RFQpackageCRHC-19-26.pdf

RB,QUEST FOR QUOTATIONS

(THIS IS NOT AN ORDER)

THIS RFQ IS A SMALL BUSINESS SET.ASIDE

PAGE OF PAGES

1ol 2

I REQUEST NO

cRHC-19-26

2 DATE ISSUED

08/06/2019

] REQUISITION/PURCHASE REQUEST NO

tHs1383499

4 CERT FOR NAT. DEF

IJNT'ER BDSA REG 2

AND/OR DMS REG I

RATINC

54 ISSUED BY

Eagle Butte Indian Health Service, Cheyenne River Service Unit 24276 166th St, PO Box 1012, Eagle Butte, SD 57625

6 DELIVER BY (Dare, 60 days ARO 5b. FOR INFORMATION CALL (NO COLLECT CALLS) 7 DELIVERY OTHER

I roo oe srnnrroN fl rsee.gcr"o,rrer

NAME

Stephanie Charger stephanie.redelk@ihs.gov

:PHONE NUMBER 9 DESTINA'1ION

AREACODE INUMBER605 | 964-0507

a NAME OF CONSICNEE

Cheyenne River Service Unit 8TO b STREET ADDRESS

24276 166th St , PO Box 1 01 2 a NAME b, COMPANY c CITY

Eagle Buttec STREE'f ADDRESS d CIIY e. STATE f, ZIP CODE d STA'TE

SD

e ZIP CODE

57625

IO PLEASE FURNISH QUOTATIONS TO

TIIE ISSUING OFFICE IN BLOCK

5a ON OR BY 2i00 PM MST ON (Ddre, August '16, 2019

IMPORTANT: This ts a request for information, and quotations so indicate on this form and retum il to the address in Block 5a This request do€s not cornmit the covernment lo pav anl ofthis quoulon or lo conuact for supplres or sewices. Supplrei are oi

er. Any representations and./or cenifications aftached to lhis Request for

I I . SCHEDULE (Include applicable Federal, State and local tdxes) I',tEt\4 NO.

la, SUPPLIES/SERVICES

(b)

QUANTITY

(c)

LIN IT

(d)

UNITPRICE

(e)

AMOLINT

(fl

L

2.

3.

4.

5.

6.

7.

Firm Fixed-Price, Commercial ltem, purchase

Order for various computer equipment & supplies for the Cheyenne River Health Center located in Eagle Butte, SD, The quoted "unir price" shall be an all inclusive price.

Optiplex 7060 Mini Tower CTO (210-APLB)

Optiplex 7460 AIO XCTO (210-APOL)

External USB Optical Drive

Dell Latitude 5490 XCTO (210-ANMX)

Thunderbolt Dock

Privacy Filter

Cable t0 t< s s s

I2 DISCOUNT FOR PROMPT

PAYMENT

a

IO CALENDAR DAYS b. 20

CALENDAR

DAYS

vo c 30 CALENDAR DAYS oA d CALENDAR DAYS

NIJMBER PERCENTAGE

NOI E: Additional Drovisions and reDresenlations aJe aJe not attached

13 NAME AND ADDRESS OF OUOTER I5, SIGNATURE OF PERSON AUTHORIZED TO I5 DA'TE OF

QUOTATIONa NAME OF QUOTER SICN QUOTATION b STREET ADDRESS c COUNTY 16 SIGNER a NAME (Type ofprint)

AREA CODE

d CITY e STATE I ZIP CODE c "llTLE (Dpe or pnnt) NUMBER

ANDARDInc STANDARD FORM l8 (REV 6-95) Pr€vious Prescrihed hv CSA-FAR 148 CFR) 53-215-l(aledrtion not llsable

ITEM

NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

TJNIT PRICE

(e)

AMOL'N'I'

(f)

8.

o l0

Mouse

Adapter

Smart Card Reader

DL'\IS & Bradstreet Number:

(The Duns & Bradstreet number is required.

Provided you do not have it, you may call 866-705- 571 I and obtain one.) You will need a DUNS &

The quoter is hereby notified that they must be registered in the System for Award Management (SAM) before the Government will issue an award. You may do this by going to www.sam 4ey to register and you are required to update this registration every year prior to the expiration date.

Federal Tax ID Number:

Email Address:

Net Terms:

'r<

TOTAL:

S

S COPE OF WORI{/SPECIFICATIONS

The IHS/Cheyenne River Health Center (CRHC) has a requirement for various l.T. equipment and supplies, to be delivered the CRHC within 60days ARO. The particular brand name, product, is essential to the Government's requirements, and market research indicates other similar products lack the features to meet the agency's need for this requirement. The Dell equipment is being requested to support Meaningful Use lnitiative. The Initiative requires standardization and allows for continuity and compatibility with existing equipment for this requirement. No substitutes will be accepted.

Item #1

Quantity - 40 x

Total:

oPTTPLEX 7060 MrNI TOWER CTO(210-APLB) L6GB 2X8GB DDR4 2666MHz UDIMM Non-ECC (370-AEBG)

No Keyboard selected (580-AABG)

Intel Integrated Graphics, Dell OptiPlex (490-BBFG)

No Wireless LAN Card (555-BBFO)

SSD as first boot drive (340-ABIG)

M.2 512G8 SATA Class 20 Solid State Drive (400-AWFV) M2X3.5 Screw for SSD/DDPE (773-BBBC)

No Media Card Reader (379-BBHM) Microsoft(R) Office 30 Days Trial (658-BCSB)

SupportAssist (525-BBCL)

Dell(TM) Digital Delivery Cirrus Client (640-BBLW)

Dell Client System Update (Updates latest Dell Recommended BtOS, Drivers, Firmware and Apps) (658-BBMR) Waves Maxx Audio (658-88RB)

Dell Developed Recovery Environment (658-BCUV)

SW for 7060 with Win10 OS (658-BDVV)

NO RAID (817-BBBN )

No Anti-Virus Software (650-4A4M) Win 10 Pro 54 English, French, Spanish (619-AHKN) US Order (332-1286)

OptiPlex 7060 Tower with 260W up to 85% efficient Power Supply (80plus Bronze) (329-BDSK)

No mouse selected on your OptiPlex system (570-AAAF)

Energy Star (387-BBLW)

No Additional Network Card Selected (lntegrated NIC included) (555-BBJO)

DVD+/-RW Bezel (325-BCXM)

8x DVD+/-RW 9.5mm Optical Disk Drive (429-ABFH)

No Wireless LAN Card (555-BBFO)

System Power Cord (Philipine/THlUS) (4so-AAOJ)

OS-Windows Media Not Included (620-AALW)

Desktop BTO Standard shipment (800-BBIO)

Not selected in this configuration (817-BBBC)

Flexible Catalog Config 01, OptiPlex 7060 MT (610-BBYN)

Safety/Environment and Regulatory Guide (English/French Multi-language) (340-AGIK) Dell Limited Hardware Warranty Plus Service (812-3886)

ProSupport Plus: Accidental Damage Service,5 Years (812-3938)

Prosupport Plus: Keep Your Hard Drive,5 Years (812-3939)

ProSuDDort Plus: Next Business Dav Onsite 5 Years (812-3940 cRHC-19-26 Page 1 of 7

Prosupport Plus: 7x24 Technical Support, 5 Years (812-3941)

No AutoPilot {340-CKSZ) No UPC Label (389-BCGW)

TPM Enabled (329-8BJL)

Intel vPro Technology Enabled (631-ABQQ)

No Additional video Ports (492-BcKH) MOD, PLCMT,QSG,7050, Mr, DAOl (340-CDYy)

Intel Core i7-8700 (6 Cores/72M8/72r/up to 4.5GHz/65W); supports Windows 10/Linux (338-BNZW)

No Cove (320-BCGK)

Ship Material for OptiPlex Tower (340-CDWT)

Shipping Label for DAO (389-BBUU)

No FGA (817-BBBB)

NO ADAPTER (470-AAJL)

CMS Essentials DVD no Media (558-BBTV)

No Additional Hard Drive (401-AANH)

MOD, LBL,REG, MT, M EX, EPA,7060 (389.CXGK)

No CompuTrace (461-AABF)

No PCle add-in card (492-BBFF)

No Intel Responsive (551-BBBJ)

8th Gen Intel Core i7 vPro processor label (389-CGJM)

Itern#2 OPTIPLD( 7460 AIO XCTO (210-APOL) 16GB lX16GB DDR4 2666MHz Non-ECC {370-ADZP)

Quantity - 30 x I Black Dell K8216 Wired Multi-Media Keyboard English (580-ADJC)

Intel Integrated Graphics, Dell OptiPlex (490-BBFG)

- | No Wireless Driver (340-4FMQ)

Total:

SSD as first boot drive (340-ABlc) M.2 512G8 SATA Class 20 Solid State Drive (400-AWFV)

Screw for M.2 SATA SSD (773-BBBJ)

Win 10 Pro 64 English, French, Spanish (619-AHKN)

US Order (332-1286)

7460 AIO 23.8' FHD 1920x1080 IPS Non-Touch Anti-Glare, No Camera, Integrated Graphics, Bronze PSU (329-BDaO)

Black Dell MS116 Wired Mouse (275-BBBW)

Energy Star (387-BBLW)

No Wireless LAN Card (555-BBFO)

System Power Cord (Philipine/TH/US) (450-AAOJ)

OS-Windows Media Not Included (620-AALW)

Desktop BTO Standard shipment (800-BBIO)

Intel Unite Software Not Included (379-BCWX)

Safety/Environment and Regulatory Guide (English/French Multi-language) (340-AGIK) Dell Limited Hardware Warranty Plus Service 1997 -6870].

Prosupport Plus: Accidental Damage Service, 5 Years (997-6942)

Prosuooort Plus: Keep Your Hard Drive, 5 Years (997-5952 cRHC- 19-25 Page Z of 7

ProSupport Plus: Next Business Day Onsite 5 Years (997-6962)

ProSupport Plus: 7x24 Technical Support, 5 Years (997-5982) Thank you for choosing Dell ProSupport Plus. For tech support, visit www.delf .com/contactdell or call 1-865-51 (997 -83671

No AutoPilot (340-CKSZ)

No UPC Label (389-BCGW)

TPM Enabled (329-BBJL)

Intel vPro Technology Enabled (631-ABRX)

No Diagnostic/Recovery CD media (340-4BJI)

Documentation, English, French,Spanish, Dell OptiPlex 7460 (340-CEtS) lntef Core i7-8700 (6 Co res/ L2MB/721/up to 4.6GHz/65W); supports Windows 10/Linux (338-BoCM) No External ODD (429-ABGY)

No Ca ble Cover (325-BCZQ)

Package MOD for DAO Fixed/HAS config or no stand config (340-CEJU)

Shipping [abel for DAO (389-8BUU) OptiPlex All-in-One Basic Stand, 7470 All-in-One (575-BBRC)

No FGA (817-BBBB)

No Additional Cable Requested (379-BBCY)

Dell Data Protection Encryption Personal Digital Delivery (421-9984) Dell Prosupport for Software, Dell Data Protection Encryption personal, 1

Year (954-3455) CMS Software not included (632-BBBJ)

No Additional Hard Drive (40I-AADF)

Regulatory Label 7460 AtO (389-cxJt)

No CompuTrace (461-AABF)

No Intel Rapid Start or Smart Connect (409-BBCF)

8th Gen Intel Core i7 vPro processor label (389-CGJM)

Non-Touch LCD, Dell OptiPlex AIO (391-BBDM) Microsoft(R) Office 30 Days Trial (658-BCSB)

SupportAssist (525-BBCL)

Dell(TM) Digital Delivery Cirrus Client (640-BBLW)

Dell Client System Update (Updates latest Dell Recommended BIOS, Drivers, Firmware and Apps) (658-BBMR)

Waves Maxx Audio (558-BBRB)

Dell Developed Recovery Environment (658-BCUV)

Op{plex 7 460/77 50 Drivers (658-BDWK)

NO RArD (817-BBBN)

No Anti-Virus Software (650-MAM) cRHC-19-26 Page 3 of 7

T

Item #3

Quantity - 10 x

Total:

Quantity - 1 ea.

Item#4

Quantity - 25 x otal:

DRIVE

Dell External USB Slim DVD+/-RW Optical Drive - DW (429-AAUQ)

DELL LATITUDE 5490 XCTO (210-ANI/D0

16GB 1X16GB DDR4 Memory,2400 MHz,Non-ECC (370-ADHW) Dual Pointing English backlit Keyboard (583-BEHW) Intel Dual-Band Wireless-Ac 8265 Driver (555-BDUH)

512G M.2 2280 SArA SSD (400-AOTJ)

M.2 SSD SATA Hard Drive Bracket (575-BBKU)

Win 10 Pro 64 English, French, Spanish (619-AHKN) No Mouse (570-AADK)

Intel Dual Band Wireless AC 8265 (802.11ac) 2x2 (555-8DGD) US Power Cord (450-AAEJ)

Safety/Environment and Regulatory Guide (English/French Multi-language) (340-AGIK) Dell Limited Hardware Warranty Extended Yea(s) (975-3461) Dell Limited Hardware Warranty (997-8317) Prosupport Plus: Next Business Day Onsite, l Year (997-8365) Thank you for choosing Dell Prosupport Plus. For tech support, visit www.dell,com/contactdell or call 1-866-516-3115 (997-8367)

Prosupport Plus: Keep Your Hard Drive, 5 Years (997-8392) ProSupport Plus: Next Business Day Onsite,4 Year Extended (997-8393) Prosupport Plus: Accidental Damage Service,5 Years (997-8394) Prosupport Plus: 7x24 Technical Support, 5 Years (997-8395) Intel Vpro Technology Enable (631-ABNa)

No Resource DVD / USB (430-XXYG)

Smart Card Reader (Contact and Contactless) and Fingerprint Reader Palmrest, Dual Point (346-BCOI)

Quick Reference Guide DAO (340-BYSS)

No Option Included (340-ACQQ)

No Removable CDIDVD Drive (429-AATO)

US Order (332-1286)

4 cell, 68WHR Long Life Cycle Primary Battery with 3 Years Limited Hardware warranty (451-BCCK)

No Mobile Broadband Card (362-BBBB)

No Carrying Case (460-8BEX) sta r Lertlneo 136 /-66LL cR HC-19-25 Page 4 ot 7

8th Gen Intel Core i7-8650U Processor (Quad Core, 8MB Cache, 1.9GH2,15W) (379-BcXG)

Intel(R) Core(TM) i7-8550U Processor Base with Nvidia Graphics (338-

BNGZ)

No Docking Station (452-BBSE)

No AutoPilot (340-CKSZ)

No UPC Label (389-BCGW)

Direct ship Info Mod (340-AAPP)

MIX sHlP config (DAo) (340-BYSM)

No FGA (817-BBBB)

Regulatory Label included (389-BEYY)

8th Gen Intel Core i7 vPro processor label (389-CGJM)

Embedded Touch LCD with lR Camera/Mic, WLAN Capable (391-BDKJ)

No Productivity Soft ware (530-AAPK)

Dell Command I Power Manager (DCPM) (525-0131)

SupportAssist (525-BBCL)

Dell(TM) Digital Delivery Cirrus Client (640-BBtW)

Dell Client System Update (Updates latest Dell Recommended BIOS, Drivers, Firmware and Apps) (658-BBMR)

Waves Maxx Audio (658-BBRB)

Dell Developed Recovery Environment (558-BCUV)

System Shipment, Latitude 5490 (658-BDRV)

No Anti-Virus Software (650-AAAM)

90W AC Power Adapter - 3-pin 7.4mm Barrel (492-BBXJ)

No Media (620-MOH) BTO Standard Shipment (S) (800-BBGT

Item #5

Quantity - 25 x

Total:

DOCK

Dell Thunderbolt Dock- WD19TB 1.30w Power Delivery (210-ARYQ)

Advanced Exchange Service, 3 Years (824-3984)

Dell Limited Hardware Warranty (82a-3993) cRHC-19-25 Page 5 of 7

Item#6 I PRIVACY FILTER Dell Privacy Filter % L4.O (750-ASEKI

Quantity - 25 x

Total:

Item#7 ICABLE C2G 2m High Speed HDMI Cable with Ethernet - 4k - Ultra HD - 6ft -

Quantity - 25 x I novr with Ethernet Cable - 6.5 ft (47104256)

Total:

Item#8 IMOUSE Dell USB Laser 6-Button Mouse, OptiPlex and Precision Desktop, (331-

Quantity-25x lsozo)

Total:

Item#9 IADAPTER customer Kit, 90w Ac Adapter Auto-Air (4so-AAYR)

Quantity - 25 x

Total:

cRHC-19-25 PaBe 5 of 7

Item#lO IREADER Dell K8813 Smartcard Reader Keyboard (332-1571)

Quantity - 25 x

Total:

List any warranties, what it covers and any Warranty I additional warranties you provide.

Shipping/Freight I No shipping costs, pricing is all inclusive.

The Contractor must provide only new equipment and new parts for the required products described herein;

no used, refurbished, or remanufactured equipment or parts shall be provided under any circumstances.

Absolutely no "Gray Market Goods" or "Counterfeit Electronic Parts" shall be provided. Gray Market Goods are defined as genuine branded goods intentionally or unintentionally sold outside of an authorized sales-territory or by non-authorized dealers in an authorized territory. All equipment shall be accompanied by the Original Equipment Manufacturers (OEM's) warranty. Counterfeit Electronic Parts are defined as unlawful or unauthorized reproduction, substitution, or alteration that has been knowingly mismarked, misidentified, or otherwise misrepresented to be an authentic, unmodified electronic part from the original manufacturer, or a source with the express written authority of the original manufacturer or current design activity, including an authorized aftermarket manufacturer. Unlawful or unauthorized substitution includes used electronic parts represented as new, or the false identification of grade, serial number, lot number, date code, or performance cha racteristics.

cRHC-19-26 Page 7 of 7

DEPARTMENT OF HEALTH & HUMAN SERVICES

Divrsion ofAcquisition Policy (Dn P) 5600 Fishers [,ane

Rockrille. MD 20857

INDIAN HEALTH SERVICE

BUY INDIAN ACT

INDIAN FIRM REPRESENTATION FORM

SOLICIATION NUMBER: cRHc-1e-26

PROJECT TITLE:

DATE:

LT. EquipmenUSupplies

In accordance with 25 U.S.C. 47 the Buy lndian Act, the signature below constitutes self-certification that the Offeror rneets the definition of an "lndian Firm" (HHSAR 326.602) with "lndian Ownership" (HHSAR 326.603), in response to this solicitation and resultant contract.

The enterprise must meet the definition of "lndian Firm" throughout the following time periods:

( I ) Al the time an offer is made in response to this solicitation;

(2) At the time of contract award; and

(3) During the fullterm ofthe contract performance period. Atany point during these periods, ifthe Contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting

Officer.

Individual Contracting Officers may require documentation ofeligibility before awarding a set-aside or sole source contracts under the Buy Indian Act and awards may be subject to protest if the eligibility of the successful Offeror is in question. ln addition to the self-certification requirements, successful Offerors must also be registered wirh DUN and

Bradslreet (D&B) and the System of Award Management (SAM)

Any false or misleading information submined by an enterprise when submitting an offer in consideration ofan award ser-aside under the authority ofthe Buy Indian Act is a violation ofthe law and punishable under I8 U.S.C l00I

False claims submifted as part of contract performance are subject to the penalties enumerated in 31 U.S.C. 3729 to

373 I and l8 U.S.C. 287.

REPRESENTATION

The Offeror represents as part of its offer that it does does not with "lndian Ownership" under the authority ofthe Buy Indian Act

Business Name meet the definition of an "lndian Firm"

Certifying SignatLtre

DUNS Number Print Name

CLAUSES INCORPORATED BY REFf,RENCE (Firm Fixed-Price Service-Commercial ltems)

FAR CITATION(S): 52.252-1: Solicitation Provision Incorporated by Reference. (FEB 1998) & 52.252-2 Clauses Incorporated by Reference (FEB f998) This solicitation & contract incorporates one or more solicitation provisions & clauses by reference, with the same force and effect as ifthey rvere given in fulltext. Upon request, the Contracting Officer will make their fulltext available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text ofthose provisions, the offeror may identily the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text ofa solicitation provision & clauses may be accessed electronically at this/these address(es): hftps://www.acquisition.gov/far

Federal Acquisition Reeulations (FAR) (48 CFR Chapter 1) Clauses

No. FAR Citation Clause Title Clause Date

L

2, 3, 4.

5, 6.

7, 8.

9.

10, t2.

13.

14.

I5.

16.

t7.

18.

19.

52.204-7 System for Award Management (P)

52.204-9 Personal IdentityVerification ofContractorPersonnel

52.204-\3 System for Award Management Maintenance

52.204-16 Commercial and Government Entity Code Reporting

52.204-18 Commercial and Government Entity Code Maintenance

52.204-19 Incorporation by Reference of Representations and Cenifications

52.211-6 Brand Name or Equal

52.211-l'7 Delivery of Excess Quantities

52.212-l Instructions to Offerors - Commercial ltems

52.212-4 Contract Terms and Conditions - Commercial Items

52.215-5 Facsim ile Proposals

52.232-l Payments

52.232-8 Discounts for Prompt Payment

52.232-39 UnenforceabilityofUnauthorized Obligations

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

52.233-l Disputes

52,242-15 Stop-WorkOrder

52.243-l Changes-Fixed-Price

52.244-6 Subcontracts for Commercial Items

Oct 201 6

Jan 201I

Oct 201 6

Jul 2016

Jul 2016

Dec 2014

Aug 1999

Sep 1989

Oct 201 8

Jan 2017

Oct I 997

Apr 1984

Feb 2002

Jun 2013

Dec 2013

May 201 4

Aug 1989

Aug 1987 lan 2017

Page I of23

20. 52.246-16 ResponsibilityforSupplies

52.249-l Termination for Convenience ofthe Government (Fixed-Price)(Short Form)

Apr 1984

Apr 1984

Apr 1984

Nov l99l

Jan l99l

21.

22.

4,1 il.

52.249-8

52.24'1-34

52.253-1

Default (Fixed-Price Supply and Service)

F.o.b. - Destination

Computer Generated Forms

Federal Acquisition Regulations (FAR) (48 CFR Chapter l) Clauses in Full Text

No. FAR Citation Clause Title Clause Date

1. 52.204-I

2. s2.204-3

3. 52.212-3

4. 52.2t2-5

Approval of Contract

Taxpayer ldentifi cation (P)

Offeror Representation and Certifi cations

- Commercial ltems

Contract Terms and Condition Required to Implement Statutes or Executive Orders - Commercial Items

Dec 1989

Oct 1998

Oct 201 8

May 201 9

52.204-l Approval of Contract This contract is subject to the written approval ofContracting Officer and shall not be finding until so approved.

52,204-3 TaxpaYer Identifi cation

As prescribed in 4.905, insert the following provision:

TAXPAYER IDENTIFICATION (OCT I998)

(a) Definitions.

.,Common parent," as used in this position, means that corporate entity that owns or controls an affiliated group of c;rporations that files its Federal income tax retums on a consolidated basis, and of which the offeror is a member.

,,Taxpayer Identification Number (TIN)," as used in this provision, means the number required by the

Intemai Revenue Service (lRS) to be used by the offeror in reporting income tax and other retums. The

TIN may be umber or an

(b) All offeiors on required i s provision to comply with debt co I U.S.C. 770 ements of 26 U S'C'

6041,4051A, and 6050M, and implementing regulations issued by the IRS. If the resulting contract is subject to the payment reporting requirements described in Federal Acquisition Regulation (FAR) 4 904, the failure or refusal by the offe-ror to fumish the information may result in a 31 percent reduction of payments otherwise due under the contract.

(c) Th; TIN may be used by the Govemment to collect and report on any delinquent amounts arising out of rhe offeror,s relationship with the Govemment (3 I U.S.C. 7701O(3)). If the resulting contract is subject to the paymenr repornng requirements described in FAR 4.904, the TIN provided hereunder may be matchid with IRS records to verify the accuracy ofthe offeror's TIN'

(d) Taxpayer n rrN:

Identifi cation Number (TIN)

! fn has been applied for.

n flN is not required because:

I Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct ofa trade or business in the United States and does not have an office or place ofbusiness or a fiscal paying agent in the United States;

! Offeror is an agency or instrumentality of a foreign Government;

! Offeror is an agency or instrumentality of the Federal Govemment.

(e) Type of organization.

n Sole proprietorship;

n Partnership;

n corporate entity (not tax-exempt);

n Corporate entity (tax-exempt);

! Government entity (Federal, State, or local);

n Foreign govemment;

n International organization per 26 CFF. 1.6049-4;

n other

(f) Common parent.

! Offeror is not owned or controlled by a common parent as defined in paragraph (a) ofthis provision.

n Name and TIN of common parent:

Name

TIN

(End of provision)

52'212-3 - Offeror Representations and Certifications - Commercial Items'

As prescribed in 12.301(bX2), insert the following provision:.offerorRepresentationsandCertifications-commercia|Items(oct2018)

The Offeror shall complete only paragaph (b) ofthis provision if the Offeror has completed the annual representations and certification electronically in the bystem ior Award Management (SAM) accessed throug If the Offeror has not completed the annual representations and certifications electronically, the only paragraphs (c) through (u)) of this provision.

(a\ DeJinirions. As used in this provision-

Page I of23

"Economically disadvantaged women-owned small business (EDWOSB) concern" means a small business concem that is at least 5l 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 ofthe United States and who are economically disadvantaged in accordance with l3 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-

(6) Exacted from any person under the age of I 8 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(7) 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 ofthe offeror, or that owns or controls one or more entities that control an immediate owner ofthe offeror. No entity owns or exercises control of the highest level owner.

"lmmediate owner" means an entity, other than the offeror, that has direct control ofthe offeror. Indicators ofcontrol include, but are not limited to, one or more ofthe following: Ownership or interlocking management, identity of interests arnong family members, shared facilities and equipment, and the common use ofemployees.

"Inverted domestic corporation," means a foreign incorporated entity that meets the definition of an invefted 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-

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

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

(3) PSC 88, Live Animals;

(4) PSC 89, Subsistence;

(5) PSC 9410, Crude Grades ofPlant Materials;

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

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

(8) PSC 9610, Ores;

(9) PSC 9620, Minerals, Natural and Synthetic; and ( I 0) PSC 9630, Additive Metal Materials.

"Place of manufacture" means the place where an end product is assembled out ofcomponents, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is d isassembled 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 ofthe predecessor.

"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 terrns are defined in the Sudan

Accountability and Divestmenr Act of2007 (Pub. L. I l0-174). Restricted business operations do not include business operations thit the person (as that term is defined in Section 2 ofthe Sudan Accountability and Divestment Act of2007) conducting the business can demonstrate- (iJ Are conducted under contract directly and exclusively with the regional govemment 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;

i+j Conritt of providing goods or services to an internationally recognized peacekeeping force or humanitarian organ ization;

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

(6) Have been voluntarily suspended.

Sensitive technology- ( I ) 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 lran; or iiil to dlt,upt, monitor, or otherwise restrict speech of the people of lran; and

(2) Does not include information or informational materials the export of which the President does not have the urihority to regulate or prohibit pursuant to section 203(bX3) ofthe International Emergency Economic Powers

Act (50 U.S.C. 1702(bX3)).

pase4or23

"Service-disabled veteran-owned small business concern"- ( l) Means a small business concem-

(i) Not less than 5l percent of which is owned by one or more serv ice-d isab led veterans or, in the case of any publicly owned business, not less than 5 I percent of the stock of which is owned by one or more service-disabled veteransi 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 pennanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 3 8 U.S.C. I 0l (2), with a disability that is service-connected, as defined in 38 U.S.C. l0l(16).

"Small business concern" means a concern, including its affiliates, that is independently owned and operated, not dominant in the field ofoperation in which it is bidding on Government contracts, and qualified as a small business under the criteria in I 3 CFR Part l2l and size standards in this solicitation.

"Small disadvantaged business concem, consistent with l3 CFR 124.1002," means a small business concern under the size standard applicable to the acquisition, that-

(l) Is at least 5l percent unconditionally and directly owned (as defined at l3 CFR 124.105) by-

(i) One or more socially disadvantaged (as defined at l3 CFR 124,103) and economically disadvantaged (as defined at l3 CFR 124.104) individuals who are citizens ofthe United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding S750,000 after taking into account the applicable exclusions set forth at I3 CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at l3.CFR 124.106) by individuals, who meet the criteria in paragraphs ( I )(i) and (ii) ofthis definition.

"Subsidiary" means an entity in which more than 50 percent ofthe entity is owned- ( | ) 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 ofthe predecessor under a new name (often through acquisition or merger). The term "successor" does not include new offices/divisions ofthe same company or a company that only changes its name. The extent ofthe responsibility ofthe successor for the liabilities ofthe predecessor may vary, depending on State law and specific circumstances.

"Veteran-owned small business concern" means a small business concern-

(l) Not less than 5l percent of which is owned by one or more veterans(as defined at 38 U.S.C. l0l(2) or, in the case of any publicly owned business, not less than 5l percent of the stock of which is owned by one or more veterans; and

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

"Women-owned business concem" means a concern which is at least 5l percent owned by one or more women;or in the case ofany publicly owned business, at least 5l percent ofthe its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women ''Women-owned small business concem" means a small business concern --

(l) That is at least 5l percent owned by one or more women or, in the case ofany publicly owned business, at least 5l percent ofthe stock of which is owned by one or more women; and

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

"Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with l3 CFR part

127)," means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United

States.

(b)

(l) Annual Representations and Certifications. Any changes provided by the Olferor in paragraph (b1(2) of this provision do not automatically change the represenlations and certifications in sAM.

i2) The offeror has completed the annual representations and cerlifications electronically in SAM accessed ihiough 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 ltems, have been entered or updated in the last l2 months' are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referencej for thls 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 identiry the applicable paragraphs at

(c) through (u) ofthis provision that the offeror has completed for the purposes of this solicitation only, ifany.

These amended representation(s) and,/or cerlification(s) are also incorporated in this offer and are current, accurate, and complete as ofthe date ofthis offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on

SAM.]

(c) Offerors must complete the following representations when the resulting contract is to be performed in the United States or its outlying areas. Check all that apply.

(l) Small business concern. The offeror represents as part of its offer that it [J 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)( l) ofthis provision.l The offeror represents as paft of its offer that it f] is, l] is not a veteran-owned small buslness concern.

(3) Serv ice-d isabled veteran-owned small business concem. [Complete only if the offeror represented itselfas a veteran-owned small business concern in paragraph (c)(2) ofthis provision.] The offeror represents as part of its offer that it I is, l] is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. [Complete only ifthe offeror represented itselfas a small business concern in paragraph (c)(l) ofthis provision.] The offeror represents that it [_] is, t_l is not, a small disadvantaged business concern as defined in 13 CFR 124,1002.

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

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

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

(i) It ll is, fl is not a WOSB concem 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 fl is, !l is not a joint venture that complies with the requirements of l3 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 pafticipating in the joint venture: .l 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 itselfas a WOSB concem eligible under the WOSB Program in (c)(6) of this provision.l The offeror represents that-

(i) It tl is, U is not an EDWOSB concem, 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 U is, L] is not ajoint venture that complies with the requirements of 13 CFR part 127, and the represintation in paragraph (cX7Xi) of this provision is accurate for each EDWOSB concern participating in the ioint venture. [The offeror shall enter the name or names ofthe EDWOSB concem and other small businesses that are participating in the joint venture: .l Each EDWOSB concem participating in the joint venture shall submit a separate signed copy of the EDWOSB rePresentation

(8) Women-owned businesJ concem (other than small business concem). [Complete only if the offeror is a women-owned business concern and did not represent itself as a smallbusiness concern in paragraph (c)(1) ofthis provision.] The offeror represents that it [l is, a women-owned business concem' '(9)

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

(10) HUBZone small business concem. [Complete only if the offeror represented itself as a small business concern in paragraph (c)( I ) of this provision.] The offeror represents, as part of its offef, that--

(i) It U is, ll is not a HUBZone small business concern listed, on the date ofthis 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 I 3 CFR pan 126; and

(ii) It L] is, l] is not a HUBZone joint venture that complies with the requirements of l3 CFR part 126, and the representation in paragraph (c)(t0)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. lThe offeror shall enler the names of ecch of the HUBZone small business concerns parlicipating in the HUBZone joint venture: .l Each

HUBZone small business concem participating in the HUBZone joint venture shall submit a separate signed copy ofthe HUBZone representation.

(d) Representations required to implement provisions of Executive Oder | 1246 ^

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

(i) It ll has, l] has not, participated in a previous contract or subcontract subject to the Equal

Opportunity clause ofthis solicitation; and

(ii) It Ll has, [_] has not, filed all required compliance reports.

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

(i) lt [_] 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 ofthe Secretary of Labor (41

CFR parts 60-l and 60-2), or

(ii) lt [_] has not previously had contracts subject to the written affirmative action programs requirement ofthe rules and regulations ofthe Secretary of Labor.

(e) Certification Regarding Payments to Wuence Federal Transactions (3 I U.S,C. 13 52). (Applies only if the contract is expected to exceed $ I 50,000.) 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 ofany agency, a Member ofCongress, an officer or employee ofCongress or an employee ofa 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 behalfof 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 ofreasonable compensation were made.

(f) Buy American Certificate. (Applies only ifthe clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy

American - Supplies, is included in this solicitation.)

( I ) The offeror certifies that each end product, except those listed in paragraph (0(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components ofunknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign enJ products those end products manufactured in the United States that do not qualifo as domestic end products, I e,. an end product that is not a COTS item and does not meet the component test in paragraph (2) ofthe definition of "domestic end product." The terms "commercially available off-the-shelf (COTS) item," ,,component," "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:

COUNTRY OF ORIGINLINE ITEM NO.

I

IList as necessary]

(3) The iltvemment will evaluare offers in accordance with the policies and procedures of FAR Paft 25

(e) (|)BuyAmerican--FreeTradeAgreements--IsraeliTradeActCertifcale.(AppliesonlyiftheclauseatFAR 52.225-3,Buy Amencan - Free Tiade Agreements -- Israeli Trade Act, is included in this solicitation )

(i) The ofteror certifies that eachind product, except those listed in paragraph (g)(lXii) or (g)(lXiii) of itiis provision, is a domestic end product and that for other than COTS items, the offeror has considered componentsofunknownorigintohaveo.*.'"]::'produced,ormanufacturedoutsidetheUnitedStates' vao.e I ot It

The terms "Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product," "commercially available off-the-shelf (COTS) item," "component," "domestic end product," "end product," "foreign end product," "Free Trade Agreement country," "Free Trade Agreement country end product," ''lsraeli end product," and "United States" are defined in the clause of this solicitation entitled "Buy American--Free Trade Agreements--lsraeli 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 Israeliend products as defined in the clause of this solicitation entitled "Buy American-Free Trade Agreements-[sraeli Trade

Act":

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

Products) or Israeli End Products:

L.INE ITEM.NO. ICOUNTRY OF ORIGIN

lList as necessary]

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph

(gXl)(ii) or 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, Le., an end product that is not a COTS item and does not meet the component test in paragraph (2) ofthe definition of "domestic end oroduct."

Other Foreign End Products:

L]NE ITEM NO. ]couNrnv oF oRIGIN lLisr as necesiiaryi - -

Agreements--lsraeli Trade Act":

Canadian or Israeli End Products

(iuy Th. Gou..n*ent will evaluate offers in accordance with the policies and procedures ofFAR Part 25.

(2) Buy American-Free Trade Agreements-lsraeli Trade Act Cerfirtcate, Akernate L If Alternate I to the clause ut-pan SZ.ZZS-: is included in this solicitation, substitute the following paragraph (gXlXii) for paragraph

(g)( t )(ii) ofthe basic Provision:

(gXli(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-lsraeli Trade

Act";

canadian End Products:

Line rtem No.:

IList as necessary]

(3) Buy American-Free Tratle Agreements-Israeli Trade Act Certifcate, Alternale IL .lf Alternate lI to the clause at FAR 52.225-3 is includJd in this solicitation, substitute the following paragraph (g)(l)(ii) for paragraph

(gX t Xii) of the basic Provision:

(gX I j(ii) The offeror certifies that the following supplies are Canadian end products or Israeli end pi"ariti defined in the clause of this solicitation entitled "Buy American--Free Trade

Line ltem No.: Country of Origin:

fList as necessaryl

(4) Buy American-Free Trade Agreements-lsraeli Trade Act CertiJicate, Alternate III. If Alternate III to the clause at 52.225-3 is included in this solicitation, substitute the following paragraph (g)( I )(ii) for paragraph

(gX lXii) ofthe basic provision:

(g)( I )(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 ofthis solicitation entitled "Buy American-Free Trade Agreements-lsraeli Trade Act":

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

Line Item No.: G..t.l-roiGi* :

Line Item No.: _

I lList as necessaryl

(5) Trade Agreements CertiJicate. (Applies only ifthe 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 ofthis 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 iline ltem No.: |I*ttt.y olOigirtiline ltem No.:

I

I i lList as necessaryf

iiii) Th. Gou"rnr"nt willevaluate offers in accordance with the policies and procedures ofFAR 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

Covirnment will tonsidir 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 produc$ are insufficient to fulfill the requirements ofthe solicitation'

(h) Certification Regarding Responsibility Matters (Executive Order 12689). (Applies only if the contract value is

.*p".t.j to "*.."0 ltte simptiRia acquisition threshold.) The offeror certifies, to the best of its knowledge and belief' that the offeror and/or any of its principals- ( l) U Are, [_1 are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award ofcontracts by any Federal agency;

(2) Ll Have, [_] have not, withi - period preceding this offer, been convicted ofor had a civil juagr-ent t"naTr"d against them ion of fraud or a criminal offense in connection with obtaining, attelmpting to obtain, or perform state or local govemment contract or subcontracu violation of Federal or state antitrust statut€s relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destrucion of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property; and

(3) [_] Are, L] are not presen;ly indicied'for, or otherwise criminally or civilly charged by a Government entity

*itil"onllnGon of any of these d in paragraph (h)(2)of this clause; and

(a)[-]Have,[_]havenot,withinprecedingthisoffer,beennotifiedofanydelinquentFederal iu*.iln un utount th^t exceeds $ e liability remains unsatisfied'

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

Page 9 of23

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

(B) The taryayer is delinquent in making paymenl, 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 ofdeficiency, under LR,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 Ta,x Court review, this will not be a final tax liability until the taxpayer has exercised alljudicial appear rights.

(B) The IRS has filed a notice ofFederal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under LR,C. S6320 entitling the taxpayer to request a hearing with rhe IRS Office ofAppeals Contesting the lien filing, and to fufther appeal to the Tax Court if the IRS determines to sustain the lien filing, In the course ofthe 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 LR.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 I I U.S.C. $362 0he Bankruptcy Code).

(i) Cenification 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. l s03(b).1

(l) Listed End Product

Listed End Product:

(2) Certification. 1tf ttre Contracting Off"ii Iut identified end products and countries oforigin in paragraph (i)(l) ofthis provision, then the offeror must certify to either (i)(2)(i) or (i)(2Xii) by checkinglhe appropriate block l t_l (i) The offeror will not supply any end product listed in paragraph (i)(1) ofthis provision that was mined, produced, or manufactured in the conesponding country as listed for that product.

U (ii) ihe offeror may supply an end product listed in paragraph (i)(l) ofthis provision that was mined, produced, or manufactured in the corresponding country as listed for that product The offeror certifies ihat is 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 ofthose use of child labor.

inantly for the acquisition of manufactured end he place of manufacture of the end products it price of offered end products manufactured in products manufactured outside the United

I

States); or

(2) [_] Outside the United States.

(k) Ceftificates regardtng exemptions from the application ofthe Service Contlact Labor Standards (Ceftification by the oif..ol. u, to its coinpliaice witi respect to the contract also constitutes its certification as to compliance by its jListed Countries of origin:

Page l0 of23 subcontractor if it subcontracts out the exempt services.) [The contracting olficer is to check a box to indicate if paragraph (k)( l) or (k)(2) applies.l

( I ) ! Maintenance, calibration,…