C04_Solicitation_1449_12444026Q0148 (1).pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

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

OFFEROR

ATLANTA GA 30309-2449

STE 876S

1720 PEACHTREE ST NW

USDA-FS CSA EAST 2

7J18 CODE 16. ADMINISTERED BYCODE

X

X

X

562991

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR4440

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

07/24/2026 1700 ET

07/21/2026

928-499-9966STEPHANIE LARUFFA

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

12444026Q0148

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 31 1172460OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

RUSSELLVILLE AR 72801

605 W MAIN

OZARK-ST FRANCIS NATIONAL FORESTS

15. DELIVER TO

ATLANTA GA 30309-2449

STE 876S

1720 PEACHTREE ST NW

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$9

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

USDA-FS CSA EAST 2

WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Ozark-St. Francis National Forests, Russellville, AR Toilet Pumping at District Recreation Sites Base Plus 4 Option Years

Base Year 8/1/26-7/31/27 Option Year 1- 8/1/27-7/31/28 Option Year 2- 8/1/28-7/31/29 Option Year 3- 8/1/29-7/31/30 Option Year 4- 8/1/30-7/31/31 Period of Performance: 08/01/2026 to 09/30/2031 Continued ...

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

STEPHANIE LARUFFA

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

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

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT: REFERENCE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

0001 081000 SO-CON-FOREST CXT PUMPING 717629

Delivery: 08/03/2026

Period of Performance: 08/01/2026 to 07/31/2027

0002 Option Year 1 16500 GA

(Option Line Item)

Product/Service Code: S222

Product/Service Description: HOUSEKEEPING- WASTE

TREATMENT/STORAGE

Delivery: 08/01/2027

Period of Performance: 08/01/2027 to 07/31/2028

0003 Option Year 2 16500 GA

(Option Line Item)

Product/Service Code: S222

Product/Service Description: HOUSEKEEPING- WASTE

TREATMENT/STORAGE

Delivery: 08/01/2028

Period of Performance: 08/01/2028 to 07/31/2029

0004 Option Year 3 16500 GA

(Option Line Item)

Product/Service Code: S222

Product/Service Description: HOUSEKEEPING- WASTE

TREATMENT/STORAGE

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

31 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 31

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

12444026Q0148

Delivery: 08/01/2029

Period of Performance: 08/01/2029 to 07/31/2030

0005 Option Year 4 16500 GA

(Option Line Item)

Product/Service Code: S222

Product/Service Description: HOUSEKEEPING- WASTE

TREATMENT/STORAGE

Delivery: 08/01/2030

Period of Performance: 08/01/2030 to 07/31/2031

COR: Robert Duggan-robert.duggan@usda.gov-

479-964-7238

Contracting Officer-Stephanie.laruffa@usda.gov

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

OZARK- ST. FRANCIS NATIONAL FORESTS

TOILET PUMPING AT

DISTRICT RECREATION SITES

GENERAL SPECIFICATIONS

I. Scope: This contract provides for toilet pumping, rinsing, and adding up to 100 gallons of fresh water in specified areas from August 1st, 2026 through September 30th, 2027 with 4 (Four) additional option years(ending September 30th, 2031), with similar time-frames possible. All work shall be performed in accordance with the terms of this solicitation. Contractor shall furnish all labor, supervision, transportation, equipment, and supplies to perform the toilet maintenance at the following facilities on the Ozark-St. Francis National Forests at locations listed below in Section III unless specifically stated otherwise.

II. Contractor Furnished Property: The Contractor will provide all equipment such as tanker truck for wastewater, tank for fresh water, and trash bags. All equipment repairs and other expenses incidental to these activities are the responsibility of the Contractor. Forest Service will be responsible for removing all trash collected from Vault toilets that was bagged by Contractor. It is the Contractor’s responsibility to implement all means necessary to fully comply with the specifications and schedule.

III. Name, Size, and Location: Services to be performed at the following locations (maps/locations of areas can be obtained at https://www.fs.usda.gov/main/osfnf/maps-pubs ):

Location # of tanks Gallons Latitude Longitude Location

Alum Cove 1 500 35.85897083 -93.233775 Deer

Moccasin Gap 1 500 35.57338889 -93.06855556 Dover Fairview Campground 1 500 35.73824194 -93.09413 Dover

Brock Creek Campground 1 500 35.51030556 -92.81780556 Jerusalem

Pedestal Rock SIA 1 500 35.72355556 -93.01536111 Witts Springs

Haw Creek Campground (#1) 1 500 35.67744361 -93.25615833 Hagarville

Haw Creek Campground (#2) 1 500 35.67744361 -93.25615833 Hagarville

Bayou Bluff Campground (Lower level) 1 1000 35.52336111 -92.94380555 Hector

Richland Creek Campground (#1) (older) 1 1000 35.79697 -92.93411

Witts Springs

Richland Creek Campground (#2) (new) 1 500 35.79697 -92.93411

Witts Springs

Sam’s Throne Campground (#1) 1 500 35.87561 -93.04642 Mount Judea

Sam’s Throne Campground (#2) 1 500 35.87561 -93.04642 Mount Judea

Long Pool Campground (#1) 1 500 35.54804694 -93.16025167 Dover

Long Pool Campground (#2) 1 500 35.54804694 -93.16025167 Dover https://www.fs.usda.gov/main/osfnf/maps-pubs

Location # of tanks Gallons Latitude Longitude Location

Wolf Pen CG #1 1 500 35.67539 -93.63073695 Oark

Wolf Pen CG #2 1 500 35.67539 -93.63073695 Oark

High Bank 1 500 35.67868 -93.68892 Pettigrew

Pleasant Hill Rifle Range 1 500 35.575095 -93.42444445 Clarksville

Horsehead Lake CG #1 1 500 35.56445 -93.63964166 Clarksville

Horsehead Lake CG #2 1 500 35.56445 -93.63964166 Clarksville

Ozone CG 1 500 35.67138889 -93.45027778 Ozone

Spring Lake CG #1 1 500 35.15037 -93.42455 Belleville

Spring Lake CG #2 1 500 35.15037 -93.42455 Belleville

Sorghum Hollow Horse Camp 1 500 35.2603 -93.47138 Subiaco

Buckhorn OHV 1 1000 35.71393 -94.307105 Chester

Campbell Cemetery 1 500 35.62289945 -93.91003444 Ozark

Mill Creek OHV 1 500 35.76314806 -93.86122056 Elkins

Shores Lake Picnic Area (#1) 1 500 35.64341055 -93.96218722 Mulberry

Shores Lake CG (#1) 1 500 35.64341055 -93.96218722 Mulberry

Shores Lake Day Use Shelter 1 500 35.64341055 -93.96218722 Mulberry

TECHNICAL SPECIFICATIONS

IV. Pump toilets and add fresh water at locations (identified above)

• Pump toilets using clean-out hatch at designated areas.

• Rinse vault walls during pumping to remove excess waste.

• All trash removed and bagged from vault will become the property of the USDA Forest Service and will be disposed of by government.

• Add 75 – 100 gallons of fresh water.

• Lock clean-out hatch when done.

NOTE:

1. Toilet pumping should not begin before 7 a.m. or after sunset

V. Pumping Schedule of Grounds Maintenance

• All sites identified (listed above) shall be pumped when contractor receives notice or on a pre-arranged schedule. The contractor has 72 hours to pump toilets from notification or designated collection schedule.

• Sites with multiple vaults shall be pumped on the same day unless septic truck capacity limits the ability to combine pumpings. If that occurs, pumping should occur as close together as possible.

• All pumping shall occur Monday through Friday.

• Dates of maintenance will be from October 1st, 2026 through September 30th, 2027. Option Years will be October 1st 2027 through September 30th of 2028, 2029, 2030, 2031 and following years.

VI. Toilet pumping operation

• Do not leave litter removed from vault on the ground. Bag all trash, seal bag and leave next to the vault access panel clean out hatch on the back side of the vault toilet. Do not place litter from the vault in the campground trash.

NOTES:

A. PUMPING OF TOILETS WILL BE FROM CLEAN OUT HATCH ON ALL CXT TOILETS

AND PADLOCK WILL BE LOCKED UPON COMPLETION OF PROCESS (AFTER

WATER ADDED).

B. ALL BAGGED LITTER REMOVED FROM TOILET SHALL BE PROPERTY OF THE

FOREST SERVICE AND WILL BE REMOVED BY THE GOVERNMENT.

C. PUMPING SHOULD NOT BEGIN AT ANY RECREATION SITE WITH CAMPSITES

BEFORE 7 a.m. OR AFTER SUNSET.

D. CONTRACTOR WILL BE REQUIRED TO BE ESTABLISHED IN THE CENTRAL

CONTRACTORS’ RESIGNATION (CCR) DATABASE AND TO ACQUIRE A DUNS

NUMBER/TIN.

E. CONTRACTOR SHALL REPORT AND TURN IN ANY ITEM FOUND OF VALUE. LAW

ENFORCEMENT PROCEDURES WOULD THEN BE FOLLOWED.

VII. MEASUREMENT AND PAYMENT

A. Monthly Payments: Payment will be made after service provided through the Integrated

Acquisition System (IAS) with a designated receipt number at Unit Price Bid for work completed, and accepted, by the Contracting Officer’s Representative or Inspector. A hard copy of each invoice must be received prior to payment being processed.

B. The number of toilet pumping at each site will be determined by the amount of use at each area and the availability of funding, but would not exceed the total pumping’s identified as needed.

C. Sites with multiple vault toilets should be pumped the same day unless capacity of septic truck is exceeded, then pumping can be spaced over multiple days for the same site.

Schedule of items

BID PROPOSAL

FY2022

(PROVIDE BIDS FOR EACH SITE)

Site Location # of toilets per site

Max sewage

(gallons) per vault

Pumping frequency per year

Pumping

$ per site

FY2027

Pumping

$ per site

FY2028

Pumping

$ per site

FY2029

Pumping

$ per site

FY2030

Pumping

$ per site

FY2031

Big Piney

Ranger District

Alum Cove 1 500 2

Moccasin Gap CG 1 500 1

Fairview CG 1 500 1

Brock Creek CG 1 500 1

Pedestal Rock SIA 1 500 2

Haw Creek CG (#1) 1 500 2

Haw Creek CG (#2) 1 500 2

Bayou Bluff CG (Lower level)

1 1000 1

Richland Creek CG (#1)

(older)

1 1000 3

Richland Creek CG (#2)

(new)

1 500 2

Sam’s Throne CG (#1) 1 500 2

Sam’s Throne CG (#2) 1 500 2

Long Pool CG (#1) 1 500 1

Long Pool CG (#2) 1 500 1

Sub Total 14 8000 23

Pleasant Hill Ranger

District

Wolf Pen CG #1 1 500 1

Wolf Pen CG #2 1 500 1

High Bank 1 500 1

Pleasant Hill

Rifle Range

1 500 1

Horsehead Lake CG #1 1 500 1

Horsehead Lake CG #2 1 500 1

Ozone CG 1 500 1

Sub Total 7 3500 7

Magazine

Ranger District

Spring Lake CG #1 1 500 1

Spring Lake CG #2 1 500 1

Sorghum Hollow HC 1 500 1

Sub Totals 3 1500 3

Boston Mtn. Ranger

District

Buckhorn OHV 1 1000 2

Campbell Cemetery 1 500 1

Mill Creek OHV 1 500 2

Shores Lake Picnic Area

(#1)

1 500 1

Shores Lake CG (#1) 1 500 1

Shores Lake Day Use

Shelter

1 500 1

Sub Total 6 3500 8

Totals 30 16500 42

CG – Campgrounds

OHV – Off Highway Vehicle area

HC – Horse Camp

TH – Trail Head

Schedule of items

Government Estimate FY26 GE 27' GE 28' GE29' GE 30' GE 31

FY2027-2030 Current Year 1 OP Yr 1 OP Yr 2 OP Yr 3 OP Yr 4

Price per gallon pumped

Site Location

# of toilets per site

Max sewage in gallons per vault

Pumping needed per year

Per Gallon Per Gallon Per Gallon Per Gallon Per Gallon Per

Gallon

Big Piney Ranger District

Alum Cove 1 500 2

Moccasin Gap 1 500 1

Fairview Campground 1 500 1

Brock Creek Campground 1 500 1

Pedestal Rock SIA 1 500 2

Haw Creek Campground (#1) 1 500 2

Haw Creek Campground (#2) 1 500 2

Bayou Bluff Campground (Lower level) 1 1000 1

Richland Creek Campground (#1) (older) 1 1000 3

Richland Creek Campground (#2) (new) 1 500 2

Sam’s Throne Campground (#1) 1 500 2

Sam’s Throne Campground (#2) 1 500 2

Long Pool Campground (#1) 1 500 1 Long Pool Campground (#2) 1 500 1

Sub Total 14 8000 23

Pleasant Hill Ranger District

Wolf Pen CG #1 1 500 1

Wolf Pen CG #2 1 500 1

High Bank 1 500 1

Pleasant Hill Rifle Range 1 500 1

Horsehead Lake CG #1 1 500 1

Horsehead Lake CG #2 1 500 1

Ozone CG 1 500 1

Sub Total 7 3500 7

Magazine Ranger District

Spring Lake CG #1 1 500 1

Spring Lake CG #2 1 500 1

Sorghum Hollow HC 1 500 1

Sub Totals 3 1500 3

Boston Mtn. Ranger District

Buckhorn OHV 1 1000 2

Campbell Cemetery 1 500 1

Mill Creek OHV 1 500 2

Shores Lake Picnic Area (#1) 1 500 1

Shores Lake CG (#1) 1 500 1

Shores Lake Day Use Shelter 1 500 1

Sub Total 6 3500 8

Totals 30 16,500 41

REGISTER OF WAGE DETERMINATIONS UNDER | U.S. DEPARTMENT OF LABOR

THE SERVICE CONTRACT ACT | EMPLOYMENT STANDARDS ADMINISTRATION

By direction of the Secretary of Labor | WAGE AND HOUR DIVISION

| WASHINGTON D.C. 20210

| Wage Determination No.: 2015-5137 Daniel W. Simms Division of | Revision No.: 30 Director Wage Determinations| Date Of Last Revision: 5/13/2026

State: Arkansas

Area: Arkansas Counties of Conway, Hot Spring, Montgomery, Pope and Yell

**Fringe Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE FOOTNOTE RATE

01000 - Administrative Support And Clerical Occupations 01011 - Accounting Clerk I 16.41 01012 - Accounting Clerk II 18.42 01013 - Accounting Clerk III 20.60 01020 - Administrative Assistant 24.59 01035 - Court Reporter 18.62 01041 - Customer Service Representative I 14.61 01042 - Customer Service Representative II 15.94 01043 - Customer Service Representative III 17.89 01051 - Data Entry Operator I 15.79 01052 - Data Entry Operator II 17.23 01060 - Dispatcher, Motor Vehicle 24.01 01070 - Document Preparation Clerk 14.83 01090 - Duplicating Machine Operator 14.83 01111 - General Clerk I 15.43 01112 - General Clerk II 16.84 01113 - General Clerk III 18.90 01120 - Housing Referral Assistant 20.76 01141 - Messenger Courier 12.08 01191 - Order Clerk I 13.59 01192 - Order Clerk II 14.83 01261 - Personnel Assistant (Employment) I 18.10 01262 - Personnel Assistant (Employment) II 20.25 01263 - Personnel Assistant (Employment) III 22.57 01270 - Production Control Clerk 28.53 01290 - Rental Clerk 14.52 01300 - Scheduler, Maintenance 16.65 01311 - Secretary I 16.65 01312 - Secretary II 18.62 01313 - Secretary III 20.76 01320 - Service Order Dispatcher 21.47 01410 - Supply Technician 24.59 01420 - Survey Worker 18.50 01460 - Switchboard Operator/Receptionist 14.43 01531 - Travel Clerk I 14.83

7/20/26, 10:46 AM SAM.gov https://sam.gov/wage-determination/2015-5137/30 1/10

01532 - Travel Clerk II 16.65 01533 - Travel Clerk III 18.62 01611 - Word Processor I 14.83 01612 - Word Processor II 16.65 01613 - Word Processor III 18.62

05000 - Automotive Service Occupations 05005 - Automobile Body Repairer, Fiberglass 22.21 05010 - Automotive Electrician 17.63 05040 - Automotive Glass Installer 16.54 05070 - Automotive Worker 16.54 05110 - Mobile Equipment Servicer 14.54 05130 - Motor Equipment Metal Mechanic 18.73 05160 - Motor Equipment Metal Worker 16.54 05190 - Motor Vehicle Mechanic 18.73 05220 - Motor Vehicle Mechanic Helper 13.55 05250 - Motor Vehicle Upholstery Worker 15.55 05280 - Motor Vehicle Wrecker 16.54 05310 - Painter, Automotive 17.63 05340 - Radiator Repair Specialist 16.54 05370 - Tire Repairer 14.28 05400 - Transmission Repair Specialist 18.73

07000 - Food Preparation And Service Occupations 07010 - Baker 16.05 07041 - Cook I 13.88 07042 - Cook II 15.79 07070 - Dishwasher 12.14 07130 - Food Service Worker 12.97 07210 - Meat Cutter 17.08 07260 - Waiter/Waitress 11.87

09000 - Furniture Maintenance And Repair Occupations 09010 - Electrostatic Spray Painter 18.73 09040 - Furniture Handler 13.73 09080 - Furniture Refinisher 18.73 09090 - Furniture Refinisher Helper 14.39 09110 - Furniture Repairer, Minor 16.52 09130 - Upholsterer 18.73

11000 - General Services And Support Occupations 11030 - Cleaner, Vehicles 16.10 11060 - Elevator Operator 13.88 11090 - Gardener 18.97 11122 - Housekeeping Aide 13.77 11150 - Janitor 13.77 11210 - Laborer, Grounds Maintenance 14.67 11240 - Maid or Houseman 12.60 11260 - Pruner 13.35 11270 - Tractor Operator 17.68 11330 - Trail Maintenance Worker 14.67 11360 - Window Cleaner 15.13

12000 - Health Occupations 12010 - Ambulance Driver 18.40 12011 - Breath Alcohol Technician 21.20 12012 - Certified Occupational Therapist Assistant 29.09 12015 - Certified Physical Therapist Assistant 32.37 12020 - Dental Assistant 18.13 12025 - Dental Hygienist 40.44 12030 - EKG Technician 32.12 12035 - Electroneurodiagnostic Technologist 32.12 12040 - Emergency Medical Technician 17.55 12071 - Licensed Practical Nurse I 18.96 12072 - Licensed Practical Nurse II 21.20 12073 - Licensed Practical Nurse III 23.63 12100 - Medical Assistant 17.07 12130 - Medical Laboratory Technician 25.92 12160 - Medical Record Clerk 15.66 12190 - Medical Record Technician 17.52 12195 - Medical Transcriptionist 18.96 12210 - Nuclear Medicine Technologist 46.59 12221 - Nursing Assistant I 12.90 12222 - Nursing Assistant II 14.51 https://sam.gov/wage-determination/2015-5137/30 2/10

12223 - Nursing Assistant III 15.83 12224 - Nursing Assistant IV 17.77 12235 - Optical Dispenser 21.85 12236 - Optical Technician 18.96 12250 - Pharmacy Technician 17.23 12280 - Phlebotomist 17.15 12305 - Radiologic Technologist 28.92 12311 - Registered Nurse I 28.17 12312 - Registered Nurse II 34.45 12313 - Registered Nurse II, Specialist 34.45 12314 - Registered Nurse III 41.68 12315 - Registered Nurse III, Anesthetist 41.68 12316 - Registered Nurse IV 49.97 12317 - Scheduler (Drug and Alcohol Testing) 26.26 12320 - Substance Abuse Treatment Counselor 25.74

13000 - Information And Arts Occupations 13011 - Exhibits Specialist I 20.00 13012 - Exhibits Specialist II 24.78 13013 - Exhibits Specialist III 30.31 13041 - Illustrator I 20.00 13042 - Illustrator II 24.78 13043 - Illustrator III 30.31 13047 - Librarian 27.44 13050 - Library Aide/Clerk 15.91 13054 - Library Information Technology Systems Administrator 24.78 13058 - Library Technician 20.00 13061 - Media Specialist I 17.88 13062 - Media Specialist II 20.00 13063 - Media Specialist III 22.30 13071 - Photographer I 17.88 13072 - Photographer II 20.00 13073 - Photographer III 24.78 13074 - Photographer IV 30.31 13075 - Photographer V 36.67 13090 - Technical Order Library Clerk 20.00 13110 - Video Teleconference Technician 17.88

14000 - Information Technology Occupations 14041 - Computer Operator I 17.26 14042 - Computer Operator II 19.31 14043 - Computer Operator III 21.53 14044 - Computer Operator IV 24.02 14045 - Computer Operator V 26.49 14071 - Computer Programmer I (see 1) 21.44 14072 - Computer Programmer II (see 1) 25.80 14073 - Computer Programmer III (see 1) 14074 - Computer Programmer IV (see 1) 14101 - Computer Systems Analyst I (see 1) 14102 - Computer Systems Analyst II (see 1) 14103 - Computer Systems Analyst III (see 1) 14150 - Peripheral Equipment Operator 17.26 14160 - Personal Computer Support Technician 24.03 14170 - System Support Specialist 26.17

15000 - Instructional Occupations 15010 - Aircrew Training Devices Instructor (Non-Rated) 34.71 15020 - Aircrew Training Devices Instructor (Rated) 42.00 15030 - Air Crew Training Devices Instructor (Pilot) 50.25 15050 - Computer Based Training Specialist / Instructor 34.71 15060 - Educational Technologist 34.74 15070 - Flight Instructor (Pilot) 50.25 15080 - Graphic Artist 21.45 15085 - Maintenance Test Pilot, Fixed, Jet/Prop 50.25 15086 - Maintenance Test Pilot, Rotary Wing 50.25 15088 - Non-Maintenance Test/Co-Pilot 50.25 15090 - Technical Instructor 20.87 15095 - Technical Instructor/Course Developer 25.53 15110 - Test Proctor 16.85 15120 - Tutor 16.85 https://sam.gov/wage-determination/2015-5137/30 3/10

16000 - Laundry, Dry-Cleaning, Pressing And Related Occupations 16010 - Assembler 13.66 16030 - Counter Attendant 13.66 16040 - Dry Cleaner 15.74 16070 - Finisher, Flatwork, Machine 13.66 16090 - Presser, Hand 13.66 16110 - Presser, Machine, Drycleaning 13.66 16130 - Presser, Machine, Shirts 13.66 16160 - Presser, Machine, Wearing Apparel, Laundry 13.66 16190 - Sewing Machine Operator 16.39 16220 - Tailor 17.05 16250 - Washer, Machine 14.37

19000 - Machine Tool Operation And Repair Occupations 19010 - Machine-Tool Operator (Tool Room) 22.04 19040 - Tool And Die Maker 27.46

21000 - Materials Handling And Packing Occupations 21020 - Forklift Operator 18.87 21030 - Material Coordinator 28.53 21040 - Material Expediter 28.53 21050 - Material Handling Laborer 17.19 21071 - Order Filler 16.64 21080 - Production Line Worker (Food Processing) 18.87 21110 - Shipping Packer 18.61 21130 - Shipping/Receiving Clerk 18.61 21140 - Store Worker I 13.60 21150 - Stock Clerk 18.38 21210 - Tools And Parts Attendant 18.87 21410 - Warehouse Specialist 18.87

23000 - Mechanics And Maintenance And Repair Occupations 23010 - Aerospace Structural Welder 26.11 23019 - Aircraft Logs and Records Technician 20.51 23021 - Aircraft Mechanic I 24.70 23022 - Aircraft Mechanic II 26.11 23023 - Aircraft Mechanic III 27.53 23040 - Aircraft Mechanic Helper 17.87 23050 - Aircraft, Painter 23.25 23060 - Aircraft Servicer 20.51 23070 - Aircraft Survival Flight Equipment Technician 23.25 23080 - Aircraft Worker 21.81 23091 - Aircrew Life Support Equipment (ALSE) Mechanic I 21.81 23092 - Aircrew Life Support Equipment (ALSE) Mechanic II 24.70 23110 - Appliance Mechanic 25.66 23120 - Bicycle Repairer 21.16 23125 - Cable Splicer 38.12 23130 - Carpenter, Maintenance 20.54 23140 - Carpet Layer 24.07 23160 - Electrician, Maintenance 25.78 23181 - Electronics Technician Maintenance I 29.72 23182 - Electronics Technician Maintenance II 31.70 23183 - Electronics Technician Maintenance III 33.67 23260 - Fabric Worker 22.64 23290 - Fire Alarm System Mechanic 27.26 23310 - Fire Extinguisher Repairer 21.16 23311 - Fuel Distribution System Mechanic 37.00 23312 - Fuel Distribution System Operator 28.87 23370 - General Maintenance Worker 20.54 23380 - Ground Support Equipment Mechanic 24.70 23381 - Ground Support Equipment Servicer 20.51 23382 - Ground Support Equipment Worker 21.81 23391 - Gunsmith I 21.16 23392 - Gunsmith II 24.07 23393 - Gunsmith III 27.26 23410 - Heating, Ventilation And Air-Conditioning Mechanic 22.70 23411 - Heating, Ventilation And Air Contidioning Mechanic (Research Facility) 24.00 23430 - Heavy Equipment Mechanic 25.74 https://sam.gov/wage-determination/2015-5137/30 4/10

23440 - Heavy Equipment Operator 21.29 23460 - Instrument Mechanic 27.26 23465 - Laboratory/Shelter Mechanic 25.66 23470 - Laborer 17.19 23510 - Locksmith 25.66 23530 - Machinery Maintenance Mechanic 27.33 23550 - Machinist, Maintenance 23.42 23580 - Maintenance Trades Helper 16.45 23591 - Metrology Technician I 27.26 23592 - Metrology Technician II 28.82 23593 - Metrology Technician III 30.38 23640 - Millwright 27.26 23710 - Office Appliance Repairer 25.66 23760 - Painter, Maintenance 18.50 23790 - Pipefitter, Maintenance 23.36 23810 - Plumber, Maintenance 21.99 23820 - Pneudraulic Systems Mechanic 27.26 23850 - Rigger 27.26 23870 - Scale Mechanic 24.07 23890 - Sheet-Metal Worker, Maintenance 24.94 23910 - Small Engine Mechanic 21.88 23931 - Telecommunications Mechanic I 25.82 23932 - Telecommunications Mechanic II 27.28 23950 - Telephone Lineman 30.77 23960 - Welder, Combination, Maintenance 21.97 23965 - Well Driller 27.26 23970 - Woodcraft Worker 27.26 23980 - Woodworker 21.16

24000 - Personal Needs Occupations 24550 - Case Manager 15.98 24570 - Child Care Attendant 12.57 24580 - Child Care Center Clerk 15.68 24610 - Chore Aide 12.89 24620 - Family Readiness And Support Services Coordinator 15.98 24630 - Homemaker 16.04

25000 - Plant And System Operations Occupations 25010 - Boiler Tender 22.56 25040 - Sewage Plant Operator 19.96 25070 - Stationary Engineer 22.56 25190 - Ventilation Equipment Tender 16.40 25210 - Water Treatment Plant Operator 19.96

27000 - Protective Service Occupations 27004 - Alarm Monitor 17.60 27007 - Baggage Inspector 17.77 27008 - Corrections Officer 18.48 27010 - Court Security Officer 18.49 27030 - Detection Dog Handler 19.88 27040 - Detention Officer 18.48 27070 - Firefighter 18.44 27101 - Guard I 17.77 27102 - Guard II 19.88 27131 - Police Officer I 20.33 27132 - Police Officer II 22.60

28000 - Recreation Occupations 28041 - Carnival Equipment Operator 16.23 28042 - Carnival Equipment Repairer 17.42 28043 - Carnival Worker 12.29 28210 - Gate Attendant/Gate Tender 15.86 28310 - Lifeguard 12.07 28350 - Park Attendant (Aide) 17.74 28510 - Recreation Aide/Health Facility Attendant 12.69 28515 - Recreation Specialist 21.32 28630 - Sports Official 13.86 28690 - Swimming Pool Operator 19.81

29000 - Stevedoring/Longshoremen Occupational Services 29010 - Blocker And Bracer 24.70 29020 - Hatch Tender 24.70 29030 - Line Handler 24.70 https://sam.gov/wage-determination/2015-5137/30 5/10

29041 - Stevedore I 23.22 29042 - Stevedore II 26.33

30000 - Technical Occupations 30010 - Air Traffic Control Specialist, Center (HFO) (see 2) 46.07 30011 - Air Traffic Control Specialist, Station (HFO) (see 2) 31.77 30012 - Air Traffic Control Specialist, Terminal (HFO) (see 2) 34.99 30021 - Archeological Technician I 19.40 30022 - Archeological Technician II 21.70 30023 - Archeological Technician III 26.89 30030 - Cartographic Technician 26.89 30040 - Civil Engineering Technician 26.06 30051 - Cryogenic Technician I 28.27 30052 - Cryogenic Technician II 31.23 30061 - Drafter/CAD Operator I 19.40 30062 - Drafter/CAD Operator II 21.70 30063 - Drafter/CAD Operator III 24.20 30064 - Drafter/CAD Operator IV 29.78 30081 - Engineering Technician I 17.29 30082 - Engineering Technician II 19.40 30083 - Engineering Technician III 21.70 30084 - Engineering Technician IV 26.89 30085 - Engineering Technician V 32.89 30086 - Engineering Technician VI 39.79 30090 - Environmental Technician 24.85 30095 - Evidence Control Specialist 25.53 30210 - Laboratory Technician 24.20 30221 - Latent Fingerprint Technician I 28.27 30222 - Latent Fingerprint Technician II 31.23 30240 - Mathematical Technician 26.89 30361 - Paralegal/Legal Assistant I 21.08 30362 - Paralegal/Legal Assistant II 26.11 30363 - Paralegal/Legal Assistant III 31.61 30364 - Paralegal/Legal Assistant IV 38.25 30375 - Petroleum Supply Specialist 31.23 30390 - Photo-Optics Technician 26.89 30395 - Radiation Control Technician 31.23 30461 - Technical Writer I 26.06 30462 - Technical Writer II 31.88 30463 - Technical Writer III 38.57 30491 - Unexploded Ordnance (UXO) Technician I 29.28 30492 - Unexploded Ordnance (UXO) Technician II 35.43 30493 - Unexploded Ordnance (UXO) Technician III 42.46 30494 - Unexploded (UXO) Safety Escort 29.28 30495 - Unexploded (UXO) Sweep Personnel 29.28 30501 - Weather Forecaster I 29.78 30502 - Weather Forecaster II 36.22 30620 - Weather Observer, Combined Upper Air Or Surface Programs (see 2) 24.20 30621 - Weather Observer, Senior (see 2) 26.89

31000 - Transportation/Mobile Equipment Operation Occupations 31010 - Airplane Pilot 35.43 31020 - Bus Aide 12.35 31030 - Bus Driver 17.08 31043 - Driver Courier 14.88 31260 - Parking and Lot Attendant 11.24 31290 - Shuttle Bus Driver 15.95 31310 - Taxi Driver 12.48 31361 - Truckdriver, Light 15.97 31362 - Truckdriver, Medium 17.08 31363 - Truckdriver, Heavy 22.91 31364 - Truckdriver, Tractor-Trailer 22.91

99000 - Miscellaneous Occupations 99020 - Cabin Safety Specialist 17.27 99030 - Cashier 12.89 99050 - Desk Clerk 13.25 99095 - Embalmer 26.24 99130 - Flight Follower 29.28 99251 - Laboratory Animal Caretaker I 14.65 https://sam.gov/wage-determination/2015-5137/30 6/10

99252 - Laboratory Animal Caretaker II 15.73 99260 - Marketing Analyst 29.10 99310 - Mortician 26.24 99410 - Pest Controller 20.09 99510 - Photofinishing Worker 15.39 99710 - Recycling Laborer 18.86 99711 - Recycling Specialist 22.73 99730 - Refuse Collector 17.17 99810 - Sales Clerk 13.69 99820 - School Crossing Guard 15.12 99830 - Survey Party Chief 24.51 99831 - Surveying Aide 16.19 99832 - Surveying Technician 22.26 99840 - Vending Machine Attendant 20.02 99841 - Vending Machine Repairer 24.43 99842 - Vending Machine Repairer Helper 20.02

Note: Executive Order (EO) 13706, Establishing Paid Sick Leave for Federal Contractors, applies to all contracts subject to the Service Contract Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2017. If this contract is covered by the EO, the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work, up to 56 hours of paid sick leave each year. Employees must be permitted to use paid sick leave for their own illness, injury or other health-related needs, including preventive care; to assist a family member (or person who is like family to the employee) who is ill, injured, or has other health-related needs, including preventive care; or for reasons resulting from, or to assist a family member (or person who is like family to the employee) who is the victim of, domestic violence, sexual assault, or stalking. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

Note: Executive Order 13658 generally applies to contracts subject to the Service Contract Act that were awarded on or between January 1, 2015 and January 29, 2022, and that have not been renewed or extended on or after January 30, 2022. If a contract is subject to Executive Order 13658, the contractor must pay all covered workers at least $13.65 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract from May 11, 2026, through December 31, 2026 Additional information on contractor requirements and worker protections under Executive Order 13658 is available at www.dol.gov/whd/govcontracts.

ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS:

HEALTH & WELFARE: $5.55 per hour, up to 40 hours per week, or $222.00 per week or $962.00 per month

HEALTH & WELFARE EO 13706: $5.09 per hour, up to 40 hours per week, or $203.60 per week, or $882.27 per month*

*This rate is to be used only when compensating employees for performance on an SCA-covered contract also covered by EO 13706, Establishing Paid Sick Leave for Federal Contractors. A contractor may not receive credit toward its SCA obligations for any paid sick leave provided pursuant to EO 13706.

VACATION: 2 weeks paid vacation after 1 year of service with a contractor or successor, 3 weeks after 5 years, and 4 weeks after 15 years. Length of service includes the whole span of continuous service with the present contractor or successor, wherever employed, and with the predecessor contractors in the performance of similar work at the same Federal facility. (Reg. 29 CFR 4.173)

HOLIDAYS: A minimum of eleven paid holidays per year: New Year's Day, Martin Luther King Jr.'s Birthday, Washington's Birthday, Memorial Day, Juneteenth National Independence Day, Independence Day, Labor Day, Columbus Day, Veterans' Day, Thanksgiving Day, and Christmas Day. (A contractor may substitute for any of the named holidays another day off with pay in accordance with a plan communicated to the employees involved.) (See 29 CFR 4.174)

THE OCCUPATIONS WHICH HAVE NUMBERED FOOTNOTES IN PARENTHESES RECEIVE THE FOLLOWING:

1) COMPUTER EMPLOYEES: This wage determination does not apply to any individual employed in a bona fide executive, administrative, or professional capacity, as defined in 29 C.F.R. Part 541. (See 41 C.F.R. 6701(3)). Because most Computer Systems Analysts and Computer Programmers who are paid at least $27.63 per hour (or at least $684 per week if paid on a salary or fee basis) likely qualify as exempt https://sam.gov/wage-determination/2015-5137/30 7/10 computer professionals under 29 U.S.C. 213(a)(1) and 29 U.S.C. 213(a)(17), this wage determination may not include wage rates for all occupations within those job families. In such instances, a conformance will be necessary if there are nonexempt employees in these job families working on the contract.

Job titles vary widely and change quickly in the computer industry, and are not determinative of whether an employee is an exempt computer professional. To be exempt, computer employees who satisfy the compensation requirements must also have a primary duty that consists of:

(1) The application of systems analysis techniques and procedures, including consulting with users, to determine hardware, software or system functional specifications;

(2) The design, development, documentation, analysis, creation, testing or modification of computer systems or programs, including prototypes, based on and related to user or system design specifications;

(3) The design, documentation, testing, creation or modification of computer programs related to machine operating systems; or

(4) A combination of the aforementioned duties, the performance of which requires the same level of skills. (29 C.F.R. 541.400).

Any computer employee who meets the applicable compensation requirements and the above duties test qualifies as an exempt computer professional under both section 13(a)(1) and section 13(a)(17) of the Fair Labor Standards Act. (Field Assistance Bulletin No. 2006-3 (Dec. 14, 2006)). Accordingly, this wage determination will not apply to any exempt computer employee regardless of which of these two exemptions is utilized.

2) AIR TRAFFIC CONTROLLERS AND WEATHER OBSERVERS - NIGHT PAY & SUNDAY PAY: If you work at night as part of a regular tour of duty, you will earn a night differential and receive an additional 10% of basic pay for any hours worked between 6pm and 6am.

If you are a full-time employed (40 hours a week) and Sunday is part of your regularly scheduled workweek, you are paid at your rate of basic pay plus a Sunday premium of 25% of your basic rate for each hour of Sunday work which is not overtime (i.e. occasional work on Sunday outside the normal tour of duty is considered overtime work).

** HAZARDOUS PAY DIFFERENTIAL **

An 8 percent differential is applicable to employees employed in a position that represents a high degree of hazard when working with or in close proximity to ordnance, explosives, and incendiary materials. This includes work such as screening, blending, dying, mixing, and pressing of sensitive ordnance, explosives, and pyrotechnic compositions such as lead azide, black powder and photoflash powder.

All dry-house activities involving propellants or explosives. Demilitarization, modification, renovation, demolition, and maintenance operations on sensitive ordnance, explosives and incendiary materials. All operations involving re-grading and cleaning of artillery ranges.

A 4 percent differential is applicable to employees employed in a position that represents a low degree of hazard when working with, or in close proximity to ordnance, (or employees possibly adjacent to) explosives and incendiary materials which involves potential injury such as laceration of hands, face, or arms of the employee engaged in the operation, irritation of the skin, minor burns and the like;

minimal damage to immediate or adjacent work area or equipment being used. All operations involving, unloading, storage, and hauling of ordnance, explosive, and incendiary ordnance material other than small arms ammunition. These differentials are only applicable to work that has been specifically designated by the agency for ordnance, explosives, and incendiary material differential pay.

** UNIFORM ALLOWANCE **

If employees are required to wear uniforms in the performance of this contract (either by the terms of the Government contract, by the employer, by the state or local law, etc.), the cost of furnishing such uniforms and maintaining (by laundering or dry cleaning) such uniforms is an expense that may not be borne by an employee where such cost reduces the hourly rate below that required by the wage determination. The Department of Labor will accept payment in accordance with the following standards as compliance:

https://sam.gov/wage-determination/2015-5137/30 8/10

The contractor or subcontractor is required to furnish all employees with an adequate number of uniforms without cost or to reimburse employees for the actual cost of the uniforms. In addition, where uniform cleaning and maintenance is made the responsibility of the employee, all contractors and subcontractors subject to this wage determination shall (in the absence of a bona fide collective bargaining agreement providing for a different amount, or the furnishing of contrary affirmative proof as to the actual cost), reimburse all employees for such cleaning and maintenance at a rate of $3.35 per week (or $.67 cents per day). However, in those instances where the uniforms furnished are made of """"wash and wear"""" materials, may be routinely washed and dried with other personal garments, and do not require any special treatment such as dry cleaning, daily washing, or commercial laundering in order to meet the cleanliness or appearance standards set by the terms of the Government contract, by the contractor, by law, or by the nature of the work, there is no requirement that employees be reimbursed for uniform maintenance costs.

** SERVICE CONTRACT ACT DIRECTORY OF OCCUPATIONS **

The duties of employees under job titles listed are those described in the """"Service Contract Act Directory of Occupations"""", Fifth Edition (Revision 1), dated September 2015, unless otherwise indicated.

** REQUEST FOR AUTHORIZATION OF ADDITIONAL CLASSIFICATION AND WAGE RATE, Standard Form 1444 (SF-1444) **

Conformance Process:

The contracting officer shall require that any class of service employee which is not listed herein and which is to be employed under the contract (i.e., the work to be performed is not performed by any classification listed in the wage determination), be classified by the contractor so as to provide a reasonable relationship (i.e., appropriate level of skill comparison) between such unlisted classifications and the classifications listed in the wage determination (See 29 CFR 4.6(b)(2)(i)). Such conforming procedures shall be initiated by the contractor prior to the performance of contract work by such unlisted class(es) of employees (See 29 CFR 4.6(b)(2)(ii)). The Wage and Hour Division shall make a final determination of conformed classification, wage rate, and/or fringe benefits which shall be paid to all employees performing in the classification from the first day of work on which contract work is performed by them in the classification. Failure to pay such unlisted employees the compensation agreed upon by the interested parties and/or fully determined by the Wage and Hour Division retroactive to the date such class of employees commenced contract work shall be a violation of the Act and this contract. (See 29 CFR 4.6(b)(2)(v)). When multiple wage determinations are included in a contract, a separate SF-1444 should be prepared for each wage determination to which a class(es) is to be conformed.

The process for preparing a conformance request is as follows:

1) When preparing the bid, the contractor identifies the need for a conformed occupation(s) and computes a proposed rate(s).

2) After contract award, the contractor prepares a written report listing in order the proposed classification title(s), a Federal grade equivalency (FGE) for each proposed classification(s), job description(s), and rationale for proposed wage rate(s), including information regarding the agreement or disagreement of the authorized representative of the employees involved, or where there is no authorized representative, the employees themselves. This report should be submitted to the contracting officer no later than 30 days after such unlisted class(es) of employees performs any contract work.

3) The contracting officer reviews the proposed action and promptly submits a report of the action, together with the agency's recommendations and pertinent information including the position of the contractor and the employees, to the U.S.

Department of Labor, Wage and Hour Division, for review (See 29 CFR 4.6(b)(2)(ii)).

4) Within 30 days of receipt, the Wage and Hour Division approves, modifies, or disapproves the action via transmittal to the agency contracting officer, or notifies the contracting officer that additional time will be required to process the request.

5) The contracting officer transmits the Wage and Hour Division's decision to the contractor.

6) Each affected employee shall be furnished by the contractor with a written copy of such determination or it shall be posted as a part of the wage determination (See https://sam.gov/wage-determination/2015-5137/30 9/10

29 CFR 4.6(b)(2)(iii)).

Information required by the Regulations must be submitted on SF-1444 or bond paper.

When preparing a conformance request, the """"Service Contract Act Directory of Occupations"""" should be used to compare job definitions to ensure that duties requested are not performed by a classification already listed in the wage determination. Remember, it is not the job title, but the required tasks that determine whether a class is included in an established wage determination.

Conformances may not be used to artificially split, combine, or subdivide classifications listed in the wage determination (See 29 CFR 4.152(c)(1)).""" https://sam.gov/wage-determination/2015-5137/30 10/10

Exhibit A: PERFORMANCE RELEVANCY QUESTIONNAIRE

Provide the following information requested in this format for each of the projects/contracts being described. Projects may be ongoing and cannot have been completed any later than 3 years prior to the to this issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify. Use as much space as required. OFFEROR SHOULD PLACE

THEIR NAME ON TOP OF EACH QUESTIONNAIRE PAGE.

INSTRUCTIONS: If extra space is needed use the reverse. Mark "X" in appropriate boxes.

CONTRACTOR NAME, ADDRESS & TELEPHONE

How many years do you or your firm have in the line of work contemplated by this solicitation ? How many years’ experience in contracting have you or your business had as a (a) prime contractor and/or (b) sub-contractor ?

PART 1 - PAST / CURRENT PROJECTS

List below up to 5 projects your business has completed within the last 3 years similar in scope to the solicitation:

Contract Amount Type of Project Date Completed Name Address & Telephone No. of Person to Contact for Project Information.

List below all of your firm's contractual commitments running concurrently with the work contemplated by this solicitation:

Contract No. Dollar Amount of Project

Name, Address & Phone No. of Business Govt./Agency

Awarded (Units)

Completed

Date Contract Completed

Have you ever failed to complete any work awarded to you? Yes ( ) No ( ) Has work ever been completed by performance bond? Yes ( ) No ( ) If "Yes" to either item above specify location(s) and reason(s) why:

PART 2 – SPECIALIZED EXPERIENCE – For each of the projects listed above, address the following comments on a separate sheet:

a) Describe the specific elements of the work performed by your firm.

b) Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on Forest Service projects.

c) Address any technical areas about this project you consider uniquely relevant to this solicitation.

d) Point of Contact for Owner/Government agency Contracting Officer and or inspector; include a current phone number and facsimile number. Email address is also desired.

CERTIFICATION

I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.

Certifying Official's Printed Name and Title Signature (In Ink) Date

Ozark-St. Francis National Forests, Russellville, AR Toilet Pumping at District Recreation Sites 12444026Q0148

Federal Acquisition Regulation (FAR) and United States Department of Agriculture Acquisition Regulation (AGAR) Clauses and Provisions The clauses and provisions contained herein are applicable to any order awarded as a result of this solicitation. The terms and conditions set forth herein supersede all other terms and conditions.

Acceptance of the order in accordance with (IAW) FAR 12.201-1(b)(2) constitutes acceptance of all terms and conditions contained herein.

As part of the Revolutionary FAR Overhaul (RFO), system updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in this solicitation. Contracting officers will rely on representations from offers based on provisions in the solicitation. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.

52.252-2 Clauses Incorporated by Reference Feb 1998 This solicitation incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also the full text of the clause may be accessed electronically at Internet address https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-52

52.212-4 Terms and Conditions—Commercial Products and Commercial Services (Nov 2025) ☐ Alternate I (Nov 2025) of 52.212-4

52.203-17 Contractor Employee Whistleblower Rights (Nov 2023) 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements

(Jan 2017) 52.222-50 Combating Trafficking in Persons (Nov 2025)

☐ Alternate I (Nov 2025) of 52.222-50 52.222-90 Addressing DEI Discrimination by Federal Contractors (April 2026) 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving (May 2024) 52.232-39 Unenforceability of Unauthorized Obligations (Jun 2013) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) 52.233-3 Protest After Award (Sep 2025) 52.233-4 Applicable Law for Breach of Contract Claim (Sep 2025) 52.240-91 Security Prohibitions and Exclusions (Nov 2025)

☐ Alternate I (Nov 2025) of 52.240-91 52.244-6 Subcontracts for Commercial Products and Commercial Services (Nov 2025)

The following clauses are applicable if checked: You can either leave all clauses and check the boxes of the ones that apply or delete the clauses that do not apply. If you delete lines, you will need to right-click on the box and select “remove content control” before it will delete.

☐ 52.203-6 Restrictions on Subcontractor Sales to the Government (Jun 2020) with Alternate I (Nov 2021) of 52.203-6

☐ 52.203-13 Contractor Code of Business Ethics and Conduct (Nov 2021) ☒ 52.204-9 Personal Identity Verification of Contractor Personnel Jan 2011 https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-52

Ozark-St. Francis National Forests, Russellville, AR Toilet Pumping at District Recreation Sites 12444026Q0148

☒ 52.204-13 System for Award Management—Maintenance (Nov 2025) ☐ 52.204-91 Contractor identification (Nov 2025) ☐ 52.209-6 Protecting the Government’s Interest When Subcontracting with

Contractors Debarred, Suspended, or Proposed for Debarment (Sep 2025) ☐ 52.209-9 Updates of Publicly Available Information Regarding Responsibility

Matters (Sep 2025) ☒ 52.209-10 Prohibition on Contracting with Inverted Domestic Corporations (Sep 2025) ☐ 52.219-4 Notice of Price Evaluation Preference for HUBZone Small Business Concerns (Nov

2025) ☒ 52.219-6 Notice of Total Small Business Aside (Nov 2025)

☐ Alternate I (Mar 2020).

☐ 52.219-8 Utilization of Small Business Concerns (Nov 2025) ☐ 52.219-9 Small Business Subcontracting Plan (Nov 2025)

☐ Alternate III (Nov 2025) of 52.219-9.

☐ Alternate IV (Nov 2025) of 52.219-9

☐ 52.219-14 Limitations on Subcontracting (Nov 2025) ☐ 52.219-16 Liquidated Damages—Subcontracting Plan (Nov 2025) ☐ 52.219-33 Nonmanufacturer Rule (Nov 2025) ☒ 52.222-3 Convict Labor (June 2003) ☐ 52.222-19 Child Labor—Cooperation with Authorities and Remedies (Nov 2025) ☐ 52.222-35 Equal Opportunity for Veterans (Nov 2025)

☐ Alternate I (Jul 2014) of 52.222-35 ☐ 52.222-36 Equal Opportunity for Workers with Disabilities (Nov 2025)

☐ Alternate I (Jul 2014) of…