RFO DTFANM-15-R-00164.pdf

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5 year contract - Snow Plowing Services in Kotzebue, AK - Small Business Set Aside
Solicitation number
DTFANM-15-R-00164
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SOLICITATION, OFFER AND AWARD 1. THIS CONTRACT IS A RATED ORDER RATING PAGE OF PAGES

Yes No 1 35

2. CONTRACT NO. 3. SOLICITATION NO. 4. THIS IS A: 5. DATE ISSUED 6. REQUISITION/PURCHASE NO..

DTFANM-15-R-00164 SMALL BUSINESS SET-ASIDE 07/14/2015

YES NO

7. ISSUED BY: 8. ADDRESS OFFER TO (If other than Block 7)

DOT - FAA

1601 LIND AVE. SW

RENTON, WA 98057

SOLICITATION

9. Offers in original and 0 copies for furnishing the supplies or services in the Schedule will be received at the place in the depository specified in Item 8, or if hand-carried located in 1601 Lind Ave SW, Renton, WA 98057 until 4:00pm local time 07/27/2015 (Hour) (Date)

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L.

10. FOR INFORMATION A. NAME B. TELEPHONE NO. (Include area code) (NO COLLECT CALLS) CALL: Cindi Tjelde 425-227-2690

11. TABLE OF CONTENTS

(X) SEC DESCRIPTION PAGE(S) (X) SEC DESCRIPTION PAGE(S)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

A SOLICITATION/CONTRACT FORM I CONTRACT CLAUSES

B SUPPLIES OR SERVICES AND PRICES/COSTS PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACH.

C DESCRIPTION/SPECS/WORK STATEMENT J LIST OF ATTACHMENTS

D PACKAGING AND MARKING PART IV - REPRESENTATIONS AND INSTRUCTIONS

E INSPECTION AND ACCEPTANCE K REPRESENTATIONS, CERTIFICATIONS AND

F DELIVERIES OR PERFORMANCE OTHER STATEMENTS OF OFFERORS

G CONTRACT ADMINISTRATION DATA L INSTRS., CONDS., AND NOTICES TO OFFERORS

H SPECIAL CONTRACT REQUIREMENTS M EVALUATION FACTORS FOR AWARD

OFFER (must be fully completed by Offeror)

12. In compliance with the above, the undersigned agree, if this offer is accepted within calendar days (60 calendar days unless a different period is inserted by the Offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT 10 CALENDAR DAYS 20 CALENDAR DAYS 30 CALENDAR DAYS CALENDAR DAYS (See Section I, Clause No. 3.3.1-6) % % % %

14. ACKNOWLEDGMENT OF AMENDMENTS AMENDMENT NO. DATE AMENDMENT NO. DATE

(The Offeror acknowledges receipt of amendments to the SOLICITATION for Offerors and related documents numbered and dated)

15A.. NAME 16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN

AND

ADDRESS

OF

OFFEROR

OFFER (Type or print)

15B. TELEPHONE NO. (Include area code)

15C. CHECK IF REMITTANCE ADDRESS

IS DIFFERENT FROM ABOVE - ENTER

SUCH ADDRESS IN SCHEDULE

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS NUMBERED

20. AMOUNT

21. ACCOUNTING AND APPROPRIATION DATA

22. RESERVED 23. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

ITEM

24. ADMINISTERED BY (if other than item 7) 25. PAYMENT WILL BE MADE BY

26. NAME OF CONTRACTING OFFICER (Type or print) 27. UNITED STATES OF AMERICA 28. AWARD DATE

OMB Control No. 2120-0595 (SF-33) FAA Template No. 2 (12/08)

DTFANM‐15‐R‐00164

PARTI‐SECTIONB
SUPPLIES/SERVICES&PRICE/COST
B001.PRICES/COSTS:TheContractorisrequiredtofurnishalllabor,equipment,transportation,and
insurancetoperformsnowplowing/removalservicesasdescribedinPartI,SectionC–ScopeofWork,and
inaccordancewithcontracttermsandconditionsandapplicablewagerates,forvariousFAAfacilities
locatedinKotzebue,Alaska.

BASE YEAR

(October 1, 2015 – September 30, 2016)

Contract Line Item

Description Estimated Hours

Hourly Rate

Total

SnowPlowing/SnowRemoval
withFrontEndLoader
SnowPlowing/SnowRemoval
withDozerw/Blade

CLIN

TOTALS

Total for Base Year

OPTION YEAR 1

(October 1, 2016 – September 30, 2017)

Contract Line Item

Description Estimated Hours

Hourly Rate

Total

SnowPlowing/SnowRemoval
withFrontEndLoader
SnowPlowing/SnowRemoval
withDozerw/Blade

CLIN

TOTALS

Total for Option Year 1

DTFANM‐15‐R‐00164

OPTION YEAR 2

(October 1, 2017 – September 30, 2018)

Contract Line Item

Description Estimated Hours

Hourly Rate

Total

SnowPlowing/SnowRemoval
withFrontEndLoader
SnowPlowing/SnowRemoval
withDozerw/Blade

CLIN

TOTALS

Total for Option Year 2

OPTION YEAR 3

(October 1, 2018 – September 30, 2019)

Contract Line Item

Description Estimated Hours

Hourly Rate

Total

SnowPlowing/SnowRemoval
withFrontEndLoader
SnowPlowing/SnowRemoval
withDozerw/Blade

CLIN

TOTALS

Total for Option Year 3

OPTION YEAR 4

(October 1, 2019 – September 30, 2020)

Contract Line Item

Description Estimated Hours

Hourly Rate

Total

SnowPlowing/SnowRemoval
withFrontEndLoader
SnowPlowing/SnowRemoval
withDozerw/Blade

CLIN

TOTALS

Total for Option Year 4

DTFANM‐15‐R‐00164

TOTAL FOR ALL YEARS

CLIN

TOTALS

Total for Base + 4 Option Years

Theofferedpricemustencompassallcostsrelatedtodirectandindirectlabor,fringebenefits,overhead,
G&Aexpenses,profit,equipment,otherdirectcosts,insurance,transportation,etc.
TheofferorisrequiredtoprovideapriceforeachContractLineItem(CLIN).Failuretocomplymayresult
intherejectionofthesubjectoffer.Asingleawardwillbemade.Therewillbenosplitaward.Intheevent
thattheCLINpriceforanylineitemismateriallyunbalanced,theentireoffermayberejectedwithout
discussionwiththeofferor.
IntheeventofanydisparitybetweentheCLINpriceandthetotalofferedprice,theCLINpricewillbe
deemedcorrect,andthetotalofferedamountwillberevisedaccordingly,unlessavailable
informationindicatesotherwise.
EffectiveApril1,1996,theFederalAviationAdministration(FAA)beganoperatingunderthenewFAA
AcquisitionManagementSystem.The1996DOTAppropriationAct,PublicLaw104‐50,mandatedthattheFAA
rewriteitsacquisitionregulationsandgrantedlegislativerelieffromcertainlaws.TheFederalAcquisition
Regulations(FAR),FederalAcquisitionStreamliningActof1994,SmallBusinessAct,andCompetitionin
ContractingAct,arethreeoftheselaws.

B002. FAA INSURANCE REQUIREMENTS: Worker’s compensation and employer’s liability.

a.TheContractoristoprocureandmaintainduringtheentireperiodofperformanceunderthiscontractthe
followingminimuminsurance:

Type Amount

Automobile Liability $ 200,000 per person

Bodily Injury Liability $ 500,000 per occurrence

Property Damage $ 200,000 per occurrence

Comprehensive General Liability

Bodily Injury $100,000/$500,000

Workers’ Compensation and Employers’ Liability

Workers’ Compensation and Occupational Disease Statutory

Employer’s Liability $100,000

TheContractoristoprovideacertificateofliabilityinsurancetothecontractorviaemailwithin10
daysofcontractaward.

DTFANM‐15‐R‐00164

B003. SET‐ASIDE DETERMINATION:

ThisprocurementisbeingsetasideexclusivelyforcompetitionamongALLSmallBusinessConcerns.
SmallbusinessescompetingforthisacquisitionmustcertifytheirstatusontheBusinessDeclarationform
insertedfollowingPartIV,SectionK.SBA8(a)andServiceDisabledVeteranOwnedSmallBusinessesare
encouragedtosubmitanoffer.

APPLICABLE NAICS CODE: 561730 – Landscaping Services with a size standard of $7.5 Million.

B005.SITEVISIT.Asitevisitforthisprojectisoptional.Ifyouwouldliketorequestasitevisit,please
contactMylesPetersonatPh.(907)271‐2152ormyles.peterson@faa.govbycloseofbusinessonJuly24,
2015,tocoordinateadateandtime.

DTFANM‐15‐R‐00164

PARTI‐SECTIONC
SCOPEOFWORK

Please see Attachment 1 – Kotzebue Statement of Work and Maps

DTFANM‐15‐R‐00164

PARTI‐SECTIOND
PACKAGINGANDMARKING

Not used.

DTFANM‐15‐R‐00164

PARTI‐SECTIONE
INSPECTIONANDACCEPTANCE

3.1‐1 Clauses and Provisions Incorporated by reference (July 2011)

Thisscreeninginformationrequest(SIR)orcontract,asapplicable,incorporatesbyreferencetheprovisions
orclauseslistedbelowwiththesameforceandeffectasiftheyweregiveninfulltext.Uponrequest,the
ContractingOfficerwillmakethefulltextavailable,orofferorsandcontractorsmayobtainthefulltextvia
Internetat:http://conwrite.faa.gov.

(End of clause)

3.10.4‐5 Inspection – Time‐and‐Material and Labor‐Hour (April 1996)

DTFANM‐15‐R‐00164

PARTI‐SECTIONF
DELIVERIESORPERFORMANCE

3.1‐1 Clauses and Provisions Incorporated by reference (July 2011)

Thisscreeninginformationrequest(SIR)orcontract,asapplicable,incorporatesbyreferencetheprovisions
orclauseslistedbelowwiththesameforceandeffectasiftheyweregiveninfulltext.Uponrequest,the
ContractingOfficerwillmakethefulltextavailable,orofferorsandcontractorsmayobtainthefulltextvia
Internetat:http://conwrite.faa.gov.

(End of clause)

3.10.1‐9 Stop‐Work Order (October 1996)

DTFANM‐15‐R‐00164

PARTI‐SECTIONG
CONTRACTADMINISTRATIONDATA

G001. Invoice Submission

Contractormustsubmitinvoicesmonthlyor,duringyearsofexcessivesnowfallamounts,atanincreased
frequencywhenworkperformedreaches$5,000,toinsurethatcontracthasenoughfundsupfronttocover
workbeingperformed.Itisthecontractor’sresponsibilitytoensurethatworkbeingperformeddoesnot
exceedavailablefundsonthecontract.ContractoristocontactContractingOfficerforguidanceifthe
situationoccurs.

Invoices must contain the following information, at a minimum:

1)Contractorname,address,andphonenumber
2)Invoicenumber
3)ContractNumber
4)Invoicedate
5)Whetherworkperformedwasautomaticresponseorcallout.Ifworkwasperformedinresponsetoa
callout,providenameofFAAemployeewhocalledthecontractorout
6)Dateandareaofservice,asdescribedinStatementofWork:
Attachment1:FAAGarage,Bldg.301,andNWSareaeastofRunway09
Attachment2:OTZVORlocation
Attachment3:HHMNDBlocation
Attachment4:Apt.808GardenSt.
Attachment5:Apt.417TundraSt.
Attachment6:OTZSAWSequipment
7)Typeofequipmentused
8)Numberofhoursxhourlyrate
InvoicesaretobeemailedtotheContractingOfficer,CindiTjeldeatcindi.tjelde@faa.govorfaxedto
425‐227‐1122,attn.:CindiTjelde,AAQ‐530

DTFANM‐15‐R‐00164

PARTI‐SECTIONH
SPECIALCONTRACTREQUIREMENTS

3.1.9‐1 Electronic Commerce and Signature (July 2013)

(a) The Electronic Signatures in Global and National Commerce Act (E‐SIGN) establishes a legal equivalence between:

(1)Contractswrittenonpaperandcontractsinelectronicform;
(2)Pen‐and‐inksignaturesandelectronicsignatures;and
(3)Otherlegally‐requiredwrittenrecordsandthesameinformationinelectronicform.
(b)Withthesubmissionofanoffer,theofferoracknowledgesandacceptstheutilizationofelectronic
commerceaspartoftherequirementsofthissolicitationandtheresultantcontract.
(c)Certaindocumentsmayneedtobeprovidedormaintainedinoriginalform,suchaslargescaledrawings
impracticaltoconverttoelectronicformatoradocumentwitharaisedsealsignifyingauthenticity.This
clausedoesnotchangeoraffectanyotherrequirementsthatadocumentmustbeinpaperformattosatisfy
legalrequirementssuchasforcertainrealestatetransactions.
(d)Theuseofelectronicsignaturetechnologyisauthorizedunderthissolicitationandtheresulting
contract.Contractorsmayusethefollowingmeansofelectronicsignaturetechnology:scannedsignatures.

(End of Clause)

DTFANM‐15‐R‐00164

PARTII‐SECTIONI
CONTRACTCLAUSES

3.1‐1 Clauses and Provisions Incorporated by reference (July 2011)

Thisscreeninginformationrequest(SIR)orcontract,asapplicable,incorporatesbyreferencetheprovisions
orclauseslistedbelowwiththesameforceandeffectasiftheyweregiveninfulltext.Uponrequest,the
ContractingOfficerwillmakethefulltextavailable,orofferorsandcontractorsmayobtainthefulltextvia
Internetat:http://conwrite.faa.gov.

(End of clause)

3.1.7‐2OrganizationalConflictsofInterest(August1997)
3.1.7‐5DisclosureofConflictsofInterest(March2009)
3.2.2.3‐33OrderofPrecedence(March2009)
3.2.2.7‐6ProtectingtheGovernment'sInterestwhenSubcontractingwith
ContractorsDebarred,Suspended,orProposedforDebarment(April2011)
3.2.2.7‐8DisclosureofTeamArrangements(April2008)
3.2.5‐1OfficialsNottoBenefit(April1996)
3.2.5‐3GratuitiesorGifts(January1999)
3.2.5‐4ContingentFees(October1996)
3.2.5‐5Anti‐KickbackProcedures(October2010)
3.2.5‐8WhistleblowerProtectionforContractorEmployees(April1996)
3.3.1‐5PaymentsunderTime‐and‐MaterialsandLabor‐HourContracts(May2001)
3.3.1‐5Alt.IIPaymentsunderTime‐and‐MaterialsandLabor‐HourContracts(October1996)
3.3.1‐7LimitationonWithholdingofPayments(May1997)
3.3.1‐10AvailabilityofFunds(April2014)
3.3.1‐15AssignmentofClaims(April1996)
3.3.1‐17PromptPayment(April2012)
3.3.1‐20ProvidingAcceleratedPaymenttoSmallBusinessSubcontractors(October2012)
3.3.1‐34PaymentbyElectronicFundsTransfer‐SystemforAwardManagement(August2012)
3.3.1‐37LimitationonGovernment’sObligation(October2011)
3.3.1‐39Funding–Time‐and‐MaterialsandLabor‐HourContracts(January2015)
3.3.2‐1FAACostPrinciples(October1996)
3.4.1‐12Insurance(July1996)
3.6.1‐1NoticeofTotalSmallBusinessSet‐Aside(January2010)
3.6.1‐15Post‐AwardSmallBusinessProgramRe‐representation(April2011)
3.6.2‐2ConvictLabor(April1996)
3.6.2‐9EqualOpportunity(August1998)
3.6.2‐12EqualOpportunityforVeterans(January2011)
3.6.2‐13AffirmativeActionforWorkerswithDisabilities(October2010)
3.6.2‐28ServiceContractActof1965,asAmended(October2014)
3.6.2‐30FairLaborStandardsActandServiceContractAct–PriceAdjustment(MultipleYear
andOptionContracts)(October2014)
3.6.2‐31FairLaborStandardsActandServiceContractAct–PriceAdjustment(April1996)
3.6.2‐35PreventionofSexualHarassment(August1998)
3.6.2‐39TraffickinginPersons(January2008)
3.6.3‐16DrugFreeWorkplace(March2009)
3.6.3‐23DeliveryofElectronicandPaperDocuments(October2014)
3.6.4‐10RestrictionsonCertainForeignPurchases(January2010)
3.8.2‐10ProtectionofGovernmentBuildings,Equipment,andVegetation(April1996)
3.9.1‐1ContractDisputes(October2011)
3.9.1‐2ProtestAfterAward(August1997)
3.10.1‐7Bankruptcy(April1996)

DTFANM‐15‐R‐00164

3.10.1‐14Changes–TimeandMaterialsorLaborHours(April1996)
3.10.1‐25NovationandChange‐Of‐NameAgreements(October2007)
3.10.2‐3Subcontracts(Time‐and‐MaterialsandLabor‐HourContracts)(April1996)
3.10.6‐1TerminationforConvenienceoftheGovernment(FixedPrice)(October1996)
3.10.6‐7ExcusableDelays(October1996)
3.13‐5SeatBeltUsebyContractorEmployees(October2001)
3.13‐13ContractorPolicytoBanTextMessagingWhileDriving(January2011)

3.2.1.5‐4 Continuity of Services ‐ Mission Critical Contracts (January 2008)

(a)Thecontractorrecognizesthatthesuppliesand/orservicesunderthiscontractarecriticaltoFAAand
mustbecontinuedwithoutinterruptionduringtimesofNationalEmergencyorIncidentsofNational
Significance.Suppliesand/orservicestobecontinuedwithoutinterruptionare:

Snow removal services at FAA facilities

(b) National Emergencies or Incidents of National Significance include:

(1)Outbreakofpandemicinfluenzaorinfectiousdisease;
(2)Terroristattack;and
(3)Naturaldisaster.
(c)Becausethesuppliesand/orservicesunderthisSIRorcontractaredeemedcriticalbyFAA,the
contractormustmakeeveryreasonableefforttodeliverthesesuppliesand/orservicesperthecontract
requirementsduringtimesofNationalEmergencyorIncidentsofNationalSignificance;however,the
presenceofthisclausedoesnotaffectordiminishtheContractor'srightsunderDefaultorTermination
clausesincorporatedintothisSIRorcontract.
(d)Within[NumberofdaystobeenteredbyContractingOfficer]daysafteraward,thecontractormust
submitaContinuityofContractPerformancePlantotheContractingOfficer(CO)forreviewandacceptance.
Thisplandescribestheprocessesandtoolsthatthecontractorwillcommittoensuresuppliesand/or
servicesaredeliveredasrequiredduringtimesofNationalEmergencyorIncidentsofNationalSignificance.
Thisplanmustincludethefollowingsections:
(1)PlansandProcedures:Detailtheplansandproceduresinplacethatwillprovideforcontinuedcontract
performanceforsuppliesand/orservicesduringtimesofNationalEmergenciesorIncidentsofNational

Significance;

(2) Essential Functions: Record functions that are essential to the continuation of mission critical contract performance;

(3)DelegationsofAuthority,PlannedOrderofSuccession,andCross‐Training:Proceduresinplaceto
ensurepersonnelareavailabletomakekeydecisionsandperformcriticalserviceswhenprimarypersonnel
areunavailable;
(4)AlternateOperatingFacilities:Whentheprimaryfacilityisunavailable,detailplanstomakeavailable
otherfacilitiesunaffectedbytheNationalEmergencyorIncidentofNationalSignificance.Ifcontract
performanceallows,thismayincludealternativessuchastelecommute;
(5)InteroperableandEffectiveCommunications:Identifyalternatecommunicationsystemsifprimary
systemsareunavailable;
(6)CriticalRecordsorData:Identifyplansinplacetoensurecriticalrecordsanddataarestillavailableto
ensuretheintegrityofcontractperformance;

DTFANM‐15‐R‐00164

(7)ProtectionofHumanCapital:Identifycomprehensiveplanstoprotecttheoverallhealthandwelfareof
theworkforceintimesofNationalEmergencyorIncidentsofNationalSignificance;
(8)TestingandTrainingofthePlan:Detailcomprehensivetestingandtrainingoftheplanto
improvetheexecutionofcontractperformanceintimesofNationalEmergencyorIncidentsofNational

Significance;

(9)DevolutionofControlandDirection:Identifyplansandtheabilitytotransferauthorityand
responsibilityofessentialfunctionsfromtheprimarylocationtoothersitesandemployees;and
(10)ReconstitutionandResumingNormalOperations:Identifyproceduresandprocessestoexpeditethe
returnofcontractperformanceandoperationstotheirnormalstate.
(e)TheContinuityofContractPerformancePlanmustbemadeavailablebythecontractortoallauthorized
contractorpersonnelwitha"need‐to‐know"forreviewanduseduringthetermofthecontract.

(f) The Continuity of Contract Performance Plan must be updated as needed.

(End of Clause)

3.2.4‐34 Option to Extend Services (October 2014)

TheGovernmentmayrequirecontinuedperformanceofanyserviceswithinthelimitsandattherates
specifiedinthecontract.Theseratesmaybeadjustedonlyasaresultofrevisionstoprevailinglaborrates
providedbytheSecretaryofLabor.Theoptionprovisionmaybeexercisedmorethanonce,butthetotal
extensionofperformancehereundershallnotexceed6months.TheContractingOfficermayexercisethe
optionbywrittennoticetotheContractorwithintheperiodspecifiedintheSchedule.

(End of clause)

3.2.4‐35 Option to Extend the Term of the Contract (April 1996)

(a)TheGovernmentmayextendthetermofthiscontractbywrittennoticetotheContractorwithin_one
(1)year;provided,thattheGovernmentshallgivetheContractorapreliminarywrittennoticeofitsintent
toextendatleast60daysbeforethecontractexpires.Thepreliminarynoticedoesnotcommitthe
Governmenttoanextension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option provision.

(c)Thetotaldurationofthiscontract,includingtheexerciseofanyoptionsunderthisclause,shallnot
exceed_6_(months)_5_(years).

(End of clause)

3.3.1‐33 System for Award Management (August 2012)

(a) Definitions. As used in this clause

"DataUniversalNumberingSystem(DUNS)number"meansthe9‐digitnumberassignedbyDunand
Bradstreet,Inc.(D&B)toidentifyuniquebusinessentities.

"Data Universal Numbering System +4 (DUNS+4) number" means the DUNS number assigned by D&B plus a

DTFANM‐15‐R‐00164

4‐charactersuffixthatmaybeassignedbyabusinessconcern.(D&Bhasnoaffiliationwiththis4‐character
suffix.)This4‐charactersuffixmaybeassignedatthediscretionofthebusinessconcerntoestablish
additionalSAMrecordsforidentifyingalternativeElectronicFundsTransfer(EFT)accountsforthesame
parentconcern.
"RegisteredintheSAMdatabase"meansthattheContractorhasenteredallmandatoryinformation,
includingtheDUNSnumberortheDUNS+4number,intotheCCRdatabase.
"SystemforAwardManagement(SAM)Database"meanstheprimaryGovernmentrepositoryforContractor
informationrequiredfortheconductofbusinesswiththeGovernment.
(b)(1)Bysubmissionofanoffer,theofferoracknowledgestherequirementthataprospectiveawardee
shallberegisteredintheSAMdatabasepriortoaward,duringperformance,andthroughfinalpaymentof
anycontract,basicagreement,basicorderingagreement,orblanketpurchasingagreementresultingfrom
thissolicitation.
(2)Theofferorshallenter,inRepresentations,CertificationsandOtherStatementsofOfferorsSectionofthe
solicitation,theDUNSorDUNS+4numberthatidentifiestheofferor'snameandaddressexactlyasstatedin
theoffer.TheDUNSnumberwillbeusedbytheContractingOfficertoverifythattheofferorisregisteredin
theSAMdatabase.

(c) If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one.

(1)AnofferormayobtainaDUNSnumber
(i)IflocatedwithintheUnitedStates,bycallingDunandBradstreetat1‐866‐705‐5711orviatheInternet
athttp://fedgov.dnb.com/webform;or
(ii)IflocatedoutsidetheUnitedStates,bycontactingthelocalDunandBradstreetoffice.
(2)Theofferorshouldbepreparedtoprovidethefollowinginformation:
(i)Companylegalbusiness.
(ii)Tradestyle,doingbusiness,orothernamebywhichyourentityiscommonlyrecognized.
(iii)CompanyPhysicalStreetAddress,City,State,andZIPCode.
(iv)CompanyMailingAddress,City,StateandZIPCode(ifdifferentfromphysicalstreetaddress).
(v)CompanyTelephoneNumber.
(vi)Datethecompanywasstarted.
(vii)Numberofemployeesatyourlocation.
(viii)Chiefexecutiveofficer/keymanager.
(ix)Lineofbusiness(industry).
(x)CompanyHeadquartersnameandaddress(reportingrelationshipwithinyourentity).
(d)IftheofferordoesnotbecomeregisteredintheSAMdatabaseinthetimeprescribedbytheContracting
Officer,theContractingOfficermayproceedtoawardtothenextotherwisesuccessfulregisteredofferor.
(e)Processingtime,whichnormallytakes48hours,shouldbetakenintoconsiderationwhenregistering.
Offerorswhoarenotregisteredshouldconsiderapplyingforregistrationimmediatelyuponreceiptofthis

solicitation.

(f)TheContractorisresponsiblefortheaccuracyandcompletenessofthedatawithintheSAMdatabase,
andforanyliabilityresultingfromtheGovernment'srelianceoninaccurateorincompletedata.Toremain
registeredintheSAMdatabaseaftertheinitialregistration,theContractorisrequiredtoreviewandupdate
onanannualbasisfromthedateofinitialregistrationorsubsequentupdatesitsinformationintheSAM
databasetoensureitiscurrent,accurateandcomplete.UpdatinginformationintheSAMdoesnotalterthe
termsandconditionsofthiscontractandisnotasubstituteforaproperlyexecutedcontractualdocument.

DTFANM‐15‐R‐00164

(g)(1)(i)IfaContractorhaslegallychangeditsbusinessname,"doingbusinessas"name,ordivisionname
(whicheverisshownonthecontract),orhastransferredtheassetsusedinperformingthecontract,buthas
notcompletedthenecessaryrequirementsregardingnovationandchange‐of‐nameagreementsinAMS
ProcurementGuidance,theContractorshallprovidetheresponsibleContractingOfficeraminimumofone
businessday'swrittennotificationofitsintentionto:
(A)changethenameintheSAMdatabase;
(B)complywiththerequirementsofAMSregardingnovationandchange‐of‐nameagreements;and
(C)agreeinwritingtothetimelineandproceduresspecifiedbytheresponsibleContractingOfficer.The
ContractormustprovidetheContractingOfficerwiththenotification,sufficientdocumentationtosupport
thelegallychangedname.
(ii)IftheContractorfailstocomplywiththerequirementsofparagraph(g)(1)(i)ofthisclause,orfailsto
performtheagreementatparagraph(g)(1)(i)(C)ofthisclause,and,intheabsenceofaproperlyexecuted
novationorchange‐of‐nameagreement,theSAMinformationthatshowstheContractortobeotherthanthe
Contractorindicatedinthecontractwillbeconsideredtobeincorrectinformationwithinthemeaningof
the"SuspensionofPayment"paragraphoftheelectronicfundstransfer(EFT)clauseofthiscontract.
(2)TheContractorshallnotchangethenameoraddressforEFTpaymentsormanualpayments,as
appropriate,intheSAMrecordtoreflectanassigneeforthepurposeofassignmentofclaims.Assignees
shallbeseparatelyregisteredintheSAMdatabase.InformationprovidedtotheContractor'sSAMrecord
thatindicatespayments,includingthosemadebyEFT,toanultimaterecipientotherthanthatContractor
willbeconsideredtobeincorrectinformationwithinthemeaningofthe"Suspensionofpayment"
paragraphoftheEFTclauseofthiscontract.
(h)OfferorsandContractorsmayobtaininformationonregistrationandannualconfirmationrequirements
viatheinternetathttp://www.ccr.gov/orbycalling1‐888‐227‐2423,or269‐961‐5757.

(End of Clause)

3.3.1‐36 Availability of Funds ‐ Option Periods under a Continuing Resolution (April 2008)

Duetothepossibilityoftheenactmentofacontinuingresolutioninlieuofanannualappropriation,full
fiscalyearfundingmaynotbeavailableforanentirecontractoptionperiod.Intheeventofacontinuing
resolution,FAAwillonlybeliableforanamountbasedonthetimeperiodspecifiedbythecontinuing
resolution.Theamountoffundsmadeavailablebythecontinuingresolutionwillbespecifiedby
subsequentmodification.Ifthecontractorprovidesservicesinexcessofthefundedamountorbeyondthe
coveredperiod,thecontractordoessoatitsownrisk.

(End of Clause)

3.6.2‐14 Employment Reports on Veterans (January 2011)

(a)UnlessthecontractorisaStateorlocalgovernmentagency,thecontractormustreportatleastannually,
asrequiredbytheSecretaryofLabor,on:
(1)Thetotalnumberofemployeesinthecontractor'sworkforce,byjobcategoryandhiringlocation,who
aredisabledveterans,otherprotectedveterans,ArmedForcesservicemedalveterans,andrecently
separatedveterans,
(2)Thetotalnumberofnewemployeeshiredduringtheperiodcoveredbythereport,andofthetotal,the
numberofdisabledveterans,otherprotectedveterans,ArmedForcesservicemedalveterans,andrecently
separatedveterans;and
(3)ThemaximumnumberandminimumnumberofemployeesoftheContractororsubcontractorateach
hiringlocationduringtheperiodcoveredbythereport.

DTFANM‐15‐R‐00164

(b)Theaboveitemsmustbereportedbycompletingtheformtitled'FederalContractorVeterans'
EmploymentReportVETS‐100A.'

(c) Reports shall be submitted no later than September 30 of each year.

(d)Theemploymentactivityreportrequiredbyparagraph(a)(2)ofthisclausemustreflecttotalhires
duringthemostrecent12‐monthperiodasoftheendingdateselectedfortheemploymentprofilereport
requiredbyparagraph(a)(1)ofthisclause.Contractorsmayselectanendingdate:(1)Asoftheendofany
payperiodduringtheperiodJanuarythroughMarch1stoftheyearthereportisdue,or(2)asofDecember
31,ifthecontractorhaspreviouswrittenapprovalfromtheEqualEmploymentOpportunityCommissionto
dosoforpurposesofsubmittingtheEmployerInformationReportEEO‐1(StandardForm100).
(e)Thecountofveteransreportedaccordingtoparagraph(a)ofthisclausemustbebasedondataknown
tothecontractorwhencompletingtheVETS‐100A..TheContractor'sknowledgeofveteransstatusmaybe
obtainedinavarietyofways,includinganinvitationtoapplicantstoself‐identify(inaccordancewith41
CFR60‐300.42),voluntaryself‐disclosurebyemployees,oractualknowledgeofveteranstatusbythe
contractor.Thisparagraphdoesnotrelievetheemployerofliabilityforadeterminationunder38U.S.C.

4212.

(f)Subcontracts.TheContractorshallincludethetermsofthisclauseineverysubcontractorpurchase
orderof$100,000ormoreunlessexemptedbyrules,regulations,orordersoftheSecretaryofLabor.

(End of clause)

3.10.2‐2 Subcontracts (Cost‐Reimbursement and Ceiling Priced Contracts) (October 1996)

(a)Subcontract,asusedinthisclause,includesbutisnotlimitedtopurchaseorders,andchangesand
modificationstopurchaseorders.TheContractorshallnotifytheContractingOfficerreasonablyinadvance
ofenteringintoanysubcontractif:

(1) The proposed subcontract is of the cost‐reimbursement, time‐and‐materials, or labor‐hour type;

(2)Theproposedsubcontractisfixed‐priceandexceedseither$100,000or5percentofthetotal
estimatedcostofthiscontract;

(3) The proposed subcontract has experimental, developmental, or research work as one of its purposes;

or(4)Thiscontractisnotafacilitiescontractandtheproposedsubcontractprovidesforthefabrication,
purchase,rental,installation,orotheracquisitionofspecialtestequipmentvaluedinexcessof$25,000orof
anyitemsoffacilities.
(b)(1)Inthecaseofaproposedsubcontractthat(i)isofthecost‐reimbursement,time‐and‐materials,
orlabor‐hourtypeandisestimatedtoexceed$25,000,includinganyfee,(ii)isproposedtoexceed
$100,000,or(iii)isoneofanumberofsubcontractswithasinglesubcontractor,underthiscontract,forthe
sameorrelatedsuppliesorservicesthat,intheaggregate,areexpectedtoexceed$100,000,theadvance
notificationrequiredbyparagraph(a)aboveshallincludetheinformationspecifiedinsubparagraph(2)

below.

(2) (i) A description of the supplies or services to be subcontracted.

(ii) Identification of the type of subcontract to be used.

DTFANM‐15‐R‐00164

(iii)Identificationoftheproposedsubcontractorandanexplanationofwhyandhowthe
proposedsubcontractorwasselected,includingthecompetitionobtained.

(iv) The proposed subcontract price and the Contractor's cost or price analysis.

(v)Thesubcontractor'scurrent,complete,andaccuratecostorpricingdataandCertificateof
CurrentCostorPricingData,ifrequiredbyothercontractprovisions.
(vi)Thesubcontractor'sDisclosureStatementorCertificaterelatingtoCostAccounting
Standardswhensuchdataarerequiredbyotherprovisionsofthiscontract.

(vii) A negotiation memorandum reflecting‐

(A) The principal elements of the subcontract price negotiations;

(B) The most significant considerations controlling establishment of initial or revised prices;

(C) The reason cost or pricing data were or were not required;

(D)Theextent,ifany,towhichtheContractordidnotrelyonthesubcontractor'scostorpricingdatain
determiningthepriceobjectiveandinnegotiatingthefinalprice;
(E)Theextenttowhichitwasrecognizedinthenegotiationthatthesubcontractor'scostorpricingdata
werenotaccurate,complete,orcurrent;theactiontakenbytheContractorandthesubcontractor;andthe
effectofanysuchdefectivedataonthetotalpricenegotiated;
(F)ThereasonsforanysignificantdifferencebetweentheContractor'spriceobjectiveandtheprice
negotiated;and
(G)Acompleteexplanationoftheincentivefeeorprofitplanwhenincentivesareused.Theexplanation
shallidentifyeachcriticalperformanceelement,managementdecisionsusedtoquantifyeachincentive
element,reasonsfortheincentives,andasummaryofalltrade‐offpossibilitiesconsidered.
(c)TheContractorshallobtaintheContractingOfficer'swrittenconsentbeforeplacinganysubcontractfor
whichadvancenotificationisrequiredunderparagraph(a)above.However,theContractingOfficermay
ratifyinwritinganysuchsubcontract.RatificationshallconstitutetheconsentoftheContractingOfficer.
(d)IftheContractorhasanapprovedpurchasingsystemandthesubcontractiswithinthescopeofsuch
approval,theContractormayenterintothesubcontractsdescribedinsubparagraphs(a)(1)and(a)(2)of
thisclausewithouttheconsentoftheContractingOfficer.
e)EveniftheContractor'spurchasingsystemhasbeenapproved,theContractorshallobtainthe
ContractingOfficer'swrittenconsentbeforeplacingsubcontractsidentifiedbelow:
______________________________
______________________________
(f)Unlesstheconsentorapprovalspecificallyprovidesotherwise,neitherconsentbytheContracting
OfficertoanysubcontractnorapprovaloftheContractor'spurchasingsystemshallconstitutea

determination:

(1) of the acceptability of any subcontract terms or conditions,

(2) of the allowability of any cost under this contract, or

DTFANM‐15‐R‐00164

(3) to relieve the Contractor of any responsibility for performing this contract.

(g) No subcontract placed under this contract shall provide for payment on a cost‐plus‐a‐percentage‐of‐cost basis.

(h)TheContractorshallgivetheContractingOfficerimmediatewrittennoticeofanyactionorsuitfiled
andpromptnoticeofanyclaimmadeagainsttheContractorbyanysubcontractororvendorthat,inthe
opinionoftheContractor,mayresultinlitigationrelatedinanywaytothiscontract,withrespecttowhich
theContractormaybeentitledtoreimbursementfromtheGovernment.

(i) (1)Reserved.

(2)Additionally,theContractorshallincludeineachcost‐reimbursementsubcontractunderthis
contractarequirementthatthesubcontractorinsertthesubstanceoftheappropriatemodified
subparagraphreferredtoinsubparagraph(1)aboveineachlowertierpriceredeterminationorincentive
pricerevisionsubcontractunderthatsubcontract.
(j)Tofacilitatesmallbusinessparticipationinsubcontracting,theContractoragreestoprovidepayments
onsubcontractsunderthiscontractthatarefixed‐pricesubcontractswithsmallbusinessconcernsin
conformitywiththestandardsforcustomarypayments,asineffectonthedateofthiscontract.The
Contractorfurtheragreesthattheneedforsuchfinancingpaymentswillnotbeconsideredahandicapor
adversefactorintheawardofsubcontracts.

(k) The Government reserves the right to review the Contractor's purchasing system.

(End of clause)

DTFANM‐15‐R‐00164

PARTIII‐SECTIONJ
LISTOFATTACHMENTS
KotzebueStatementofWorkandMaps………………………………………………………………………………...Attachment1
ServiceContractActWageDetermination…………………………………………………………………………….Attachment2

DTFANM‐15‐R‐00164

PARTIV‐SECTIONK
REPRESENTATIONS,CERTIFICATIONS,ANDOTHERSTATEMENTSOFOFFERORS

3.1‐1 Clauses and Provisions Incorporated by reference (July 2011)

Thisscreeninginformationrequest(SIR)orcontract,asapplicable,incorporatesbyreferencetheprovisions
orclauseslistedbelowwiththesameforceandeffectasiftheyweregiveninfulltext.Uponrequest,the
ContractingOfficerwillmakethefulltextavailable,orofferorsandcontractorsmayobtainthefulltextvia
Internetat:http://conwrite.faa.gov.

(End of clause)

3.2.2.3‐82ProhibitiononConductingRestrictedBusinessOperationsinSudan–Certification
(July2012)
3.2.5‐2IndependentPriceDetermination(October1996)
3.2.5‐7DisclosureRegardingPaymentstoInfluenceCertainFederalTransactions(October
2010)

3.2.2.3‐2 Minimum Offer Acceptance Period (July 2004)

(a)'Acceptanceperiod,'asusedinthisprovision,meansthenumberofcalendardaystheFAA(we,us)has
toawardacontractfromthedatetheSIRspecifiesforreceivingoffers.

(b) This provision supersedes any language about the acceptance period appearing elsewhere in this SIR.

(c) We require a minimum acceptance period of _60__ calendar days.

(d)Theofferor(you)mayspecifyalongeracceptanceperiodthantheperiodshowninparagraph(c).To
specifyalongerperiod,fillintheblank:Theofferorallowsthefollowingacceptanceperiod:_____calendar

days.

(e) We may reject an offer allowing less than the FAA's minimum acceptance period.

(f) You agree to fulfill your offer completely if the FAA accepts your offer in writing within:

(1) The acceptance period stated in paragraph (c) of this provision; or

(2) Any longer acceptance period stated in paragraph (d) of this provision.

(End of provision)

3.2.2.3‐10 Type of Business Organization (July 2004)

By checking the applicable box, the offeror (you) represents that‐‐

(a)Youoperateas[]acorporationincorporatedunderthelawsoftheStateof____________________,[]an
individual,[]apartnership,[]anonprofitorganization,[]ajointventureor[]other____________[specify
whattypeoforganization].
(b)Ifyouareaforeignentity,youoperateas[]anindividual,[]apartnership,[]anonprofitorganization,
[]ajointventure,or[]acorporation,registeredforbusinessin_____________________________________________.

(country)

(End of provision)

DTFANM‐15‐R‐00164

3.2.2.3‐15 Authorized Negotiators (July 2004)

TheofferorstatesthatthefollowingpersonsareauthorizedtonegotiateonyourbehalfwiththeFAAin
connectionwiththisoffer:

Name:_______________________ Title:_________________________ Phone number:_________________

(End of provision)

3.2.2.3‐70 Taxpayer Identification (July 2004)

(a) Definitions.

(1)"Commonparent,"asusedinthisclause,meansacorporateentitythatownsorcontrolsanaffiliated
groupofcorporationsthatfilesanOfferor’s(you,your)Federalincometaxreturnsonaconsolidatedbasis,
andofwhichyouareamember.
(2)"Corporatestatus,"asusedinthisclause,meansadesignationastowhetheryouareacorporate
entity,anunincorporatedentity(forexample,soleproprietorshiporpartnership),oracorporation
providingmedicalandhealthcareservices.
(3)"TaxpayerIdentificationNumber(TIN),"asusedinthisclause,meansthenumbertheInternal
RevenueService(IRS)requiresyouuseinreportingincometaxandotherreturns.
(b)Allofferorsmustsubmittheinformationrequiredinparagraphs(c)through(e)ofthisprovisionto
complywithreportingrequirementsof26U.S.C.6041,6041A,and6050Mandimplementingregulations
issuedbyIRS.TheFAAwillusethisinformationtocollectandreportonanydelinquentamountsarisingout
ofyourrelationwiththeFederalGovernment,underPublicLaw104‐134,theDebtCollectionImprovement
Actof1996,Section31001(I)(3).Iftheresultingcontractissubjecttothereportingrequirementsandyou
refuseorfailtoprovidetheinformation,theContractingOfficer(CO)mayreduceyourpayments31percent
underthecontract.

(c) Taxpayer Identification Number (TIN).

[]TIN:______________________________
[]TINhasbeenappliedfor.
[]TINisnotrequiredbecause:
[]Offerorisanonresidentalien,foreigncorporation,orforeignpartnershipthatdoesnotleaveincome
effectivelyconnectedwiththeconductofatradeorbusinessintheU.S.anddoesnothaveanofficeorplace
ofbusinessorafiscalpayingagentintheU.S.;
[]Offerorisanagencyorinstrumentalityofaforeigngovernment;
[]OfferorisanagencyorinstrumentalityofaFederal,state,orlocalgovernment;
[]Other‐‐Statebasis.___________________________________.

(d) Corporate Status.

[]Corporationprovidingmedicalandhealthcareservices,orengagedinthebillingandcollectingof
paymentsforsuchservices;
[]Othercorporateentity
[]Notacorporateentity
[]Soleproprietorship
[]Partnership

DTFANM‐15‐R‐00164

[]Hospitalorextendedcarefacilitydescribedin26CFR501(c)(3)thatisexemptfromtaxationunder26
CFR501(a).

(e) Common Parent.

[]Acommonparentdoesnotownorcontroltheofferorasdefinedinparagraph(a).
[]NameandTINofcommonparent:
Name_______________________________________________________
TIN_______________________________________________________

(End of provision)

3.2.2.7‐7 Certification Regarding Responsibility Matters (January 2010)

(a)(1)TheOfferorcertifies,tothebestofitsknowledgeandbelief,that
(i)TheOfferorand/oranyofitsPrincipals‐
A)Are[]arenot[]presentlydebarred,suspended,proposedfordebarment,ordeclaredineligibleforthe
awardofcontractsbyanyFederalagency;
(B)Have[]havenot[]withinathree‐yearperiodprecedingthisoffer,beenconvictedoforhadacivil
judgmentrenderedagainstthemfor:commissionoffraudoracriminaloffenseinconnectionwith
obtaining,attemptingtoobtain,orperformingapublic(Federal,state,orlocal)contractorsubcontract;
violationofFederalorstateantitruststatutesrelatingtothesubmissionofoffers;orcommissionof
embezzlement,theft,forgery,bribery,falsificationordestructionofrecords,makingfalsestatements,tax
evasion,violatingFederalcriminaltaxlawsorreceivingstolenproperty;and
(C)Are[]arenot[]presentlyindictedfor,orotherwisecriminallyorcivillychargedbyagovernmental
entitywith,commissionofanyoftheoffensesenumeratedinsubdivisiona)(1)
(i)(B)ofthisprovision.
(D)Have[],havenot[],withinathree‐yearperiodprecedingthisoffer,beennotifiedofanydelinquent
Federaltaxesinanamountthatexceeds$3,000forwhichtheliabilityremainsunsatisfied.
(1)Federaltaxesareconsidereddelinquentifbothofthefollowingcriteriaapply:
(i)Thetaxliabilityisfinallydetermined.Theliabilityisfinallydeterminedifithasbeenassessed.Aliability
isnotfinallydeterminedifthereisapendingadministrativeorjudicialchallenge.Inthecaseofajudicial
challengetotheliability,theliabilityisnotfinallydetermineduntilalljudicialappealrightshavebeen

exhausted.

(ii)Thetaxpayerisdelinquentinmakingpayment.Ataxpayerisdelinquentifthetaxpayerhasfailedtopay
thetaxliabilitywhenfullpaymentwasdueandrequired.Ataxpayerisnotdelinquentincaseswhere
enforcedcollectionactionisprecluded.
(2)Examples‐
(i)Thetaxpayerhasreceivedastatutorynoticeofdeficiency,underI.R.C.Sec.6212,whichentitlesthe
taxpayertoseekTaxCourtreviewofaproposedtaxdeficiency.Thisisnotadelinquenttaxbecauseitisnot
afinaltaxliability.ShouldthetaxpayerseekTaxCourtreview,thiswillnotbeafinaltaxliabilityuntilthe
taxpayerhasexercisedalljudicialappealrights.
(ii)TheIRShasfiledanoticeofFederaltaxlienwithrespecttoanassessedtaxliability,andthetaxpayer
hasbeenissuedanoticeunderI.R.C.Sec.6320entitlingthetaxpayertorequestahearingwiththeIRSOffice
ofAppealscontestingthelienfiling,andtofurtherappealtotheTaxCourtiftheIRSdeterminestosustain
thelienfiling.Inthecourseofthehearing,thetaxpayerisentitledtocontesttheunderlyingtaxliability
becausethetaxpayerhashadnoprioropportunitytocontesttheliability.Thisisnotadelinquenttax
becauseitisnotafinaltaxliability.Shouldthetaxpayerseektaxcourtreview,thiswillnotbeafinaltax
liabilityuntilthetaxpayerhasexercisedalljudicialappealrights.
(iii)ThetaxpayerhasenteredintoaninstallmentagreementpursuanttoI.R.C.Sec.6159.Thetaxpayeris
makingtimelypaymentsandisinfullcompliancewiththeagreementterms.Thetaxpayerisnotdelinquent
becausethetaxpayerisnotcurrentlyrequiredtomakefullpayment.
(iv)Thetaxpayerhasfiledforbankruptcyprotection.Thetaxpayerisnotdelinquentbecauseenforced
collectionactionisstayedunder11U.S.C.362(theBankruptcyCode).

DTFANM‐15‐R‐00164

(b)TheOfferorhas[]hasnot[]withinathree‐yearperiodprecedingthisoffer,hadoneormorecontracts
terminatedfordefaultbyanyFederalagency.
(2)'Principals,'forthepurposesofthiscertification,meansofficers;directors;owners;partners;and,
personshavingprimarymanagementorsupervisoryresponsibilitieswithinabusinessentity(e.g.,general
manager;plantmanager;headofasubsidiary,division,orbusinesssegment,andsimilarpositions).THIS
CERTIFICATIONCONCERNSAMATTERWITHINTHEJURISDICTIONOFANAGENCYOFTHEUNITED
STATESANDTHEMAKINGOFAFALSE,FICTITIOUS,ORFRAUDULENTCERTIFICATIONMAYRENDERTHE
MAKERSUBJECTTOPROSECUTIONUNDERSECTION1001,TITLE18,UNITEDSTATESCODE.
(c)TheOfferorshallprovideimmediatewrittennoticetotheContractingOfficerif,atanytimepriorto
contractaward,theOfferorlearnsthatitscertificationwaserroneouswhensubmittedorhasbecome
erroneousbyreasonofchangedcircumstances.
(d)Acertificationthatanyoftheitemsinparagraph(a)ofthisprovisionexistswillnotnecessarilyresultin
withholdingofanawardunderthisSIR.However,thecertificationwillbeconsideredinconnectionwitha
determinationoftheOfferor'sresponsibility.FailureoftheOfferortofurnishacertificationorprovidesuch
additionalinformationasrequestedbytheContractingOfficermayrendertheOfferornonresponsible.
(e)Nothingcontainedintheforegoingshallbeconstruedtorequireestablishmentofasystemofrecordsin
ordertorender,ingoodfaith,thecertificationrequiredbyparagraph(a)ofthisprovision.Theknowledge
andinformationofanOfferorisnotrequiredtoexceedthatwhichisnormallypossessedbyaprudent
personintheordinarycourseofbusinessdealings.
(f)Thecertificationinparagraph(a)ofthisprovisionisamaterialrepresentationoffactuponwhich
reliancewasplacedwhenmakingaward.IfitislaterdeterminedthattheOfferorknowinglyrenderedan
erroneouscertification,inadditiontootherremediesavailabletotheGovernment,theContractingOfficer
mayterminatethecontractresultingfromthisSIRfordefault.

(End of provision)

3.3.1‐35 Certification of Registration in System for Award Management (August 2012)

InaccordancewithClause3.3.1‐33,SystemforAwardManagement(SAM),offerorcertifiesthattheyare
registeredintheSAMDatabaseandhaveenteredallmandatoryinformationincludingtheDUNSorDUNS+4

Number.

Name: ______________________________

Title: _______________________________

Phone Number: _______________________

(End of provision)

3.6.2‐5 Certification of Non‐segregated Facilities (March 2009)

(a)'Segregatedfacilities,'asusedinthisprovision,meansanywaitingrooms,workareas,restroomsand
washrooms,restaurantsandothereatingareas,timeclocks,lockerroomsandotherstorageordressing
areas,parkinglots,drinkingfountains,recreationorentertainmentareas,transportation,andhousing
facilitiesprovidedforemployees,thataresegregatedbyexplicitdirectiveorareinfactsegregatedonthe
basisofrace,color,religion,ornationaloriginbecauseofhabit,localcustom,orotherwise.
(b)Bythesubmissionofthisoffer,theofferorcertifiesthatitdoesnotandwillnotmaintainorprovidefor
itsemployeesanysegregatedfacilitiesatanyofitsestablishments,andthatitdoesnotandwillnotpermit
itsemployeestoperformtheirservicesatanylocationunderitscontrolwheresegregatedfacilitiesare

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