Attachments 2 to 14.pdf

SP4500-21-R-0002

Guam Scrap

ATTACHMENT 02

DEFINITIONS

(a) Certifier. A technically qualified Government representative (U.S. or foreign) appointed to sign the certification (there is a permanent waiver to allow contract labor to certify, and actually perform/supervise the required Demilitarization/Mutilation/De-manufacturing).

(b) Classified Item. A classified item is an item which must be protected from unauthorized disclosure in the interest of national security. Items of this nature are assigned a security classification.

(c) Containers. Any portable device with lid in which a scrap material is stored, transported, disposed of or otherwise handled.

(d) Contracting Officer (CO). A Contracting Officer is a person with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

The term includes certain authorized representatives of the contracting officer acting within the limits of their authority as delegated by the contracting officer. The Administrative Contracting Officer (ACO) refers to a contracting officer who is administering the contract. Termination Contracting Officer (TCO) refers to the contracting officer who settles contracts to be terminated. A single contracting officer may be responsible for duties in any or all of these areas. Reference in this regulation to ACO or TCO does not:

(1) Require that a duty be performed at a particular office or activity or

(2) Restrict in any way a contracting officer in the performance of any duty properly assigned.

(e) Contracting Officer’s Representative (COR). Individual designated in accordance with subsection 201.602-2 of the Defense Federal Acquisition Regulation Supplement and authorized in writing by the contracting officer to perform specific technical or administrative functions. The CORs under this contract will be located at DLA DISPOSITION SERVICES Guam. The CORs will be the contractor's primary points of contact for the duration of this contract. The COR is not authorized to make any commitments or changes that will affect price, quality, quantity, delivery, or any other term or condition of the contract.

(f) DLA DISPOSITION SERVICES, Disposal Service Directorate Pacific.

Located at Pearl Harbor, Hawaii, provides oversight of operations to the DLA DISPOSITION SERVICE Sites outside of the United States located in the Pacific.

(g) DLA DISPOSITION SERVICES Site. A DLA Disposition Services Site is a field office that processes and disposes of U.S. Government property.

ATTACHMENT 02

DEFINITIONS

(h) De-manufacturing (Deman). To render specified unusable or obsolete Government-owned electrical and electronic equipment completely unusable by total disassembly, shredding or destroying it, recovery of hazardous components and proper disposal.

(i) Demilitarization (Demil). A Government term used to define the requirement and the process of destroying Government surplus property. The purpose is to eliminate the offensive or defensive capability inherent in the equipment and prevent further use for its intended military purpose. Scrap materials received by the contractor may be coded as requiring demilitarization, or as requiring special handling under The Defense Material Disposition Manual DoD 4160.21-M and DoD 4160.22-M or Defense Logistics Agency Regulation (DLAR)

2030.1 Trade Security Control (TSC) Procedures.

(j) Government Personal Property. Property other than real property (buildings/lands) and records (files/documents) of the Federal Government.

(k) Hazardous Material (HM). Any material that is capable of posing an unreasonable risk to health, safety and property.

(l) Hazardous Waste (HW). Any wastes requiring special handling, manifesting or disposal as defined by host nation law.

(m) Incineration. A thermal treatment technology involving destruction by controlled burning at high temperatures at Government approved facilities.

(n) Material Potentially Possessing an Explosive Hazard (MPPEH). Any substance that, by its composition and chemical characteristics, alone or when combined with other substances(s), is or becomes an explosive or a propellant, or is hazardous or dangerous to personnel, animal, or plant life, structures, equipment, or the environment as a result of blast, fire, fragmentation, radiological or toxic effects.

(o) Mutilation. The act of making material unfit for its originally intended purposes by cutting, tearing, scratching, crushing, breaking, punching, shearing, burning, neutralizing, etc.

(p) Quality Assurance. A planned and systematic pattern of all actions necessary to provide confidence to the Government that adequate technical requirements are established;

products and services conform to established technical requirements; and satisfactory performance is achieved.

(q) Scrap. Material that has no value except for its basic material content.

(r) Segregating/Sorting. The process of breaking down an item into its individual basic material contents and sorting for better scrap grouping. This process is accomplished by the onsite contractor personnel at no additional cost to the Government. The basic material content is established by the DLA DISPOSITION SERVICES personnel. This determination is based on the predominant material composition by weight of an

SP4530-21-R-0002

ATTACHMENT 02

DEFINITIONS

item in the best interests of the U.S. Government. Questionable items will be determined in conjunction with the CO, COR and contractor.

(s) Solid Waste. Solid waste includes garbage, refuse and other discarded materials including solid waste material resulting from industrial, demilitarization/mutilation/de-manufacturing processes, commercial, and agricultural operations, and from community activities. Mining and agricultural solid wastes, hazardous wastes, sledges, construction, demolition wastes and infectious wastes are not included in this category.

(t) Task Order. A task order is a contractual order for services or a call against an existing order.

(u) Verifier. A verifier is a technically-qualified U.S. Government representative (American Citizen) who is designated to the certification, who actually witnesses the demilitarization/mutilation/de-manufacturing or inspects the residue, and who has the expertise to determine adequacy of demilitarization/mutilation/de-manufacturing.

VANTAGEO

27a. QUANTITY IN LUMN 20 HAS BE

RECEIVE

Attachment 3

ORDER FOR SUPPLIES OR SERVICES

SP4500-21-R-0002

Guam Scrap

PAGE 1 OF

1. CONTRACT/PURCH OROER/AGREEMENT NO. 2. OELIVERY OROER/CALL NO, 3. OATE OF OROER/CALL 4. REQUISITION/PlJRCH REQUEST NO. 6. PRIORITY

/YYYYMMMDDJ

6. ISSUEO BY CODE I 7. AOMINISTEREO BY /1/ o//Jet //Jan 61 CODE I S. DELIVERY FOB

OESTINAT!ON

OTHER

/See Schedule if other)

9. CONTRACTOR COOEI FACILITY I 10. DELIVER TO FOB POINT BV ID•le/ 11, X IF BUSINESS IS

/YYYYMMMDD/ >--

SMALL

12. DISCOUNT TERMS SMALL DISAO-

NAME f---------

AND WOMEN-OWNED

ADDRESS

13. MAIL INVOICES TO THE ADDRESS IN BLOCK

14. SHIP TO coDel 16,PAVMENT Will BE MADE BV CODE I MARK All

PACKAGES AND

PAPERS WITH

IOENTIFICATION

NUMBERS IN

BLOCKS 1 AND 2.

16. DELIVERY/ This delrlery or-de,tca-1-1 is i8-5Ued on another Government .agency or in ac.,c;:ordanc.e with .and s1Jbjact to terms &rtd condrHo-n.s. of abova numbered -contract.

CALL

TYPE

OF Rolotoll<>o you, furnish the following on term5; specified hereln.

ORDER

PURCHASE ACCEPTANCE. THE CONTRACTOR HERE8V ACCEPTS THE OFFER REPRESENTED 8Y THE NUMBERED PURCHASE OROER AS IT MAV PREVIOUSLY HAVE

BEEN OR IS NOW MODIFIED, SU8JECT TO All OF THE TERMS ANO CONOITIONS SET FORTH, ANO AGREES TO PERFORM THE SAME.

NAME OF CONTRACTOR SIGNATURE TYP!'O NAME ANO TITLE OATE SIGNED

(YYYYMMMDD)

If this box: is markedi suppner must sign Ac-ceptance and r-eturn 1ha foUowing number af coples

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

20. QUANTITY 21. 22. UNIT PRICE 23. AMOUNT

16. ITEM NO. 19, SCHEOULE OF SUPPLIES/SERVICES OROEREO/

ACCEPTED• UNIT

0.00

0.00

0.00

"If qr;antity accepted by the Government is 24. UNITED STATES OF AMERICA 26. TOTAL 0.00 same as quantify ordered; indicate by X. 26. If different,,· enter actual quantity accepted be!a\'r DIFFERENCES quantity ordered snd encitcle. CONTRACTING/ORDERING OFFICER b, SIGNATURE.OF AUTHORIZEO GOVERNMENT REPRESENTATIVE c. DATE d, PRINTED NAME ANO TITLE OF AUTHORIZED GOVERNMENT

{YYYYMMMOD)

REPRESENTATIVE

e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 28. SHIP. NO. 29. D.O. VOUCHER NO. 30. INITIALS

PARTIAL 32. PAID 8V 33. AMOUNT VERIFIED CORRECT FOR

f. TELEPHONE NUMBER g, E-MAIL ADDRESS FINAL

31. PAYMENT 34. CHECK NUMBER

36. I CERTIFY THIS ACCOUNT IS CORRECT ANO PROPER FOR PAYMENT. COMPLETE

a, DATE b. SIGNATURE AND TITLE OF CERTIFYING OFFICER PARTIAL 35. l!ILl OF LADING NO.

(YYYYMMMDDJ

FINAL

37, RECEIVED 38. RECEIVED BV /Print! 39. DATE RECEIVED 40. TOTAL CON· 41, SIR ACCOUNT NUMBER 42. Sill VOUCHER NO, AT (YYYYMMMOD/ TAINERS

DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE, Adobe Professional 8.0

INSPECTED

ATTACHMENT 4

DLA DISPOSITION SERVICES SITES AND OPERATING HOURS

DLA DISP SVCS AT GUAM: Monday thru Friday (Except on U.S. Government Holidays), 08:00 a.m. – 15:00 p.m., no access during lunch hours of 11:30 a.m.-12:30 p.m.

Address:

DLA Disposition Services BLDG 631 Connellee Lane U.S. Naval Base, Santa Rita Guam 96915

FORWARD COLLECTION SITES: Operating Hours shall be provided at the time of issuance of the task order. Check with COR.

FULL MANAGEMENT SERVICES (CLIN 0001_A): When CLIN 0001_A is ordered at any site location, the contractor shall be required to perform Tuesday to Thursday during business hours identified above.

Operating hours may change during the course of the contract. CORs will keep the contractor informed

ATTACHMENT 5

DLA DISPOSITION SERVICES GUAM INVENTORY SNAPSHOT (MAY 2020)

CODE UI WEIGHT

D1E LB 30,000

D1I LB

D2A LB 41,863

EWG LB 14,149

EILA LB 906,052

GO5 LB 16,741

MUT LB 100,074

NOUN NAME

WRECKED AIRCRAFT

FIRED ALUMINUM

MIXED CLEAN COPPER BASE ALLOYS

WHITE APPLIANCES GOOD

IRON AND STEEL SCRAP MIXED WITH FOREIGN

ATTACHMENTS

RUBBER SCRAP NOT OTHER WISE CLASSIFIABLE

NON DEMIL REQUIRED NON-FSCAP, CRITICAL FSG/FSC

DOWNGRADED TO SCRAP

WORKLOAD HISTORY

ATTACHMENT 6

SP4500-21-R-0002

Guam Scrap

GUAM

CLIN FY 18 FY19 Total LB

0003GA 6,526,100 1,398,559 8,830,711

0016GB 2609 2609

0028GB 48831 61761 110,592

0036GA 3706 371,905 486,203

Category 1 Category 2 Total

Note: Several CLINs are newly established. CLINs without workload data in FY18 or FY19 are appropriately estimated in the Schedule of Prices based on historical information.

6,578,637 1,834,834 9,430,115

Clear Attachment 7 SP4500-21-R-0002

DLA FORM 1367, MAY 74 (EG) REPLACES DD FORM 1460 WHICH MAY BE

USED UNTIL EXHAUSTED PDF (DLA) SHEET OF SHEETS

Clear

SHIPMENT RECEIPT/DELIVERY PASS

1. TO: PURCHASER OR AGENT (Name of Carrier, If Applicable) 2. FROM: (Name and Location of Activity and Installation From Which

Property is being Removed)

3. INVITATION NUMBER 4. CONTRACT NUMBER

5.

ITEM

6.

DESCRIPTION OF MATERIAL

7.

UNIT

8. QUANTITY

RELEASED

9. SHIPMENT NUMBER 9A. "X" TYPE OF SHIPMENT

PARTIAL FINAL

10. TIME LOADED 11. VEHICLE LICENSE NO.

12. RELEASED BY (Signature of PDO or Authorized Representative) 13. TITLE OF AUTHORIZED DISPOSAL REPRESENTATIVE

RELEASING PROPERTY

14. SIGNATURE OF PURCHASER OR AGENT 15. DATE PROPERTY IS RELEASED

TO BE COMPLETED BY SECURITY PERSONNEL ONLY

16. TIME SHIPMENT LEAVES INSTALLATION 17. SENTRY'S INITIALS

Attachment 8 SP4500-21-R-0002

Page 1 of2 DLA FORM 2505, OCT 2013 PDF (DLA)

SHIPPING DOCUMENT

TRACKING LOG

Prescribed by: DRMS-14160 Sponsor: Disposition

COMPANY NAME CONTRACT# TO# INVOICE AMOUNT ($) DATE

CHECK ONE

(If this is not exclusively Phase I Submittal)

AS REQUIRED

D This is my initial submission and it includes complete Phase I and Phase II data .

D I previously submitted Phase I data and am now submitting Phase II data

I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT THIS CONTRACT PERFORMANCE SUPPORTING DATA IS

ACCURATE, COMPLETE AND MEETS ALL REQUIREMENTS SET FORTH IN THE CONTRACT

SD – SHIPPING DOCUMEN QF – QUALIFIED FACILITY

NAME SIGNATURE

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.

Line Item# Doc# HIN# P/U SDt# P/U Qty

Initial QF Receipt Date

(DD/MMM/YY)

Initial

QF

MMC

lnterim/Disp

SD#

SD

Pg/Li

CTN

No& Type

Interim/Disposal/Q Facility EPA ID#

Interim/ QF/Dispsl

MMC

QTY

Disp.

QF Accept Date

(DD/MMMNY)

SP4530-21-R-0002

Attachment 8

DLA FORM 2505, OCT 2013 Page 2of2 PDF (DLA)

SHIPPING DOCUMENT TRACKING LOG IPrcscnbed by: DRMS-14160 Sponsor. Disposition

INSTRUCTIONS

NOTE: For special service items, complete only blocks 1, 2, 3, 5 and 6.

Column 1: Line Item#- line item number for the item being disposed. (Four digits - e.g.: 0001) Column 2: Document# - Document number as it appears on the DD Form 1155 (External PR). (Eight digits - e.g.: 1236ABCD)

Column 3: HIN # - HIN number as it appears on DD Form 1155 (Six characters - e.g.: 9404NC)

Column 4: Pickup (P/U) SD/Mnfst. # - Manifest document number assigned to each manifest or shipping paper used to ship the waste to the initial QF/TSDF (5 or 12 characters - e.g.:

02034; 123456789GBF)

Column 5: Picked Up (P/U) QTY - actual quantity picked up. For special service items, insert actual quantity completed.

Column 6: Initial QF/TSDF Receipt Date -Actual date listed on the shipping paper next to the signature of the representative of the first QF/TSDF accepting the shipment (dd/mmm/yy}. For special service items, insert final date all services were completed.

Column 7: Initial QF/TSDF MMC - List the appropriate waste Management Method Code used by the first QF/TSDF for treatment. storage, and/or disposal methods (40 CFR 264, Appendix 1, Table 2 no longer applies)

Column 8: Interim/ Disposal SD/Manifest#- SD/Manifest document number assigned to each manifest or shipping paper used to ship all, or parts of the waste to other QF/TSDFs, including all interims and finals, after receipt at initial QF/TSDF. EXCEPTION: If final treatment and/or disposal is accomplished by the initial QF/TSDF, insert "Same as# 4" and do not fill out blocks 9 thru 14. (PCBs will require block 14 entry)

Column 9: SD/Manifest Page/Line- Identify the page and manifest line number that the document number has been placed on from manifest block 9a, 27a, etc

Column 10: Containers (CTN) No & Type- Identify the number of containers and type of containers from block 10, 28, etc

Column 11: QF/Interim/Disposal Facility EPA#- EPA Identification number (or DLA Disposition Services "dummy· number) assigned to each and every facility involved in the treatment, storage, and final disposal. (As defined in section C of the contract) of the item. Use additional lines as necessary. (Twelve digits- e.g.: PAD 456123912) NOTE: If final disposal did not occur at the initial facility, then the initial facility is considered an interim facility for Phase II tracking purposes. In those instances, the initial facility's EPA ID number should be included in Block 11 when Phase II information is submitted.

Column 12: QF/Interim/Disposal MMC Codes - List the appropriate Management method code(s) listed at 40 CFR 264, Appendix 1, Table 2-not applicable, performed by any QF/interim and final disposal facilities. Note: Include any treatment and/or handling performed at initial QF/TSDF, which was NOT identified in Phase l.

Column 13: Qty Disposed - Actual quantity of item disposed.

Column 14: Interim/Disposal QF/TSDF Accept Date and Disposal Date (PCBs Only) -Actual date listed on the shipping paper next to the signature of the representative of each and every interim and final TSDF's accepting, treating, and/or disposing of the waste (dd/mmm/yy). - Date of actual final disposal of PCB item (dd/mm/yy).

Attachment 9 SP4500-21-R-0002

IFB/CONTRACT/OFFER/SF123 ORDER NO.

END USE CERTIFICATE FOR AGENCY USE ONLY

(STATEMENT REGARDING DISPOSITION AND USE OF PROPERTY) TSC PRIMARY SUB-PURCHASER Fonn Approved (Please read Privacy Act Statement on page 2 before completing this fonn. CLO PURCHASER 1 2 3 4 0MB No. 0704-0382

If additional space is required, use separate sheets and identify by Block Number.) YES Expires Jan 31, 2016

TYPE OR PRINT ALL INFORMATION NO

The public reporting burden for this collection of infom1atlon is estimated to average 20 minutes per response, lnduding the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, induding suggestions for reducing this burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 4800 Mark Center Drive, East Tower, Suite 02G09, Alexandria, VA 22350-3100 (0704-0382). Respondents should be aware that notwithstanding any other provision of law, no person shall be su_bject to any penalty for failing to comply with a collection of Information if ii oes not display a curren y valid 0MB control number. RETURN COMPLETED FORM TO THE OFFICE STATED ON THE IFB, SOLICITATION OR PROPOSAL.

INSTRUCTIONS. This form must be fully completed by ell applicants for United States Munitions List items (USML)IO,mmerce Control Us/ //ems (CCU) prior to acceplance by the U.S. Government and conslilutes an integral part of this bid. The information given must be true and coffect and will become a parl of this contract. Every block MUST have an entry. If necessal)I, lnsen 'NONE "SAME AS BLOCK X • or 'NOT APPLICABLE" (do no/ use 'NIA'). If the applicant Is acb·ng solely as an Agent, a DLA Form 1822 must be signed by the Principal. The term Approving Official is used to Indicate the person authorized to act for the U.S. Government (Sales 0,ntrac/ing Officer Plant Clearance Officer or other designated ind"Nidual). FOR ALL SALES OF PROPERTY APPROVED BY Pt.ANT CLEARANCE OFFICERS UPON THE REMOVAL OF THE PROPERTY, ALL DOCUMENTATION REQUIRED BY THIS FORM \,vl'LL BE FORWARDED TO THE IDENTIFIED TRADE SECURITY CONTROL OFFICE, The following applies to all properly subject of sale using lhis form: the use, disposition, exporl, or re-fixporl of this properly, is subject to the publications, penalties, and other provisions of the economic programs administered by the Office of Foreign Assets Control, U.S. Treasury Department, 31 CFR Chapter V.

THIS STATEMENT IS SUBMITTED IN CONNECTION WITH: LINE ITEM NUMBER/COMMODITY

0 SALE O EXCHANGE 0 OTHER:

NAME (Last, First, Middle) SSN/ALIEN CARD NO./COUNTRY ID

DATE OF BtRTH (MMIDDNYI ) PLACE OF BIRTH (City or County, Slate, Counl,y) 1 TELEPHONE NUMBER (Include Area Code)

MAILING ADDRESS PHYSICAL ADDRESS

SECTION I. GENERAL INFORMATION

APPLICABILITY. This statement applies to the property for which we have submitted our bid/offer pursuant to the above idenlified invita/ion.

1. TYPE OF FIRM

0 SOLE PROPREITORSHIP □ PARTNERSHIP 0 CORPORATION □ OTHER (Specify)

2. NATURE OF END-USER'S BUSINESS 3. NATURE OF PRINCIPAL'S BUSINESS 4. FIRM'S IDJFEDERAL TAX NUMBER

5. BUSINESS/CORPORATION HEADQUARTERS 6. BRANCH OFFICE

A. NAME A. NAME

B. ADDRESS (Physical location) B. ADDRESS (Physical location)

7. ALL CORPORATE OFFICERS, PARTNERS AND/OR AGENTS ARE TO PROVIDE, ON SEPARATE SHEETS OF PAPER, THEIR NAMES, ADDRESSES, SSNs, DATES AND PLACES OF BIRTH. FAILURE TO PROVIDE THIS INFORMATION COULD RESULT IN SIGNIFICANT DELAY OR DENIAL OF THE AWARD. (See attached)

SECTION II. END USE/USER INFORMATION. If !his is a negotiated exchange, identify the property being exchanged:

1. PURPOSE. THE PROPERTY REFERRED TO IN ABOVE IFB/OFFER NUMBER WILL BE UTILIZED FOR THE FOLLOWING:

Enter and 'X' in the appropriate item(s) below. In the case of resale, Item 1.F. or 1.G. MUST be marked.0 A. Retention for the following specific use 0 B. Resold in the form received for the following use0 C. The property will not be sold or otherwise (see note): (see note): disposed of for use outside of the United States or to non-U.S. Citizens/Nationals in the United States.

0 D. The property may be exported or re-exported in0 E. Resale after following alteration (description of LJ F. If sold, name, address, and telephone number the form received to the following final production: or sul).purchaser(s):

country/countries: in (Country/Countries):

and distribution in (Country/Countries):

LJ G. The customers are unknown at this time. If required by the contract/transfer document, I will obtain prior written approval for the resale of any of the property covered by this contract.

ADDITIONAL INFORMATION: State any other material facts relating to end user and use of the property which may be of value in considering the proposal:

NOTE: Example of specific uses: AIRCRAFT. The bidder/recipient certifies that the aircraft will be used: as a flyable aircraft; as a nonflyable aircraft to be used only for parts, display, or ground instruction, etc.; for resale as a flyable aircraft

DLA FORM 1822, JAN 2013 ALL OTHER VERSIONS ARE OBSOLETE Page 1 of2 PDF {DLA)

Attachment 9 SP4500-21-R-0002

SECTION Ill. UNDERSTANDING AND NOTIFICATIONS 1 . The use, disposition, export and re-export of lhis property is subjecl to all applicable U.S. Laws and Regulations, Including bul nol limited to the Arms Export Control Act (22 USC 2751 el seq.); Export Administration Act of 1979 (50 USC App.2401 et seq.) as continued under Executive Order 12924; International Traffic in Arms Regulations (22 CFR 120 et seq,); Export Administration Regulations (15 CFR 730 et seq,); Foreign Assets Control Regulations (31 CFR 500 et seq.) and the Espionage Act {18 USC 793 et seq.); which, among other things, prohibit:

A. The making of false statements and concealment of any material information regarding !he use or disposition, export or re-export of !he property and

B. Any use, disposition, export or re-export of lhe property not permitted by applicable statule and regulation.

2. The submission of false or misleading Information and/or concealment of any material facts regarding the use, disposition or export of this property may constitute a violation of provisions of 18 USC 793/1001, 22 USC 2778/2779, 50 USC App. 2410, and 50 USC App. 1-44. Sanctions for violations will be in conformilywith U.S. laws and regulations (lncludlng Federal Acquisition Regulations and DoDD 2030.8) and may include the denial of U.S.

export privileges and of any participation in fulure U.S. Government contracts,

3. Transfers of USML and CCLI property by purchasers/bidders are subject to the requirements of the appropriate licensing departmenl or agency. In many cases, an export license or other authorization may be required. Wth respect to USML, registration of lhe purchaser's/bidder's business with the Department of the State may also be required. It Is the responsibility of lhe purchaser/bidder to determine what the applicable requirements may be and to obtain all necessary authorization or approvals.

4.1/-Jhen USMUCCU property is lfansferred, the Information In this form regarding the above laws and regulatlons must be passed lo the subsequent purchaser/receiver. Records of Resale in buyer's possession should be available for Trade Security Controls Office review, if requested.

5. The Invitation For Bid and Sale/Exchange Contract number can be referenced when submitling an application for an export license or other authorization to the Department of Slate for USML or Department of Commerce for CCLI.

6. The Government expects the Purchaser/Recipient to cooperate with all authorized Government representatives to verify the existence and condition ofUSMUCCLI, SECTION IV. CERTIFICATION STATEMENT TO BE SIGNED BY BIDDER AT TIME OF RESPONSE TO IFB 1 . I do certify that afl Information given In this Statement Regarding Disposition and Use of Property is true and correct to the best of my knowledge and belief and have not knowingly omitted any information which Is Inconsistent with this statement. I understand this statement will be referred to and be a part of the contract of sale/exchange with the U.S; Government. I agree to submit a written request for amendment of this statement to the Approving Official prior to effecting any change of fact or Intention from that slated herein or in any prior amendment, whether occurring before or after the release of the commodities, and not to effect such changes without first receiving written approval of the Approving Official.

2. I acknowledge having been advised that the USMUCCLI property I purchased Is controlled by the U.S. Government and In many cases cannot be transferred (exported, sold or given) to a foreign country, a non-U.S. Citizen/National or a non-Permanent US Resident without a valid State/Commerce Department export authorization. Should I transfer this property to a foreign country, a non-U.S. Citizen/National or a non-Permanent US Resldenl, I will obtain any required authorization before making such transfers, I will not transfer this property to countries, regimes and nationals targeted under the sanclfons program administered by the U.S. Treasury Department's Office of Foreign Assets Control.

3. Neither the applicanl, corporate officers, directors or partners is:

A. The subject of an indictment for or has been convicted of violaling any or the U.S. Criminal statutes enumerated in 22 CFR 120.27 since the effective date of lhe Arms Export Control Act, Public law 94-329, 90 Stat. 729 (June 30, 1976) ; or

8. Ineligible to contract with, or to receive, a license or other approval from any agency of the U.S. Government.

4. The person signing this DLA Form 1822 ls:

□ a Citizen of the United States of America, or

□ lawfully admitted to the United Stales for Permanent Residence and maintains such residence under the lmmigralion and Nationality Act, as amended (8 USC 1101 (a), 20, 60 Slat. 163), or

□D a Citizen ot --------------------------------------------------------------- , and/or

Is an official of a foreign government entity in the United States.

A NAME (Type of Prinl) B. SIGNATURE* C. DATE SIGNED

PRIVACY ACT STATEMENT

AuthOrlty: 10 U.S.C. 133, Under Seaeteiy of Defenso for Acquisition, Te¢Mok>gy, and l0gi,tics; 22 U.S.C. 2761-2799, Arms Export Control; 50 App. U.S.C. 2401 et seq., ExpooAdministratioo; E.O.

12738 and E.O. 12981, Export Controls; 22 CFR 122, 15 CFR 762, 41 CfR 101 and 102; DoD Dire<:tive 2040.3, End Use Certificates (EUCS); DoD lr»truclioo 2030.08, lmplementatio<l or Trade Security Controls (TSC) for Transrers of DoD U.S. MLJ<ljtions Lisi (USML) and Com:nerce Control List (CCL) Persooal Property to Parties Outside DoD Control; DoO lnstroctioo 2040.02, lnl emational Trsnsrers of Technology, Artides, and Seiv.ces; DoD lnslluction 4161,2, Managemenl, Control and Disposal of Government Ptoperty In the Possesslon of Contractors; DoD 4160.21-M, Deroose Materiel Disposition Manual; DoD Manual 4160.28, Defense Demlnatization and E.0 . 9397 (SSN), as amero ed.

Purpo se: lnfomiation Is use<I to <letermlna bidder et;gib:foty to participate ill the ptog(ams and to ensure !hat property redp!ents oomply with the terms of the sale regru-dillg end use of the p,operfy.

Routine uses: Data may be disclosed to the Depa,tment or Transportation lo ensure comptiaoce v.ith ru!es regar<f,ng Federal Aviation AdministraHon a!rworth!Mss certificates for surplus military a!ra aft to the General Seri.cas AdmWstration to determ!'1o lhe p,eseoce ol debarment procMdings aga:nst a bidder, 10 the Department or State to ensure compliance with lhe International Traffic In Alms reg\laUons; to the Department or Commerce to ensure compfiance with lhe Export Adm!nlstrafon reg\latioos; and to the Department or JtJstice for asset identification. location and rOOJvery; and for immigration and naturalization data verification. Data may also be p,ov'.ded under the DoD 'Blanket Routine Uses· publlshed al http://dpclo.defensa.gov/prtvacy/SORNslbla nl<e t_routine_uses.hllri.

Disclosure: Voluntary; however, failtJre to p,o;1de the requested lnfomiation may result In lll eligb l ily to receive surplus or fore:gn personal propetty.

Rules of use: Rules for collecting, using, retaining, and safeguard:ng this information a,e contained in DLA Piivac'j Act system of rOOJrds notice 5640.45, entitled "End Use Certificates• avaiJable at http:/Jdpdo.delense.gov/privacy/SORNs/componenV<lla/S640.45.html

DLA FORM 1822, JAN 2013 ALL OTHER VERSIONS ARE OBSOLETE Page 2 of 2 PDF (DLA) http://dpclo.defensa.gov/prtvacy/SORNslblanl

Attachment 9A SP4500-21-R-0002

INSTRUCTIONS FOR COMPLETING DLA FORM 1822,

END-USE CERTIFICATE

Revision February 28, 2013

DoD Instruction 2030.08, Implementation of Trade Security Controls, Implementation of Trade Security Controls (TSC) for Transfers of DoD U.S. Munitions List (USML) and Commerce Control List (CCL) Personal Property to Parties Outside DoD Control (May 23, 2006). TSC are applied in the interest of U.S. national security. The DoD Components shall apply TSC measures to prevent illegal acquisition or other unauthorized transfers of defense and dual-use technology, goods, services and munitions by or to individuals, entities and/or countries whose interests are adverse to the United States and to prevent those technologies, goods, services and munitions from being exported directly or indirectly into unauthorized areas designated by the Secretary of State, the Secretary of Commerce, or the Director of Foreign Assets Control. DoDI

2030.08 requires that Trade Security Controls be implemented whenever United States Munitions List (USML) or Commerce Control List (CCL) property is transferred. Trade Security Controls are implemented to prevent the illegal acquisition or other unauthorized transfers of USML or CCL items to ineligible transferees. These controls include the requirement to notify purchasers of export license requirements and the requirement that purchasers complete end-use certificates. All individuals wanting to acquire Department of Defense surplus property, identified as USML or CCL items, are required to complete the End-Use Certificate (EUC), DLA Form 1822.

It is your responsibility to fully and accurately complete this form. The use of “homemade” EUCs will not be accepted because they are not covered under the Paperwork Reduction Act. Due to the critical nature of this document, failure to comply with any of these instructions and/or accurately provide the required information will result in this EUC being deemed unacceptable, will cause significant delay or denial in obtaining the Trade Security Control (TSC) Assessment required to receive USML/CCL property, or the form Returned Without Action (RWA).

As part of the TSC Assessment process, personal identification information is necessary to include any one of the following forms of identification:

• U.S. Government I.D

• U.S. Passport

• Valid Driver’s License

• State Government ID Card

• Lawful Permanent Resident Card

• Visa

• Certificate of Naturalization

NOTE: All forms of identification must be current, valid, and legible.

All entries must be typed or clearly printed. When providing the required information and additional space is needed, the use of a separate sheet of paper is acceptable. At the top of each additional sheet of paper you must place your name and the IFB/Contract no./Offer No./Standard Form-122/Standard Form-123 Order No. You must also cite the appropriate block number(s) and/or letter(s) for each entry and enter “See Attached” in corresponding block.

Every block on the EUC must have an entry.

If the information being requested does not apply to your situation, the only entry which will be acceptable is indicating “NOT APPLICABLE” (do not use N/A, N/R or draw a line). If you have to repeat information that was previously entered in another block, cite the SECTION, block number and/or letter; i.e., “SAME AS SECTION 'X', BLOCK 'X'”. The Approving Official (Sales Contracting Officer, Plant Clearance Officer, or other designated individual) will review the EUC for completeness and accuracy.

AT TOP OF PAGE: IFB/CONTRACT/OFFER/SF122/SF123 ORDER NO:

Enter the number (if not pre-printed) of the Invitation For Bid (IFB), contract/offer, proposal number, order number, etc., that is used to identify the specific sale, property transfer, or exchange.

1. THIS STATEMENT IS SUBMITTED IN CONNECTION WITH: Place an "X" in the block that best identifies the type of transaction you are entering into:

• SALE - purchasing property from the Defense Logistics Agency Disposition Services or from their sales contractor, the Defense Contract Management Agency (DCMA), or any other DOD Component activity (e.g., DOD Exchange Sales).

• EXCHANGE - an agreement with a Military Service Museum transfer to exchange property for agreed upon property or services.

• OTHER – for those transactions which are not a sales or exchange and where title to property may or may not pass from government control.

2. LINE ITEM NUMBER and/or COMMODITY: Enter the line item number for each USML/CCL item you are interested in acquiring. For negotiated exchanges, or other types of transactions, enter the name or nomenclature of the property, which you will be receiving upon completion of the negotiations or property transfers.

3. NAME (Last, First, Middle): This is the name of the individual who is signing this form. Please print/type your complete legal name legibly. Provide last name, complete first name (initials for first name will not be accepted) and middle name (if any). If you do not have a middle name, use NMN (No Middle Name). If you have an initial instead of a middle name, you need to indicate this e.g., Jones, James M. (Initial only). Include if you are a Sr., Jr., II, III, etc. Include any other names ever used (e.g., maiden name, nicknames, acronyms, aliases, doing business as (DBA) and/or also known as (AKA)” name(s).) If an individual is the bidder, that individual’s name must be provided in this block. If the bid is for a business, the individual authorized to sign this EUC for the business must provide his/her name in this block.

4. SOCIAL SECURITY NUMBER (SSN)/ALIEN CARD NO./COUNTRY ID:

• If the bid is by an individual, that individual’s SSN must be provided in this block.

• If the bid is for a business, the individual signing this EUC for the business must provide their SSN in this block.

• If the bid is in the name of a Permanent Resident, enter your Alien Identification Number.

• If the bid is in the name of a Non-U.S. Citizen/National, non-Permanent Resident, enter your Country Identification

Number

5. DATE OF BIRTH (DoB): Enter DoB as Month/Day/Year (MM/DD/YY).

• If the bid is by an individual, that individual’s Date of Birth must be provided in this block.

• If the bid is for a business, the individual signing this EUC on behalf of the business must provide their Date of

Birth in this block.

6. PLACE OF BIRTH (City or County, State, Country): City/County name must be spelled out. Only the two-letter or standard abbreviation for the State or Country is acceptable.

• If the bid is by an individual, that individual’s Place of Birth must be provided in this block.

• If the bid is for a business, the individual signing this EUC on behalf of the business must provide their Place of

Birth in this block.

7. TELEPHONE NUMBER: (Include Area Code).

• If the bid is by an individual, that individual’s telephone number (including Area Code) must be provided in this block.

• If the bid is for a business, the individual signing this EUC for the business must provide their daytime telephone number (including Area Code) in this block.

8. MAILING ADDRESS: Mailing address can be any of the following:

• P.O.Box

• Mail Service

• Business physical mailing address

• EUC Signer mailing or physical personal address

**Wherever you receive USPS mail is acceptable and must be verifiable. Enter complete mailing address. Street and City names must be spelled out; abbreviations are unacceptable. Post Office Box is acceptable. The two-letter or standard abbreviation for the State or Country “IS” acceptable.

• If the bid is by an individual, that individual’s physical personal mailing address must be provided in this block.

• If the bid is for a business, the individual signing the EUC for the business must provide their personal mailing address in this block.

9. PHYSICAL ADDRESS: Enter complete personal home address of the signer of the EUC. This address must be valid and verifiable. Street and City names must be spelled out; abbreviations are unacceptable. The two-letter or standard abbreviation for the State or Country is acceptable. Entering a Post Office Box, mail service (Mailboxes; UPS Store mailbox; etc.) is “NOT” acceptable.

• If the bid is by an individual, that individual’s physical address (Street, City, State, Zip) must be provided in this block. If the physical address is the same as mailing address (not a Post Office Box), enter “Same as MAILING

ADDRESS”.

• If the bid is for a business, the individual signing this EUC for the business must provide their personal physical address (Street, City, State, Zip) in this block. If the physical address is the same as mailing address (not a Post Office Box), enter “Same as MAILING ADDRESS”.

SECTION I. GENERAL INFORMATION

10. BLOCK 1. TYPE OF FIRM:

• If the bid is by an individual, enter “Not Applicable”.

• If the bid is for a business, check the box that most closely describes the organization:

o “Sole Proprietorship” - solitary owner/independent control o “Partnership” - two or more persons contractually associated as joint principals in a business with joint rights and responsibilities.

o “Corporation” - an association or group of individuals united in trade or similar interests that has filed

Articles of Incorporation.

o “Other” - (Specify affiliation with official bidder.)

- Principal (Person having controlling authority)

- Agent (Person acting for or in place of another by authority from him).

• If the "Type of Firm" is a corporation, provide the state in which the Articles of Incorporation were filed. The two-letter standard abbreviation for the state or country is acceptable.

11. BLOCK 2. NATURE OF END-USER’S BUSINESS:

This should best describe the type business/interest of the ultimate end-user. If unknown, state “Unknown”.

12. BLOCK 3 - NATURE OF PRINCIPAL’S BUSINESS

This should best describe the type business/interest of the bidder for these items.

13. BLOCK 4 - FIRM’S ID/FEDERAL TAX NUMBER:

If the bid is by an individual, enter “Not Applicable”.

If the bid is in a company name and that company does not have a Federal Tax Number but is using some other form of tax identifying number (e.g., a personal SSN) please provide that number and specify who it is registered to (e.g., SSN is for “John Doe”) in block 4.

BLOCK 5 – BUSINESS/CORPORATION HEADQUARTERS

14. BLOCK 5A - NAME:

If bid is by an individual, enter “Not Applicable”.

If the bid is in a company name, the individual signing this EUC for the company must provide the company headquarters name in this block (include aliases/acronyms/trade styles).

15. BLOCK 5B - ADDRESS: Physical location of the Business. Street and City names must be spelled out; abbreviations are unacceptable.

• Only two-letter (or standard) abbreviation for State or Country is acceptable.

• If the bid is by an individual, enter “Not Applicable”.

• If the bid is in a company name, the individual signing this EUC for the company must provide the complete address of company headquarters. (Post Office Box is unacceptable). Provide business daytime phone number in this block.

**DO NOT ENTER: P.O. Box, Mail Service, or anything other than the PHYSICAL LOCATION of the Business. The EUC will be returned without action if this is not completed correctly.

BLOCK 6 - BRANCH OFFICE:

16. BLOCK 6A - NAME:

• If the bid is by an individual, enter “Not Applicable”.

• If the bid is in a company name, the individual signing this EUC for the company must provide all company branch name(s) in this block (include aliases/acronyms/trade styles). Provide business daytime phone number in this block.

• If the official company branch and headquarters’ names are the same, enter “Same as Block 5A”.

• If the bid is in a company’s name and there is no branch office for this company, enter “Not Applicable”.

17. BLOCK 6B - ADDRESS: Physical location of the Branch. Street and City names must be spelled out; abbreviations are unacceptable. Only two-letter or standard abbreviation for State or Country is acceptable.

• If the bid is by an individual and there are no branch offices, enter “Not Applicable”.

• If the bid is in a company name, the individual signing this EUC for the company must provide the complete physical address (Street, City, State, Zip Code) of all company branch office(s). (Post Office Box is unacceptable).

• If company’s branch and headquarters offices use the same address, enter “Same as Block 5B”

• If there are no branch offices, enter “Not Applicable”.

**DO NOT ENTER: P.O. Box, Mail Service, or anything other than the PHYSICAL LOCATION of the Branch. The EUC will be returned without action if this is not completed correctly.

18. BLOCK 7 - ON SEPARATE SHEET(S) OF PAPER, ATTACH THE NAMES, ADDRESSES, SSNs, DATES AND

PLACES OF BIRTH OF CORPORATE OFFICERS, PARTNERS AND/OR AGENTS.

Officer(s) that have control of where the physical location of the property will be located. In other words, we don't need the CEO of the company. Identify the President, VP, Secretary, Treasure are the ONLY officers at the location that are required. If there are no officers, the Owner or other individuals affiliated with the Business should be listed.

You MUST provide:

• Full Legal Name,

• DOB,

• SSN,

• Birth State/Country,

• Current Home physical address.

**If the Officers are Foreign Born, they MUST provide PROOF OF CITIZENSHIP as part of the EUC package.

Note: Photo IDs/Drivers license of the Officers, Partners and Agents are not required.

Failure to comply will cause your EUC to be placed on hold or to be returned without action. In order to preclude delays in processing, it is essential that complete disclosure of all company officials be fully identified. If the bid is by an individual, enter “Not Applicable”.

• If the bid is submitted by a sole proprietorship, enter “Not Applicable”.

• If the bid is for a company, the required information for each of the officers, partners and/or agents must be submitted on separate sheet(s) of paper and attached to the corresponding EUC. The submitter has the option of

(1) providing this information individually on separate sheets for each person identified or (2) submitting the information for all persons identified on a single sheet.

SECTION II. END-USERS/USER INFORMATION

If this is a negotiated exchange, identify the item(s) you will be providing the government in this exchange on the space provided on the form. If not a negotiated exchange, enter “Not Applicable”.

BLOCK 1 - PURPOSE. THE PROPERTY REFERRED TO IN ABOVE IFB/OFFER NUMBER WILL BE UTILIZED FOR THE FOLLOWING: This information pertains to the intended disposition by the official bidder completing the EUC form.

• Enter an “X” in the appropriate item(s) below. All Blocks require an entry.

• In the case of resale, item 1F or 1G must be marked in addition to any other item.

19. BLOCK 1A. RETENTION FOR THE FOLLOWING SPECIFIC USE (see note at bottom of page 1 of this form)

• If property is being retained for official bidder’s own use, explain intended use.

• If statement in Block 1A does not apply, enter “Not Applicable” and go to Block 1B.

20. BLOCK 1B. Resold in form received for the following use (see note at bottom of page 1 of the form).

• If property is being resold by the bidder, give specific information about resale customer’s intended use.

• If statement in Block 1B does not apply, enter “Not Applicable” and go to Block 1C.

21. BLOCK 1C. The property will not be sold or otherwise disposed of for use outside of the U.S. or sold to non- U.S. Citizens/Nationals in the United States.

• If the official bidder will not sell/dispose of property outside of the U.S. or to non-U.S. persons in the U.S., check this box.

• If statement in Block 1C does not apply, enter “Not Applicable” and go to Block 1D.

22. BLOCK 1D. The property may be exported/re-exported in the form received to the following country/countries:

• If the bidder is going to export/re-export the property, check this box if applicable, and list the country(ies).

• If this EUC is for a U.S. Munitions List or Commerce Control List Item being resold or exported, attach a copy of your current Department of State or Commerce Registration Form or license approvals for the intended export. If No License is Required (NLR) for export, please provide a copy of NLR determination from the Department of Commerce.

• If statement is Block 1.D. does not apply, enter “Not Applicable” and go to Block 1E.

23. BLOCK 1E. Resale after following alteration (description of final production):

• Describe the altered product;

in (Country/Countries): List all countries where this product will be sold. (If necessary use a separate sheet of paper to list countries. Identify this as “BLOCK 1E” on the sheet of paper).

and distribution in (Country/Countries) List all countries where this product will be distributed. (If necessary use a separate sheet to list countries. Identify this as SECTION II, “BLOCK 1E” on the sheet of paper).

Note: If this EUC is for a U.S. Munitions List or Commerce Control List Item being resold or exported, attach a copy of your current Department of State or Commerce Registration Form or license approvals obtained for the intended export. If No License is Required (NLR) for export, please provide a copy of NLR determination from the Department of Commerce.

If this statement does not apply to you, enter “Not Applicable” and go to Block 1G.

24 BLOCK 1F. If property is to be sold, provide the name, address, and telephone number of sub-purchaser(s):

• Provide the full name, physical address and telephone number of the individual/company that purchased the item(s).

• If this block does not apply to you, enter “Not Applicable”.

25. BLOCK 1G. The customers are unknown at this time. If required by the contract/offer/transfer, I will obtain prior written approval for the resale of any of the property covered by this contract.

• If this block does not apply to you, enter “Not Applicable”.

26. ADDITIONAL INFORMATION: State any other material facts relating to end user and use of the property that may be of value in considering the proposal:

• If this block does not apply to you, enter “Not Applicable”.

SECTION III - UNDERSTANDING AND NOTIFICATION

Please read carefully. This section cites various laws and regulations you must comply with in the use, disposition and export of property.

SECTION IV - CERTIFICATION STATEMENT TO BE SIGNED BY BIDDER AT TIME OF RESPONSE TO IFB.

This section is self-explanatory. By signing and dating this form, you are certifying that all the information you are providing is true and correct and you understand and agree to all the provisions in this end use certificate. This form will become part of the contract.

26. PARAGRAPH 4. The person signing this DLA Form 1822 is:

• Check the block that applies to you and fill out any applicable portion.

28. BLOCK A - NAME (Type or Print)

• Be sure your name is legible and use the following format: First, Middle, Last.

** MUST be signers full LEGAL name as stated on page 1 of EUC.

29. BLOCK B – SIGNATURE. Be sure to sign this form. Signatures on EUC must be legible.

• If signer of EUC is an Officer, Director, Partner, Principal, Agent, etc., for official bidder, provide title/authority.

30. BLOCK C - DATE SIGNED. Be sure you date this form

Attachment 10 Dual-Use MHE

LOCATION TYPE EQUIPMENT MFG NAME/ YEAR MODEL REGISTRATION

Guam Front End Loader Volvo/2018 L90H DLA 18-990

Guam 4K Forklift Crown / 2014 C5 DLA 14-964

Guam 4K Forklift Crown /2014 C5 DLA 10-987

Guam 15K Forklift Toyota/2012 7FDU70 DLA 12-971

Guam 25K Forklift Hyster/2014 H280HD2 DLA 14-944

Guam 4K Forklift Mitsubishi DLA 14-970

Guam 4K Forklift Mitsubishi DLA 14-975

Attachment 11 Forward Collection Sites

GUAM

*No Forward Collection Sites identified as of Solicitation

Name of Location Physical Address

Name of Location Physical Address

Note: Section 2.3 states, “Other forward collection sites may be designated after award of the contract and will be identified by the Contracting Officer. Additional forward collection sites and scrap materials not already identified may be added via modification and will include individual CLINs based on location and the types of materials / commodities anticipated.”

Section 27.2 states, “Additional pick-up locations within an existing forward collection site (on the same military installation) may be added unilaterally at no additional cost to the U.S.

Government provided the pick-up conditions are similar.”

SP4500‐21‐R‐0002

ATTACHMENT 12

ACCEPTABLE PERFORMANCE LEVELS

A C E F G H

DELIVERABLE STANDARD PARAGRAPH

ACCEPTABLE

PERFORMANCE

LEVEL (APL)

REDUCTION

FOR FAILED

APL

METHOD OF

SURVEILLANCE

0-25% consideration Collection Summary

Timely provision of 3.0 and past Reports/Government

Provision of Containers containers; Sufficient containers to store property

No more than 2 non-compliant occurrences per 12 months performance annotated

Inspection and other customer feedback generated

Compliant Disposal/ Recycling of Scrap Items

Timely and proper disposal/ recycling as per regulatory/contract requirements

No more than 2 non-compliant occurrences per 12 months

0-25% Collection Summary Reports/Government Inspection and other customer feedback 2

4.0 consideration and past performance annotated

Accurate and Timely Reports

Timely submission and accuracy of required reports, clearance requests and forms

8.0 No more than 2 non-compliant occurrences per 12 months

0-25% consideration and past performance annotated

Collection Summary Reports/Government Inspection and other customer feedback

ATTACHMENT 13

FACILITY PROFILE SHEET

Email:

Principle Owner(s):

Fax Number: Telephone Number:

Facility Representative(s):

Facility Name:

Address:

1. Facility Data:

2. DLA Disposition Services Facility ID# List of Approved Facilities if available.)

(Provide number from DLA

3. For each waste / scrap that will be processed through the facility, identify the waste / scrap disposal or recycling process and CLIN number.

Waste / Scrap Disposal or Recycling Process CLIN Number

AT…