K-9 Equipment.pdf
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SF 1449 Solicitation
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460 CONS / LGC (FA2543)
510 S. ASPEN ST.,
B1030 RM120 MS 92
BUCKLEY AFB CO 80011
720-847-9393 DSN 847
720-847-6443 DSN 847
UNDER DPAS (15 CFR 700)
11. DELIVERY FOR FOB
RFQ
SEE SCHEDULE
14. METHOD OF SOLICITATION
IFB RFP
CODE
SEE ADDENDUM
BLOCK IS MARKED
DESTINATION UNLESS
12. DISCOUNT TERMS
(No Collect Calls)
7M
13b. RATING
13a. THIS CONTRACT IS A RATED ORDER
X
CODE
FA2543-10-T-0011 22-Jun-2010
b. TELEPHONE NUMBER
720-847-9882 DSN 847
8. OFFER DUE DATE/LOCAL TIME
12:00 PM 07 Jul 2010
5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV 3/2005)
Prescribed by GSA
FAR (48 CFR) 53.212
(TYPE OR PRINT)
(SIGNATURE OF CONTRACTING OFFICER) 31c. DATE SIGNED
ADDENDA ARE
26. TOTAL AWARD AMOUNT (For Gov t. Use Only )
22. UNIT 23. UNIT PRICE 24. AMOUNT21. QUANTITY
CODE 10. THIS ACQUISITION IS
UNRESTRICTED
FAX: NAICS:
TEL:
CODE 18a. PAYMENT WILL BE MADE BYOFFEROR
SUCH ADDRESS IN OFFER
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT
BELOW IS CHECKED
TEL.
FA2543
SIZE STD:
9. ISSUED BY
FACILITY
CODE
17a.CONTRACTOR/
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK
15. DELIVER TO CODE F1K3FA 16. ADMINISTERED BY
F1K3FA (SECURITY FORCES SQ)
20 N ASPEN ST
BUCKLEY AFB CO 80011
TEL: FAX:
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
JENNIFER A. HUGHES
2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER
(TYPE OR PRINT)
30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER
30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA
27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.
25. ACCOUNTING AND APPROPRIATION DATA
1. REQUISITION NUMBER
19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES
SEE SCHEDULE
453910
TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS
SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS
SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.
SB
HUBZONE SB
SET ASIDE: 100 % FOR
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
F1K3FA0104AG02
ARE NOT ATTACHED
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED
TEL: EMAIL:
2 COPIES
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:
.OFFER DATED YOUR OFFER ON SOLICITATION
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE
X
8(A)
SVC-DISABLED VET-OWNED SB
EMERGING SB
X
X
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
(CONTINUED)
SEE SCHEDULE
19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES 21. QUANTITY 22. UNIT 24. AMOUNT
PAGE 2 OF
23. UNIT PRICE
ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED
32b. SIGNATURE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
37. CHECK NUMBER
FINALPARTIALCOMPLETE
36. PAYMENT35. AMOUNT VERIFIED
CORRECT FOR
34. VOUCHER NUMBER
FINAL
33. SHIP NUMBER
PARTIAL
38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT
41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE
42a. RECEIVED BY (Print)
42b. RECEIVED AT (Location)
42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS
STANDARD FORM 1449 (REV 3/2005) BACK
Prescribed by GSA
FAR (48 CFR) 53.212
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
FA2543-10-T-0011
Section SF 1449 - CONTINUATION SHEET
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0001 5 Each Extreme Kong X-Lrg. 3"x5" KG7857
FFP
Extreme Kong X-Lrg. 3"x5" KG7857 or equal
PURCHASE REQUEST NUMBER: F1K3FA0104AG02
SIGNAL CODE: A
NET AMT
0002 12 Each Extreme Kong Lrg. 2 3/4"x4" KG7853
FFP
Extreme Kong Lrg. 2 3/4"x4" KG7853 or equal
0003 2 Each Extreme Kong King 4"x6" KG7854
FFP
Extreme Kong King 4"x6" KG7854 or equal
0004 12 Each 1 1/4" Blk Leather Agitation Collar w/Ha
FFP
1 1/4" Blk Leather Agitation Collar w/Handle-24" 57-11H 24BK or equal
0005 3 Each 4mm Round Steel Choke 26"- HS78424
FFP
4mm Round Steel Choke 26"- HS78424 or equal
0006 3 Each 4mm Round Steel Choke 26"-HS78426
FFP
4mm Round Steel Choke 26"-HS78426 or equal
0007 2 Each 30' Ray Allen Grip-It Line 57-76-30
FFP
30' Ray Allen Grip-It Line 57-76-30 or equal
0008 2 Each Nylon Harness-Lrg. TH-3 LG
FFP
Nylon Harness-Lrg. TH-3 LG or equal
0009 10 Each Nylon Harness-Sm. TH-3 SM
FFP
Nylon Harness-Sm. TH-3 SM or equal
0010 12 Each Police Reflective Strip (1 Pair)TH3P
FFP
Police Reflective Strip (1 Pair)TH3P or equal
0011 12 Each Military Working Dog (MWD) Reflective St
FFP
Military Working Dog (MWD) Reflective Strip (1Pair) TH3MWD or equal
0012 8 Each Spill Proof Buddy Travel Bowl BB01B
FFP
Spill Proof Buddy Travel Bowl BB01B or equal
0013 2 Each Stackable Vittles Vault VV4
FFP
Stackable Vittles Vault VV4 or equal
0014 4 Each Vittle Vault Travel-Tainer VV5
FFP
Vittle Vault Travel-Tainer VV5 or equal
0015 6 Each Natural Cedar Kennel Inserts For Veri Ke
FFP
Natural Cedar Kennel Inserts For Veri Kennel (33.5"x20.75") RB500 or equal
0016 6 Each KONG Boysenberry Zoom Groom KG7864
FFP
KONG Boysenberry Zoom Groom KG7864 or equal
0017 1 Each Muzzle Vest X-Lrg 2E XL
FFP
Muzzle Vest X-Lrg 2E XL or equal
0018 1 Each Muzzle Vest Lrg. 2E LG
FFP
Muzzle Vest Lrg. 2E LG or equal
0019 6 Each Skoop-N-Pak Dog Waste Disposer OP7404
FFP
Skoop-N-Pak Dog Waste Disposer OP7404 or equal
0020 6 Each 60 Count Waist Bags OP7404
FFP
60 Count Waist Bags OP7404 or equal
0021 1 Each Doggie Dooley Sanitation Waste System-Pl
FFP
Doggie Dooley Sanitation Waste System-Plastic Tank HU100 or equal
0022 1 Each Doggie Dooley Waste Terminator-360 Grams
FFP
Doggie Dooley Waste Terminator-360 Grams-12 Month Supply HU360 or equal
0023 8 Each Syntek Ultra Mini Pup Tug-9" Long - 2 1/
FFP
Syntek Ultra Mini Pup Tug-9" Long - 2 1/2" Diameter item-11 or equal
0024 8 Each Syntek Ultra Mini Pup Tug-12" Long - 2 1
FFP
Syntek Ultra Mini Pup Tug-12" Long - 2 1/2 Diameter item -12 or equal
0025 8 Each Syntek Mini Tug w/squeaker-9 1/2" Long -
FFP
Syntek Mini Tug w/squeaker-9 1/2" Long - 2 1/2" Diameter item-13 or equal
0026 8 Each Syntek Pup Tug w/squeaker 12 1/2" Long -
FFP
Syntek Pup Tug w/squeaker 12 1/2" Long - 3" Diameter item-15 or equal
0027 8 Each Syntek Mini Tug - 16" Long - 4" Diameter
FFP
Syntek Mini Tug - 16" Long - 4" Diameter item-18 or equal
0028 6 Each Atomic Treat Ball - 3" OP03
FFP
Atomic Treat Ball - 3" OP03 or equal
0029 6 Each Atomic Treat Ball - 5" OP05
FFP
Atomic Treat Ball - 5" OP05 or equal
0030 8 Each Groovy Freeze-N-Chew OP06
FFP
Groovy Freeze-N-Chew OP06 or equal
0031 8 Each MeteorLight LED Dog Ball-DISC-O NZ3D
FFP
MeteorLight LED Dog Ball-DISC-O NZ3D or equal
0032 8 Each Air KONG Squeaker KG7863
FFP
Air KONG Squeaker KG7863 or equal
0033 4 Each Air Dog Fetch Stick w/Rope-2 1/8" X 11"
FFP
Air Dog Fetch Stick w/Rope-2 1/8" X 11" KG7860 or equal
0034 4 Each Air Dog Fetch Stick w/Squeaker-2 1/8" X
FFP
Air Dog Fetch Stick w/Squeaker-2 1/8" X 11" KGST4 or equal
0035 4 Each Air Dog Fetch Stick w/Squeaker 1 1/2" X
FFP
Air Dog Fetch Stick w/Squeaker 1 1/2" X 8" KGSTA or equal
0036 4 Each Air Dog Fetch Stick w/Squeaker 1 1/2" X
FFP
Air Dog Fetch Stick w/Squeaker 1 1/2" X 8" KGST4 or equal
0037 8 Each Kong Flyer KGKF3
FFP
Kong Flyer KGKF3 or equal
0038 6 Each Braided Jute Roll Toy w/Handle - 9" 9JH
FFP
Braided Jute Roll Toy w/Handle - 9" 9JH or equal
0039 1 Each Lrather Covered Schlagstock RA83
FFP
Lrather Covered Schlagstock RA83 or equal
0040 2 Each Delrin Whip RA84
FFP
Delrin Whip RA84 or equal
0041 2 Each Leather Covered Whip RA85
FFP
Leather Covered Whip RA85 or equal
0042 1 Each X-Lrg equip. bag (24"X48") EB1642
FFP
X-Lrg equip. bag (24"X48") EB1642 or equal
0043 1 Each Lrg equip. bag (13"X38") EB1338
FFP
Lrg equip. bag (13"X38") EB1338 or equal
0044 6 Each All-Weather MuttLuks - Lrg (Width 2.5")
FFP
All-Weather MuttLuks - Lrg (Width 2.5") PT02L or equal
0045 6 Each Single Dog Boot Lrg. 57-501 LG
FFP
Single Dog Boot Lrg. 57-501 LG or equal
0046 8 Each Doggles Dog Goggles Black DG-ILS-BK
FFP
Doggles Dog Goggles Black DG-ILS-BK or equal
0047 8 Each Doggles Replacement Lenses - Amber DG-IL
FFP
Doggles Replacement Lenses - Amber DG-ILS-LA or equal
0048 4 Each Bite Suit Hanger GU1
FFP
Bite Suit Hanger GU1 or equal
0049 1 Each Champion - 2pc Sleeve Upper and Lower 33
FFP
Champion - 2pc Sleeve Upper and Lower 33C or equal
0050 1 Each Classic Syntek Hidden Sleeve - Lrg RA9 L
FFP
Classic Syntek Hidden Sleeve - Lrg RA9 LRG or equal
0051 1 Each Neoprene Gauntlet 82RG
FFP
Neoprene Gauntlet 82RG or equal
0052 2 Each Deluxe Champion Jute Cuff w/Handle 64DLX
FFP
Deluxe Champion Jute Cuff w/Handle 64DLXH or equal
0053 2 Each Padded Gauntlet 82-2
FFP
Padded Gauntlet 82-2 or equal
0054 2 Each Trial Jacket w/2 sleeves RA7
FFP
Trial Jacket w/2 sleeves RA7 or equal
0055 2 Each Sleeve for trial jacket w/2 sleeves RA7L
FFP
Sleeve for trial jacket w/2 sleeves RA7L or equal
0056 1 Each Puppy Bite Builder-BT41
FFP
Puppy Bite Builder-BT41 or equal
INSPECTION AND ACCEPTANCE TERMS
Supplies/services will be inspected/accepted at:
CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY
0001 Destination Government Destination Government
0002 Destination Government Destination Government
0003 Destination Government Destination Government
0004 Destination Government Destination Government
0005 Destination Government Destination Government
0006 Destination Government Destination Government
0007 Destination Government Destination Government
0008 Destination Government Destination Government
0009 Destination Government Destination Government
0010 Destination Government Destination Government
0011 Destination Government Destination Government
0012 Destination Government Destination Government
0013 Destination Government Destination Government
0014 Destination Government Destination Government
0015 Destination Government Destination Government
0016 Destination Government Destination Government
0017 Destination Government Destination Government
0018 Destination Government Destination Government
0019 Destination Government Destination Government
0020 Destination Government Destination Government
0021 Destination Government Destination Government
0022 Destination Government Destination Government
0023 Destination Government Destination Government
0024 Destination Government Destination Government
0025 Destination Government Destination Government
0026 Destination Government Destination Government
0027 Destination Government Destination Government
0028 Destination Government Destination Government
0029 Destination Government Destination Government
0030 Destination Government Destination Government
0031 Destination Government Destination Government
0032 Destination Government Destination Government
0033 Destination Government Destination Government
0034 Destination Government Destination Government
0035 Destination Government Destination Government
0036 Destination Government Destination Government
0037 Destination Government Destination Government
0038 Destination Government Destination Government
0039 Destination Government Destination Government
0040 Destination Government Destination Government
0041 Destination Government Destination Government
0042 Destination Government Destination Government
0043 Destination Government Destination Government
0044 Destination Government Destination Government
0045 Destination Government Destination Government
0046 Destination Government Destination Government
0047 Destination Government Destination Government
0048 Destination Government Destination Government
0049 Destination Government Destination Government
0050 Destination Government Destination Government
0051 Destination Government Destination Government
0052 Destination Government Destination Government
0053 Destination Government Destination Government
0054 Destination Government Destination Government
0055 Destination Government Destination Government
0056 Destination Government Destination Government
DELIVERY INFORMATION
CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
0001 45 dys. ADC 5 F1K3FA (SECURITY FORCES SQ)
20 N ASPEN ST
BUCKLEY AFB CO 80011
FOB: Destination
F1K3FA
0002 45 dys. ADC 12 (SAME AS PREVIOUS LOCATION)
0003 45 dys. ADC 2 (SAME AS PREVIOUS LOCATION)
0004 45 dys. ADC 12 (SAME AS PREVIOUS LOCATION)
0005 45 dys. ADC 3 (SAME AS PREVIOUS LOCATION)
0006 45 dys. ADC 3 (SAME AS PREVIOUS LOCATION)
0007 45 dys. ADC 2 (SAME AS PREVIOUS LOCATION)
0008 45 dys. ADC 2 (SAME AS PREVIOUS LOCATION)
0009 45 dys. ADC 10 (SAME AS PREVIOUS LOCATION)
0010 45 dys. ADC 12 (SAME AS PREVIOUS LOCATION)
0011 45 dys. ADC 12 (SAME AS PREVIOUS LOCATION)
0012 45 dys. ADC 8 (SAME AS PREVIOUS LOCATION)
0013 45 dys. ADC 2 (SAME AS PREVIOUS LOCATION)
0014 45 dys. ADC 4 (SAME AS PREVIOUS LOCATION)
0015 45 dys. ADC 6 (SAME AS PREVIOUS LOCATION)
0016 45 dys. ADC 6 (SAME AS PREVIOUS LOCATION)
0017 45 dys. ADC 1 (SAME AS PREVIOUS LOCATION)
0018 45 dys. ADC 1 (SAME AS PREVIOUS LOCATION)
0019 45 dys. ADC 6 (SAME AS PREVIOUS LOCATION)
0020 45 dys. ADC 6 (SAME AS PREVIOUS LOCATION)
0021 45 dys. ADC 1 (SAME AS PREVIOUS LOCATION)
0022 45 dys. ADC 1 (SAME AS PREVIOUS LOCATION)
0023 45 dys. ADC 8 (SAME AS PREVIOUS LOCATION)
0024 45 dys. ADC 8 (SAME AS PREVIOUS LOCATION)
0025 45 dys. ADC 8 (SAME AS PREVIOUS LOCATION)
0026 45 dys. ADC 8 (SAME AS PREVIOUS LOCATION)
0027 45 dys. ADC 8 (SAME AS PREVIOUS LOCATION)
0028 45 dys. ADC 6 (SAME AS PREVIOUS LOCATION)
0029 45 dys. ADC 6 (SAME AS PREVIOUS LOCATION)
0030 45 dys. ADC 8 (SAME AS PREVIOUS LOCATION)
0031 45 dys. ADC 8 (SAME AS PREVIOUS LOCATION)
0032 45 dys. ADC 8 (SAME AS PREVIOUS LOCATION)
0033 45 dys. ADC 4 (SAME AS PREVIOUS LOCATION)
0034 45 dys. ADC 4 (SAME AS PREVIOUS LOCATION)
0035 45 dys. ADC 4 (SAME AS PREVIOUS LOCATION)
0036 45 dys. ADC 4 (SAME AS PREVIOUS LOCATION)
0037 45 dys. ADC 8 (SAME AS PREVIOUS LOCATION)
0038 45 dys. ADC 6 (SAME AS PREVIOUS LOCATION)
0039 45 dys. ADC 1 (SAME AS PREVIOUS LOCATION)
0040 45 dys. ADC 2 (SAME AS PREVIOUS LOCATION)
0041 45 dys. ADC 2 (SAME AS PREVIOUS LOCATION)
0042 45 dys. ADC 1 (SAME AS PREVIOUS LOCATION)
0043 45 dys. ADC 1 (SAME AS PREVIOUS LOCATION)
0044 45 dys. ADC 6 (SAME AS PREVIOUS LOCATION)
0045 45 dys. ADC 6 (SAME AS PREVIOUS LOCATION)
0046 45 dys. ADC 8 (SAME AS PREVIOUS LOCATION)
0047 45 dys. ADC 8 (SAME AS PREVIOUS LOCATION)
0048 45 dys. ADC 4 (SAME AS PREVIOUS LOCATION)
0049 45 dys. ADC 1 (SAME AS PREVIOUS LOCATION)
0050 45 dys. ADC 1 (SAME AS PREVIOUS LOCATION)
0051 45 dys. ADC 1 (SAME AS PREVIOUS LOCATION)
0052 45 dys. ADC 2 (SAME AS PREVIOUS LOCATION)
0053 45 dys. ADC 2 (SAME AS PREVIOUS LOCATION)
0054 45 dys. ADC 2 (SAME AS PREVIOUS LOCATION)
0055 45 dys. ADC 2 (SAME AS PREVIOUS LOCATION)
0056 45 dys. ADC 1 (SAME AS PREVIOUS LOCATION)
CLAUSES INCORPORATED BY REFERENCE
52.211-6 Brand Name or Equal AUG 1999
52.212-1 Instructions to Offerors--Commercial Items JUN 2008
52.212-4 Contract Terms and Conditions--Commercial Items MAR 2009
52.219-6 Notice Of Total Small Business Set-Aside JUN 2003
252.204-7004 Alt A Central Contractor Registration (52.204-7) Alternate A SEP 2007
252.212-7001 Contract Terms and Conditions Required to Implement
Statutes or Executive Orders Applicable to Defense
Acquisitions of Commercial Items
APR 2010
252.232-7003 Electronic Submission of Payment Requests and Receiving
Reports
MAR 2008
CLAUSES INCORPORATED BY FULL TEXT
52.212-2 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:
Lowest Price Technically Acceptable
Technical: meeting requirement specifications according to item description
(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.
(End of provision)
52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (AUG 2009)
An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual representations and certifications electronically at http://orca.bpn.gov. If an offeror has not completed the annual representations and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (c) through (m) of this provision.
(a) Definitions. As used in this provision --
"Emerging small business" means a small business concern whose size is no greater than 50 percent of the numerical size standard for the NAICS code designated.
"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.
Inverted domestic corporation 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).
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.
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.
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 the stock of which 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 its stock is owned by one or more women; or
(2) Whose management and daily business operations are controlled by one or more women.
(b) (1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the Online Representations and Certifications Application (ORCA) website.
(2) The offeror has completed the annual representations and certifications electronically via the ORCA website at http://orca.bpn.gov. After reviewing the ORCA 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 (n) 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 on ORCA.]
(c) Offerors must complete the following representations when the resulting contract will be performed in the United
States or its outlying areas. Check all that apply.
(1) Small business concern. The offeror represents as part of its offer that it ( ) is, ( ) is not a small business concern.
(2) Veteran-owned small business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents as part of its offer that it ( ) is, ( ) is not a veteran-owned small business concern.
(3) Service-disabled veteran-owned small business concern. (Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.) The offeror represents as part of its offer that it ( ) is, ( ) is not a service-disabled veteran-owned small business concern.
(4) Small disadvantaged business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents, for general statistical purposes, that it ( ) is, (
) 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 ( ) is, ( ) is not a women-owned small business concern.
Note: Complete paragraphs (c)(6) and (c)(7) only if this solicitation is expected to exceed the simplified acquisition threshold.
(6) Women-owned business concern (other than small business concern). (Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents that it ( ) is, a women-owned business concern.
(7) 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:
(8) Small Business Size for the Small Business Competitiveness Demonstration Program and for the Targeted
Industry Categories under the Small Business Competitiveness Demonstration Program. (Complete only if the offeror has represented itself to be a small business concern under the size standards for this solicitation.)
(i) (Complete only for solicitations indicated in an addendum as being set-aside for emerging small businesses in one of the designated industry groups (DIGs).) The offeror represents as part of its offer that it ( ) is, ( ) is not an emerging small business.
(ii) (Complete only for solicitations indicated in an addendum as being for one of the targeted industry categories
(TICs) or designated industry groups (DIGs).) Offeror represents as follows:
(A) Offeror's number of employees for the past 12 months (check the Employees column if size standard stated in the solicitation is expressed in terms of number of employees); or
(B) Offeror's average annual gross revenue for the last 3 fiscal years (check the Average Annual Gross Number of
Revenues column if size standard stated in the solicitation is expressed in terms of annual receipts).
(Check one of the following):
Average Annual
Number of Employees Gross Revenues
___ 50 or fewer ___ $1 million or less
___ 51 - 100 ___ $1,000,001 - $2 million
___ 101 - 250 ___ $2,000,001 - $3.5 million
___ 251 - 500 ___ $3,500,001 - $5 million
___ 501 - 750 ___ $5,000,001 - $10 million
___ 751 - 1,000 ___ $10,000,001 - $17 million
___ Over 1,000 ___ Over $17 million
(9) (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 ( ) is, ( ) 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 database maintained by the Small Business Administration (PRO-Net), 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 ( ) has, ( )( 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) 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)(9)(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: ____________.)
(10) HUBZone small business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents, as part of its offer, that--
(i) It ( ) is, ( ) is not a HUBZone small business concern listed, on the date of this representation, on the List of
Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material change in ownership and control, principal office, or HUBZone employee percentage has occurred since it was certified by the Small Business Administration in accordance with 13 CFR part 126; and
(ii) It ( ) is, ( ) is not s joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for the HUBZone small business concern or concerns that are participating in the joint venture. (The offeror shall enter the name or names of the HUBZone small business concern or concerns that are participating in the joint venture:____________.) Each HUBZone small business concern participating in the joint venture shall submit a separate signed copy of the HUBZone representation.
(d) Certifications and representations required to implement provisions of Executive Order 11246--
(1) Previous Contracts and Compliance. The offeror represents that--
(i) It ( ) has, ( ) has not, participated in a previous contract or subcontract subject either to the Equal Opportunity clause of this solicitation, the and
(ii) It ( ) has, ( ) has not, filed all required compliance reports.
(2) Affirmative Action Compliance. The offeror represents that--
(i) It ( ) has developed and has on file, ( ) has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR Subparts 60-1 and
60-2), or
(ii) It ( ) has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.
(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $100,000.) 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 Act Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy
American Act --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 Act--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.
(g)(1) Buy American Act-Free Trade Agreements-Israeli Trade Act Certificate. (Applies only if the clause at FAR
52.225-3, Buy American Act-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, 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 Act-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, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled ``Buy American Act--Free Trade Agreements--Israeli Trade Act'':
Free Trade Agreement Country End Products (Other than Bahrainian, Moroccan, Omani, or Peruvian End Products) or Israeli End Products:
Line Item No.
[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 Act-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
(iv) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.
(2) Buy American Act-Free Trade Agreements-Israeli Trade Act Certificate, Alternate I (Jan 2004). 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 Act-Free Trade Agreements-Israeli Trade Act":
Canadian End Products:
Line Item No.
(3) Buy American Act-Free Trade Agreements-Israeli Trade Act Certificate, Alternate II (Jan 2004). 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 Act-Free Trade Agreements-Israeli Trade Act":
Canadian or Israeli End Products:
Line Item No. Country of Origin
[List as necessary]
(4) 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)(4)(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
(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 Act. 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). The offeror certifies, to the best of its knowledge and belief, that --
(1) The offeror and/or any of its principals ( ) are, ( ) are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency,
(2) ( ) Have, ( ) have not, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property; and
(3) ( ) are, ( ) are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses enumerated in paragraph (h)(2) of this clause; and
(4) ( ) Have, ( ) have not, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds $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. 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.
(B) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. 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.
(C) 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.
(D) The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. 362 (the Bankruptcy Code).
(i) Certification Regarding Knowledge of Child Labor for Listed End Products (Executive Order 13126). (The
Contracting Officer must list in paragraph (i)(1) any end products being acquired under this solicitation that are included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, unless excluded at 22.1503(b).)
(1) Listed End Product
Listed End Product · Listed Countries of Origin:
(2) Certification. (If the Contracting Officer has identified end products and countries of origin in paragraph (i)(1) of this provision, then the offeror must certify to either (i)(2)(i) or (i)(2)(ii) by checking the appropriate block.)
( )(i) The offeror will not supply any end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product.
( ) (ii) The offeror may supply an end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product. The offeror certifies that is has made a good faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture any such end product furnished under this contract. On the basis of those efforts, the offeror certifies that it is not aware of any such use of child labor.
(j) Place of manufacture. (Does not apply unless the solicitation is predominantly for the acquisition of manufactured end products.) For statistical purposes only, the offeror shall indicate whether the place of manufacture of the end products it expects to provide in response to this solicitation is predominantly--
(1) ( ) In the United States (Check this box if the total anticipated price of offered end products manufactured in the
United States exceeds the total anticipated price of offered end products manufactured outside the United States); or
(2) ( ) Outside the United States.
(k) Certificates regarding exemptions from the application of the Service Contract Act. (Certification by the offeror as to its compliance with respect to the contract also constitutes its certification as to compliance by its subcontractor if it subcontracts out the exempt services.) (The contracting officer is to check a box to indicate if paragraph (k)(1) or (k)(2) applies.)
( ) (1) Maintenance, calibration, or repair of certain equipment as described in FAR 22.1003-4(c)(1). The offeror ( ) does ( ) does not certify that--
(i) The items of equipment to be serviced under this contract are used regularly for other than Governmental purposes and are sold or traded by the offeror in substantial quantities to the general public in the course of normal business operations;
(ii) The services will be furnished at prices which are, or are based on, established catalog or market prices (see FAR
22.1003-4(c)(2)(ii)) for the maintenance, calibration, or repair of such equipment; and
(iii) The compensation (wage and fringe benefits) plan for all service employees performing work under the contract will be the same as that used for these employees and equivalent employees servicing the same equipment of commercial customers.
( ) (2) Certain services as described in FAR 22.1003-4(d)(1). The offeror ( ) does ( ) does not certify that--
(i) The services under the contract are offered and sold regularly to non-Governmental customers, and are provided by the offeror (or subcontractor in the case of an exempt subcontract) to the general public in substantial quantities in the course of normal business operations;
(ii) The contract services will be furnished at prices that are, or are based on, established catalog or market prices
(see FAR 22.1003-4(d)(2)(iii));
(iii) Each service employee who will perform the services under the contract will spend only a small portion of his or her time (a monthly average of less than 20 percent of the available hours on an annualized basis, or less than 20 percent of available hours during the contract period if the contract period is less than a month) servicing the
Government contract; and
(iv) The compensation (wage and fringe benefits) plan for all service employees performing work under the contract is the same as that used for these employees and equivalent employees servicing commercial customers.
(3) If paragraph (k)(1) or (k)(2) of this clause applies--
(i) If the offeror does not certify to the conditions in paragraph (k)(1) or (k)(2) and the Contracting Officer did not attach a Service Contract Act wage determination to the solicitation, the offeror shall notify the Contracting Officer as soon as possible; and
(ii) The Contracting Officer may not make an award to the offeror if the offeror fails to execute the certification in paragraph (k)(1) or (k)(2) of this clause or to contact the Contracting Officer as required in paragraph (k)(3)(i) of this clause.
(l) Taxpayer Identification Number (TIN) (26 U.S.C. 6109, 31 U.S.C. 7701). (Not applicable if the offeror is required to provide this information to a central contractor registration database to be eligible for award.)
(1) All offerors must submit the information required in paragraphs (l)(3) through (l)(5) of this provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by the Internal Revenue Service (IRS).
(2) The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the resulting contract is subject to the payment reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror's TIN.
(3) 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 have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States;
( ) Offeror is an agency or instrumentality of a foreign government;
( ) Offeror is an agency or instrumentality of the Federal Government.
(4) Type of organization.
( ) Sole proprietorship;
( ) Partnership;
( ) Corporate entity (not tax-exempt);
( ) Corporate entity (tax-exempt);
( ) Government entity (Federal, State, or local);
( ) Foreign government;
( ) International organization per 26 CFR 1.6049-4;
( ) Other ----------.
(5) Common parent.
( ) Offeror is not owned or controlled by a common parent;
( ) Name and TIN of common parent:
Name --------------------.
TIN --------------------.
(m) Restricted business operations in Sudan. By submission of its offer, the offeror certifies that the offeror does not conduct any restricted business operations in Sudan.
(n) Prohibition on Contracting with Inverted Domestic Corporations.
(1) Relation to Internal Revenue Code. A foreign entity that is treated as an inverted domestic corporation for purposes of the Internal Revenue Code at 26 U.S.C. 7874 (or would be except that the inversion transactions were completed on or before March 4, 2003), is also an inverted domestic corporation for purposes of 6 U.S.C. 395 and for this solicitation provision (see FAR 9.108).
(2) Representation. By submission of its offer, the offeror represents that it is not an inverted domestic corporation and is not a subsidiary of one.
52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR
EXECUTIVE ORDERS--COMMERCIAL ITEMS (APR 2010) (DEVIATION)
(a) Comptroller General Examination of Record. The Contractor agrees to comply with the provisions of this paragraph (a) if the contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records-Negotiation.
(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to the right to examine any of the Contractor's directly pertinent records involving transactions related to this…
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