127.506(a)through(c). [Theofferorshallenter the name andunique entity identifierof each party to the joint venture:____________.]

Note to paragraphs (c)(9) and (10):Complete paragraphs (c)(9) and (10) only if thissolicitationis expected to exceed thesimplified acquisition threshold.

(9)Women-owned business concern(other thansmall business concern). [Complete only if theofferoris awomen-owned business concernand did not represent itself as asmall business concernin paragraph (c)(1) of this provision.] Theofferorrepresents that it is a women-owned business concern.

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

(11)HUBZonesmall business concern. [Complete only if theofferorrepresented itself as asmall business concernin paragraph (c)(1) of this provision.] Theofferorrepresents, as part of itsoffer, that-

(i)Itis,is not aHUBZonesmall business concernlisted, on the date of this representation, as having been certified by SBA as aHUBZonesmall business concernin the Dynamic Small Business Search and SAM, and will attempt to maintain an employment rate ofHUBZoneresidents of 35 percent of its employees during performance of aHUBZone contract(see13 CFR 126.200(e)(1)); and

(ii)Itis,is not aHUBZonejoint venture that complies with the requirements of13 CFR 126.616(a)through(c). [Theofferorshallenter the name andunique entity identifierof each party to the joint venture:______.] EachHUBZonesmall business concernparticipating in theHUBZonejoint ventureshallprovide representation of itsHUBZonestatus.

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

(1)Previous contracts and compliance. Theofferorrepresents that-

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

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

(2)Affirmative Action Compliance. Theofferorrepresents that-

(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 itsoffer, theofferorcertifies 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 theofferorwith respect to this contract, theofferorshallcomplete and submit, with itsoffer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. Theofferorneed not report regularly employed officers or employees of theofferorto whom payments of reasonable compensation were made.

(f)Buy American Certificate. (Applies only if the clause at FederalAcquisitionRegulation (FAR)52.225-1, Buy American-Supplies, is included in thissolicitation.)

(1)

(i)TheOfferorcertifies that eachend product, except those listed in paragraph (f)(2) of this provision, is a domesticend productand that each domesticend productlisted in paragraph (f)(3) of this provision contains a criticalcomponent.

(ii)TheOfferorshalllist as foreignend productsthoseend productsmanufactured in theUnited Statesthat do not qualify as domesticend products. For those foreignend productsthat do not consist wholly or predominantly of iron or steel or a combination of both, theOfferorshallalso indicate whether these foreignend productsexceed 55 percent domestic content, except for those that are COTS items. If the percentage of the domestic content is unknown, select "no".

(iii)TheOfferorshallseparately list theline item numbersof domesticend productsthat contain a criticalcomponent(see FAR 25.105).

(iv)The terms "commercially available off-the-shelf (COTS) item," "criticalcomponent," "domestic end product," "end product," "foreignend product," and "United States" are defined in the clause of thissolicitationentitled "Buy American-Supplies."

(2)ForeignEnd Products:

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

[List as necessary]

(3)Domesticend productscontaining a criticalcomponent:

Line ItemNo. ___

[List as necessary]

(4)The Government will evaluateoffersin accordance with the policies and procedures of FARpart 25.

(g)

(1)Buy American-Free Trade Agreements-Israeli Trade Act Certificate. (Applies only if the clause at FAR52.225-3, Buy American-Free Trade Agreements-Israeli Trade Act, is included in thissolicitation.)

(i)

(A)TheOfferorcertifies that eachend product, except those listed in paragraph (g)(1)(ii) or (iii) of this provision, is a domestic end product and that each domesticend productlisted in paragraph (g)(1)(iv) of this provision contains a criticalcomponent.

(B)The terms "Bahraini, Moroccan, Omani, Panamanian, or Peruvianend product," "commercially available off-the-shelf (COTS) item," "criticalcomponent," "domestic end product," "end product," "foreign end product," "Free Trade Agreement country," "Free Trade Agreement countryend product," "Israeliend product," and "United States" are defined in the clause of thissolicitationentitled "Buy American-Free Trade Agreements-Israeli Trade Act."

(ii)TheOfferorcertifies that the followingsuppliesare Free Trade Agreement countryend products(other than Bahraini, Moroccan, Omani, Panamanian, or Peruvianend products) or Israeliend productsas defined in the clause of thissolicitationentitled "Buy American-Free Trade Agreements-Israeli Trade Act."

Free Trade Agreement CountryEnd Products(Other than Bahraini, Moroccan, Omani, Panamanian, or PeruvianEnd Products) orIsraeli EndProducts:

Line ItemNo. Country of Origin

[List as necessary]

(iii)TheOfferorshalllist thosesuppliesthat are foreignend products(other than those listed in paragraph (g)(1)(ii) of this provision) as defined in the clause of thissolicitationentitled "Buy American-Free Trade Agreements-Israeli Trade Act." TheOfferorshalllist as other foreignend productsthose endproductsmanufactured in theUnited Statesthat do not qualify as domesticend products. For those foreignend productsthat do not consist wholly or predominantly of iron or steel or a combination of both, theOfferorshallalso indicate whether these foreignend productsexceed 55 percent domestic content, except for those that are COTS items. If the percentage of the domestic content is unknown, select "no".

Other Foreign EndProducts:

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

[List as necessary]

(iv)TheOfferorshalllist theline item numbersof domestic endproductsthat contain a criticalcomponent(see FAR25.105).

Line ItemNo.___

[List as necessary]

(v)The Government will evaluateoffersin accordance with the policies and procedures of FARpart 25.

(2)Buy American-Free Trade Agreements-Israeli Trade Act Certificate,AlternateII. IfAlternateII to the clause at FAR52.225-3is included in thissolicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) Theofferorcertifies that the followingsuppliesare Israeliend productsas defined in the clause of thissolicitationentitled "Buy American--Free Trade Agreements-- Israeli Trade Act":

IsraeliEnd Products:

Line ItemNo.

[List as necessary]

(3)Buy American-Free Trade Agreements-Israeli Trade Act Certificate,AlternateIII. IfAlternateIII to the clause at52.225-3is included in thissolicitation, substitute the following 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 "Koreanend product", "commercially available off-the-shelf (COTS) item," "criticalcomponent," "domesticend product," "end product," "foreignend product," "Free Trade Agreement country," "Free Trade Agreement countryend product," "Israeliend product," and "United States" are defined in the clause of thissolicitationentitled "Buy American--Free Trade Agreements--Israeli Trade Act."

(g)(1)(ii) TheOfferorcertifies that the followingsuppliesare Koreanend productsor Israeliend productsas defined in the clause of thissolicitationentitled "Buy American--Free Trade Agreements--Israeli Trade Act":

KoreanEnd Productsor IsraeliEnd Products:

Line ItemNo. Country of Origin

[List as necessary]

(4)Trade Agreements Certificate. (Applies only if the clause at FAR52.225-5, Trade Agreements, is included in thissolicitation.)

(i)Theofferorcertifies that eachend product, except those listed in paragraph (g)(4)(ii) of this provision, is a U.S.-made or designated countryend product, as defined in the clause of thissolicitationentitled "Trade Agreements."

(ii)Theofferorshalllist as otherend productsthoseend productsthat are not U.S.-made or designated country endproducts.

Other EndProducts:

Line ItemNo. Country of Origin

[List as necessary]

(iii)The Government will evaluateoffersin accordance with the policies and procedures of FARpart 25. For line items covered by the WTO GPA, the Government will evaluateoffersof U.S.-made or designated countryend productswithout regard to the restrictions of the Buy American statute. The Government will consider for award onlyoffersof U.S.-made or designated countryend productsunless theContracting Officerdetermines that there are nooffersfor suchproductsor that theoffersfor suchproductsare insufficient to fulfill the requirements of thesolicitation.

(h)Certification Regarding Responsibility Matters (Executive Order 12689). (Applies only if the contract value is expected to exceed thesimplified acquisition threshold.)

Theofferorcertifies, to the best of its knowledge and belief, that theofferorand/or any of its principals-

(1) Are, are not presently debarred, suspended, proposed fordebarment, or declaredineligiblefor the award of contracts by any Federal agency;

(2) Have, have not, within a three-year period preceding thisoffer, 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 ofoffers; 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 thisoffer, been notified of any delinquent Federal taxes in an amount that exceeds the threshold at9.104-5(a)(2) 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. (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.Shouldthe 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. (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.Shouldthe 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. (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 ListedEnd Products(Executive Order 13126). [TheContracting Officermustlist in paragraph (i)(1) anyend productsbeing acquired under thissolicitationthat are included in the List ofProductsRequiring Contractor Certification as to Forced or Indentured Child Labor, unless excluded at22.1503(b).]

(1)Listedend products.

Listed End Product Listed Countries of Origin

(2)Certification. [If theContracting Officerhas identifiedend productsand countries of origin in paragraph (i)(1) of this provision, then theofferormustcertify to either (i)(2)(i) or (i)(2)(ii) by checking the appropriate block.]

(i)Theofferorwill not supply anyend productlisted in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product.

(ii)Theofferormaysupply anend productlisted in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product. Theofferorcertifies 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, theofferorcertifies that it is not aware of any such use of child labor.

(j)Place of manufacture.(Does not apply unless thesolicitationis predominantly for theacquisitionofmanufactured end products.) For statistical purposes only, theofferorshallindicate whether the place of manufacture of theend productsit expects to provide in response to thissolicitationis predominantly-

(1)In theUnited States(Check this box if the total anticipated price of offeredend productsmanufactured in theUnited Statesexceeds the total anticipated price of offered endproductsmanufactured outside theUnited States); or

(2)Outside the United States.

(k)Certificates regarding exemptions from the application of the Service Contract Labor Standards(Certification by theofferoras 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.) [Thecontracting officeris 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 FAR22.1003-4(c)(1). Theofferordoesdoes 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 theofferor(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 FAR22.1003-4(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 FAR22.1003-4(d)(1). Theofferordoesdoes not certify that-

(i)The services under the contract are offered and sold regularly to non-Governmental customers, and are provided by theofferor(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 FAR22.1003-4(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 theofferordoes not certify to the conditions in paragraph (k)(1) or (k)(2) and theContracting Officerdid not attach a Service Contract Labor Standards wage determination to thesolicitation, theofferorshallnotify theContracting Officeras soon as possible; and

(ii)TheContractingOfficermaynot make an award to theofferorif theofferorfails to execute the certification in paragraph (k)(1) or (k)(2) of this clause or to contact theContracting Officeras 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 theofferoris required to provide this information to the SAM to be eligible for award.)

(1)Allofferorsmustsubmit the information required in paragraphs (l)(3) through (l)(5) of this provision to comply with debt collection requirements of31 U.S.C. 7701(c)and 3325(d), reporting requirements of26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by the Internal Revenue Service (IRS).

(2)The TINmaybe used by the Government to collect and report on any delinquent amounts arising out of theofferor'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 FAR4.904, the TIN provided hereundermaybe matched with IRS records to verify the accuracy of theofferor's TIN.

(3)Taxpayer Identification Number (TIN).

TIN: ________________________________.

TIN has been applied for.

TIN is not required because:

Offeroris 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;

Offeroris an agency or instrumentality of a foreign government;

Offeroris 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 CFR1.6049-4;

Other ________________________________.

(5)Common parent.

Offeroris not owned or controlled by a common parent;

Name and TIN of common parent:

Name ________________________________.

TIN _________________________________.

(m)Restricted business operationsin Sudan. By submission of itsoffer, theofferorcertifies that theofferordoes not conduct any restricted business operations in Sudan.

(n)Prohibition onContractingwithInverted 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 asubsidiaryof an inverted domestic corporation, unless the exception at9.108-2(b) applies or the requirement is waived in accordance with the procedures at9.108-4.

(2)Representation. TheOfferorrepresents that-

(i)Itis,is not an inverted domestic corporation; and

(ii)Itis,is not asubsidiaryof aninverted domestic corporation.

(o)Prohibition oncontractingwith entities engaging in certain activities or transactions relating to Iran.

(1)Theofferorshalle-mail questions concerningsensitive technologyto the Department of State atCISADA106@state.gov.

(2)Representation and Certifications. Unless a waiver is granted or an exception applies as provided in paragraph (o)(3) of this provision, by submission of itsoffer,…