RFO DTFANM-15-R-00164.pdf
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- DTFANM-15-R-00164
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| Attachment 2 - SCA WD 2005-2017 Rev 19 dated 12 22 2014.pdf | ||
| Attachment 1 - Kotzebue SOW and Maps.pdf |
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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
| PART | I | ‐ | SECTION | B |
| SUPPLIES/SERVICES | & | PRICE/COST |
| B001. | PRICES/COSTS: | The | Contractor | is | required | to | furnish | all | labor, | equipment, | transportation, | and | |||||
| insurance | to | perform | snow | plowing/removal | services | as | described | in | Part | I, | Section | C | – | Scope | of | Work, | and |
| in | accordance | with | contract | terms | and | conditions | and | applicable | wage | rates, | for | various | FAA | facilities | |||
| located | in | Kotzebue, | Alaska. |
BASE YEAR
(October 1, 2015 – September 30, 2016)
Contract Line Item
Description Estimated Hours
Hourly Rate
Total
| Snow | Plowing | / | Snow | Removal |
| with | Front | End | Loader |
| Snow | Plowing | / | Snow | Removal |
| with | Dozer | w/ | 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
| Snow | Plowing | / | Snow | Removal |
| with | Front | End | Loader |
| Snow | Plowing | / | Snow | Removal |
| with | Dozer | w/ | 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
| Snow | Plowing | / | Snow | Removal |
| with | Front | End | Loader |
| Snow | Plowing | / | Snow | Removal |
| with | Dozer | w/ | 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
| Snow | Plowing | / | Snow | Removal |
| with | Front | End | Loader |
| Snow | Plowing | / | Snow | Removal |
| with | Dozer | w/ | 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
| Snow | Plowing | / | Snow | Removal |
| with | Front | End | Loader |
| Snow | Plowing | / | Snow | Removal |
| with | Dozer | w/ | Blade |
CLIN
TOTALS
Total for Option Year 4
DTFANM‐15‐R‐00164
TOTAL FOR ALL YEARS
CLIN
TOTALS
Total for Base + 4 Option Years
| The | offered | price | must | encompass | all | costs | related | to | direct | and | indirect | labor, | fringe | benefits, | overhead, |
| G&A | expenses, | profit, | equipment, | other | direct | costs, | insurance, | transportation, | etc. |
| The | offeror | is | required | to | provide | a | price | for | each | Contract | Line | Item | (CLIN). | Failure | to | comply | may | result | |||||
| in | the | rejection | of | the | subject | offer. | A | single | award | will | be | made. | There | will | be | no | split | award. | In | the | event | ||
| that | the | CLIN | price | for | any | line | item | is | materially | unbalanced, | the | entire | offer | may | be | rejected | without | ||||||
| discussion | with | the | offeror. |
| In | the | event | of | any | disparity | between | the | CLIN | price | and | the | total | offered | price, | the | CLIN | price | will | be |
| deemed | correct, | and | the | total | offered | amount | will | be | revised | accordingly, | unless | available | |||||||
| information | indicates | otherwise. |
| Effective | April | 1, | 1996, | the | Federal | Aviation | Administration | (FAA) | began | operating | under | the | new | FAA |
| Acquisition | Management | System. | The | 1996 | DOT | Appropriation | Act, | Public | Law | 104‐50, | mandated | that | the | FAA |
| rewrite | its | acquisition | regulations | and | granted | legislative | relief | from | certain | laws. | The | Federal | Acquisition | |
| Regulations | (FAR), | Federal | Acquisition | Streamlining | Act | of | 1994, | Small | Business | Act, | and | Competition | in | |
| Contracting | Act, | are | three | of | these | laws. |
B002. FAA INSURANCE REQUIREMENTS: Worker’s compensation and employer’s liability.
| a. | The | Contractor | is | to | procure | and | maintain | during | the | entire | period | of | performance | under | this | contract | the |
| following | minimum | insurance: |
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
| The | Contractor | is | to | provide | a | certificate | of | liability | insurance | to | the | contractor | via | within | 10 | |
| days | of | contract | award. |
DTFANM‐15‐R‐00164
B003. SET‐ASIDE DETERMINATION:
| This | procurement | is | being | set | aside | exclusively | for | competition | among | ALL | Small | Business | Concerns. | |||
| Small | businesses | competing | for | this | acquisition | must | certify | their | status | on | the | Business | Declaration | form | ||
| inserted | following | Part | IV, | Section | K. | SBA | 8(a) | and | Service | Disabled | Veteran | Owned | Small | Businesses | are | |
| encouraged | to | submit | an | offer. |
APPLICABLE NAICS CODE: 561730 – Landscaping Services with a size standard of $7.5 Million.
| B005. | SITE | VISIT. | A | site | visit | for | this | project | is | optional. | If | you | would | like | to | request | a | site | visit, | please | |||
| contact | Myles | Peterson | at | Ph. | (907)271‐2152 | or | myles.peterson@faa.gov | by | close | of | business | on | July | 24, | |||||||||
| 2015, | to | coordinate | a | date | and | time. |
DTFANM‐15‐R‐00164
| PART | I | ‐ | SECTION | C |
| SCOPE | OF | WORK |
Please see Attachment 1 – Kotzebue Statement of Work and Maps
DTFANM‐15‐R‐00164
| PART | I | ‐ | SECTION | D |
| PACKAGING | AND | MARKING |
Not used.
DTFANM‐15‐R‐00164
| PART | I | ‐ | SECTION | E |
| INSPECTION | AND | ACCEPTANCE |
3.1‐1 Clauses and Provisions Incorporated by reference (July 2011)
| This | screening | information | request | (SIR) | or | contract, | as | applicable, | incorporates | by | reference | the | provisions | |||||||
| or | clauses | listed | below | with | the | same | force | and | effect | as | if | they | were | given | in | full | text. | Upon | request, | the |
| Contracting | Officer | will | make | the | full | text | available, | or | offerors | and | contractors | may | obtain | the | full | text | via | |||
| Internet | at: | http://conwrite.faa.gov. |
(End of clause)
3.10.4‐5 Inspection – Time‐and‐Material and Labor‐Hour (April 1996)
DTFANM‐15‐R‐00164
| PART | I | ‐ | SECTION | F |
| DELIVERIES | OR | PERFORMANCE |
3.1‐1 Clauses and Provisions Incorporated by reference (July 2011)
| This | screening | information | request | (SIR) | or | contract, | as | applicable, | incorporates | by | reference | the | provisions | |||||||
| or | clauses | listed | below | with | the | same | force | and | effect | as | if | they | were | given | in | full | text. | Upon | request, | the |
| Contracting | Officer | will | make | the | full | text | available, | or | offerors | and | contractors | may | obtain | the | full | text | via | |||
| Internet | at: | http://conwrite.faa.gov. |
(End of clause)
3.10.1‐9 Stop‐Work Order (October 1996)
DTFANM‐15‐R‐00164
| PART | I | ‐ | SECTION | G |
| CONTRACT | ADMINISTRATION | DATA |
G001. Invoice Submission
| Contractor | must | submit | invoices | monthly | or, | during | years | of | excessive | snowfall | amounts, | at | an | increased | ||
| frequency | when | work | performed | reaches | $5,000, | to | insure | that | contract | has | enough | funds | upfront | to | cover | |
| work | being | performed. | It | is | the | contractor’s | responsibility | to | ensure | that | work | being | performed | does | not | |
| exceed | available | funds | on | the | contract. | Contractor | is | to | contact | Contracting | Officer | for | guidance | if | the | |
| situation | occurs. |
Invoices must contain the following information, at a minimum:
| 1) | Contractor | name, | address, | and | phone | number | ||||||||||||
| 2) | Invoice | number | ||||||||||||||||
| 3) | Contract | Number | ||||||||||||||||
| 4) | Invoice | date | ||||||||||||||||
| 5) | Whether | work | performed | was | automatic | response | or | callout. | If | work | was | performed | in | response | to | a | ||
| call | out, | provide | name | of | FAA | employee | who | called | the | contractor | out | |||||||
| 6) | Date | and | area | of | service, | as | described | in | Statement | of | Work: | |||||||
| Attachment | 1: | FAA | Garage, | Bldg. | 301, | and | NWS | area | east | of | Runway | 09 | ||||||
| Attachment | 2: | OTZ | VOR | location | ||||||||||||||
| Attachment | 3: | HHM | NDB | location | ||||||||||||||
| Attachment | 4: | Apt. | 808 | Garden | St. | |||||||||||||
| Attachment | 5: | Apt. | 417 | Tundra | St. | |||||||||||||
| Attachment | 6: | OTZ | SAWS | equipment | ||||||||||||||
| 7) | Type | of | equipment | used | ||||||||||||||
| 8) | Number | of | hours | x | hourly | rate |
| Invoices | are | to | be | emailed | to | the | Contracting | Officer, | Cindi | Tjelde | at | cindi.tjelde@faa.gov | or | faxed | to |
| 425‐227‐1122, | attn.: | Cindi | Tjelde, | AAQ‐530 |
DTFANM‐15‐R‐00164
| PART | I | ‐ | SECTION | H |
| SPECIAL | CONTRACT | REQUIREMENTS |
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) | Contracts | written | on | paper | and | contracts | in | electronic | form; | ||
| (2) | Pen‐and‐ink | signatures | and | electronic | signatures; | and | |||||
| (3) | Other | legally‐required | written | records | and | the | same | information | in | electronic | form. |
| (b) | With | the | submission | of | an | offer, | the | offeror | acknowledges | and | accepts | the | utilization | of | electronic |
| commerce | as | part | of | the | requirements | of | this | solicitation | and | the | resultant | contract. |
| (c) | Certain | documents | may | need | to | be | provided | or | maintained | in | original | form, | such | as | large | scale | drawings | |
| impractical | to | convert | to | electronic | format | or | a | document | with | a | raised | seal | signifying | authenticity. | This | |||
| clause | does | not | change | or | affect | any | other | requirements | that | a | document | must | be | in | paper | format | to | satisfy |
| legal | requirements | such | as | for | certain | real | estate | transactions. |
| (d) | The | use | of | electronic | signature | technology | is | authorized | under | this | solicitation | and | the | resulting |
| contract. | Contractors | may | use | the | following | means | of | electronic | signature | technology: | scanned | signatures. |
(End of Clause)
DTFANM‐15‐R‐00164
| PART | II | ‐ | SECTION | I |
| CONTRACT | CLAUSES |
3.1‐1 Clauses and Provisions Incorporated by reference (July 2011)
| This | screening | information | request | (SIR) | or | contract, | as | applicable, | incorporates | by | reference | the | provisions | |||||||
| or | clauses | listed | below | with | the | same | force | and | effect | as | if | they | were | given | in | full | text. | Upon | request, | the |
| Contracting | Officer | will | make | the | full | text | available, | or | offerors | and | contractors | may | obtain | the | full | text | via | |||
| Internet | at: | http://conwrite.faa.gov. |
(End of clause)
| 3.1.7‐2 | Organizational | Conflicts | of | Interest | (August | 1997) | ||||||||||||||
| 3.1.7‐5 | Disclosure | of | Conflicts | of | Interest | (March | 2009) | |||||||||||||
| 3.2.2.3‐33 | Order | of | Precedence | (March | 2009) | |||||||||||||||
| 3.2.2.7‐6 | Protecting | the | Government's | Interest | when | Subcontracting | with | |||||||||||||
| Contractors | Debarred, | Suspended, | or | Proposed | for | Debarment | (April | 2011) | ||||||||||||
| 3.2.2.7‐8 | Disclosure | of | Team | Arrangements | (April | 2008) | ||||||||||||||
| 3.2.5‐1 | Officials | Not | to | Benefit | (April | 1996) | ||||||||||||||
| 3.2.5‐3 | Gratuities | or | Gifts | (January | 1999) | |||||||||||||||
| 3.2.5‐4 | Contingent | Fees | (October | 1996) | ||||||||||||||||
| 3.2.5‐5 | Anti‐Kickback | Procedures | (October | 2010) | ||||||||||||||||
| 3.2.5‐8 | Whistleblower | Protection | for | Contractor | Employees | (April | 1996) | |||||||||||||
| 3.3.1‐5 | Payments | under | Time‐and‐Materials | and | Labor‐Hour | Contracts | (May | 2001) | ||||||||||||
| 3.3.1‐5 | Alt. | II | Payments | under | Time‐and‐Materials | and | Labor‐Hour | Contracts | (October | 1996) | ||||||||||
| 3.3.1‐7 | Limitation | on | Withholding | of | Payments | (May | 1997) | |||||||||||||
| 3.3.1‐10 | Availability | of | Funds | (April | 2014) | |||||||||||||||
| 3.3.1‐15 | Assignment | of | Claims | (April | 1996) | |||||||||||||||
| 3.3.1‐17 | Prompt | Payment | (April | 2012) | ||||||||||||||||
| 3.3.1‐20 | Providing | Accelerated | Payment | to | Small | Business | Subcontractors | (October | 2012) | |||||||||||
| 3.3.1‐34 | Payment | by | Electronic | Funds | Transfer‐ | System | for | Award | Management | (August | 2012) | |||||||||
| 3.3.1‐37 | Limitation | on | Government’s | Obligation | (October | 2011) | ||||||||||||||
| 3.3.1‐39 | Funding | – | Time‐and‐Materials | and | Labor‐Hour | Contracts | (January | 2015) | ||||||||||||
| 3.3.2‐1 | FAA | Cost | Principles | (October | 1996) | |||||||||||||||
| 3.4.1‐12 | Insurance | (July | 1996) | |||||||||||||||||
| 3.6.1‐1 | Notice | of | Total | Small | Business | Set‐Aside | (January | 2010) | ||||||||||||
| 3.6.1‐15 | Post‐Award | Small | Business | Program | Re‐representation | (April | 2011) | |||||||||||||
| 3.6.2‐2 | Convict | Labor | (April | 1996) | ||||||||||||||||
| 3.6.2‐9 | Equal | Opportunity | (August | 1998) | ||||||||||||||||
| 3.6.2‐12 | Equal | Opportunity | for | Veterans | (January | 2011) | ||||||||||||||
| 3.6.2‐13 | Affirmative | Action | for | Workers | with | Disabilities | (October | 2010) | ||||||||||||
| 3.6.2‐28 | Service | Contract | Act | of | 1965, | as | Amended | (October | 2014) | |||||||||||
| 3.6.2‐30 | Fair | Labor | Standards | Act | and | Service | Contract | Act | – | Price | Adjustment | (Multiple | Year | |||||||
| and | Option | Contracts) | (October | 2014) | ||||||||||||||||
| 3.6.2‐31 | Fair | Labor | Standards | Act | and | Service | Contract | Act | – | Price | Adjustment | (April | 1996) | |||||||
| 3.6.2‐35 | Prevention | of | Sexual | Harassment | (August | 1998) | ||||||||||||||
| 3.6.2‐39 | Trafficking | in | Persons | (January | 2008) | |||||||||||||||
| 3.6.3‐16 | Drug | Free | Workplace | (March | 2009) | |||||||||||||||
| 3.6.3‐23 | Delivery | of | Electronic | and | Paper | Documents | (October | 2014) | ||||||||||||
| 3.6.4‐10 | Restrictions | on | Certain | Foreign | Purchases | (January | 2010) | |||||||||||||
| 3.8.2‐10 | Protection | of | Government | Buildings, | Equipment, | and | Vegetation | (April | 1996) | |||||||||||
| 3.9.1‐1 | Contract | Disputes | (October | 2011) | ||||||||||||||||
| 3.9.1‐2 | Protest | After | Award | (August | 1997) | |||||||||||||||
| 3.10.1‐7 | Bankruptcy | (April | 1996) |
DTFANM‐15‐R‐00164
| 3.10.1‐14 | Changes | – | Time | and | Materials | or | Labor | Hours | (April | 1996) | ||||||||||
| 3.10.1‐25 | Novation | and | Change‐Of‐Name | Agreements | (October | 2007) | ||||||||||||||
| 3.10.2‐3 | Subcontracts | (Time‐and‐Materials | and | Labor‐Hour | Contracts) | (April | 1996) | |||||||||||||
| 3.10.6‐1 | Termination | for | Convenience | of | the | Government | (Fixed | Price) | (October | 1996) | ||||||||||
| 3.10.6‐7 | Excusable | Delays | (October | 1996) | ||||||||||||||||
| 3.13‐5 | Seat | Belt | Use | by | Contractor | Employees | (October | 2001) | ||||||||||||
| 3.13‐13 | Contractor | Policy | to | Ban | Text | Messaging | While | Driving | (January | 2011) |
3.2.1.5‐4 Continuity of Services ‐ Mission Critical Contracts (January 2008)
| (a) | The | contractor | recognizes | that | the | supplies | and/or | services | under | this | contract | are | critical | to | FAA | and |
| must | be | continued | without | interruption | during | times | of | National | Emergency | or | Incidents | of | National | |||
| Significance. | Supplies | and/or | services | to | be | continued | without | interruption | are: |
Snow removal services at FAA facilities
(b) National Emergencies or Incidents of National Significance include:
| (1) | Outbreak | of | pandemic | influenza | or | infectious | disease; |
| (2) | Terrorist | attack; | and | ||||
| (3) | Natural | disaster. |
| (c) | Because | the | supplies | and/or | services | under | this | SIR | or | contract | are | deemed | critical | by | FAA, | the |
| contractor | must | make | every | reasonable | effort | to | deliver | these | supplies | and/or | services | per | the | contract | ||
| requirements | during | times | of | National | Emergency | or | Incidents | of | National | Significance; | however, | the | ||||
| presence | of | this | clause | does | not | affect | or | diminish | the | Contractor's | rights | under | Default | or | Termination | |
| clauses | incorporated | into | this | SIR | or | contract. |
| (d) | Within | [Number | of | days | to | be | entered | by | Contracting | Officer] | days | after | award, | the | contractor | must |
| submit | a | Continuity | of | Contract | Performance | Plan | to | the | Contracting | Officer | (CO) | for | review | and | acceptance. | |
| This | plan | describes | the | processes | and | tools | that | the | contractor | will | commit | to | ensure | supplies | and/or | |
| services | are | delivered | as | required | during | times | of | National | Emergency | or | Incidents | of | National | Significance. | ||
| This | plan | must | include | the | following | sections: |
| (1) | Plans | and | Procedures: | Detail | the | plans | and | procedures | in | place | that | will | provide | for | continued | contract |
| performance | for | supplies | and/or | services | during | times | of | National | Emergencies | or | Incidents | of | National |
Significance;
(2) Essential Functions: Record functions that are essential to the continuation of mission critical contract performance;
| (3) | Delegations | of | Authority, | Planned | Order | of | Succession, | and | Cross‐Training: | Procedures | in | place | to | |
| ensure | personnel | are | available | to | make | key | decisions | and | perform | critical | services | when | primary | personnel |
| are | unavailable; |
| (4) | Alternate | Operating | Facilities: | When | the | primary | facility | is | unavailable, | detail | plans | to | make | available |
| other | facilities | unaffected | by | the | National | Emergency | or | Incident | of | National | Significance. | If | contract | |
| performance | allows, | this | may | include | alternatives | such | as | telecommute; |
| (5) | Interoperable | and | Effective | Communications: | Identify | alternate | communication | systems | if | primary |
| systems | are | unavailable; |
| (6) | Critical | Records | or | Data: | Identify | plans | in | place | to | ensure | critical | records | and | data | are | still | available | to |
| ensure | the | integrity | of | contract | performance; |
DTFANM‐15‐R‐00164
| (7) | Protection | of | Human | Capital: | Identify | comprehensive | plans | to | protect | the | overall | health | and | welfare | of |
| the | workforce | in | times | of | National | Emergency | or | Incidents | of | National | Significance; |
| (8) | Testing | and | Training | of | the | Plan: | Detail | comprehensive | testing | and | training | of | the | plan | to |
| improve | the | execution | of | contract | performance | in | times | of | National | Emergency | or | Incidents | of | National |
Significance;
| (9) | Devolution | of | Control | and | Direction: | Identify | plans | and | the | ability | to | transfer | authority | and |
| responsibility | of | essential | functions | from | the | primary | location | to | other | sites | and | employees; | and |
| (10) | Reconstitution | and | Resuming | Normal | Operations: | Identify | procedures | and | processes | to | expedite | the |
| return | of | contract | performance | and | operations | to | their | normal | state. |
| (e) | The | Continuity | of | Contract | Performance | Plan | must | be | made | available | by | the | contractor | to | all | authorized |
| contractor | personnel | with | a | "need‐to‐know" | for | review | and | use | during | the | term | of | the | contract. |
(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)
| The | Government | may | require | continued | performance | of | any | services | within | the | limits | and | at | the | rates | ||||
| specified | in | the | contract. | These | rates | may | be | adjusted | only | as | a | result | of | revisions | to | prevailing | labor | rates | |
| provided | by | the | Secretary | of | Labor. | The | option | provision | may | be | exercised | more | than | once, | but | the | total | ||
| extension | of | performance | hereunder | shall | not | exceed | 6 | months. | The | Contracting | Officer | may | exercise | the | |||||
| option | by | written | notice | to | the | Contractor | within | the | period | specified | in | the | Schedule. |
(End of clause)
3.2.4‐35 Option to Extend the Term of the Contract (April 1996)
| (a) | The | Government | may | extend | the | term | of | this | contract | by | written | notice | to | the | Contractor | within | _one |
| (1) | year | ; | provided, | that | the | Government | shall | give | the | Contractor | a | preliminary | written | notice | of | its | intent |
| to | extend | at | least | 60 | days | before | the | contract | expires. | The | preliminary | notice | does | not | commit | the | |
| Government | to | an | extension. |
(b) If the Government exercises this option, the extended contract shall be considered to include this option provision.
| (c) | The | total | duration | of | this | contract, | including | the | exercise | of | any | options | under | this | clause, | shall | not |
| 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
| "Data | Universal | Numbering | System | (DUNS) | number" | means | the | 9‐digit | number | assigned | by | Dun | and |
| Bradstreet, | Inc. | (D&B) | to | identify | unique | business | entities. |
"Data Universal Numbering System +4 (DUNS+4) number" means the DUNS number assigned by D&B plus a
DTFANM‐15‐R‐00164
| 4‐character | suffix | that | may | be | assigned | by | a | business | concern. | (D&B | has | no | affiliation | with | this | 4‐character |
| suffix.) | This | 4‐character | suffix | may | be | assigned | at | the | discretion | of | the | business | concern | to | establish | |
| additional | SAM | records | for | identifying | alternative | Electronic | Funds | Transfer | (EFT) | accounts | for | the | same | |||
| parent | concern. |
| "Registered | in | the | SAM | database" | means | that | the | Contractor | has | entered | all | mandatory | information, |
| including | the | DUNS | number | or | the | DUNS+4 | number, | into | the | CCR | database. |
| "System | for | Award | Management | (SAM) | Database" | means | the | primary | Government | repository | for | Contractor |
| information | required | for | the | conduct | of | business | with | the | Government. |
| (b)(1) | By | submission | of | an | offer, | the | offeror | acknowledges | the | requirement | that | a | prospective | awardee | ||
| shall | be | registered | in | the | SAM | database | prior | to | award, | during | performance, | and | through | final | payment | of |
| any | contract, | basic | agreement, | basic | ordering | agreement, | or | blanket | purchasing | agreement | resulting | from | ||||
| this | solicitation. |
| (2) | The | offeror | shall | enter, | in | Representations, | Certifications | and | Other | Statements | of | Offerors | Section | of | the | ||||
| solicitation, | the | DUNS | or | DUNS | +4 | number | that | identifies | the | offeror's | name | and | address | exactly | as | stated | in | ||
| the | offer. | The | DUNS | number | will | be | used | by | the | Contracting | Officer | to | verify | that | the | offeror | is | registered | in |
| the | SAM | database. |
(c) If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one.
| (1) | An | offeror | may | obtain | a | DUNS | number | ||||||||||
| (i) | If | located | within | the | United | States, | by | calling | Dun | and | Bradstreet | at | 1‐866‐705‐5711 | or | via | the | Internet |
| at | http://fedgov.dnb.com/webform; | or | |||||||||||||||
| (ii) | If | located | outside | the | United | States, | by | contacting | the | local | Dun | and | Bradstreet | office. |
| (2) | The | offeror | should | be | prepared | to | provide | the | following | information: | ||||
| (i) | Company | legal | business. | |||||||||||
| (ii) | Tradestyle, | doing | business, | or | other | name | by | which | your | entity | is | commonly | recognized. | |
| (iii) | Company | Physical | Street | Address, | City, | State, | and | ZIP | Code. | |||||
| (iv) | Company | Mailing | Address, | City, | State | and | ZIP | Code | (if | different | from | physical | street | address). |
| (v) | Company | Telephone | Number. | |||||||||||
| (vi) | Date | the | company | was | started. | |||||||||
| (vii) | Number | of | employees | at | your | location. | ||||||||
| (viii) | Chief | executive | officer/key | manager. | ||||||||||
| (ix) | Line | of | business | (industry). | ||||||||||
| (x) | Company | Headquarters | name | and | address | (reporting | relationship | within | your | entity). |
| (d) | If | the | offeror | does | not | become | registered | in | the | SAM | database | in | the | time | prescribed | by | the | Contracting |
| Officer, | the | Contracting | Officer | may | proceed | to | award | to | the | next | otherwise | successful | registered | offeror. |
| (e) | Processing | time, | which | normally | takes | 48 | hours, | should | be | taken | into | consideration | when | registering. |
| Offerors | who | are | not | registered | should | consider | applying | for | registration | immediately | upon | receipt | of | this |
solicitation.
| (f) | The | Contractor | is | responsible | for | the | accuracy | and | completeness | of | the | data | within | the | SAM | database, | |
| and | for | any | liability | resulting | from | the | Government's | reliance | on | inaccurate | or | incomplete | data. | To | remain | ||
| registered | in | the | SAM | database | after | the | initial | registration, | the | Contractor | is | required | to | review | and | update | |
| on | an | annual | basis | from | the | date | of | initial | registration | or | subsequent | updates | its | information | in | the | SAM |
| database | to | ensure | it | is | current, | accurate | and | complete. | Updating | information | in | the | SAM | does | not | alter | the |
| terms | and | conditions | of | this | contract | and | is | not | a | substitute | for | a | properly | executed | contractual | document. |
DTFANM‐15‐R‐00164
| (g)(1)(i) | If | a | Contractor | has | legally | changed | its | business | name, | "doing | business | as" | name, | or | division | name | |
| (whichever | is | shown | on | the | contract), | or | has | transferred | the | assets | used | in | performing | the | contract, | but | has |
| not | completed | the | necessary | requirements | regarding | novation | and | change‐of‐name | agreements | in | AMS | ||||||
| Procurement | Guidance, | the | Contractor | shall | provide | the | responsible | Contracting | Officer | a | minimum | of | one | ||||
| business | day's | written | notification | of | its | intention | to: |
| (A) | change | the | name | in | the | SAM | database; | ||||||||
| (B) | comply | with | the | requirements | of | AMS | regarding | novation | and | change‐of‐name | agreements; | and | |||
| (C) | agree | in | writing | to | the | timeline | and | procedures | specified | by | the | responsible | Contracting | Officer. | The |
| Contractor | must | provide | the | Contracting | Officer | with | the | notification, | sufficient | documentation | to | support | |||
| the | legally | changed | name. |
| (ii) | If | the | Contractor | fails | to | comply | with | the | requirements | of | paragraph | (g)(1)(i) | of | this | clause, | or | fails | to |
| perform | the | agreement | at | paragraph | (g)(1)(i)(C) | of | this | clause, | and, | in | the | absence | of | a | properly | executed | ||
| novation | or | change‐of‐name | agreement, | the | SAM | information | that | shows | the | Contractor | to | be | other | than | the | |||
| Contractor | indicated | in | the | contract | will | be | considered | to | be | incorrect | information | within | the | meaning | of | |||
| the | "Suspension | of | Payment" | paragraph | of | the | electronic | funds | transfer | (EFT) | clause | of | this | contract. |
| (2) | The | Contractor | shall | not | change | the | name | or | address | for | EFT | payments | or | manual | payments, | as |
| appropriate, | in | the | SAM | record | to | reflect | an | assignee | for | the | purpose | of | assignment | of | claims. | Assignees |
| shall | be | separately | registered | in | the | SAM | database. | Information | provided | to | the | Contractor's | SAM | record | ||
| that | indicates | payments, | including | those | made | by | EFT, | to | an | ultimate | recipient | other | than | that | Contractor | |
| will | be | considered | to | be | incorrect | information | within | the | meaning | of | the | "Suspension | of | payment" | ||
| paragraph | of | the | EFT | clause | of | this | contract. |
| (h) | Offerors | and | Contractors | may | obtain | information | on | registration | and | annual | confirmation | requirements |
| via | the | internet | at | http://www.ccr.gov/ | or | by | calling | 1‐888‐227‐2423, | or | 269‐961‐5757. |
(End of Clause)
3.3.1‐36 Availability of Funds ‐ Option Periods under a Continuing Resolution (April 2008)
| Due | to | the | possibility | of | the | enactment | of | a | continuing | resolution | in | lieu | of | an | annual | appropriation, | full | ||
| fiscal | year | funding | may | not | be | available | for | an | entire | contract | option | period. | In | the | event | of | a | continuing | |
| resolution, | FAA | will | only | be | liable | for | an | amount | based | on | the | time | period | specified | by | the | continuing | ||
| resolution. | The | amount | of | funds | made | available | by | the | continuing | resolution | will | be | specified | by | |||||
| subsequent | modification. | If | the | contractor | provides | services | in | excess | of | the | funded | amount | or | beyond | the | ||||
| covered | period, | the | contractor | does | so | at | its | own | risk. |
(End of Clause)
3.6.2‐14 Employment Reports on Veterans (January 2011)
| (a) | Unless | the | contractor | is | a | State | or | local | government | agency, | the | contractor | must | report | at | least | annually, |
| as | required | by | the | Secretary | of | Labor, | on: |
| (1) | The | total | number | of | employees | in | the | contractor's | workforce, | by | job | category | and | hiring | location, | who | |||
| are | disabled | veterans, | other | protected | veterans, | Armed | Forces | service | medal | veterans, | and | recently | |||||||
| separated | veterans, | ||||||||||||||||||
| (2) | The | total | number | of | new | employees | hired | during | the | period | covered | by | the | report, | and | of | the | total, | the |
| number | of | disabled | veterans, | other | protected | veterans, | Armed | Forces | service | medal | veterans, | and | recently | ||||||
| separated | veterans; | and | |||||||||||||||||
| (3) | The | maximum | number | and | minimum | number | of | employees | of | the | Contractor | or | subcontractor | at | each | ||||
| hiring | location | during | the | period | covered | by | the | report. |
DTFANM‐15‐R‐00164
| (b) | The | above | items | must | be | reported | by | completing | the | form | titled | 'Federal | Contractor | Veterans' |
| Employment | Report | VETS‐100A.' |
(c) Reports shall be submitted no later than September 30 of each year.
| (d) | The | employment | activity | report | required | by | paragraph | (a)(2) | of | this | clause | must | reflect | total | hires | |||||
| during | the | most | recent | 12‐month | period | as | of | the | ending | date | selected | for | the | employment | profile | report | ||||
| required | by | paragraph | (a)(1) | of | this | clause. | Contractors | may | select | an | ending | date: | (1) | As | of | the | end | of | any | |
| pay | period | during | the | period | January | through | March | 1st | of | the | year | the | report | is | due, | or | (2) | as | of | December |
| 31, | if | the | contractor | has | previous | written | approval | from | the | Equal | Employment | Opportunity | Commission | to | ||||||
| do | so | for | purposes | of | submitting | the | Employer | Information | Report | EEO‐1 | (Standard | Form | 100). |
| (e) | The | count | of | veterans | reported | according | to | paragraph | (a) | of | this | clause | must | be | based | on | data | known |
| to | the | contractor | when | completing | the | VETS‐100A. | .The | Contractor's | knowledge | of | veterans | status | may | be | ||||
| obtained | in | a | variety | of | ways, | including | an | invitation | to | applicants | to | self‐identify | (in | accordance | with | 41 | ||
| CFR | 60‐300.42), | voluntary | self‐disclosure | by | employees, | or | actual | knowledge | of | veteran | status | by | the | |||||
| contractor. | This | paragraph | does | not | relieve | the | employer | of | liability | for | a | determination | under | 38 | U.S.C. |
4212.
| (f) | Subcontracts. | The | Contractor | shall | include | the | terms | of | this | clause | in | every | subcontract | or | purchase | |
| order | of | $100,000 | or | more | unless | exempted | by | rules, | regulations, | or | orders | of | the | Secretary | of | Labor. |
(End of clause)
3.10.2‐2 Subcontracts (Cost‐Reimbursement and Ceiling Priced Contracts) (October 1996)
| (a) | Subcontract, | as | used | in | this | clause, | includes | but | is | not | limited | to | purchase | orders, | and | changes | and | ||||||
| modifications | to | purchase | orders. | The | Contractor | shall | notify | the | Contracting | Officer | reasonably | in | advance | ||||||||||
| of | entering | into | any | subcontract | if: |
(1) The proposed subcontract is of the cost‐reimbursement, time‐and‐materials, or labor‐hour type;
| (2) | The | proposed | subcontract | is | fixed‐price | and | exceeds | either | $100,000 | or | 5 | percent | of | the | total | |||||
| estimated | cost | of | this | contract; |
(3) The proposed subcontract has experimental, developmental, or research work as one of its purposes;
| or | (4) | This | contract | is | not | a | facilities | contract | and | the | proposed | subcontract | provides | for | the | fabrication, | |
| purchase, | rental, | installation, | or | other | acquisition | of | special | test | equipment | valued | in | excess | of | $25,000 | or | of | |
| any | items | of | facilities. |
| (b) | (1) | In | the | case | of | a | proposed | subcontract | that | (i) | is | of | the | cost‐reimbursement, | time‐and‐materials, | ||||||||
| or | labor‐hour | type | and | is | estimated | to | exceed | $25,000, | including | any | fee, | (ii) | is | proposed | to | exceed | |||||||
| $100,000, | or | (iii) | is | one | of | a | number | of | subcontracts | with | a | single | subcontractor, | under | this | contract, | for | the | |||||
| same | or | related | supplies | or | services | that, | in | the | aggregate, | are | expected | to | exceed | $100,000, | the | advance | |||||||
| notification | required | by | paragraph | (a) | above | shall | include | the | information | specified | in | subparagraph | (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) | Identification | of | the | proposed | subcontractor | and | an | explanation | of | why | and | how | the | ||||||
| proposed | subcontractor | was | selected, | including | the | competition | obtained. |
(iv) The proposed subcontract price and the Contractor's cost or price analysis.
| (v) | The | subcontractor's | current, | complete, | and | accurate | cost | or | pricing | data | and | Certificate | of | |||||||
| Current | Cost | or | Pricing | Data, | if | required | by | other | contract | provisions. |
| (vi) | The | subcontractor's | Disclosure | Statement | or | Certificate | relating | to | Cost | Accounting | |||||||
| Standards | when | such | data | are | required | by | other | provisions | of | this | contract. |
(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) | The | extent, | if | any, | to | which | the | Contractor | did | not | rely | on | the | subcontractor's | cost | or | pricing | data | in | |
| determining | the | price | objective | and | in | negotiating | the | final | price; |
| (E) | The | extent | to | which | it | was | recognized | in | the | negotiation | that | the | subcontractor's | cost | or | pricing | data | |
| were | not | accurate, | complete, | or | current; | the | action | taken | by | the | Contractor | and | the | subcontractor; | and | the | ||
| effect | of | any | such | defective | data | on | the | total | price | negotiated; |
| (F) | The | reasons | for | any | significant | difference | between | the | Contractor's | price | objective | and | the | price | |
| negotiated; | and |
| (G) | A | complete | explanation | of | the | incentive | fee | or | profit | plan | when | incentives | are | used. | The | explanation | |
| shall | identify | each | critical | performance | element, | management | decisions | used | to | quantify | each | incentive | |||||
| element, | reasons | for | the | incentives, | and | a | summary | of | all | trade‐off | possibilities | considered. |
| (c) | The | Contractor | shall | obtain | the | Contracting | Officer's | written | consent | before | placing | any | subcontract | for | |
| which | advance | notification | is | required | under | paragraph | (a) | above. | However, | the | Contracting | Officer | may | ||
| ratify | in | writing | any | such | subcontract. | Ratification | shall | constitute | the | consent | of | the | Contracting | Officer. |
| (d) | If | the | Contractor | has | an | approved | purchasing | system | and | the | subcontract | is | within | the | scope | of | such | ||
| approval, | the | Contractor | may | enter | into | the | subcontracts | described | in | subparagraphs | (a)(1) | and | (a)(2) | of | |||||
| this | clause | without | the | consent | of | the | Contracting | Officer. |
| e) | Even | if | the | Contractor's | purchasing | system | has | been | approved, | the | Contractor | shall | obtain | the | ||
| Contracting | Officer's | written | consent | before | placing | subcontracts | identified | below: | ||||||||
| ______________________________ | ||||||||||||||||
| ______________________________ |
| (f) | Unless | the | consent | or | approval | specifically | provides | otherwise, | neither | consent | by | the | Contracting | ||
| Officer | to | any | subcontract | nor | approval | of | the | Contractor's | purchasing | system | shall | constitute | a |
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) | The | Contractor | shall | give | the | Contracting | Officer | immediate | written | notice | of | any | action | or | suit | filed | ||
| and | prompt | notice | of | any | claim | made | against | the | Contractor | by | any | subcontractor | or | vendor | that, | in | the | |
| opinion | of | the | Contractor, | may | result | in | litigation | related | in | any | way | to | this | contract, | with | respect | to | which |
| the | Contractor | may | be | entitled | to | reimbursement | from | the | Government. |
(i) (1)Reserved.
| (2) | Additionally, | the | Contractor | shall | include | in | each | cost‐ | reimbursement | subcontract | under | this | ||
| contract | a | requirement | that | the | subcontractor | insert | the | substance | of | the | appropriate | modified | ||
| subparagraph | referred | to | in | subparagraph | (1) | above | in | each | lower | tier | price | redetermination | or | incentive |
| price | revision | subcontract | under | that | subcontract. |
| (j) | To | facilitate | small | business | participation | in | subcontracting, | the | Contractor | agrees | to | provide | payments | ||||
| on | subcontracts | under | this | contract | that | are | fixed‐price | subcontracts | with | small | business | concerns | in | ||||
| conformity | with | the | standards | for | customary | payments, | as | in | effect | on | the | date | of | this | contract. | The | |
| Contractor | further | agrees | that | the | need | for | such | financing | payments | will | not | be | considered | a | handicap | or | |
| adverse | factor | in | the | award | of | subcontracts. |
(k) The Government reserves the right to review the Contractor's purchasing system.
(End of clause)
DTFANM‐15‐R‐00164
| PART | III | ‐ | SECTION | J |
| LIST | OF | ATTACHMENTS |
| Kotzebue | Statement | of | Work | and | Maps………………………………………………………………………………...Attachment | 1 |
| Service | Contract | Act | Wage | Determination…………………………………………………………………………….Attachment | 2 |
DTFANM‐15‐R‐00164
| PART | IV | ‐ | SECTION | K | ||
| REPRESENTATIONS, | CERTIFICATIONS, | AND | OTHER | STATEMENTS | OF | OFFERORS |
3.1‐1 Clauses and Provisions Incorporated by reference (July 2011)
| This | screening | information | request | (SIR) | or | contract, | as | applicable, | incorporates | by | reference | the | provisions | |||||||
| or | clauses | listed | below | with | the | same | force | and | effect | as | if | they | were | given | in | full | text. | Upon | request, | the |
| Contracting | Officer | will | make | the | full | text | available, | or | offerors | and | contractors | may | obtain | the | full | text | via | |||
| Internet | at: | http://conwrite.faa.gov. |
(End of clause)
| 3.2.2.3‐82 | Prohibition | on | Conducting | Restricted | Business | Operations | in | Sudan | – | Certification |
| (July | 2012) | |||||||||
| 3.2.5‐2 | Independent | Price | Determination | (October | 1996) | |||||
| 3.2.5‐7 | Disclosure | Regarding | Payments | to | Influence | Certain | Federal | Transactions | (October | |
| 2010) |
3.2.2.3‐2 Minimum Offer Acceptance Period (July 2004)
| (a) | 'Acceptance | period,' | as | used | in | this | provision, | means | the | number | of | calendar | days | the | FAA | (we, | us) | has |
| to | award | a | contract | from | the | date | the | SIR | specifies | for | receiving | offers. |
(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) | The | offeror | (you) | may | specify | a | longer | acceptance | period | than | the | period | shown | in | paragraph | (c). | To |
| specify | a | longer | period, | fill | in | the | blank: | The | offeror | allows | the | following | acceptance | period: | _____ | 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) | You | operate | as | [ | ] | a | corporation | incorporated | under | the | laws | of | the | State | of | ____________________ | , | [ | ] | an |
| individual, | [ | ] | a | partnership, | [ | ] | a | nonprofit | organization, | [ | ] | a | joint | venture | or | [ | ] | other | ____________[specify | |
| what | type | of | organization]. |
| (b) | If | you | are | a | foreign | entity, | you | operate | as | [ | ] | an | individual, | [ | ] | a | partnership, | [ | ] | a | nonprofit | organization, |
| [ | ] | a | joint | venture, | or | [ | ] | a | corporation, | registered | for | business | in | _____________________________________________ | . |
(country)
(End of provision)
DTFANM‐15‐R‐00164
3.2.2.3‐15 Authorized Negotiators (July 2004)
| The | offeror | states | that | the | following | persons | are | authorized | to | negotiate | on | your | behalf | with | the | FAA | in |
| connection | with | this | offer: |
Name:_______________________ Title:_________________________ Phone number:_________________
(End of provision)
3.2.2.3‐70 Taxpayer Identification (July 2004)
(a) Definitions.
| (1) | "Common | parent," | as | used | in | this | clause, | means | a | corporate | entity | that | owns | or | controls | an | affiliated | |||||
| group | of | corporations | that | files | an | Offeror’s | (you, | your) | Federal | income | tax | returns | on | a | consolidated | basis, | ||||||
| and | of | which | you | are | a | member. |
| (2) | "Corporate | status," | as | used | in | this | clause, | means | a | designation | as | to | whether | you | are | a | corporate | |||||
| entity, | an | unincorporated | entity | (for | example, | sole | proprietorship | or | partnership), | or | a | corporation | ||||||||||
| providing | medical | and | health | care | services. |
| (3) | "Taxpayer | Identification | Number | (TIN)," | as | used | in | this | clause, | means | the | number | the | Internal | |||||
| Revenue | Service | (IRS) | requires | you | use | in | reporting | income | tax | and | other | returns. | |||||||
| (b) | All | offerors | must | submit | the | information | required | in | paragraphs | (c) | through | (e) | of | this | provision | to | |||
| comply | with | reporting | requirements | of | 26 | U.S.C. | 6041, | 6041A, | and | 6050M | and | implementing | regulations | ||||||
| issued | by | IRS. | The | FAA | will | use | this | information | to | collect | and | report | on | any | delinquent | amounts | arising | out | |
| of | your | relation | with | the | Federal | Government, | under | Public | Law | 104 | ‐134, | the | Debt | Collection | Improvement | ||||
| Act | of | 1996, | Section | 31001(I)(3). | If | the | resulting | contract | is | subject | to | the | reporting | requirements | and | you | |||
| refuse | or | fail | to | provide | the | information, | the | Contracting | Officer | (CO) | may | reduce | your | payments | 31 | percent | |||
| under | the | contract. |
(c) Taxpayer Identification Number (TIN).
| [ | ] | TIN: | ______________________________ | |||||||||||||||||
| [ | ] | TIN | has | been | applied | for. | ||||||||||||||
| [ | ] | TIN | is | not | required | because: | ||||||||||||||
| [ | ] | Offeror | is | a | nonresident | alien, | foreign | corporation, | or | foreign | partnership | that | does | not | leave | income | ||||
| effectively | connected | with | the | conduct | of | a | trade | or | business | in | the | U.S. | and | does | not | have | an | office | or | place |
| of | business | or | a | fiscal | paying | agent | in | the | U.S.; | |||||||||||
| [ | ] | Offeror | is | an | agency | or | instrumentality | of | a | foreign | government; | |||||||||
| [ | ] | Offeror | is | an | agency | or | instrumentality | of | a | Federal, | state, | or | local | government; | ||||||
| [ | ] | Other‐‐State | basis. | ___________________________________. |
(d) Corporate Status.
| [ | ] | Corporation | providing | medical | and | health | care | services, | or | engaged | in | the | billing | and | collecting | of |
| payments | for | such | services; | |||||||||||||
| [ | ] | Other | corporate | entity | ||||||||||||
| [ | ] | Not | a | corporate | entity | |||||||||||
| [ | ] | Sole | proprietorship | |||||||||||||
| [ | ] | Partnership |
DTFANM‐15‐R‐00164
| [ | ] | Hospital | or | extended | care | facility | described | in | 26 | CFR | 501(c)(3) | that | is | exempt | from | taxation | under | 26 |
| CFR | 501(a). |
(e) Common Parent.
| [ | ] | A | common | parent | does | not | own | or | control | the | offeror | as | defined | in | paragraph | (a). |
| [ | ] | Name | and | TIN | of | common | parent: | |||||||||
| Name | _______________________________________________________ | |||||||||||||||
| TIN | _______________________________________________________ |
(End of provision)
3.2.2.7‐7 Certification Regarding Responsibility Matters (January 2010)
| (a)(1) | The | Offeror | certifies, | to | the | best | of | its | knowledge | and | belief, | that | |||||||||
| (i) | The | Offeror | and/or | any | of | its | Principals‐ | ||||||||||||||
| A) | Are | [ | ] | are | not | [ | ] | presently | debarred, | suspended, | proposed | for | debarment, | or | declared | ineligible | for | the | |||
| award | of | contracts | by | any | Federal | agency; | |||||||||||||||
| (B) | Have | [ | ] | have | not | [ | ] | within | a | three‐year | period | preceding | this | offer, | been | convicted | of | or | had | a | civil |
| judgment | rendered | against | them | for: | commission | of | fraud | or | a | criminal | offense | in | connection | with | |||||||
| obtaining, | attempting | to | obtain, | or | performing | a | public | (Federal, | state, | or | local) | contract | or | subcontract; | |||||||
| violation | of | Federal | or | state | antitrust | statutes | relating | to | the | submission | of | offers; | or | commission | of | ||||||
| embezzlement, | theft, | forgery, | bribery, | falsification | or | destruction | of | records, | making | false | statements, | tax | |||||||||
| evasion, | violating | Federal | criminal | tax | laws | or | receiving | stolen | property; | and | |||||||||||
| (C) | Are | [ | ] | are | not | [ | ] | presently | indicted | for, | or | otherwise | criminally | or | civilly | charged | by | a | governmental | ||
| entity | with, | commission | of | any | of | the | offenses | enumerated | in | subdivision | a)(1) | ||||||||||
| (i)(B) | of | this | provision. | ||||||||||||||||||
| (D) | Have | [ | ], | have | not | [ | ], | within | a | three‐year | period | preceding | this | offer, | been | notified | of | any | delinquent | ||
| Federal | taxes | in | an | amount | that | exceeds | $3,000 | for | which | the | liability | remains | unsatisfied. | ||||||||
| (1) | Federal | taxes | are | considered | delinquent | if | both | of | the | following | criteria | apply: | |||||||||
| (i) | The | tax | liability | is | finally | determined. | The | liability | is | finally | determined | if | it | has | been | assessed. | A | liability | |||
| is | not | finally | determined | if | there | is | a | pending | administrative | or | judicial | challenge. | In | the | case | of | a | judicial | |||
| challenge | to | the | liability, | the | liability | is | not | finally | determined | until | all | judicial | appeal | rights | have | been |
exhausted.
| (ii) | The | taxpayer | is | delinquent | in | making | payment. | A | taxpayer | is | delinquent | if | the | taxpayer | has | failed | to | pay | |||
| the | tax | liability | when | full | payment | was | due | and | required. | A | taxpayer | is | not | delinquent | in | cases | where | ||||
| enforced | collection | action | is | precluded. | |||||||||||||||||
| (2) | Examples‐ | ||||||||||||||||||||
| (i) | The | taxpayer | has | received | a | statutory | notice | of | deficiency, | under | I.R.C. | Sec. | 6212, | which | entitles | the | |||||
| taxpayer | to | seek | Tax | Court | review | of | a | proposed | tax | deficiency. | This | is | not | a | delinquent | tax | because | it | is | not | |
| a | final | tax | liability. | Should | the | taxpayer | seek | Tax | Court | review, | this | will | not | be | a | final | tax | liability | until | the | |
| taxpayer | has | exercised | all | judicial | appeal | rights. | |||||||||||||||
| (ii) | The | IRS | has | filed | a | notice | of | Federal | tax | lien | with | respect | to | an | assessed | tax | liability, | and | the | taxpayer | |
| has | been | issued | a | notice | under | I.R.C. | Sec. | 6320 | entitling | the | taxpayer | to | request | a | hearing | with | the | IRS | Office | ||
| of | Appeals | contesting | the | lien | filing, | and | to | further | appeal | to | the | Tax | Court | if | the | IRS | determines | to | sustain | ||
| the | lien | filing. | In | the | course | of | the | hearing, | the | taxpayer | is | entitled | to | contest | the | underlying | tax | liability | |||
| because | the | taxpayer | has | had | no | prior | opportunity | to | contest | the | liability. | This | is | not | a | delinquent | tax | ||||
| because | it | is | not | a | final | tax | liability. | Should | the | taxpayer | seek | tax | court | review, | this | will | not | be | a | final | tax |
| liability | until | the | taxpayer | has | exercised | all | judicial | appeal | rights. | ||||||||||||
| (iii) | The | taxpayer | has | entered | into | an | installment | agreement | pursuant | to | I.R.C. | Sec. | 6159. | The | taxpayer | is | |||||
| making | timely | payments | and | is | in | full | compliance | with | the | agreement | terms. | The | taxpayer | is | not | delinquent | |||||
| because | the | taxpayer | is | not | currently | required | to | make | full | payment. | |||||||||||
| (iv) | The | taxpayer | has | filed | for | bankruptcy | protection. | The | taxpayer | is | not | delinquent | because | enforced | |||||||
| collection | action | is | stayed | under | 11 | U.S.C. | 362 | (the | Bankruptcy | Code). |
DTFANM‐15‐R‐00164
| (b) | The | Offeror | has | [ | ] | has | not | [ | ] | within | a | three‐year | period | preceding | this | offer, | had | one | or | more | contracts |
| terminated | for | default | by | any | Federal | agency. | |||||||||||||||
| (2) | 'Principals,' | for | the | purposes | of | this | certification, | means | officers; | directors; | owners; | partners; | and, | ||||||||
| persons | having | primary | management | or | supervisory | responsibilities | within | a | business | entity | (e.g., | general | |||||||||
| manager; | plant | manager; | head | of | a | subsidiary, | division, | or | business | segment, | and | similar | positions). | THIS | |||||||
| CERTIFICATION | CONCERNS | A | MATTER | WITHIN | THE | JURISDICTION | OF | AN | AGENCY | OF | THE | UNITED | |||||||||
| STATES | AND | THE | MAKING | OF | A | FALSE, | FICTITIOUS, | OR | FRAUDULENT | CERTIFICATION | MAY | RENDER | THE | ||||||||
| MAKER | SUBJECT | TO | PROSECUTION | UNDER | SECTION | 1001, | TITLE | 18, | UNITED | STATES | CODE. | ||||||||||
| (c) | The | Offeror | shall | provide | immediate | written | notice | to | the | Contracting | Officer | if, | at | any | time | prior | to | ||||
| contract | award, | the | Offeror | learns | that | its | certification | was | erroneous | when | submitted | or | has | become | |||||||
| erroneous | by | reason | of | changed | circumstances. | ||||||||||||||||
| (d) | A | certification | that | any | of | the | items | in | paragraph | (a) | of | this | provision | exists | will | not | necessarily | result | in | ||
| withholding | of | an | award | under | this | SIR. | However, | the | certification | will | be | considered | in | connection | with | a | |||||
| determination | of | the | Offeror's | responsibility. | Failure | of | the | Offeror | to | furnish | a | certification | or | provide | such | ||||||
| additional | information | as | requested | by | the | Contracting | Officer | may | render | the | Offeror | nonresponsible. | |||||||||
| (e) | Nothing | contained | in | the | foregoing | shall | be | construed | to | require | establishment | of | a | system | of | records | in | ||||
| order | to | render, | in | good | faith, | the | certification | required | by | paragraph | (a) | of | this | provision. | The | knowledge | |||||
| and | information | of | an | Offeror | is | not | required | to | exceed | that | which | is | normally | possessed | by | a | prudent | ||||
| person | in | the | ordinary | course | of | business | dealings. | ||||||||||||||
| (f) | The | certification | in | paragraph | (a) | of | this | provision | is | a | material | representation | of | fact | upon | which | |||||
| reliance | was | placed | when | making | award. | If | it | is | later | determined | that | the | Offeror | knowingly | rendered | an | |||||
| erroneous | certification, | in | addition | to | other | remedies | available | to | the | Government, | the | Contracting | Officer | ||||||||
| may | terminate | the | contract | resulting | from | this | SIR | for | default. |
(End of provision)
3.3.1‐35 Certification of Registration in System for Award Management (August 2012)
| In | accordance | with | Clause | 3.3.1‐33, | System | for | Award | Management | (SAM), | offeror | certifies | that | they | are | |
| registered | in | the | SAM | Database | and | have | entered | all | mandatory | information | including | the | DUNS | or | DUNS+4 |
Number.
Name: ______________________________
Title: _______________________________
Phone Number: _______________________
(End of provision)
3.6.2‐5 Certification of Non‐segregated Facilities (March 2009)
| (a) | 'Segregated | facilities,' | as | used | in | this | provision, | means | any | waiting | rooms, | work | areas, | rest | rooms | and | |
| wash | rooms, | restaurants | and | other | eating | areas, | time | clocks, | locker | rooms | and | other | storage | or | dressing | ||
| areas, | parking | lots, | drinking | fountains, | recreation | or | entertainment | areas, | transportation, | and | housing | ||||||
| facilities | provided | for | employees, | that | are | segregated | by | explicit | directive | or | are | in | fact | segregated | on | the | |
| basis | of | race, | color, | religion, | or | national | origin | because | of | habit, | local | custom, | or | otherwise. |
| (b) | By | the | submission | of | this | offer, | the | offeror | certifies | that | it | does | not | and | will | not | maintain | or | provide | for | |
| its | employees | any | segregated | facilities | at | any | of | its | establishments, | and | that | it | does | not | and | will | not | permit | |||
| its | employees | to | perform | their | services | at | any | location | under | its | control | where | segregated | facilities | are |
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