Combined Synopsis Solicitation SPE-GEN-R-22-1212.docx

COMBINED SYNOPSIS/SOLICITATION

OAS-COO-S-21-0009

Combined Synopsis/Solicitation

SPE-GEN-R-22-1212

(i) INTRODUCTION

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Subpart 12.6 and FAR Part 13, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotations are being requested and a separate written solicitation will not be issued.

Contractors shall examine this entire combined synopsis/solicitation. Failure to do so will be at the contractor’s own risk. The Government may reject any quotation that does not contain all of the requested information, as outlined herein. This combined synopsis/solicitation does not commit the Government to pay any costs incurred by the contractor in preparation and submission of initial, or any subsequent, quotations or for any other costs incurred prior to award of the Purchase Order. The Government reserves the right to cancel this solicitation, either before or after the closing date. In the event the Government cancels this solicitation, the Government has no obligation to reimburse contractors for any costs.

(ii) SOLICITATION NUMBER

The Government is issuing solicitation SPE-GEN-R-22-1212 as a Request for Quotation (RFQ).

(iii) FEDERAL ACQUISITION CIRCULAR (FAC)

The solicitation and incorporated provisions and clauses are those in effect through Federal Acquisition Circular (FAC) 2022-04/01-30-2022.

(iv) SET-ASIDE & NAICS

This is set aside 100% for small businesses. The associated North American Industrial Classification Standard (NAICS) Code is 541910 Marketing Research and Public Opinion Polling, with a Size Standard of $16,500,000.00. All contractors responding shall be active in the System for Award Management (SAM) at the time of proposal submission. NO EXCEPTIONS. The Agency will consider all responsible sources that submit a timely quotation.

(v) PURCHASE ORDER LINE ITEMS, QUANTITIES & UNITS OF MEASURE

All quantities are the Government’s best estimates of quantities required. The Government reserves the right to award additional quantities of a line item, less quantities of a line item or no quantities of a line item, dependent upon quotation received.

Estimated Period of Performance May 16, 2022 – July 08, 2022

(vi) DESCRIPTION OF REQUIREMENT

PERFORMANCE WORK STATEMENT

a. Objectives The Executive Office of the President (EOP), United States Digital Service (USDS) has a need for Human-Centered Designer(s) who can lead user research sessions in Spanish in support of a USDS project that aims to improve the user experience of interacting with social safety net benefits programs. The Contractor will be responsible for creating interview guides using human centered design principles and conducting user interviews in Spanish. Specifically, USDS is looking to understand how native-Spanish speakers navigate specific benefits programs and any unique pain points or challenges they encounter during the application process for benefits. Conducting user research with native Spanish speakers in their native language will drastically improve the usability of the programs and services they interact with. Insights from this research will complement and augment the work that USDS teams are undertaking to make benefits programs more accessible to the diverse communities who interact with them.

b. Scope The contractor will lead 15 to 20 user research sessions with Spanish speakers who recently applied to a benefits program across 2 to 4 states. USDS will recruit applicants and participants for the contractor to connect with and provide research incentives to participants. The contractor will document observations and insights from the conversations and share them with USDS at the end of the engagement.

A list of required services include, but are not limited to:

· Development of discussion guide, using human-centered design and user research best practices, to be reviewed by USDS prior to the interviews

· Schedule research interviews with participants, with participant information provided by USDS

· Lead interviews in Spanish with the ability for a USDS team member to observe; provide technical support and troubleshooting for interviews if participants are having difficulty dialing in or joining the video conference (note interviews must be conducted in Spanish, using a translator is not sufficient)

· Take verbatim notes and translate them to English

· Provide analysis of interviews and summary of findings

· Write and send follow-up communications to research participants that thank them for their participation and alert them when their research incentive has been mailed or emailed to them; troubleshoot with participants if they have questions about the incentive or didn’t receive their incentive.

c. Performance Requirements c.1 Task 1 – Development of Discussion Guide

· The contractor shall develop a discussion guide with integrated interview questions.

Constraint:

· Specific topics to target in the discussion guide will be determined and provided to the Contractor by the Contracting Officers Representative (COR) and Alternate-Contracting Officers Representative (ACOR) c.2 Task 2 – Remote Interviews

· Contractor shall schedule and lead research interviews with participants. Contractor shall take verbatim notes during the interview.

Constraints:

· COR and/or ACOR will provide participant information

· Interviews must be scheduled during hours that are convenient for the participant, depending on their time zone. Conversations are typically scheduled between 9:00 am - 5:00 pm.

· Interviewer(s) must speak fluent Spanish

· Interviewer(s) must utilize human centered design research principles c.3 Task 3 – Results of Interviews Contractor shall provide verbatim notes as well as an English translation to the COR and ACOR.

The contractor shall also provide a written Analysis of the interviews as well as a Summary of Findings.

c.4 Task 4 – Post Interview Follow-up Contractor shall provide written Thank-you notes to each participant. The contractor shall also coordinate the receipt of each participants’ incentive for participating.

Deliverables:

(analysis = find meanings or patterns of information)

(summary = reduce information already known down to its essential parts / more concise)

d. Performance Standards

c.1 Task 1:

Discussion Guide – inclusion of target topics

The contractor’s discussion guide must include 100% of the target topics provided by the COR and/or ACOR Exceptional: > 99.9% Very Good: 99% Satisfactory: 98% Marginal: 95% Unsatisfactory: < 94.9% Analysis of topics covered in discussion guide vs. provided target topics c.2 Task 2:

Remote Interviews – inclusion of target topics

Interviews must include 100% of the target topics provided by the COR and/or ACOR Exceptional: > 99.9% Very Good: 99% Satisfactory: 98% Marginal: 95% Unsatisfactory: < 94.9% Random interview observation by COR and/or ACOR

e. Government Furnished Property (GFP) GFP will not be issued for this Order unless services are required for longer than 10 weeks. If services are required for longer than 10 weeks, the Government reserves the right to require the use of Government equipment for this requirement.

f. Government-Furnished Information (GFI) The Government will determine and provide the Contractor with specific topics to target for the creation of the discussion guide.

(vii) PLACE AND PERIOD OF PERFORMANCE

a. Place of Performance All work is to be performed remotely at the contractor’s facility.

b. Period of Performance The eight-week estimated period of performance is 05/16/2022 through 07/08/2022.

(viii) INSTRUCTIONS TO OFFERORS

FAR 52.212-1, Instructions to Offerors – Commercial Items (Nov 2021), applies to this acquisition. See below.

Submission Requirements

Submit quotation, on or before, Thursday, May 05, 2022 at 7:00 a.m. Eastern Time. Via email to Jennifer Jones at jjones@oa.eop.gov and Mashonda Walston, at mwalston@oa.eop.gov. Offerors are responsible for submitting offers, and any modifications, revisions, or withdrawals by the time specified above. Quotations submitted after the time and date for which quotations are due, will be considered late and will not be evaluated. Quotation submissions shall not be locked, encrypted, or otherwise contain barriers to opening.

Volume I: Contract Documentation A completed quotation should include the following items in Volume I. If these items are not included, the quotation may be removed from consideration and not considered for award.

1. Cover Sheet. Quotation shall include a Coversheet with the following information.

· The solicitation number: SPE-GEN-R-22-1212

· Company name, mailing address and phone

· Company’s Point of Contact, phone, email address

· Date Submitted and Quotation Expiration Date

· Unique Entity ID (UEI), Commercial and Government Entity Code (CAGE), and Taxpayer Identification Number (TIN);

· Type of Company (i.e., small business, 8(a), woman-owned, veteran-owned etc.,) as validated via the System for Award Management (SAM). The contractors must be registered in SAM at the time the quotation is submitted.

2. A Compliance Statement. The contractor is required to submit and certify:

· No differences, deviations, or exceptions exist, if applicable.

· The extent of agreement with all terms, conditions, and provisions included in the solicitation. No terms, conditions, or assumptions from the contractor will be entertained. Any differences, deviations, or exceptions must be stated and explained in this section.

Sample Statement of Compliance: The Contractor hereby certifies that this quote complies with the solicitation and its requirements. The Contractor agrees with all terms, conditions and provisions included in the solicitation, and there are no exceptions, deviations, or differences. This quote is valid for 120 days from the date of submission.

3. Complete and sign Attachment A: Non-Disclosure Agreements.

4. Complete Boxes in Attachment B - Representation by Corporations Regarding an Unpaid Delinquent Tax Liability or a Felony Conviction.

Volume II: Technical Approach The Technical Volume shall address the proposed approach to meeting or exceeding the minimum performance or capability requirements of the PWS. You are strongly cautioned that either “cutting and pasting” stated requirements from the PWS into the Technical Volume, or mere restatement of the requirements with assertions will be met as non-responsive. The technical approach should clearly describe the approach to fully meet the requirements of the PWS.

The technical approach shall be no more than 25 pages. The technical and non-technical quotation document(s) shall be configured with a paper size of 8 ½ by 11 inch and single-sided. The font size shall be 12-point. No reduction in size is permitted except for charts or graphs. In those instances where reduction is allowable, Contractor shall ensure the print is no less than 8-point for graphs and 10-point font for tables. Each page shall have margins of at least one inch on each page.

Subfactors:

1. Development of Discussion Guide

2. Remote Interviews

3. Results of Interviews

4. Post Interview Follow-up

Technical Assumptions Contractor shall submit all (if any) assumptions, conditions, or exceptions with any of the terms and conditions of this RFQ. If not noted in this section of your quotation, the Government will assume that the Offeror proposes no assumptions for award, and agrees to comply with all of the terms and conditions as set forth herein. The Government reserves the right to reject any offer that includes any assumption that affects the Government’s requirements.

Volume III: Price The Contractor shall provide a price quotation and supporting data, to include estimating methodology in accordance with section (iii) (v) and (vi). The Contractor should ensure price quotation includes detailed information regarding the resources required to accomplish the tasks (e.g., labor categories, labor hours, number of employees for each labor category, labor rates, indirect rates).

The price quotation and all supporting data shall be separate from the technical volume and shall be provided as an excel spreadsheet with the formulas contained within. All formulas shall remain present in the spreadsheet for verification. Submission of hard-numbered, file protected, or otherwise unworkable excel documents for the price quotation; or submission of PDF files for the price quotation will be deemed non-responsive and may preclude your quotation from further consideration.

The Government will verify that all solicitation requirements have been priced, figures are correctly calculated, and prices are presented in a clear and useful format. Note that unreasonably high proposed prices/prices, initially, or subsequently may be grounds for eliminating a quotation from competition.

The contractor agrees to hold the prices in its offer firm for 120 calendar days from the date specified for receipt of offers, unless another time is specified in an addendum to the solicitation.

Failure to provide complete price data as outlined above and elsewhere in this section may result in the contractor’s price submission being deemed non-responsible and precluded from further consideration.

(ix) EVALUATION CRITERIA

FAR 52.212-2, Evaluation - Commercial Items (Nov 2021), applies to this procurement. See below.

Method of Award The Government intends to evaluate offers and award a Purchase Order based on the Lowest Price Technically Acceptable (LPTA) quotation.

The Government will base technical acceptability on the contractor’s ability to provide a comprehensive human-centered design approach to develop a discussion guide, schedule and lead sessions, and provide analysis and summary of findings in accordance with Sections (v) through (vii). The technical quotation will be evaluated to determine whether the contractor has demonstrated an understanding of the requirements and capabilities in meeting the requirements outlined in Sections (v) through (vii).

Volume II: Technical Approach The Government will evaluate the contractor’s technical submission and rate it either Acceptable or Unacceptable in accordance with the evaluation table below. In order for the quotation to be rated Technically Acceptable, the Contractor must demonstrate a clear understanding of the requirements given in the PWS, and an ability to meet the minimum requirements. The technical quotation will also be evaluated for technical realism. The Contractor’s technical quotation shall affirm the capabilities to execute all tasks specified in the PWS.

Technical Approach Evaluation Table

The contractor must propose a research and project management approach and demonstrate their understanding and capabilities in providing a comprehensive human-centered design approach to develop a discussion guide, schedule and lead sessions, and provide analysis and summary of findings. To be considered technically acceptable, the Contractor’s technical approach shall demonstrate the following:

Factor 1: Development of Discussion Guide To be considered technically acceptable, the quotation should include a demonstrated ability develop a discussion guide which integrates interview questions centered around specific target topics.

Factor 2: Remote Interviews To be considered technically acceptable, the quotation should include a demonstrated ability to lead interviews based on the discussion guide, while taking verbatim notes.

Factor 3: Results of Interviews To be considered technically acceptable, the quotation should include a demonstrated ability to generate a written analysis of the interviews, as well as a summary of findings within one week of the last interview.

Factor 4: Post Interview Follow-up To be considered technically acceptable, the quotation should include a demonstrated ability to provide follow-up communication and coordinate receipt of participants incentives.

The failure of a quotation to be acceptable in all of the factors will result in a technical unacceptable rating and preclude award.

The contractor’s initial offer should contain the contractor’s best terms from a price and technical standpoint. Unless the Government rejects all offers, it will award a single Firm Fixed Price Purchase Order resulting from this solicitation.

Volume III: Price Submission Price quotations will be evaluated to determine if they are fair, reasonable, realistic, and complete. For the price quotation to be considered complete, all solicitation requirements must be priced, figures correctly calculated, and pricing presented in in a clear and useful format.

The Federal Government is exempt from sales tax. If there are any valid applicable taxes, such as the Arizona Half Tax, or Hawaii GET for supplies or services, Contractors must include the prices in their quotation as a separate line item. Such taxes will not be considered or paid unless they are included in the quotation at the time of submission. Price quotations must be complete at the time of submission.

Past Performance as a Responsibility Determination Past performance will be reviewed as part of a responsibility determination, but will not impact the technical evaluation. To determine responsibility, the Government may review past performance sources to include, but are not limited to, past performance information retrieved through Contractor Performance Assessment Reporting System (CPARS), using all CAGE/UEI numbers of team members (partnership, joint venture, teaming arrangement, or parent company/ subsidiary/affiliate) identified in the Contractor’s quotation, inquiries of owner representative(s), Federal Awardee Performance and Integrity Information System (FAPIIS), electronic Subcontract Reporting System (eSRS), and any other known sources not provided by the Contractor, such as interviews with Contracting Officers, Contracting Officer Representatives (COR), or other Government or commercial customers. Submission of past performance information is not required, as the Government will review the available information as outlined above.

(x) OFFEROR REPRESENTATIONS & CERTIFICATIONS

Include a completed copy of provision FAR 52.212-3 (Nov 2021), Offeror Representations and Certifications - Commercial Items, with quotation. See below.

FAR 52.212-3 Offeror Representations and Certifications-Commercial Items (NOV 2021)

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.

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.

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

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

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"— 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—

(1) 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.

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

Small disadvantaged business concern, consistent with13 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 at13 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 CFR124.104(c)(2); and

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

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

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 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.

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 least51 percent of the stock of which is owned by one or more women; and

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

(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 Products and Commercial Services, 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 will be performed in the United States or its outlying areas. Check all that apply.

(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 CFR124.1002.

(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.

(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 of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: __________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

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

(i) It □ is, □ is not an EDWOSB concern, 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 of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: __________.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

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

(8) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it □ is a women-owned business concern.

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

(10) HUBZone 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–

(i) It □ is, □ is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR Part 126; and

(ii) It □ is, □ is not a HUBZone joint venture that complies with the requirements of 13 CFR Part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: __________.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

(d) Representations required to implement provisions of Executive Order11246-

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

(i) It □ has, □ has not participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and

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

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

(i) It □ has developed and has on file, □ has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR parts 60-1 and 60-2), or

(ii) It □ has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 http://uscode.house.gov/ U.S.C. 1352). (Applies only if the contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

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

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

(ii) The Offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products.

(iii) The terms "domestic end product," "end product," "foreign end product," and "United States" are defined in the clause of this solicitation entitled "Buy American-Supplies."

(2) Foreign End Products:

[List as necessary]

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

(g)

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

(i)

(A) The Offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (iii) of this provision, is a domestic end product.

(B) The terms "Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product," "domestic end product," "end product," "foreign end product," "Free Trade Agreement country," "Free Trade Agreement country end product," "Israeli end product," and "United States" are defined in the clause of this solicitation entitled "Buy American-Free Trade Agreements-Israeli Trade Act."

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

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

(iii) The Offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) of this provision) as defined in the clause of this solicitation entitled "Buy American-Free Trade Agreements-Israeli Trade Act." The Offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products.

Other Foreign End Products:

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

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

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

Canadian End Products:

Line Item No.

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

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

Canadian or Israeli End Products:

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

(g)(1)(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Korean, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled "Buy American-Free Trade Agreements-Israeli Trade Act":

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

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

(i) The offeror certifies that each end product, except those listed in paragraph (g)(5)(ii) of this provision, is a U.S.-made or designated country end product, as defined in the clause of this solicitation entitled "Trade Agreements."

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

Other End Products:

(iii) The Government will evaluate offers in accordance with the policies and procedures of FAR part 25. For line items covered by the WTO GPA, the Government will evaluate offers of U.S.-made or designated country end products without regard to the restrictions of the Buy American statute. The Government will consider for award only offers of U.S.-made or designated country end products unless the Contracting Officer determines that there are no offers for such products or that the offers for such products are insufficient to fulfill the requirements of the solicitation.

(h) Certification Regarding Responsibility Matters (Executive Order 12689). (Applies only if the contract value is expected to exceed the simplified acquisition threshold.) The offeror certifies, to the best of its knowledge and belief, that the offeror and/or any of its principals–

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

(2) □ 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 Federal, state or local government 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;

(3) □ Are, □ are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses enumerated in paragraph (h)(2) of this clause; and

(4) □ Have, □ have not, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds the threshold at 9.104-5(a)(2) for which the liability remains unsatisfied.

(i) Taxes are considered delinquent if both of the following criteria apply:

(A) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.

(B) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.

(ii) Examples.

(A) The taxpayer has received a statutory notice of deficiency, under I.R.C. §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.

(B) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. §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.

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

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

(i) Certification Regarding Knowledge of Child Labor for Listed End Products (Executive Order 13126). [The Contracting Officer must list in paragraph (i)(1) any end products being acquired under this solicitation that are included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, unless excluded at 22.1503(b).]

(1) Listed end products.

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

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

(ii) The offeror may supply an end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product. The offeror certifies that it has made a good faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture any such end product furnished under this contract. On the basis of those efforts, the offeror certifies that it is not aware of any such use of child labor.

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

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

(2) □ Outside the United States.

(k) Certificates regarding exemptions from the application of the Service Contract Labor Standards (Certification by the offeror as to its compliance with respect to the contract also constitutes its certification as to compliance by its subcontractor if it subcontracts out the exempt services.) [The contracting officer is to check a box to indicate if paragraph (k)(1) or (k)(2) applies.]

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

(i) The items of equipment to be serviced under this contract are used regularly for other than Governmental purposes and are sold or traded by the offeror (or subcontractor in the case of an exempt subcontract) in substantial quantities to the general public in the course of normal business operations;

(ii) The services will be furnished at prices which are, or are based on, established catalog or market prices (see FAR 22.1003-4(c)(2)(ii)) for the maintenance, calibration, or repair of such equipment; and

(iii) The compensation (wage and fringe…