PRK_-_FA3010-16-R-0016_Solicitation.pdf

81ST CONTRACTING SQUADRON

PAUL MONTGOMERY

310 M STREET, RM 102

KEESLER AFB MS 39534-2701

228-377-1814 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)

$7.5M

13b. RATING

13a. THIS CONTRACT IS A RATED ORDER

X

CODE

FA3010-16-R-0016 03-Aug-2016

b. TELEPHONE NUMBER

228-377-1814

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 17 Aug 2016

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 X ARE

26. TOTAL AWARD AMOUNT (For Govt. 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

PAUL MONTGOMERY

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

1 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.X

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES

SEE SCHEDULE

621320

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

F2J4PC6088AW01

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

FA3010-16-R-0016

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 2,000 Hours Optometrist

FFP

Optometrist 1 FTE in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service FOB: Destination

PURCHASE REQUEST NUMBER: F2J4PC6088AW01

SIGNAL CODE: A

NET AMT

0002 1 Each Registration or Conference Fees

FFP

Registration or Conference Fees for Optometrist in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Registration or Conference Fees Line Item Cost is NOT TO EXCEED $2000.00.

FOB: Destination

0003 1 Each Travel

FFP

Travel Optometrist in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Travel For Optometrist Line Item Cost is NOT TO EXCEED $6000.00.

FOB: Destination

0004 8,000 Hours Opthalmic Technicians

FFP

Opthalmic Technicians (4 FTES) - in accordance with PWS dated 20 July 2016.

Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service FOB: Destination

0005 800 Hours Overage

FFP

Overage for Opthalmic Technicians (4 FTES) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service FOB: Destination

0006 4,000 Hours Medical Records Clerk PRK

FFP

Medical Records Clerk PRK (2 FTE) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service FOB: Destination

0007 2,000 Hours Clinic Manager PRK

FFP

Clinic Manager PRK (1 FTE) - in accordance with PWS dated 20 July 2016.

Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service FOB: Destination

0008 200 Hours Overage

FFP

Overage Clinic Manager PRK (1 FTE) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service FOB: Destination

0009 1 Each Registration or Conferences Fees

FFP

Registration or Conferences fees for Clinic Manager PRK (1 FTE). In accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep

17. Non-Personal Service

Registration or Conference Fees Line Item Cost is NOT TO EXCEED $2000.00.

FOB: Destination

0010 1 Each Travel

FFP

Travel for Clinic Manager PRK (1 FTE). In accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Travel For Clinic Manager Line Item Cost is NOT TO EXCEED $6000.00.

FOB: Destination

1001 2,000 Hours OPTION Optometrist

FFP

Optometrist 1 FTE in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service FOB: Destination

1002 1 Each OPTION Registration or Conference Fees

FFP

Registration or Conference Fees for Optometrist in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Registration or Conference Fees Line Item Cost is NOT TO EXCEED $2000.00.

1003 1 Each OPTION Travel

FFP

Travel Optometrist in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Travel For Optometrist Line Item Cost is NOT TO EXCEED $6000.00.

1004 8,000 Hours OPTION Opthalmic Technicians

FFP

Opthalmic Technicians (4 FTES) - in accordance with PWS dated 20 July 2016.

Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

1005 800 Hours OPTION Overage

FFP

Overage for Opthalmic Technicians (4 FTES) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

1006 4,000 Hours OPTION Medical Records Clerk PRK

FFP

Medical Records Clerk PRK (2 FTE) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

1007 2,000 Hours OPTION Clinic Manager PRK

FFP

Clinic Manager PRK (1 FTE) - in accordance with PWS dated 20 July 2016.

Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

1008 200 Hours OPTION Overage

FFP

Overage Clinic Manager PRK (1 FTE) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

1009 1 Each OPTION Registration or Conferences Fees

FFP

Registration or Conferences fees for Clinic Manager PRK (1 FTE). In accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep

17. Non-Personal Service

Registration or Conference Fees Line Item Cost is NOT TO EXCEED $2000.00.

1010 1 Each OPTION Travel

FFP

Travel for Clinic Manager PRK (1 FTE). In accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Travel For Clinic Manager Line Item Cost is NOT TO EXCEED $6000.00.

2001 2,000 Hours OPTION Optometrist

FFP

Optometrist 1 FTE in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

2002 1 Each OPTION Registration or Conference Fees

FFP

Registration or Conference Fees for Optometrist in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Registration or Conference Fees Line Item Cost is NOT TO EXCEED $2000.00.

2003 1 Each OPTION Travel

FFP

Travel Optometrist in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Travel For Optometrist Line Item Cost is NOT TO EXCEED $6000.00.

2004 8,000 Hours OPTION Opthalmic Technicians

FFP

Opthalmic Technicians (4 FTES) - in accordance with PWS dated 20 July 2016.

Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

2005 800 Hours OPTION Overage

FFP

Overage for Opthalmic Technicians (4 FTES) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

2006 4,000 Hours OPTION Medical Records Clerk PRK

FFP

Medical Records Clerk PRK (2 FTE) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

2007 2,000 Hours OPTION Clinic Manager PRK

FFP

Clinic Manager PRK (1 FTE) - in accordance with PWS dated 20 July 2016.

Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

2008 200 Hours OPTION Overage

FFP

Overage Clinic Manager PRK (1 FTE) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

2009 1 Each OPTION Registration or Conferences Fees

FFP

Registration or Conferences fees for Clinic Manager PRK (1 FTE). In accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep

17. Non-Personal Service

Registration or Conference Fees Line Item Cost is NOT TO EXCEED $2000.00.

2010 1 Each OPTION Travel

FFP

Travel for Clinic Manager PRK (1 FTE). In accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Travel For Clinic Manager Line Item Cost is NOT TO EXCEED $6000.00.

3001 2,000 Hours OPTION Optometrist

FFP

Optometrist 1 FTE in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

3002 1 Each OPTION Registration or Conference Fees

FFP

Registration or Conference Fees for Optometrist in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Registration or Conference Fees Line Item Cost is NOT TO EXCEED $2000.00.

3003 1 Each OPTION Travel

FFP

Travel Optometrist in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Travel For Optometrist Line Item Cost is NOT TO EXCEED $6000.00.

3004 8,000 Hours OPTION Opthalmic Technicians

FFP

Opthalmic Technicians (4 FTES) - in accordance with PWS dated 20 July 2016.

Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

3005 800 Hours OPTION Overage

FFP

Overage for Opthalmic Technicians (4 FTES) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

3006 4,000 Hours OPTION Medical Records Clerk PRK

FFP

Medical Records Clerk PRK (2 FTE) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

3007 2,000 Hours OPTION Clinic Manager PRK

FFP

Clinic Manager PRK (1 FTE) - in accordance with PWS dated 20 July 2016.

Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

3008 200 Hours OPTION Overage

FFP

Overage Clinic Manager PRK (1 FTE) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

3009 1 Each OPTION Registration or Conferences Fees

FFP

Registration or Conferences fees for Clinic Manager PRK (1 FTE). In accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep

17. Non-Personal Service

Registration or Conference Fees Line Item Cost is NOT TO EXCEED $2000.00.

3010 1 Each OPTION Travel

FFP

Travel for Clinic Manager PRK (1 FTE). In accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Travel For Clinic Manager Line Item Cost is NOT TO EXCEED $6000.00.

4001 2,000 Hours OPTION Optometrist

FFP

Optometrist 1 FTE in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

4002 1 Each OPTION Registration or Conference Fees

FFP

Registration or Conference Fees for Optometrist in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Registration or Conference Fees Line Item Cost is NOT TO EXCEED $2000.00.

4003 1 Each OPTION Travel

FFP

Travel Optometrist in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Travel For Optometrist Line Item Cost is NOT TO EXCEED $6000.00.

4004 8,000 Hours OPTION Opthalmic Technicians

FFP

Opthalmic Technicians (4 FTES) - in accordance with PWS dated 20 July 2016.

Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

4005 800 Hours OPTION Overage

FFP

Overage for Opthalmic Technicians (4 FTES) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

4006 4,000 Hours OPTION Medical Records Clerk PRK

FFP

Medical Records Clerk PRK (2 FTE) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

4007 2,000 Hours OPTION Clinic Manager PRK

FFP

Clinic Manager PRK (1 FTE) - in accordance with PWS dated 20 July 2016.

Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

4008 200 Hours OPTION Overage

FFP

Overage Clinic Manager PRK (1 FTE) - in accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

4009 1 Each OPTION Registration or Conferences Fees

FFP

Registration or Conferences fees for Clinic Manager PRK (1 FTE). In accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep

17. Non-Personal Service

Registration or Conference Fees Line Item Cost is NOT TO EXCEED $2000.00.

4010 1 Each OPTION Travel

FFP

Travel for Clinic Manager PRK (1 FTE). In accordance with PWS dated 20 July 2016. Period of performance is from 1 Oct 16 to 30 Sep 17. Non-Personal Service

Travel For Clinic Manager Line Item Cost is NOT TO EXCEED $6000.00.

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 1001 Destination Government Destination Government 1002 Destination Government Destination Government 1003 Destination Government Destination Government 1004 Destination Government Destination Government 1005 Destination Government Destination Government 1006 Destination Government Destination Government 1007 Destination Government Destination Government 1008 Destination Government Destination Government 1009 Destination Government Destination Government 1010 Destination Government Destination Government 2001 Destination Government Destination Government 2002 Destination Government Destination Government 2003 Destination Government Destination Government 2004 Destination Government Destination Government 2005 Destination Government Destination Government 2006 Destination Government Destination Government 2007 Destination Government Destination Government 2008 Destination Government Destination Government 2009 Destination Government Destination Government 2010 Destination Government Destination Government 3001 Destination Government Destination Government 3002 Destination Government Destination Government 3003 Destination Government Destination Government 3004 Destination Government Destination Government 3005 Destination Government Destination Government 3006 Destination Government Destination Government 3007 Destination Government Destination Government 3008 Destination Government Destination Government 3009 Destination Government Destination Government 3010 Destination Government Destination Government 4001 Destination Government Destination Government 4002 Destination Government Destination Government 4003 Destination Government Destination Government 4004 Destination Government Destination Government 4005 Destination Government Destination Government 4006 Destination Government Destination Government 4007 Destination Government Destination Government 4008 Destination Government Destination Government 4009 Destination Government Destination Government 4010 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 POP 01-OCT-2016 TO

30-SEP-2017

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-2016 TO

30-SEP-2017

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0010 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-OCT-2017 TO

30-SEP-2018

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1007 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1008 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1009 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1010 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 01-OCT-2018 TO

30-SEP-2019

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2006 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2007 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2008 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2009 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2010 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 01-OCT-2019 TO

30-SEP-2020

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3006 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3007 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3008 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3009 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3010 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 01-OCT-2020 TO

30-SEP-2021

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4006 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4007 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4008 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4009 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4010 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

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

52.203-12 Limitation On Payments To Influence Certain Federal Transactions

OCT 2010

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

OCT 2015

52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, or Proposed for Debarment

OCT 2015

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.212-1 Instructions to Offerors--Commercial Items OCT 2015 52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015 52.217-5 Evaluation Of Options JUL 1990 52.219-6 Notice Of Total Small Business Set-Aside NOV 2011 52.219-8 Utilization of Small Business Concerns OCT 2014 52.219-14 Limitations On Subcontracting NOV 2011 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 OCT 2015 52.222-36 Equal Opportunity for Workers with Disabilities JUL 2014 52.222-37 Employment Reports on Veterans FEB 2016 52.222-40 Notification of Employee Rights Under the National Labor

Relations Act

DEC 2010

52.222-41 Service Contract Labor Standards MAY 2014 52.222-43 Fair Labor Standards Act And Service Contract Labor

Standards - Price Adjustment (Multiple Year And Option Contracts)

MAY 2014

52.222-50 Combating Trafficking in Persons MAR 2015 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.

OCT 2015

52.228-5 Insurance - Work On A Government Installation JAN 1997 52.232-18 Availability Of Funds APR 1984 52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

JUL 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 52.237-7 Indemnification and Medical Liability Insurance JAN 1997 52.242-13 Bankruptcy JUL 1995 52.242-15 Stop-Work Order AUG 1989 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 252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

DEC 2015

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting.

DEC 2015

252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support

MAY 2016

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

OCT 2015

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 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.243-7002 Requests for Equitable Adjustment DEC 2012

CLAUSES INCORPORATED BY FULL TEXT

52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (JULY 2013)

(a) Definitions. As used in this provision--

Administrative proceeding means a non-judicial process that is adjudicatory in nature in order to make a determination of fault or liability (e.g., Securities and Exchange Commission Administrative Proceedings, Civilian Board of Contract Appeals Proceedings, and Armed Services Board of Contract Appeals Proceedings). This includes administrative proceedings at the Federal and State level but only in connection with performance of a Federal contract or grant. It does not include agency actions such as contract audits, site visits, corrective plans, or inspection of deliverables.

Federal contracts and grants with total value greater than $10,000,000 means--

(1) The total value of all current, active contracts and grants, including all priced options; and

(2) The total value of all current, active orders including all priced options under indefinite-delivery, indefinite-quantity, 8(a), or requirements contracts (including task and delivery and multiple-award Schedules).

Principal means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

(b) The offeror ( ) has ( ) does not have current active Federal contracts and grants with total value greater than $10,000,000.

(c) If the offeror checked “has” in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information:

(1) Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the Federal or State level that resulted in any of the following dispositions:

(i) In a criminal proceeding, a conviction.

(ii) In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more.

(iii) In an administrative proceeding, a finding of fault and liability that results in--

(A) The payment of a monetary fine or penalty of $5,000 or more; or

(B) The payment of a reimbursement, restitution, or damages in excess of $100,000.

(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision.

(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence.

(d) The offeror shall post the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in FAPIIS as required through maintaining an active registration in the System for Award Management database via https://www.acquisition.gov (see 52.204-7).

(End of provision) https://www.acquisition.gov/

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) Compliance with solicitation requirements

(2) Past Performance

(3) Price

Past performance is significantly more important than price when being evaluated. Compliance with solicitation requirements will be evaluated as either acceptable or unacceptable. The evaluation process shall proceed as follows:

(b) By submission of its offer, the offeror agrees to comply with all solicitation requirements, including terms and conditions, representations and certifications, and technical requirements. Offerors must clearly identify any exception to the solicitation terms and conditions and provide complete accompanying rationale. Compliance with solicitation requirements will be evaluated as either acceptable or unacceptable.

(c) 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 (if options). The total evaluated price includes the total price for all options along with the basic requirement (if options). Evaluation of options shall not obligate the Government to exercise the option(s). Proposals with option prices that are significantly unbalanced will be evaluated as noncompliant. 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. Proposals that fail to price each item or indicate services will be provided at no charge will be evaluated as noncompliant. An offer using a sliding price scale or subject to escalation based on a contingency will be evaluated as noncompliant. Other than firm fixed-price offers will be evaluated as noncompliant. The price evaluation will document the reasonableness of the proposed total evaluated price for the apparent successful offeror. For the purposes of identifying the order past performance evaluations will be conducted, offers shall be ranked according to price, from lowest to highest.

(d) Using questionnaires, the contracting officer shall seek relevant performance information on all offerors based on

(1) the past and present efforts provided by the offeror and (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 present/past performance effort involving similar scope and magnitude of effort as this solicitation. Relevancy ratings are defined in Table 1 below. In evaluating past performance, greater consideration may be given to information on those contracts deemed most relevant to the effort described in this solicitation. 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 with a performance record 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.

Table 1. Past Performance Relevancy Ratings Rating Definition Very Relevant Present/past performance effort involved essentially the same scope and magnitude of effort as this solicitation

Relevant Present/past performance effort involved similar scope and magnitude of effort as this solicitation.

Somewhat Relevant Present/past performance effort involved some of the scope and magnitude of effort as this solicitation.

Not Relevant Present/past performance effort involved little or none of the scope and magnitude of effort as this solicitation.

(e) 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 had 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.

(f) 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.

(g) 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.

(h) Clarifications and communications, as defined in FAR 15.306, do not constitute discussions. The government intends to evaluate proposals and make award without discussions. However, the government may determine it is necessary to conduct discussions.

(i) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party.

Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (JUL 2016)

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 located at https://www.sam.gov/portal . If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (r) of this provision.

(a) Definitions. As used in this provision--https://www.sam.gov/portal

“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;

(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 (q) 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.

(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 https://www.acquisition.gov/ 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.