DTFH7014Q00039.pdf

DTFH7014Q00039 Page 1

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

This is a Firm Fixed Price Request for Quotation (RFQ), No. DTFH7014Q00039, being issued by the Western Federal Lands Highway Division (WFLHD) Acquisitions Department of the Federal Highway Administration (FHWA) for 7 – 107 foot long Precast Pre-stressed Box Girders, Storage until needed delivery, and Delivery of the items to Dennehotso, Arizona.

This solicitation is prepared in accordance with FAR Part 12, the acquisition of commercial items in conjunction with the policies and procedures for solicitation, evaluation, and award as prescribed in FAR 13, Simplified Acquisition Procedures. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular (FAC) 2005-74.

The North American Industry Classification System (NAICS) code is 238120 with an industry size standard of $14.0 Million. This solicitation is UNRESTRICTED. A responsible quoter is one whose offer conforms to the solicitation and will be most advantageous to the Government. See Clause 52.212-2 below, for evaluation criteria.

It is the contractor’s responsibility to be familiar with applicable clauses and provisions. FAR Provisions and Clauses may be viewed and/or downloaded from https://www.acquisition.gov/far/.

It is the responsibility of the interested parties to incorporate any amendments and check http://www.wfl.fhwa.dot.gov/contracting/simplified/notices.htm for questions and answers.

Any incomplete responses will not be considered. Award will be made on the best value for the Government.

Submit quote by Email to:

Gunnar.Prutz@dot.gov Offers due 2 PM Pacific Time, July 8th, 2014

CONTACTS: Gunnar Prutz, Contracting Officer 360-619-7685 Gunnar.Prutz@dot.gov

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REQUIRED QUOTE SUBMITTALS

These are the required documents that must be submitted in response to this RFQ to be considered for award.

Contractor must be registered in the System for Award Management prior to award. To register go to www.SAM.gov.

Quote with Price, and Delivery information.

Completed Provision 52.212-3 or attached document showing this provision is complete and up to date on www.SAM.gov.

3 References with contact information in which similar products were provided.

Evaluation Criteria Quotations submitted in response to this RFQ will be evaluated on based upon the factors below:

Price Past Performance Ability to meet the delivery and storage schedule as detailed in the Specifications section.

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Specifications

Description

This contract consists of furnishing and delivering 7 - 107 foot long AASHTO Standard BIII-48 Precast Pre-stressed Box Girders for the replacement of a bridge on a local loop road located at Dennehotso, Arizona. It also includes providing tie rods and bearing plates for construction of the diaphragms. Fabricate the above components in accordance with these specifications and the plans.

Prestressed Concrete Member Tolerances

Description Tolerance

Precast Girders Used In Multi-Beam Decks (4)

Length ±3/4 inch

Width (overall) ±1/4 inch

Depth (overall) ±1/4 inch

Depth (top flange) ±1/2 inch

Depth (bottom flange) +1/2 inch, -1/8 inch

Width (web) ±3/8 inch

Sweep (5) Up to 12 m member length 12 to 18 m member length Greater than 18 m member length

±1/4 inch ±3/8 inch ±1/2 inch

Variation from end squareness or skew Horizontal Vertical

±1/8 inch/foot ±1/2 inch max.

±1/2 inch

Camber variation from design camber ±1/8 inch/10 feet ±1/2 inch max.

Differential camber between adjacent members of the same design

1/4 inch /10 feet 3/4 inch max.

Position of Strands:

Individual Bundled

Position from design location of deflection points for deflected strands

±20 inches

Position of plates other than bearing plates ±1 inch

Tipping and flushness of plates ±1/4 inch

Position of inserts for structural connections ±1/2 inch

Position of handling devices:

Parallel to length Transverse to length

±6 inches ±1 inch

(4) Box beams, slabs, decked bulb tee, and multi-stem girders.

(5) Variation from straight line parallel to centerline of member.

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Table (continued) Prestressed Concrete Member Tolerances

Description Tolerance

Precast Girders Used In Multi-Beam Decks

Position of stirrups:

Longitudinal spacing Projection above top

+1/4 inch, -3/4 inch

Tipping of beam seat bearing area ±1/8 inch

Position of dowel tubes ±5/8 inch Position of tie rod tubes:

Parallel to length Vertical

±1/2 inch ±3/8 inch

Position of slab void:

End of void to center of tie hole Adjacent to end block

±1/2 inch

Local smoothness (6) ±1/4 inch in 10 feet any surface

Post-Tension Members

Position of post tensioning ducts ±1/4 inch

Position of tendon anchorage bearing plates ±1/4 inch

(6) Does not apply to top surface left rough to receive a topping or to visually-concealed surfaces.

Material Requirements

Fabricate the pre-stressed girders in a fabricating plant that is certified by the Precast/Prestressed Concrete Institute.

The concrete used for manufacture of the girders shall be Class P or P(AE) meeting the following requirements:

Structure Concrete:

Composition of Concrete

Class of

Concrete

Minimum Cement Content

(pounds/yd3)

Maximum W/C Ratio

Slump(1) (inches)

Nominal Maximum Aggregate Size(2)

(inches)

P (Prestressed) 658 0.44 0 to 4 1

P(AE) 658 0.44 0 to 4 1

(1) Maximum slump is 8 inches if approved mix design includes a high-range water reducer.

(2) Meet the processing requirements of AASHTO M 43, Table 1 – Standard Sizes of Processed Aggregate.

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Minimum Air Content for Air Entrained Concrete

Nominal Maximum Aggregate Size(1)

As Delivered Minimum Air Content (2) (3) (%)

2½ inch 3.5

2 inch 3.5

1½ inch 4.0

1 inch 4.5

¾ inch 4.5

½ inch 5.5

(1) Meet the processing requirements of AASHTO M 43, Table 1 – Standard Sizes of Processed Aggregate.

(2) These air contents apply to the total mix. When testing these concretes, aggregates larger than 1½ inches is removed by handpicking or sieving, and air content is determined on the minus 1½ inches fraction of the mix. Air content of the total mix is computed from the value determined on the minus 1½ inches fraction.

(3) For P(AE) concrete, reduce the as delivered minimum air content by 1.0 % and use a maximum air content of 6.0 percent.

Required Average Compressive Strength When Data Are Not Available to Establish a Standard Deviation

Specified Compressive

Strength (f’c)

(pounds per square inch)

Required Average Compressive Strength (f’cr)

(pounds per square inch)

Less than 3000 f’c + 1000

3000 to 5000 f’c + 1200

Over 5000 1.10f’c + 700

Do not use chloride accelerators. Do not use set accelerating admixtures with class P (pre-stressed) concrete.

Pre-stressing Steel:

Use pre-stressing steel that is bright and free of corrosion, dirt, grease, wax, scale, rust, oil, or other foreign material that may prevent bond between the steel and the concrete. Do not use pre-stressing steel that has sustained physical damage or is pitted.

One splice per strand is permitted when single strand jacking is used. When multi-strand jacking is used, splice all the strands or no more than 10 percent of the strands. Use strands having similar properties, from the same source, and having the same “twist” or “lay.” Locate splices outside the casting bed and between members.

Do not weld or ground welding equipment on forms or other steel in the member after the pre-stressing steel is installed.

Failure of one wire in a 7-wire pre-stressing strand is acceptable if 85 percent of the required tension load is attained before failure and if the failed strand does not constitute more than 2 percent of the total area of strands in an individual beam or girder.

Extend bars using couplers which, when assembled, have a tensile strength not less than the tensile strength of the bars.

Protect all pre-stressing steel against physical damage, rust, or corrosion at all times. Do not use damaged pre-stressing steel.

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Tensioning

Use hydraulic jacks to tension pre-stressing steel. Use a pressure gauge or load cell for measuring jacking force.

Calibrate measuring devices at least once every 6 months or if they appear to be giving erratic results.

Calibrate the jack and gauge as a unit with the cylinder extension in the approximate position that it will be at final jacking force. Keep a certified calibration chart with each gauge.

If a pressure gauge is used, do not gauge loads less than 1/4 nor more than 3/4 of the total graduated capacity of the gauge, unless calibration data clearly establishes consistent accuracy over a wider range.

Use a pressure gauge with an accurate reading dial at least 6 inches in diameter.

Measure the force induced in the pre-stressing steel using calibrated jacking gauges, load cells, or a calibrated dynamometer. Take elongation measurements of the pre-stressing steel. Determine the required elongation from average load-elongation curves for the pre-stressing tendons used.

For pre-tensioned members, if there is a discrepancy between the gauge pressure and elongation of more than 5 percent in tendons over 50 feet in length or 7 percent in tendons of 50 feet or less in length determine the source of error before proceeding. Do not allow discrepancies in post-tensioned members to exceed 7 percent.

If the jacking system is equipped with an automatic release valve that closes when the required pre-stressing force is reached, strand elongation measurements are only required for the first and last tendon tensioned and for at least 10 percent of the remaining tendons.

If a load cell is used, do not use the lower 10 percent of the manufacturer's rated capacity of the load cell to determine the jacking force.

Do not exceed a temporary tensile stress of 80 percent of the specified minimum ultimate tensile strength of the pre-stressing steel. Anchor pre-stressing steel at an initial stress that will result in the retention of a working stress after all losses of not less than those required.

Protect pre-stressing steel placed in the stressing bed from contamination and corrosion if the stressing bed is to be exposed to weather for more than 36 hours before encasement in concrete.

Free all strands of kinks or twists. Accurately hold pre-stressing steel in position and tension according to Subsection 553.06. Do not allow strands to unwind more than one turn. Keep a record of the jacking force and elongation measurements after the strands are tensioned to 20 percent of final jacking force.

Tension pre-stressing steel to the required stress. Include in elongation computations strand anchorage slippage, splice slippage, in place horizontal movement of the structural member during pre-stressing operations, and pre-stressing steel temperature changes between the time of tensioning and the time when the concrete takes its initial set. All computations must be prepared by a professional engineer.

Maintain the pre-stress bed forms, strands, and reinforcement bar temperature within 25 ºF of the temperature of the concrete to be placed in the forms. Support strands with rollers at points of direction change when strands are tensioned in a draped position. Use free-running rollers with minimal friction.

Initially, when strands are tensioned and then pulled into the draped position, tension to no more than the required tension minus the increased tension due to forcing the strand to a draped profile. If the load in a draped strand at the dead end, as determined by elongation measurements, is less than 95 percent of the jack load, tension the strand from both ends of the bed. Make the load, as computed from the sum of elongations produced by jacking at both ends, agree within 5 percent of the jack load.

Within 3 hours before placing concrete, check the tension on the pre-stressing strands. The method and equipment for checking the loss of pre-stress shall be subject to approval by the CO. If strands are tensioned individually, check each strand for loss of pre-stress. Re-tension to the original computed jacking stress all strands that show a loss of pre-stress in excess of 3 percent. If strands are tensioned in a group, check the entire group for total loss of pre-stress. Release and re-tension the entire group if the total pre-stress shows a loss in excess of 3 percent or if any individual strand appears significantly different from the rest of the strands in the group.

Release the pre-stress load to the concrete after the concrete has attained its required release compressive strength. Do not expose the concrete to temperatures below freezing for at least 7 days after casting. Cut or release strands such that lateral eccentricity of the pre-stress force is minimized. Cut pre-stressing steel off flush with the end of the member.

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Curing

Make at least 2 release strength test cylinders according to AASHTO T 23 in addition to those required to determine the 28-day compressive strength. Cure the release strength test cylinders with the concrete member they represent.

Rough cast the top surface of the box girders against which concrete will be cast. The other portions of the box girder top surface is to be finished to a smooth surface free of ridges and other projections.

Cure the girder in a saturated atmosphere of at least 90 percent relative humidity. Cure time may be shortened by heating the outside of impervious forms with radiant heat, convection heat, conducted steam, or hot air.

Apply radiant heat by means of pipes circulating steam, hot oil, hot water, or electric heating elements.

Inspect casting beds to ensure uniform heat application. Use a suitable enclosure to contain the heat.

Minimize moisture loss by covering all exposed concrete surfaces with plastic sheeting or liquid membrane curing compound. Sandblast curing compound from all surfaces to which concrete will be bonded.

Envelop the entire surface with saturated steam. Completely enclose the casting bed with a suitable type of housing, tightly constructed to prevent the escape of steam and exclude outside air. Use steam at 100 percent relative humidity. Do not apply the steam directly to the concrete.

With all heat curing methods:

(a) Keep all unformed girder surfaces in a saturated atmosphere throughout the curing time.

(b) Embed a thermocouple (linked with a thermometer accurate to ±5 ºF) 6 to 8 inches from the top or bottom of the girder on its centerline and near its midpoint.

(c) Monitor with a recording sensor (accurate to ±5 ºF) arranged and calibrated to continuously record, date, and identify concrete temperature throughout the heating cycle.

(d) Make the temperature record available to the CO.

(e) Heat concrete to no more than 100 ºF during the first 2 hours after placing concrete, and increase the temperature no more than 40 ºF per hour to a maximum of 160 ºF.

(f) Cool concrete, after curing is complete, no more than 40 ºF per hour,until a temperature of 20 ºF above the temperature of the air to which the concrete will be exposed has been reached.

(g) Keep the temperature of the concrete above 60 ºF until the girder reaches release strength.

Cure precast, prestressed members until the concrete has attained the release compressive strength, required by the contract. The average strength of 2 test cylinders shall be greater than the minimum required strength. The individual strength of any one cylinder shall not be more than 5 percent below the required strength.

Finishing

Remove and replace or repair, as approved, all rock pockets or honeycombed concrete. Finish sound, formed concrete surfaces as follows.

Class 1 — Ordinary surface finish. Provide this finish to the under surfaces and ends of the box girders.

Begin finishing as soon as the forms are removed. Remove fins and irregular projections from all surfaces that are exposed or will be waterproofed. Remove bulges and offsets with carborundum stones or discs. Remove localized, poorly-bonded rock pockets or honeycombed concrete, and replace with sound concrete or packed mortar in an approved manner.

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Clean and point all form tie cavities, holes, broken corners and edges, and other defects. Saturate the area with water. Finish the area with mortar that is less than 1-hour-old. After the mortar is set, rub it (if required) and continue curing. Match exposed surfaces to surrounding concrete.

If the final finished surface is not true and uniform, rub it according to Class 2 – Rubbed finish below.

Class 2 — Rubbed finish. Provide this finish to all surfaces of box girders except those surfaces designated above to receive a class 1 finish;

Complete a class 1 finish according to above. Saturate the concrete surface with water. Rub the surface with a medium coarse carborundum stone using a small amount of mortar on its face. Use mortar composed of cement and fine sand mixed in the same proportions as the concrete being finished. Continue rubbing until form marks, projections, and irregularities are removed and a uniform surface is obtained. Leave the paste produced by this rubbing in place.

After other work, which could affect the surface, is complete, rub with a fine carborundum stone, and water until the entire surface has a smooth texture and uniform color. After the surface has dried, rub it with burlap to remove loose powder. Leave it free from all unsound patches, paste, powder, and objectionable marks.

Submittals:

Prior to fabrication, submit for approval complete drawings for fabrication of the pre-stressed box girders.

Include in the submittal erection instructions and full list of the bridge hardware included with delivery of the girders.

Acceptance

The bridge will be accepted based on the following:

A. Visual Inspection The pre-stressed concrete box girders and structural steel components will be visually inspected for compliance with the contract and prevailing industry standards.

B. Production Certification Furnish production certificates for hydraulic cement, structural concrete, pre-stressing steel, reinforcing steel, and structural steel Include the following with each production certification:

(1) Date and place of manufacture;

(2) Lot number or other means of cross-referencing to the manufacturer’s inspection and testing system;

and

(3) Substantiating evidence that the material conforms to the contract quality requirements as required by FAR 46.105(a)(4), and FAR Clause 52.212-4, including all of the following:

(a) Test results on material from the same lot and documentation of the inspection and testing system;

(b) A statement from the manufacturer that the material complies with all contract requirements; and

(c) Manufacturer’s signature or other means of demonstrating accountability for the certification.

Furnish production certificates with delivery of bridge material. Material accepted by certification may be sampled and tested at any time. If found not in conformance with the contract, the material will be rejected whether in place or not.

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Delivery and Construction

Do not ship pre-stressed concrete members until concrete cylinder tests, manufactured of the same concrete and cured under the same conditions as the members, indicate that the concrete in each member has attained the minimum required design strength and is at least 7-days-old. Store, transport, and erect precast, pre-stressed girders, slab units, and box units in the upright position with the points of support and directions of the reactions, with respect to the member, approximately the same as when the member is in its final position. Prevent cracking or damage during storage, hoisting, and handling of the precast units.

Replace units damaged by improper storage or handling.

The fabricator is responsible for delivering the box girders to the site at the request of the installing contractor and providing written instructions regarding handling and installation. The installing contractor is responsible for furnishing equipment and labor to offload the deliverables.

The government will provide the contact information of the installing contractor to the fabricator of this contract by October 15, 2014. The fabricator will contact the installing contractor within 7 days. The fabricating contractor will coordinate directly with the installing contractor to arrange delivery dates and the specific delivery location near Dennehotso, Arizona. The installing contractor will notify the fabricator at least 14 days prior to each shipping request.

Deliveries are expected to take place between 11/15/2014 - 04/15/2015

Notify the following individuals of the delivery date at least 10 days prior to each shipment.

Keith Wong and Steve Hinz Federal Highway Administration 610 East 5th Street Vancouver, WA 98661

Phone: 360-619-7547 Phone: 360-619-0940

FAX: 360-619-7846

Email:

keith.wong@dot.gov steven.hinz@dot.gov

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52.252-1 Solicitation Provisions Incorporated by Reference. (Feb 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): www.acquisition.gov/far

52.212-1 Instructions to Offerors—Commercial Items.

Instructions to Offerors—Commercial Items (May 2014)(Incorporated by Reference)

52.212-2 Evaluation—Commercial Items.

Evaluation—Commercial Items (Jan 1999)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Price Past Performance Ability to meet the delivery and storage schedule as detailed in the Specifications section.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

52.212-3 Offeror Representations and Certifications—Commercial Items. (May 2014)

An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual representations and certifications electronically via http://www.acquisition.gov. If an offeror has not completed the annual representations and certifications electronically at the System for Award Management (SAM) website, the offeror shall complete only paragraphs (c) through (o) of this provision.

(a) Definitions. As used in this provision—

“Economically disadvantaged women-owned small business (EDWOSB) concern” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

“Forced or indentured child labor” means all work or service—

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

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“Inverted domestic corporation”, as used in this section, means a foreign incorporated entity which is treated as an inverted domestic corporation under 6 U.S.C. 395(b), i.e., a corporation that used to be incorporated in the United States, or used to be a partnership in the United States, but now is incorporated in a foreign country, or is a subsidiary whose parent corporation is incorporated in a foreign country, that meets the criteria specified in 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c). An inverted domestic corporation as herein defined does not meet the definition of an inverted domestic corporation as defined by the Internal Revenue Code at 26 U.S.C. 7874.

“Manufactured end product” means any end product in Federal Supply Classes (FSC) 1000-9999, except—

(1) FSC 5510, Lumber and Related Basic Wood Materials;

(2) Federal Supply Group (FSG) 87, Agricultural Supplies;

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

(5) FSC 9410, Crude Grades of Plant Materials;

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

(7) FSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) FSC 9610, Ores;

(9) FSC 9620, Minerals, Natural and Synthetic; and

(10) FSC 9630, Additive Metal Materials.

“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

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

(6) Have been voluntarily suspended.

“Sensitive technology”—

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically—

DTFH7014Q00039 Page 12

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).

“Service-disabled veteran-owned small business concern”—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

“Small business concern” means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.

“Subsidiary” means an entity in which more than 50 percent of the entity is owned—

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

“Veteran-owned small business concern” means a small business concern—

(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

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

“Women-owned business concern” means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

“Women-owned small business concern” means a small business concern—

(1) That is at least 51 percent owned by one or more women; or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and

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

“Women-owned small business (WOSB) concern eligible under the WOSB Program” (in accordance with 13 CFR part 127), means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States.

DTFH7014Q00039 Page 13

(b)

(1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the SAM website.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through http://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ______________.

[Offeror to identify the applicable paragraphs at (c) through (o) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

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

(1) Small business concern. The offeror represents as part of its offer that it o is, o is not a small business concern.

(2) Veteran-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it o is, o is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that it o is, o is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, for general statistical purposes, that it o is, o is not a small disadvantaged business concern as defined in 13 CFR 124.1002.

(5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it o is, o is not a women-owned small business concern.

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

(i) It o is,o is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It o is, o is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: __________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

DTFH7014Q00039 Page 14

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

(i) It o is, o is not an EDWOSB concern, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

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

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

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

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

(10) [Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns, or FAR 52.219-25, Small Disadvantaged Business Participation Program— Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.]

(i) General. The offeror represents that either—

(A) It o is, o is not certified by the Small Business Administration as a small disadvantaged business concern and identified, on the date of this representation, as a certified small disadvantaged business concern in the SAM Dynamic Small Business Search database maintained by the Small Business Administration, and that no material change in disadvantaged ownership and control has occurred since its certification, and, where the concern is owned by one or more individuals claiming disadvantaged status, the net worth of each individual upon whom the certification is based does not exceed $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); or

(B) It o has, o has not submitted a completed application to the Small Business Administration or a Private Certifier to be certified as a small disadvantaged business concern in accordance with 13 CFR 124, Subpart B, and a decision on that application is pending, and that no material change in disadvantaged ownership and control has occurred since its application was submitted.

(ii) o Joint Ventures under the Price Evaluation Adjustment for Small Disadvantaged Business Concerns. The offeror represents, as part of its offer, that it is a joint venture that complies with the requirements in 13 CFR 124.1002(f) and that the representation in paragraph (c)(10)(i) of this provision is accurate for the small disadvantaged business concern that is participating in the joint venture. [The offeror shall enter the name of the small disadvantaged business concern that is participating in the joint venture: ________________.]

(11) HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that—

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

(ii) It o is, o is not a HUBZone joint venture that complies with the requirements of 13 CFR Part 126, and the representation in paragraph (c)(11)(i) of this provision is accurate for each HUBZone small business concern

DTFH7014Q00039 Page 15 participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: __________.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

(d) Representations required to implement provisions of Executive Order 11246—

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

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

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

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

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

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

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

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

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.”

The terms “commercially available off-the-shelf (COTS) item” “component,” “domestic end product,” “end product,” “foreign end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American— Supplies.”

(2) Foreign End Products:

Line Item No. Country of Origin

[List as necessary]

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

DTFH7014Q00039 Page 16

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

(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States.

The terms “Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product,” “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” “Free Trade Agreement country,” “Free Trade Agreement country end product,” “Israeli end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements–Israeli Trade Act.”

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

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

Line Item No. Country of Origin

[List as necessary]

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) of this provision) as defined in the clause of this solicitation entitled “Buy American— Free Trade Agreements—Israeli Trade Act.” The offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.”

Other Foreign End Products:

Line Item No. Country of Origin

[List as necessary]

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

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

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

Canadian End Products:

Line Item No.

DTFH7014Q00039 Page 17

[List as necessary]

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

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

Canadian or Israeli End Products:

Line Item No. Country of Origin

[List as necessary]

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

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

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

Line Item No. Country of Origin

[List as necessary]

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

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

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

Other End Products:

Line Item No. Country of Origin

DTFH7014Q00039 Page 18

[List as necessary]

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

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

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

(2) o Have, o have not, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property;

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

(4) o Have, o 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.

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

(A) The tax liability is finally determined. The liability is finally determined if it has been assessed.

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

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

(ii) Examples.

(A) The taxpayer has received a statutory notice of deficiency, under I.R.C. §6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax liability.