B08 W25G1V20R0023.pdf

SEE ADDENDUM

(No Collect Calls)

W25G1V20R0023 30-Jun-2020

b. TELEPHONE NUMBER

(570)615-9535

8. OFFER DUE DATE/LOCAL TIME

03:30 PM 17 Jul 2020

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W25G1V9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

MAUREEN MYRTHEL

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SEE SCHEDULE

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

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

ACC-APG, TOBYHANNA DIVISION

11 HAP ARNOLD BLVD

TOBYHANNA PA 18466-5100

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE W25G1V 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

X SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

SEE BELOW FOR SEPARATE SHIPPING INSTRUCT

XXX

XXX PA 00000

TEL: FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$8,000,000

NAICS:

811310

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF54

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

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

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W25G1V20R0023

Section SF 30 - BLOCK 14 CONTINUATION PAGE

ADDENDUM

1. This solicitation is restricted to Phillips Federal Division, 7390 Coca Cola Drive (Suite

200) Hanover, MD 21076 under the authority of Simplified Procedures for Certain Commercial Items, 41 U.S.C. 1901 as implemented by FAR Subpart 13.5 and 6.302-1, Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements.

2. Solicitation is in accordance with FAR Part 12, Acquisition of Commercial Items and FAR Part 13.5, "Simplified Procedures for Certain Commercial Items" and therefore will utilize simplified procedures for soliciting competition, evaluation, award documentation and notification that comply with FAR 13.1.

3. The minimum acceptable acceptance period for offers is sixty (60) days from the date specified in block 8, on page 1 of the (SF) 1449.

4. Offer shall be submitted and award made by the Government on an all-or-none basis.

Therefore, offers are solicited on that basis only.

5. The Government is not responsible for any costs incurred for contractor’s time or materials expended in preparing a proposal for this solicitation.

6. The contractor shall address their technical approach to each requirement in the Performance Work Statement (PWS) (Attachment I) briefly to include identification of any exceptions to the PWS.

7. BASIS OF AWARD

Offerors attention is directed to Clause 52.212-2 Evaluation of Commercial Items, for full description of Proposed Price, Past Performance, and Technical proposal submissions.

Award evaluation and basis for award will be performed in accordance with FAR 52.212-2, Evaluation-Commercial Items.

8. Contractor Submitted Questions Offerors are advised to submit any questions regarding this solicitation in writing no later than July 14, 2020 (3 days prior to closing), to the contract specialist via email;

Maureen.Myrthel.civ@mail.mil. Answers to questions will be posted in the same manner in which the solicitation is posted.

9. Any resultant award will be a firm fixed-price contract.

10. Any amendments issued to this solicitation will be synopsized in the same manner as this solicitation. Offeror advised to acknowledge all amendments issued to the solicitation with their proposal by signing and including one copy of the amendment with their proposal.

mailto:Maureen.Myrthel.civ@mail.mil

11. DISCUSSIONS

The Government intends to award without discussions. Offerors should provide their best, complete proposal upon initial submission. The Government reserves the right to hold discussions if deemed necessary by the Contracting Officer.

PROPOSAL SUBMISSION:

1. Submit proposal and supporting documentation referencing Solicitation W25G1V-20- R-0023 via email to: Maureen.Myrthel.civ@mail.mil.

2. Contractor shall complete a standard form (SF) 1449 http://www.forms.gov, blocks 5, 12, 17a, 17b, 19 thru 24, 30a, and 30b; and 30c. The offer must be signed by a company official authorized to contractually bind the company.

3. Pricing Table Spreadsheet Attachment II

4. Contractors Technical Proposal

5. All Signed Amendments noted above

6. To receive an award, the company must have an active registration in the System for Award Management (SAM) https://www.sam.gov with no active exclusions and have no debt subject to offset. Prospective offerors must be found to be responsible in accordance with FAR 9.1.

RFP ATTACHMENTS:

The following documents are attached:

Attachment I Performance Work Statement (PWS) Attachment II Pricing Table Spreadsheet Attachment III Wage Determination

508 COMPLIANCE:

Contractor must also meet the applicable accessibility standards at 36 CFR part 1194 per FAR 39.2, Section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d) and the Architectural and Transportation Barriers Compliance Board Electronic and Information Technology (EIT) Accessibility Standards (36 CFR part 1194). Information may be found at the following websites:

Section 508. http://www.section508.gov Section 508 – Electronic and Information Technology. 21 December 2000, http://www.usdoj.gov/crt/508/508law.pdf Desktop and Portable Computer (1194.26). 1 August 2001, http://www.access-board.gov/sec508/guide/1194.26.htm mailto:Maureen.Myrthel.civ@mail.mil

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Base Year Preventative Maintenance

FFP

Description: Preventative Maintenance to the OMax Water Jet bar code TY022738 serial number K511780, LVD/Strippit Turret Punch bar code CA9106 serial number 019062209, LVD/Strippit Turret Punch bar code TY04605 serial number

033092616, LVD/Strippit Laser bar code CC0908 serial number 33077, LVD/Strippit Laser bar code TY00295 serial number 34485 In Accordance (IAW) the attached Performance Work Statement (PWS).

NSN: AASSVC0055024R

MILSTRIP: W25G1V0055024R

PURCHASE REQUEST NUMBER: W25G1V0055024R

NET AMT

0001AA 1 Lot Base Year Annual PM

FFP

Description: Annual Preventative Maintenance to be performeed In Accordance

With (IAW) the Performance Work Statement (PWS) on the LVD/Strippit Laser bar code CC0908 serial number 33077, LVD/Strippit Laser bar code TY00295 serial number 34485. Charges will be per service visit, totalling one service visit.

FOB: Destination

PSC CD: J034

0001AB 2 Lot Base Year Semi Annual PM

FFP

Description: Semiannual Preventative Maintenance to be performeed In

Accordance With (IAW) the Performance Work Statement (PWS) on the

LVD/Strippit Turret Punch Bar Code CA9106 serial number 019062209, LVD/Strippit Turret Punch Bar Code TY04605 serial number 033092616. Charges will be per service visit, totalling two service visits.

0001AC 4 Lot Base Year Quarterly PM

FFP

Description: Quarterly Preventative Maintenance to be performeed In Accordance

With (IAW) the Performance Work Statement (PWS) on the OMax Water Jet bar code TY022738 serial number K511780. Charges will be per service visit, totalling four service visits.

0002 1 Lot Base Year Emergency Repair

FFP

Description: Emergency repairs for all 5 machines will be on an on-call basis IAW the PWS. The strategy and cost will then be approved or disapproved by the government before any physical work is performed. Contractor will work to repair machines to full operating status and test for correct operation.

THIS LINE ITEM WILL NOT BE EVAULUATED WITH THE TOTAL COST

OF THE CONTRACT. LABOR CATAGORIES MUST BE DETERMINED TO

BE FAIR AND REASONABLE.

INSERT THE PROPOSED LABOR CATAGORIES THAT WILL BE USED TO

COMPLETE EMERGENCY REPAIRS WITH HOURLY RATES IN THE

ATTACHMENT II PRICING TABLE SPREADSHEET.

- LINE ITEM 0002 IS IN ACCORDANCE WITH FAR 13.302-2 UNPRICED

PURCHASE ORDERS

- SEE FAR CLAUSE 52.212-2 FOR BASIS FOR AWARD

- BASED ON HISTORICAL DATA THE PRICE OF MATERIALS TO BE

USED IS ESTIMATED AT $20,000 PER YEAR.

-AT TIME OF AWARD FUNDING WILL BE PROVIDED FOR THIS LINE

ITEM.

-THE GOVERNMENT IS UNDER NO OBLIGATION TO USE ALL OR ANY

OF THE FUNDS PROVIDED ON THIS CLIN.

THE AMOUNT OF FUNDING PROVIDED IS A CEILING FOR WORK TO BE

PERFORMED ON AN AS NEEDED BASIS AND PAYMENTS WILL ONLY

BE MADE FOR WORK PERFORMED. CHANGES TO THE CEILING WILL

BE MADE BY CONTRACT MODIFICATION ONLY.

FOB: Destination

NSN: AASSVC00550253

MILSTRIP: W25G1V00550253

PURCHASE REQUEST NUMBER: W25G1V00550253

Option Year 1 Preventative Maintenance

FFP

Description: Preventative Maintenance to the OMax Water Jet bar code TY022738 serial number K511780, LVD/Strippit Turret Punch bar code CA9106 serial number 019062209, LVD/Strippit Turret Punch bar code TY04605 serial number

033092616, LVD/Strippit Laser bar code CC0908 serial number 33077, LVD/Strippit Laser bar code TY00295 serial number 34485 In Accordance (IAW) the attached Performance Work Statement (PWS).

0003AA 1 Lot OPTION Option Year 1 Annual PM

FFP

Description: Annual Preventative Maintenance to be performed In Accordance

With (IAW) the Performance Work Statement (PWS) on the LVD/Strippit Laser bar code CC0908 serial number 33077, LVD/Strippit Laser bar code TY00295 serial number 34485. Charges will be per service visit, totaling one service visit.

0003AB 2 Lot OPTION Option Year 1 Semi Annual PM

FFP

Description: Semiannual Preventative Maintenance to be performed In Accordance

With (IAW) the Performance Work Statement (PWS) on the LVD/Strippit Turret

Punch Bar Code CA9106 serial number 019062209, LVD/Strippit Turret Punch

Bar Code TY04605 serial number 033092616. Charges will be per service visit, totaling two service visits.

0003AC 4 Lot OPTION Option Year 1 Quarterly PM

FFP

Description: Quarterly Preventative Maintenance to be performed In Accordance

With (IAW) the Performance Work Statement (PWS) on the OMax Water Jet bar code TY022738 serial number K511780. Charges will be per service visit, totaling four service visits.

0004 1 Lot OPTION Option Year 1 Emergency Repair

FFP

Description: Emergency repairs for all 5 machines will be on an on-call basis IAW the PWS. The strategy and cost will then be approved or disapproved by the

- LINE ITEM 0004 IS IN ACCORDANCE WITH FAR 13.302-2 UNPRICED

BE MADE FOR WORK PERFORMED. CHANGES TO THE CEILING WILL

BE MADE BY CONTRACT MODIFICATION ONLY.

Option Year 2 Preventative Maintenance

FFP

Description: Preventative Maintenance to the OMax Water Jet bar code TY022738 serial number K511780, LVD/Strippit Turret Punch bar code CA9106 serial number 019062209, LVD/Strippit Turret Punch bar code TY04605 serial number

033092616, LVD/Strippit Laser bar code CC0908 serial number 33077, 0005AA 1 Lot OPTION Option Year 2 Annual PM

FFP

Description: Annual Preventative Maintenance to be performed In Accordance

With (IAW) the Performance Work Statement (PWS) on the LVD/Strippit Laser bar code CC0908 serial number 33077, LVD/Strippit Laser bar code TY00295 serial number 34485. Charges will be per service visit, totaling one service visit.

0005AB 2 Lot OPTION Option Year 2 Semi Annual PM

FFP

Description: Semiannual Preventative Maintenance to be performed In Accordance

With (IAW) the Performance Work Statement (PWS) on the LVD/Strippit Turret

Punch Bar Code CA9106 serial number 019062209, LVD/Strippit Turret Punch

Bar Code TY04605 serial number 033092616. Charges will be per service visit, totaling two service visits.

0005AC 4 Lot Option Year 2 Quarterly PM

FFP

Description: Quarterly Preventative Maintenance to be performed In Accordance

With (IAW) the Performance Work Statement (PWS) on the OMax Water Jet bar code TY022738 serial number K511780. Charges will be per service visit, totaling four service visits.

0006 1 Lot OPTION Option Year 2 Emergency Repair

FFP

Description: Emergency repairs for all 5 machines will be on an on-call basis IAW the PWS. The strategy and cost will then be approved or disapproved by the

- LINE ITEM 0006 IS IN ACCORDANCE WITH FAR 13.302-2 UNPRICED

Option Year 3 Preventative Maintenance

FFP

Description: Preventative Maintenance to the OMax Water Jet bar code TY022738 serial number K511780, LVD/Strippit Turret Punch bar code CA9106 serial number 019062209, LVD/Strippit Turret Punch bar code TY04605 serial number

033092616, LVD/Strippit Laser bar code CC0908 serial number 33077, 0007AA 1 Lot OPTION Option Year 3 Annual Maintenance

FFP

Description: Annual Preventative Maintenance to be performed In Accordance

With (IAW) the Performance Work Statement (PWS) on the LVD/Strippit Laser bar code CC0908 serial number 33077, LVD/Strippit Laser bar code TY00295 serial number 34485. Charges will be per service visit, totaling one service visit.

0007AB 2 Lot OPTION Option Year 3 Semi Annual PM

FFP

Description: Semiannual Preventative Maintenance to be performed In Accordance

With (IAW) the Performance Work Statement (PWS) on the LVD/Strippit Turret

Punch Bar Code CA9106 serial number 019062209, LVD/Strippit Turret Punch

Bar Code TY04605 serial number 033092616. Charges will be per service visit, totaling two service visits.

0007AC 4 Lot OPTION Option Year 3 Quarterly PM

FFP

Description: Quarterly Preventative Maintenance to be performed In Accordance

With (IAW) the Performance Work Statement (PWS) on the OMax Water Jet bar code TY022738 serial number K511780. Charges will be per service visit, totaling four service visits.

0008 1 Lot OPTION Option Year 3 Emergency Repair

FFP

Description: Emergency repairs for all 5 machines will be on an on-call basis IAW the PWS. The strategy and cost will then be approved or disapproved by the

- LINE ITEM 0008 IS IN ACCORDANCE WITH FAR 13.302-2 UNPRICED

Option Year 4 Preventative Maintenance

FFP

Description: Preventative Maintenance to the OMax Water Jet bar code TY022738 serial number K511780, LVD/Strippit Turret Punch bar code CA9106 serial number 019062209, LVD/Strippit Turret Punch bar code TY04605 serial number

033092616, LVD/Strippit Laser bar code CC0908 serial number 33077, 0009AA 1 Lot OPTION Option Year 4 Annual PM

FFP

Description: Annual Preventative Maintenance to be performed In Accordance

With (IAW) the Performance Work Statement (PWS) on the LVD/Strippit Laser bar code CC0908 serial number 33077, LVD/Strippit Laser bar code TY00295 serial number 34485. Charges will be per service visit, totaling one service visit.

0009AB 2 Lot OPTION Option Year 4 Semi Annual PM

FFP

Description: Semiannual Preventative Maintenance to be performed In Accordance

With (IAW) the Performance Work Statement (PWS) on the LVD/Strippit Turret

Punch Bar Code CA9106 serial number 019062209, LVD/Strippit Turret Punch

Bar Code TY04605 serial number 033092616. Charges will be per service visit, totaling two service visits.

0009AC 4 Lot OPTION Option Year 4 Quarterly PM

FFP

Description: Quarterly Preventative Maintenance to be performed In Accordance

With (IAW) the Performance Work Statement (PWS) on the OMax Water Jet bar code TY022738 serial number K511780. Charges will be per service visit, totaling four service visits.

0010 1 Lot OPTION Option Year 4 Emergency Repair

FFP

Description: Emergency repairs for all 5 machines will be on an on-call basis IAW the PWS. The strategy and cost will then be approved or disapproved by the

- LINE ITEM 0010 IS IN ACCORDANCE WITH FAR 13.302-2 UNPRICED

0011 1 Lot OPTION Six Month Option to Extend Services

FFP

Pursuant to FAR 217-8 as part of the price evaluation, the Government will evaluate the Option to Extend Services under FAR Clause 52.217-8 by adding one-half of the offeror's final option period price to the offeror's total price. Thus, the offeror's total price for the purpose of evaluation will include the base period, option years one through four, and one-half of option year four. Offeror is required only to price the base and four options. Offeror shall not submit a price for the potential one-half year extension of services period.

Upon UNILATERAL exercise of FAR 52.217-8 this contract may be extended UP

TO 6 months total.

Contract Manpower Reporting

FFP

This CLIN is applicable to all performance periods under the contract.

The Accounting for Contract Services/Contractor Manpower Reporting requirement has been added to the performance work statement, and contractor is required to provide data on contractor manpower (including subcontractor manpower) for performance of this contract. This CLIN is not separately priced, pricing should not be proposed.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A N/A

0001AA Destination Government Destination Government

0001AB Destination Government Destination Government

0001AC Destination Government Destination Government

0002 Destination Government Destination Government

0003 N/A N/A N/A N/A

0003AA Destination Government Destination Government

0003AB Destination Government Destination Government

0003AC Destination Government Destination Government

0004 Destination Government Destination Government

0005 N/A N/A N/A N/A

0005AA Destination Government Destination Government

0005AB Destination Government Destination Government

0005AC Destination Government Destination Government

0006 Destination Government Destination Government

0007 N/A N/A N/A N/A

0007AA Destination Government Destination Government

0007AB Destination Government Destination Government

0007AC N/A N/A N/A Government

0008 Destination Government Destination Government

0009 N/A N/A N/A N/A

0009AA Destination Government Destination Government

0009AB Destination Government Destination Government

0009AC Destination Government Destination Government

0010 Destination Government Destination Government

0011 Destination Government Destination Government

0012 N/A N/A N/A N/A

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 N/A N/A N/A N/A

0001AA POP 01-AUG-2020 TO

31-JUL-2021

N/A SEE BELOW FOR SEPARATE SHIPPING

INSTRUCT

XXX

XXX PA 00000

W25G1V

0001AB POP 01-AUG-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AC POP 01-AUG-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0002 POP 01-AUG-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0003 N/A N/A N/A N/A

0003AA POP 01-AUG-2021 TO

31-JUL-2022

N/A SEE BELOW FOR SEPARATE SHIPPING

INSTRUCT

XXX

XXX PA 00000

0003AB POP 01-AUG-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AC POP 01-AUG-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-AUG-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 N/A N/A N/A N/A

0005AA POP 01-AUG-2022 TO

31-JUL-2023

N/A SEE BELOW FOR SEPARATE SHIPPING

INSTRUCT

XXX

XXX PA 00000

0005AB POP 01-AUG-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0005AC POP 01-AUG-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 01-AUG-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 N/A N/A N/A N/A

0007AA POP 01-AUG-2023 TO

31-JUL-2024

N/A SEE BELOW FOR SEPARATE SHIPPING

INSTRUCT

XXX

XXX PA 00000

0007AB POP 01-AUG-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

0007AC POP 01-AUG-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 01-AUG-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 N/A N/A N/A N/A

0009AA POP 01-AUG-2024 TO

31-JUL-2025

N/A SEE BELOW FOR SEPARATE SHIPPING

INSTRUCT

XXX

XXX PA 00000

0009AB POP 01-AUG-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0009AC POP 01-AUG-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0010 POP 01-AUG-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0011 POP 01-AUG-2025 TO

31-JAN-2026

N/A (SAME AS PREVIOUS LOCATION)

0012 N/A N/A N/A N/A

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984

52.203-6 Alt I Restrictions On Subcontractor Sales To The Government

(JUN 2020) -- Alternate I

OCT 1995

52.203-11 Certification And Disclosure Regarding Payments To

Influence Certain Federal Transactions

SEP 2007

52.203-12 Limitation On Payments To Influence Certain Federal

Transactions

JUN 2020

52.203-16 Preventing Personal Conflicts of Interest JUN 2020

52.203-17 Contractor Employee Whistleblower Rights and Requirement

To Inform Employees of Whistleblower Rights

JUN 2020

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber

Content Paper

MAY 2011

52.204-7 System for Award Management OCT 2018

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

JUN 2020

52.204-18 Commercial and Government Entity Code Maintenance JUL 2016

52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.204-21 Basic Safeguarding of Covered Contractor Information

Systems

JUN 2016

52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for

Debarment

JUN 2020

52.209-7 Information Regarding Responsibility Matters OCT 2018

52.209-9 Updates of Publicly Available Information Regarding

Responsibility Matters

OCT 2018

52.209-10 Prohibition on Contracting With Inverted Domestic

Corporations

NOV 2015

52.212-1 (Dev) Instructions to Offerors - Commercial Items. (DEVIATION

2018-O0018)

JUN 2020

52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018

52.212-5 (Dev) Contract Terms and Conditions Required to Implement

Statutes or Executive Orders--Commercial Items (Deviation

2018-O0021)

JUN 2020

52.214-34 Submission Of Offers In The English Language APR 1991

52.214-35 Submission Of Offers In U.S. Currency APR 1991

52.215-6 Place of Performance OCT 1997

52.217-5 Evaluation Of Options JUL 1990

52.222-3 Convict Labor JUN 2003

52.222-21 Prohibition Of Segregated Facilities APR 2015

52.222-22 Previous Contracts And Compliance Reports FEB 1999

52.222-26 Equal Opportunity SEP 2016

52.222-35 Equal Opportunity for Veterans JUN 2020

52.222-36 Equal Opportunity for Workers with Disabilities JUN 2020

52.222-37 Employment Reports on Veterans JUN 2020

52.222-40 Notification of Employee Rights Under the National Labor

Relations Act

DEC 2010

52.222-41 Service Contract Labor Standards AUG 2018

52.222-43 Fair Labor Standards Act And Service Contract Labor

Standards - Price Adjustment (Multiple Year And Option

Contracts)

AUG 2018

52.222-50 Combating Trafficking in Persons JAN 2019

52.222-51 Exemption from Application of the Service Contract Labor

Standards to Contracts for Maintenance, Calibration, or

Repair of Certain Equipment--Requirements

MAY 2014

52.222-54 Employment Eligibility Verification OCT 2015

52.222-55 Minimum Wages Under Executive Order 13658 DEC 2015

52.225-25 Prohibition on Contracting with Entities Engaging in Certain

Activities or Transactions Relating to Iran-- Representation and Certifications.

JUN 2020

52.228-5 Insurance - Work On A Government Installation JAN 1997

52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

OCT 2018

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013

52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.233-3 Protest After Award AUG 1996

52.233-4 Applicable Law for Breach of Contract Claim OCT 2004

52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.237-3 Continuity Of Services JAN 1991

52.242-13 Bankruptcy JUL 1995

52.242-15 Stop-Work Order AUG 1989

52.246-4 Inspection Of Services--Fixed Price AUG 1996

52.247-34 F.O.B. Destination NOV 1991

52.253-1 Computer Generated Forms JAN 1991

252.201-7000 Contracting Officer's Representative DEC 1991

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013

252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7003 Control Of Government Personnel Work Product APR 1992

252.204-7004 Antiterrorism Awareness Training for Contractors. FEB 2019

252.204-7006 Billing Instructions OCT 2005

252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

DEC 2019

252.209-7004 Subcontracting With Firms That Are Owned or Controlled By

The Government of a Country that is a State Sponsor of

Terrorism

MAY 2019

252.213-7000 Notice to Prospective Suppliers on Use of Supplier

Performance Risk System in Past Performance Evaluations

SEP 2019

252.225-7048 Export-Controlled Items JUN 2013

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

DEC 2018

252.232-7010 Levies on Contract Payments DEC 2006

252.239-7001 Information Assurance Contractor Training and Certification JAN 2008

252.243-7001 Pricing Of Contract Modifications DEC 1991

252.243-7002 Requests for Equitable Adjustment DEC 2012

CLAUSES INCORPORATED BY FULL TEXT

52.204-5 WOMEN-OWNED BUSINESS (OTHER THAN SMALL BUSINESS) (OCT 2014)

(a) Definition. Women-owned business concern, as used in this provision, means a concern that is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

(b) Representation. [Complete only if the offeror is a women-owned business concern and has not represented itself as a small business concern in paragraph (c)(1) of FAR 52.219-1, Small Business Program Representations, of this solicitation.] The offeror represents that it ( ___ ) is a women-owned business concern.

(End of provision)

52.209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS--

REPRESENTATION (NOV 2015)

(a) Definitions. Inverted domestic corporation and subsidiary have the meaning given in the clause of this contract entitled Prohibition on Contracting with Inverted Domestic Corporations (52.209-10).

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

(c) Representation. The Offeror represents that--

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

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

52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (OCT 2015)

(a)(1) The Offeror certifies, to the best of its knowledge and belief, that-

(i) The Offeror and/or any of its Principals-

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

(B) Have ( ) have not ( ), within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) contract or subcontract; violation of Federal or

State antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property (if offeror checks “have”, the offeror shall also see 52.209-7, if included in this solicitation); and

(C) Are ( ) are not ( ) presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision.;

and

(D) Have , have not , within a three-year period preceding this offer, been notified of any delinquent

Federal taxes in an amount that exceeds $3,500 for which the liability remains unsatisfied.

(1) Federal taxes are considered delinquent if both of the following criteria apply:

(i) 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.

(ii) 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.

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

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

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

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

(ii) The Offeror has ( ) has not ( ), within a three-year period preceding this offer, had one or more contracts terminated for default by any Federal agency.

(2) Principal, for the purposes of this certification, means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager;

head of a division or business segment; and similar positions).

(b) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

(c) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible.

(d) Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a) of this provision. The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

(e) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If it is later determined that the Offeror knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default.

52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY OR A

FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations

Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that--

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that--

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

(a) Award will be made provided the Contractor’s Contractual and Technical proposal is determined to be acceptable, and mutual agreement is reached between the contractor and government on terms and conditions and price. The following factors shall be used to evaluate the offer:

(1) Technical. The Offeror’s technical proposal should clearly reflect how the offeror proposes to comply with the performance required and identified in the Performance

Work Statement. To be found technically acceptable the Offeror’s technical proposal, including any supporting documentation, is to be clear and concise and should clearly reference the requirements identified in the Performance Work Statement. This evaluation will result in a determination of technical acceptability or unacceptability.

The technical proposal will be evaluated as Acceptable/Unacceptable.

(2) Price. Offeror is advised to provide the most competitive pricing they can with the initial proposal submission.

(3) Past Performance. Past Performance will be evaluated by reviewing the Contractor

Performance Assessment Reporting System (CPARS) and the Federal Awardee

Performance and Integrity Information System (FAPIIS). Past Performance will be rated as Acceptable/Unacceptable.

(a) In the case of an offeror without a record of relevant past performance or for whom information on past performance is not available, the offeror may not be evaluated favorably or unfavorably on past performance.

(b) Nothing in this solicitation prohibits the Government from obtaining and considering past performance from any source available.

(c) Negative information obtained using past performance evaluations will be provided to the offeror to be addressed unless such negative information or circumstances have already been addressed by the offeror.

(b) Offeror must be found responsible IAW FAR 9.1.

(c) A written notice of award or acceptance of an offer mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the

Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (JUN 2020)

ALTERNATE I (OCT 2014)

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

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

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

“Economically disadvantaged women-owned small business (EDWOSB) concern” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

“Forced or indentured child labor” means all work or service—

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

“Highest-level owner” means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

https://www.sam.gov/

“Immediate owner” means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: Ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

“Inverted domestic corporation,” means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

“Manufactured end product” means any end product in product and service codes (PSCs) 1000-9999, except—

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

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

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

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

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

(8) PSC 9610, Ores;

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

(10) PSC 9630, Additive Metal Materials.

“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

“Sensitive technology”—

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically—

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act

(50 U.S.C. 1702(b)(3)).

“Service-disabled veteran-owned small business concern”—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

“Small business concern” means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.

“Small disadvantaged business concern, consistent with 13 CFR 124.1002,” means a small business concern under the size standard applicable to the acquisition, that--

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

(i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

“Subsidiary” means an entity in which more than 50 percent of the entity is owned—

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

“Veteran-owned small business concern” means a small business concern—

(1) Not less than 51 percent of which is owned by one or more veterans(as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

“Women-owned business concern” means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

“Women-owned small business concern” means a small business concern --

(1) That is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least

51 percent of the stock of which is owned by one or more women; and

(2) Whose management and daily business operations are controlled by one or more women.

“Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127),” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the

United States.

(b)

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

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and

Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(s) applicable to the NAICS code(s) referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs __.

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

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

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

(c) Offerors must complete the following representations when the resulting contract is to be performed in the

United States or its outlying areas. Check all that apply.

http://www.sam.gov/

(1) Small business concern. The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a small business concern.

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

(3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.]The offeror represents that it [ ___ ] is, [ ___ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.]The offeror represents that it [ ___ ] is, [ ___ ] is not a women-owned small business concern.

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

(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that—

(i) It [ ___ ] is, [ ___ ] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements…