FA3010-15-R-0021_RADIATION_THERAPY_SERVICES.pdf

81ST CONTRACTING SQUADRON

CYNTHIA LEE

310 M STREET, RM 102

KEESLER AFB MS 39534-2701

228-377-1802

228-377-3298

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)

15m

13b. RATING

13a. THIS CONTRACT IS A RATED ORDER

X

CODE

FA3010-15-R-0021 24-Aug-2015

b. TELEPHONE NUMBER

228-377-1802

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 04 Sep 2015

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.

FA3010

SIZE STD:

9. ISSUED BY

FACILITY

CODE

17a.CONTRACTOR/

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

15. DELIVER TO CODE F2J4PC 16. ADMINISTERED BY

PROFESSIONAL CONTRACTS-MEDICAL - F2J4PC

PROFESSIONAL CONTRACTS

301 FISHER STREET, RM BA-159

KEESLER AFB MS 39534-5300

TEL: 228-376-5002 FAX:

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

CYNTHIA C. LEE

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

621512

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

F2J4PC5147AW02

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:

1 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

FA3010-15-R-0021

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 2,000 Hours R/Therapy Dosimetrist

FFP

Radiation Therapy Senior Certified Medical Dosimetrist

1 Oct 15 - 30 Sep 16

FOB: Destination

PURCHASE REQUEST NUMBER: F2J4PC5147AW02

SIGNAL CODE: A

NET AMT

0002 200 Hours Dosimetrist Overage

FFP

Radiation Therapy Senior Certified Medical Dosimetrist Overage

1 Oct 15 - 30 Sep 16

FOB: Destination

0003 2,000 Hours Jr Dosimetrist

FFP

Radiation Therapy Staff Certified Medical Dosimetrist/ Radiation Therapist

1 Oct 15 - 30 Sep 16

FOB: Destination

0004 200 Hours Jr Dosimetrist Overage

FFP

Radiation Therapy Staff Certified Medical Dosimetrist/ Radiation Therapist overage

1 Oct 15 - 30 Sep 16

FOB: Destination

0005 2,000 Hours R/Therapy Administrative

FFP

Radiation Therapy Administrative Radiation Therapist

1 Oct 15 - 30 Sep 16

FOB: Destination

0006 200 Hours Administrative Overage

FFP

Radiation Therapy Administrative Radiation Therapist overage

1 Oct 15 - 30 Sep 16

FOB: Destination

0007 2,000 Hours R/ Therapy Simulation

FFP

Radiation Therapy Simulation Radiation Therapist

1 Oct 15 - 30 Sep 16

FOB: Destination

0008 200 Hours Simulation Overage

FFP

Radiation Therapy Simulation Radiation Therapist overage

1 Oct 15 - 30 Sep 16

FOB: Destination

0009 2,000 Hours R/ Therapy Staff

FFP

Radiation Therapy Staff Radiation Therapist

1 Oct 15 - 30 Sep 16

FOB: Destination

0010 200 Hours Staff Overage

FFP

Radiation Therapy Staff Radiation Therapist overage

1 Oct 15 - 30 Sep 16

FOB: Destination

0011 2,000 Hours Certified Physicist

FFP

Radiation Therapy Certified Senior Medical Physicist.

1 Oct 15 - 30 Sep 16

FOB: Destination

0012 200 Hours Physicist Overage

FFP

Radiation Therapy Certified Senior Medical Physicist overage

1 Oct 15 - 30 Sep 16

FOB: Destination

1001 2,000 Hours OPTION R/Therapy Dosimetrist

FFP

Radiation Therapy Senior Certified Medical Dosimetrist

1 Oct 16 - 30 Sep 17

FOB: Destination

1002 200 Hours OPTION Dosimetrist Overage

FFP

Radiation Therapy Senior Certified Medical Dosimetrist Overage

1 Oct 16 - 30 Sep 17

1003 2,000 Hours OPTION Jr Dosimetrist

FFP

Radiation Therapy Staff Certified Medical Dosimetrist/ Radiation Therapist

1 Oct 16 - 30 Sep 17

1004 200 Hours OPTION Jr Dosimetrist Overage

FFP

Radiation Therapy Staff Certified Medical Dosimetrist/ Radiation Therapist overage

1 Oct 16 - 30 Sep 17

1005 2,000 Hours OPTION R/Therapy Administrative

FFP

Radiation Therapy Administrative Radiation Therapist

1 Oct 16 - 30 Sep 17

1006 200 Hours OPTION Administrative Overage

FFP

Radiation Therapy Administrative Radiation Therapist overage

1 Oct 16 - 30 Sep 17

1007 2,000 Hours OPTION R/ Therapy Simulation

FFP

Radiation Therapy Simulation Radiation Therapist

1 Oct 16 - 30 Sep 17

1008 200 Hours OPTION Simulation Overage

FFP

Radiation Therapy Simulation Radiation Therapist overage

1 Oct 16 - 30 Sep 17

1009 2,000 Hours OPTION R/ Therapy Staff

FFP

Radiation Therapy Staff Radiation Therapist

1 Oct 16 - 30 Sep 17

1010 200 Hours OPTION Staff Overage

FFP

Radiation Therapy Staff Radiation Therapist overage

1 Oct 16 - 30 Sep 17

1011 2,000 Hours OPTION Certified Physicist

FFP

Radiation Therapy Certified Senior Medical Physicist.

1 Oct 16 - 30 Sep 17

1012 200 Hours OPTION Physicist Overage

FFP

Radiation Therapy Certified Senior Medical Physicist overage

1 Oct 16 - 30 Sep 17

2001 2,000 Hours OPTION R/Therapy Dosimetrist

FFP

Radiation Therapy Senior Certified Medical Dosimetrist

1 Oct 17 - 30 Sep 18

2002 200 Hours OPTION Dosimetrist Overage

FFP

Radiation Therapy Senior Certified Medical Dosimetrist Overage

1 Oct 17 - 30 Sep 18

2003 2,000 Hours OPTION Jr Dosimetrist

FFP

Radiation Therapy Staff Certified Medical Dosimetrist/ Radiation Therapist

1 Oct 17 - 30 Sep 18

2004 200 Hours OPTION Jr Dosimetrist Overage

FFP

Radiation Therapy Staff Certified Medical Dosimetrist/ Radiation Therapist overage

1 Oct 17 - 30 Sep 18

2005 2,000 Hours OPTION R/Therapy Administrative

FFP

Radiation Therapy Administrative Radiation Therapist

1 Oct 17 - 30 Sep 18

2006 200 Hours OPTION Administrative Overage

FFP

Radiation Therapy Administrative Radiation Therapist overage

1 Oct 17 - 30 Sep 18

2007 2,000 Hours OPTION R/ Therapy Simulation

FFP

Radiation Therapy Simulation Radiation Therapist

1 Oct 17 - 30 Sep 18

2008 200 Hours OPTION Simulation Overage

FFP

Radiation Therapy Simulation Radiation Therapist overage

1 Oct 17 - 30 Sep 18

2009 2,000 Hours OPTION Radiation Therapy Staff

FFP

Radiation Therapy Staff Radiation Therapist

1 Oct 17 - 30 Sep 18

2010 200 Hours OPTION Staff Overage

FFP

Radiation Therapy Staff Radiation Therapist overage

1 Oct 17 - 30 Sep 18

2011 2,000 Hours OPTION Certified Physicist

FFP

Radiation Therapy Certified Senior Medical Physicist.

1 Oct 17 - 30 Sep 18

2012 200 Hours OPTION Physicist Overage

FFP

Radiation Therapy Certified Senior Medical Physicist overage

1 Oct 17 - 30 Sep 18

3001 2,000 Hours OPTION R/Therapy Dosimetrist

FFP

Radiation Therapy Senior Certified Medical Dosimetrist

1 Oct 18 - 30 Sep 19

3002 200 Hours OPTION Dosimetrist Overage

FFP

Radiation Therapy Senior Certified Medical Dosimetrist Overage

1 Oct 18 - 30 Sep 19

3003 2,000 Hours OPTION Jr Dosimetrist

FFP

Radiation Therapy Staff Certified Medical Dosimetrist/ Radiation Therapist

1 Oct 18 - 30 Sep 19

3004 200 Hours OPTION Jr Dosimetrist Overage

FFP

Radiation Therapy Staff Certified Medical Dosimetrist/ Radiation Therapist overage

1 Oct 18 - 30 Sep 19

3005 2,000 Hours OPTION R/Therapy Administrative

FFP

Radiation Therapy Administrative Radiation Therapist

1 Oct 18 - 30 Sep 19

3006 200 Hours OPTION Administrative Overage

FFP

Radiation Therapy Administrative Radiation Therapist overage

1 Oct 18 - 30 Sep 19

3007 2,000 Hours OPTION R/ Therapy Simulation

FFP

Radiation Therapy Simulation Radiation Therapist

1 Oct 18 - 30 Sep 19

3008 200 Hours OPTION Simulation Overage

FFP

Radiation Therapy Simulation Radiation Therapist Overage

1 Oct 18 - 30 Sep 19

3009 2,000 Hours OPTION R/ Therapy Staff

FFP

Radiation Therapy Staff Radiation Therapist

1 Oct 18 - 30 Sep 19

3010 200 Hours OPTION Staff Overage

FFP

Radiation Therapy Staff Radiation Therapist overage

1 Oct 18 - 30 Sep 19

3011 2,000 Hours OPTION Certified Physicist

FFP

Radiation Therapy Certified Senior Medical Physicist.

1 Oct 18 - 30 Sep 19

3012 200 Hours OPTION Physicist Overage

FFP

Radiation Therapy Certified Senior Medical Physicist overage

1 Oct 18 - 30 Sep 19

4001 2,000 Hours OPTION R/Therapy Dosimetrist

FFP

Radiation Therapy Senior Certified Medical Dosimetrist

1 Oct 19 - 30 Sep 20

4002 200 Hours OPTION Dosimetrist Overage

FFP

Radiation Therapy Senior Certified Medical Dosimetrist Overage

1 Oct 19 - 30 Sep 20

4003 2,000 Hours OPTION Jr Dosimetrist

FFP

Radiation Therapy Staff Certified Medical Dosimetrist/ Radiation Therapist

1 Oct 19 - 30 Sep 20

4004 200 Hours OPTION Jr Dosimetrist Overage

FFP

Radiation Therapy Staff Certified Medical Dosimetrist/ Radiation Therapist overage

1 Oct 19 - 30 Sep 20

4005 2,000 Hours OPTION R/Therapy Administrative

FFP

Radiation Therapy Administrative Radiation Therapist

1 Oct 19 - 30 Sep 20

4006 200 Hours OPTION Administrative Overage

FFP

Radiation Therapy Administrative Radiation Therapist overage

1 Oct 19 - 30 Sep 20

4007 2,000 Hours OPTION R/ Therapy Simulation

FFP

Radiation Therapy Simulation Radiation Therapist

1 Oct 19 - 30 Sep 20

4008 200 Hours OPTION Simulation Overage

FFP

Radiation Therapy Simulation Radiation Therapist overage

1 Oct 19 - 30 Sep 20

4009 2,000 Hours OPTION R/ Therapy Staff

FFP

Radiation Therapy Staff Radiation Therapist

1 Oct 19 - 30 Sep 20

4010 200 Hours OPTION Staff Overage

FFP

Radiation Therapy Staff Radiation Therapist overage

1 Oct 19 - 30 Sep 20

4011 2,000 Hours OPTION Certified Physicist

FFP

Radiation Therapy Certified Senior Medical Physicist.

1 Oct 19 - 30 Sep 20

4012 200 Hours OPTION Physicist Overage

FFP

Radiation Therapy Certified Senior Medical Physicist overage

1 Oct 19 - 30 Sep 20

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 POP 01-OCT-2015 TO

30-SEP-2016

N/A PROFESSIONAL CONTRACTS-MEDICAL -

F2J4PC

PROFESSIONAL CONTRACTS

301 FISHER STREET, RM BA-159

KEESLER AFB MS 39534-5300

228-376-5002

F2J4PC

0002 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-OCT-2015 TO

07-SEP-2016

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0010 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0011 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0012 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-OCT-2016 TO

30-SEP-2017

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1007 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1008 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1009 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1010 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1011 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1012 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 01-OCT-2017 TO

30-SEP-2018

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2006 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2007 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2008 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2009 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2010 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2011 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2012 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 01-OCT-2018 TO

30-SEP-2019

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3006 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3007 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3008 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3009 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3010 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3011 POP 30-SEP-2018 TO

01-SEP-2019

N/A (SAME AS PREVIOUS LOCATION)

3012 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 01-OCT-2019 TO

30-SEP-2020

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4006 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4007 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4008 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4009 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4010 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4011 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4012 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.202-1 Definitions NOV 2013

52.203-3 Gratuities APR 1984

52.203-6 Restrictions On Subcontractor Sales To The Government SEP 2006

52.203-6 Alt I Restrictions On Subcontractor Sales To The Government

(Sep 2006) -- Alternate I

OCT 1995

52.203-11 Certification And Disclosure Regarding Payments To

Influence Certain Federal Transactions

SEP 2007

52.203-17 Contractor Employee Whistleblower Rights and Requirement

To Inform Employees of Whistleblower Rights

APR 2014

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber

Content Paper

MAY 2011

52.204-7 System for Award Management JUL 2013

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.204-10 Reporting Executive Compensation and First-Tier Subcontract

Awards

JUL 2013

52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for

Debarment

AUG 2013

52.209-7 Information Regarding Responsibility Matters JUL 2013

52.209-9 Updates of Publicly Available Information Regarding

Responsibility Matters

JUL 2013

52.209-10 Prohibition on Contracting With Inverted Domestic

Corporations

DEC 2014

52.212-1 Instructions to Offerors--Commercial Items APR 2014

52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015

52.217-5 Evaluation Of Options JUL 1990

52.219-14 Limitations On Subcontracting NOV 2011

52.219-18 Notification Of Competition Limited To Eligible 8 (A)

Concerns

JUN 2003

52.222-3 Convict Labor JUN 2003

52.222-17 Nondisplacement of Qualified Workers MAY 2014

52.222-21 Prohibition Of Segregated Facilities APR 2015

52.222-26 Equal Opportunity APR 2015

52.222-35 Equal Opportunity for Veterans JUL 2014

52.222-36 Equal Opportunity for Workers with Disabilities JUL 2014

52.222-37 Employment Reports on Veterans JUL 2014

52.222-40 Notification of Employee Rights Under the National Labor

Relations Act

DEC 2010

52.222-46 Evaluation Of Compensation For Professional Employees FEB 1993

52.222-50 Combating Trafficking in Persons MAR 2015

52.222-51 Exemption from Application of the Service Contract Labor

Standards to Contracts for Maintenance, Calibration, or

Repair of Certain Equipment--Requirements

MAY 2014

52.222-52 Exemption from Application of the Service Contract Labor

Standards to Contracts for Certain Services--Certification

MAY 2014

52.222-53 Exemption from Application of the Service Contract Labor

Standards to Contracts for Certain Services--Requirements

MAY 2014

52.222-54 Employment Eligibility Verification AUG 2013

52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011

52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.224-1 Privacy Act Notification APR 1984

52.224-2 Privacy Act APR 1984

52.225-13 Restrictions on Certain Foreign Purchases JUN 2008

52.225-25 Prohibition on Contracting with Entities Engaging in Certain

Activities or Transactions Relating to Iran-- Representation and Certifications.

DEC 2012

52.228-5 Insurance - Work On A Government Installation JAN 1997

52.232-1 Payments APR 1984

52.232-8 Discounts For Prompt Payment FEB 2002

52.232-18 Availability Of Funds APR 1984

52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

JUL 2013

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013

52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.233-3 Protest After Award AUG 1996

52.233-4 Applicable Law for Breach of Contract Claim OCT 2004

52.237-1 Site Visit APR 1984

52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.237-3 Continuity Of Services JAN 1991

52.237-10 Identification of Uncompensated Overtime MAR 2015

52.242-13 Bankruptcy JUL 1995

52.244-6 Subcontracts for Commercial Items APR 2015

52.246-4 Inspection Of Services--Fixed Price AUG 1996

52.249-12 Termination (Personal Services) APR 1984

52.253-1 Computer Generated Forms JAN 1991

252.201-7000 Contracting Officer's Representative DEC 1991

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013

252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7003 Control Of Government Personnel Work Product APR 1992

252.204-7004 Alt A System for Award Management Alternate A FEB 2014

252.204-7012 Safeguarding of Unclassified Controlled Technical

Information

NOV 2013

252.204-7015 Disclosure of Information to Litigation Support Contractors FEB 2014

252.205-7000 Provision Of Information To Cooperative Agreement Holders DEC 1991

252.209-7004 Subcontracting With Firms That Are Owned or Controlled By

The Government of a Country that is a State Sponsor of

Terrorism

DEC 2014

252.209-7999 (Dev) Representation by Corporations Regarding an Unpaid

Delinquent Tax Liability or a Felony Conviction under any

Federal Law (Deviation)

JAN 2012

252.219-7010 Alternate A JUN 1998

252.222-7007 Representation Regarding Combating Trafficking in Persons JAN 2015

252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or

Hazardous Materials

SEP 2014

252.225-7048 Export-Controlled Items JUN 2013

252.226-7001 Utilization of Indian Organizations and Indian-Owned

Economic Enterprises, and Native Hawaiian Small Business

Concerns

SEP 2004

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006

252.237-7010 Prohibition on Interrogation of Detainees by Contractor

Personnel

JUN 2013

252.243-7001 Pricing Of Contract Modifications DEC 1991

252.243-7002 Requests for Equitable Adjustment DEC 2012

252.247-7023 Transportation of Supplies by Sea APR 2014

252.247-7024 Notification Of Transportation Of Supplies By Sea MAR 2000

CLAUSES INCORPORATED BY FULL TEXT

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

(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 factor(s) shall be used to evaluate offers:

(1) Past Performance

(2) Price

Past performance is significantly more important than price when being evaluated.

(b) Initially offers shall be ranked according to price. The price evaluation will document the reasonableness of the proposed total evaluated price. An offeror’s proposed prices will be determined by multiplying the quantities identified in the Pricing Schedule by the unit price for each item to confirm the extended amount of each. Copies of the Pricing Schedule will be necessary in order to submit a proposal for each Option Year.

(c) The contracting officer shall seek relevant performance information on all offerors based on (1) information obtained from the Contractor Performance Assessment Report (CPAR) system (2) data independently obtained from other government and commercial sources. For the purpose of this solicitation, recent contracts are defined as those on which some portion of performance occurred during the last three (3) years from date of receipt of proposal.

Relevant performance includes performance of efforts that are similar or greater in scope and magnitude than the effort described in this solicitation. Relevancy ratings are defined in Table 4 of the DOD Source Selection

Procedures. The offeror may be asked to submit additional references that can provide relevant past performance information if the contracting officer cannot locate sufficient CPAR information. The purpose of the past performance evaluation is to allow the government to assess the offeror’s ability to perform the effort described in this RFP, based on the offeror’s demonstrated present and past performance. The assessment process will result in an overall performance confidence assessment of Substantial Confidence, Satisfactory Confidence, Limited

Confidence, No Confidence, or Unknown Confidence as defined in Table 5 of the DOD Source Selection

Procedures. Offerors with no relevant past or present performance history or the offeror’s performance record is so limited that no confidence assessment rating can be reasonably assigned shall receive the rating "Unknown

Confidence," meaning the rating is treated neither favorably nor unfavorably.

(d) If the lowest priced evaluated offer is judged to have a Substantial Confidence performance assessment, that offer represents the best value for the government and the evaluation process stops at this point. Award shall be made to that offeror without further consideration of any other offers.

(e) If the lowest priced offeror is not judged to have a Substantial Confidence performance confidence assessment, the next lowest priced offeror will be evaluated and the process will continue (in order by price) until an offeror is judged to have a Substantial Confidence performance confidence assessment or until all offerors are evaluated. The

Source Selection Authority shall then make an integrated assessment best value award decision.

(f) In evaluating past performance, the government reserves the right to give greater consideration to information on those contracts deemed most relevant to the effort described in this solicitation.

(g) Offerors may be asked to clarify certain aspects of their proposal and respond to adverse past performance information to which the offeror has not previously has an opportunity to respond. Adverse past performance is defined as past performance information that supports a less than satisfactory rating on any evaluation element or any unfavorable comments received from sources without a formal rating system. Communication conducted to resolve minor or clerical errors will not constitute discussions and the contracting officer reserves the right to award a contract without the opportunity for proposal revision.

(h) Offerors shall propose on all items. If there is to be no charge for an item, an entry such as “no charge”, or the letters “N/C” or “0” must be made in the unit price column. Any offer that fails to cite a price for each item or fails to make an entry that indicates services will be provided at no charge will be rejected as nonconforming to this solicitation.

(i) Only firm fixed-price offers will be evaluated. An offer using a sliding price scale or subject to escalation based on any contingency will not be accepted and will be considered nonconforming to this solicitation.

(j) The government intends to award a contract without discussions with respective offerors. The government, however, reserves the right to conduct discussion if deemed in its best interest.

(k) 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. Evaluation of options shall not obligate the Government to exercise the option(s).

(l) 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 (MAR 2015)

ALTERNATE I (OCT 2014)

The offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site accessed through http://www.acquisition.gov . If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (p) 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.

“Highest-level owner” means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

“Immediate owner” means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: Ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

“Inverted domestic corporation,” means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

“Manufactured end product” means any end product in product and service codes (PSCs) 1000-9999, except—

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

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

http://www.acquisition.gov/

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

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

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

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

(8) PSC 9610, Ores;

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

(10) PSC 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—

(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.

“Small disadvantaged business concern, consistent with 13 CFR 124.1002,” means a small business concern under the size standard applicable to the acquisition, that--

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by--

(i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

“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 the 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.

(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 SAMwebsite.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representation 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 (p) 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 is to 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 that it [ ___ ] is, [ ___ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

https://www.acquisition.gov/

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

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

(i) It [ ___ ] is, [ ___ ] 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 [ ___ ] is, [ ___ ] 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.

(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 [ ___ ] is, [ ___ ] 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 [ ___ ] is, [ ___ ] 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.

(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 [ ___ ] 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) 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 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 [ ___ ] is, [ ___ ] is not a HUBZone 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 each HUBZone small business concern 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.

(11) (Complete if the offeror has represented itself as disadvantaged in paragraph (c)(4) of this provision.)

[The offeror shall check the category in which its ownership falls]:

___ Black American.

___ Hispanic American.

___ Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians).

___ Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, Republic of Palau, Republic of the Marshall Islands, Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).

___ Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri

Lanka, Bhutan, the Maldives Islands, or Nepal).

___ Individual/concern, other than one of the preceding.

(d) 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 to the Equal

Opportunity clause of this solicitation; 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 parts

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 $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.

(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) or this provision) as defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements—

Israeli Trade Act.” The offeror shall list as other foreign end products those end products manufactured in the United

States that do not qualify as domestic end products, 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.:

[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:

[List as necessary]

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