FA301618R0035_RAN_GREASE_TRAP_SOLICITATION.pdf
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- Grease Traps
- Solicitation number
- FA301618R0035
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FA301618R0035 Solicitation
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| File | Type | Posted |
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| Attachment_1_PWS_RAN_Grease_Traps_FINAL.docx | DOCX document | |
| Attachment_3_Schedule_B-_RAN_Grease_Trap__OWS.XLSX | XLSX spreadsheet | |
| Attachment_2_Wage_Determination_2015-5253.pdf |
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SEE ADDENDUM
(No Collect Calls)
FA301618R0035 24-Jul-2018
b. TELEPHONE NUMBER
210-671-1731
8. OFFER DUE DATE/LOCAL TIME
12:00 AM 14 Aug 2018
5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV. 2/2012)
Prescribed by GSA – FAR (48 CFR) 53.212
(TYPE OR PRINT)
(SIGNATURE OF CONTRACTING OFFICER)
ADDENDA X ARE
26. TOTAL AWARD AMOUNT (For Gov t. Use Only )
23.
CODE 10. THIS ACQUISITION IS
SUCH ADDRESS IN OFFER
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT
BELOW IS CHECKED
TELEPHONE NO.
FA30169. ISSUED BY
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
MATTHEW M. LORANCE
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.X
25. ACCOUNTING AND APPROPRIATION DATA
1. REQUISITION NUMBER
20.
ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
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
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:
. YOUR OFFER ON SOLICITATION
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
% FOR:SET ASIDE:UNRESTRICTED OR X
SMALL BUSINESSX
17a.CONTRACTOR/ CODE FACILITY
OFFEROR CODE
502D CONTRACTING SQUADRON
1655 SELFRIDGE AVE
JBSA LACKLAND TX 78236-5253
18a. PAYMENT WILL BE MADE BY CODE
RATED ORDER UNDER
DPAS (15 CFR 700)
13a. THIS CONTRACT IS A
13b. RATING
CODE15. DELIVER TO CODE F3P3A6 16. ADMINISTERED BY
12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
SEE SCHEDULE
14. METHOD OF SOLICITATION
RFQ IFB RFPX
12 MSG CECJ F3P3A6
BILL KUEHL
1651 5TH ST WEST RM 107
RANDOLPH AFB TX 78150
TEL: 210-6521352 FAX:
FAX:
TEL: SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
8(A)
HUBZONE SMALL
BUSINESS
SIZE STANDARD:
$38,500,000
NAICS:
562219
X
OFFER DATED
29. AWARD OF CONTRACT: REF.
DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
EMAIL:
TEL:
31c. DATE SIGNED
SEE SCHEDULE
SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT
24.22.21.19.
WOMEN-OWNED SMALL BUSINESS (WOSB)
ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
(CONTINUED)
PAGE 2 OF87
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. 2/2012) BACK
Prescribed by GSA – FAR (48 CFR) 53.212
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
SEE SCHEDULE
20.
SCHEDULE OF SUPPLIES/ SERVICES
21.
QUANTITY UNIT
22. 23.
UNIT PRICE
24.
AMOUNT
19.
ITEM NO.
FA301618R0035
Section SF 1449 - CONTINUATION SHEET
ITEM NO SUPPLIES/SERVICES ESTIMATED
QUANTITY
UNIT UNIT PRICE ESTIMATED AMOUNT
0001 12 Months Provide Monthly Maintenance Service
FFP
Provide Monthly Maintenance, service, repairs to the Oil/Water/Grit Separators and Septic Holding Tanks at JBSA Randolph, Seguin, JBSA Canyon Lake, IAW
Performance Work Statement
FOB: Destination
ESTIMATED
NET AMT
UNIT UNIT PRICE ESTIMATED AMOUNT
0002 143,000 Gallon Septic Holding Tanks Pump Out
FFP
Pump out septic holding tanks at Canyon Lake in accordance with PWS.
UNIT UNIT PRICE ESTIMATED AMOUNT
0003 12,100 Gallon Septic Holding Tanks Pump Out
FFP
Pump out septic holding tanks at JBSA Randolph and Seguin in accordance with
PWS.
UNIT UNIT PRICE ESTIMATED AMOUNT
0004 330 Gallon Grease Trap Services - Bimonthly
FFP
Perform grease trap services on a bimonthly basis in accordance with the PWS.
UNIT UNIT PRICE ESTIMATED AMOUNT
0005 65,600 Gallon Grease Trap Services - Quarterly
FFP
Perform grease trap services on a quarterly basis in accordance with the PWS.
UNIT UNIT PRICE ESTIMATED AMOUNT
0006 1,000 Gallon Grease Trap Services - Semi-Annual
FFP
Perform grease trap services on a semi-annual basis in accordance with the PWS.
UNIT UNIT PRICE ESTIMATED AMOUNT
0007 8,000 Gallon Oil/Water Separator Services - Quarterly
FFP
Perform oil/water separator services on a quarterly basis in accordance with the
UNIT UNIT PRICE ESTIMATED AMOUNT
0008 14,600 Gallon Grit Trap Services - Semi-Annual
FFP
Perform grit trap services on a semi-annual basis in accordance with the PWS.
UNIT UNIT PRICE ESTIMATED AMOUNT
0009 8 Each Hydro Jet Cleaning
FFP
Hydro jet cleaning services in accordance with the PWS.
UNIT UNIT PRICE ESTIMATED AMOUNT
0010 4 Each Environmental Compliance Reports
FFP
Completion of environmental compliance reports in accordance with the PWS.
UNIT UNIT PRICE ESTIMATED AMOUNT
0011 1 Lot Parts and Material
FFP
Any and all required parts and material necessary for completion of the requirement in accordance with the PWS 1.2.4. (NTE $5,000.00)
UNIT UNIT PRICE ESTIMATED AMOUNT
0012 10,000 Gallon Grease Trap Emergency Services
FFP
Providing of grease trap services in emergency situations in accordance with the
UNIT UNIT PRICE ESTIMATED AMOUNT
0013 10,000 Gallon Emergency Septic Tank On-Call Pump Outs
FFP
Providing of septic tank on-call pump outs in emergency situations in accordance with the PWS.
UNIT UNIT PRICE ESTIMATED AMOUNT
0014 5,000 Gallon Emergency Oil/Water/Grit Separators
FFP
Providing of oil/water/grit separator services in emergency situations in accordance
UNIT UNIT PRICE ESTIMATED AMOUNT
0015 40 Hours Hourly Rate for Emergency Repair/Service
FFP
Hourly Rate for Emergency Repair and Service, IAW Performance Work
Statement
UNIT UNIT PRICE ESTIMATED AMOUNT
0016 10 Each Emergency Trip Charge
FFP
Charges resulting from an emergency trip to an on-site location in accordance with the PWS.
UNIT UNIT PRICE ESTIMATED AMOUNT
0017 6 Each Analytic Testing
FFP
Analytic testing in accordance with the PWS.
UNIT UNIT PRICE ESTIMATED AMOUNT
0101 12 Months Provide Monthly Maintenance Service
FFP
Provide Monthly Maintenance, service, repairs to the Oil/Water/Grit Separators
UNIT UNIT PRICE ESTIMATED AMOUNT
0102 143,000 Gallon Septic Holding Tanks Pump Out
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0103 12,100 Gallon Septic Holding Tanks Pump Out
FFP
Pump out septic holding tanks at JBSA Randolph and Seguin in accordance with
UNIT UNIT PRICE ESTIMATED AMOUNT
0104 330 Gallon Grease Trap Services - Bimonthly
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0105 65,600 Gallon Grease Trap Services - Quarterly
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0106 1,000 Gallon Grease Trap Services - Semi-Annual
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0107 8,000 Gallon Oil/Water Separator Services - Quarterly
FFP
Perform oil/water separator services on a quarterly basis in accordance with the
UNIT UNIT PRICE ESTIMATED AMOUNT
0108 14,600 Gallon Grit Trap Services - Semi-Annual
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0109 8 Each Hydro Jet Cleaning
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0110 4 Each Enviromental Compliance Reports
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0111 1 Lot Parts and Materials
FFP
Any and all required parts and material necessary for completion of the
UNIT UNIT PRICE ESTIMATED AMOUNT
0112 10,000 Gallon Grease Trap Emergency Services
FFP
Providing of grease trap services in emergency situations in accordance with the
UNIT UNIT PRICE ESTIMATED AMOUNT
0113 10,000 Gallon Emergency Septic Tank On-Call Pump Outs
FFP
Providing of septic tank on-call pump outs in emergency situations in accordance
UNIT UNIT PRICE ESTIMATED AMOUNT
0114 5,000 Gallon Emergency Oil/Water/Grit Separators
FFP
Providing of oil/water/grit separator services in emergency situations in accordance
UNIT UNIT PRICE ESTIMATED AMOUNT
0115 40 Hours Hourly Rate for Emergency Repair/Service
FFP
Hourly Rate for Emergency Repair and Service, IAW Performance Work
UNIT UNIT PRICE ESTIMATED AMOUNT
0116 10 Each Emergency Trip Charge
FFP
Charges resulting from an emergency trip to an on-site location in accordance with
UNIT UNIT PRICE ESTIMATED AMOUNT
0201 12 Months Provide Monthly Maintenance Service
FFP
Provide Monthly Maintenance, service, repairs to the Oil/Water/Grit Separators and Septic Holding Tanks at JBSA Randolph, Seguin, JBSA Canyon Lake, IAW
UNIT UNIT PRICE ESTIMATED AMOUNT
0202 143,000 Gallon Septic Holding Tanks Pump Out
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0203 12,100 Gallon Septic Holding Tanks Pump Out
FFP
Pump out septic holding tanks at JBSA Randolph and Seguin in accordance with
UNIT UNIT PRICE ESTIMATED AMOUNT
0204 330 Gallon Grease Trap Services - Bi-monthly
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0205 65,600 Gallon Grease Trap Services - Quarterly
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0206 1,000 Gallon Grease Trap Services - Semi-Annual
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0207 8,000 Gallon Oil/Water Separator Services - Quarterly
FFP
Perform oil/water separator services on a quarterly basis in accordance with the
UNIT UNIT PRICE ESTIMATED AMOUNT
0208 14,600 Gallon Grit Trap Services - Semi-Annual
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0209 8 Each Hydro Jet Cleaning
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0210 4 Each Environmental Compliance Reports
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0211 1 Lot Parts and Material
FFP
Any and all required parts and material necessary for completion of the
UNIT UNIT PRICE ESTIMATED AMOUNT
0212 10,000 Gallon Grease Trap Emergency Services
FFP
Providing of grease trap services in emergency situations in accordance with the
UNIT UNIT PRICE ESTIMATED AMOUNT
0213 10,000 Gallon Emergency Septic Tank On-Call Pump Outs
FFP
Providing of septic tank on-call pump outs in emergency situations in accordance
UNIT UNIT PRICE ESTIMATED AMOUNT
0214 5,000 Gallon Emergency Oil/Water/Grit Separators
FFP
Providing of oil/water/grit separator services in emergency situations in accordance
UNIT UNIT PRICE ESTIMATED AMOUNT
0215 40 Hours Hourly Rate for Emergency Repair/Service
FFP
Hourly Rate for Emergency Repair and Service, IAW Performance Work
UNIT UNIT PRICE ESTIMATED AMOUNT
0216 10 Each Emergency Trip Charge
FFP
Charges resulting from an emergency trip to an on-site location in accordance with
UNIT UNIT PRICE ESTIMATED AMOUNT
0301 12 Months Provide Monthly Maintenance Service
FFP
Provide Monthly Maintenance, service, repairs to the Oil/Water/Grit Separators
UNIT UNIT PRICE ESTIMATED AMOUNT
0302 143,000 Gallon Septic Holding Tanks Pump Out
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0303 12,100 Gallon Septic Holding Tanks Pump Out
FFP
Pump out septic holding tanks at JBSA Randolph and Seguin in accordance with
UNIT UNIT PRICE ESTIMATED AMOUNT
0304 330 Gallon Grease Trap Services - Bimonthly
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0305 65,600 Gallon Grease Trap Services - Quarterly
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0306 1,000 Gallon Grease Trap Services - Semi-Annual
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0307 8,000 Gallon Oil/Water Separator Services - Quarterly
FFP
Perform oil/water separator services on a quarterly basis in accordance with the
UNIT UNIT PRICE ESTIMATED AMOUNT
0308 14,600 Gallon Grit Trap Services - Semi-Annual
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0309 8 Each Hydro Jet Cleaning
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0310 4 Each Environmental Compliance Reports
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0311 1 Lot Parts and Material
FFP
Any and all required parts and material necessary for completion of the
UNIT UNIT PRICE ESTIMATED AMOUNT
0312 10,000 Gallon Grease Trap Emergency Services
FFP
Providing of grease trap services in emergency situations in accordance with the
UNIT UNIT PRICE ESTIMATED AMOUNT
0313 10,000 Gallon Emergency Septic Tank On-Call Pump Outs
FFP
Providing of septic tank on-call pump outs in emergency situations in accordance
UNIT UNIT PRICE ESTIMATED AMOUNT
0314 5,000 Gallon Emergency Oil/Water/Grit Separators
FFP
Providing of oil/water/grit separator services in emergency situations in accordance
UNIT UNIT PRICE ESTIMATED AMOUNT
0315 40 Hours Hourly Rate for Emergency Repair/Service
FFP
Hourly Rate for Emergency Repair and Service, IAW Performance Work
UNIT UNIT PRICE ESTIMATED AMOUNT
0316 10 Each Emergency Trip Charge
FFP
Charges resulting from an emergency trip to an on-site location in accordance with
UNIT UNIT PRICE ESTIMATED AMOUNT
0317 6 Each Analytic Testing
FFP
Analytic testing in accordance with the PWS.
UNIT UNIT PRICE ESTIMATED AMOUNT
0401 12 Months Provide Monthly Maintenance Service
FFP
Provide Monthly Maintenance, service, repairs to the Oil/Water/Grit Separators
UNIT UNIT PRICE ESTIMATED AMOUNT
0402 143,000 Gallon Septic Holding Tanks Pump Out
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0403 12,100 Gallon Septic Holding Tanks Pump Out
FFP
Pump out septic holding tanks at JBSA Randolph and Seguin in accordance with
UNIT UNIT PRICE ESTIMATED AMOUNT
0404 330 Gallon Grease Trap Services - Bimonthly
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0405 65,600 Gallon Grease Trap Services - Quarterly
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0406 1,000 Gallon Grease Trap Services - Semi-Annual
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0407 8,000 Gallon Oil/Water Separator Services - Quarterly
FFP
Perform oil/water separator services on a quarterly basis in accordance with the
UNIT UNIT PRICE ESTIMATED AMOUNT
0408 14,600 Gallon Grit Trap Services - Semi-Annual
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0409 8 Each Hydro Jet Cleaning
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0410 4 Each Environmental Compliance Reports
FFP
UNIT UNIT PRICE ESTIMATED AMOUNT
0411 1 Lot Parts and Material
FFP
Any and all required parts and material necessary for completion of the
UNIT UNIT PRICE ESTIMATED AMOUNT
0412 10,000 Gallon Grease Trap Emergency Services
FFP
Providing of grease trap services in emergency situations in accordance with the
UNIT UNIT PRICE ESTIMATED AMOUNT
0413 10,000 Gallon Emergency Septic Tank On-Call Pump Outs
FFP
Providing of septic tank on-call pump outs in emergency situations in accordance
UNIT UNIT PRICE ESTIMATED AMOUNT
0414 5,000 Gallon Emergency Oil/Water/Grit Separators
FFP
Providing of oil/water/grit separator services in emergency situations in accordance
UNIT UNIT PRICE ESTIMATED AMOUNT
0415 40 Hours Hourly Rate for Emergency Repair/Service
FFP
Hourly Rate for Emergency Repair and Service, IAW Performance Work
UNIT UNIT PRICE ESTIMATED AMOUNT
0416 10 Each Emergency Trip Charge
FFP
Charges resulting from an emergency trip to an on-site location in accordance with
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
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0011 Destination Government Destination Government
0012 Destination Government Destination Government
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0014 Destination Government Destination Government
0015 Destination Government Destination Government
0016 Destination Government Destination Government
0017 Destination Government Destination Government
0101 Destination Government Destination Government
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0115 Destination Government Destination Government
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0201 Destination Government Destination Government
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0415 Destination Government Destination Government
0416 Destination Government Destination Government
DELIVERY INFORMATION
CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /
CAGE
0001 POP 01-OCT-2018 TO
30-SEP-2019
N/A 12 MSG CECJ F3P3A6
BILL KUEHL
1651 5TH ST WEST RM 107
RANDOLPH AFB TX 78150
210-6521352
F3P3A6
0002 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0003 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0004 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0005 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0006 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0007 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0008 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0009 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0010 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0011 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0012 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0013 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0014 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0015 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0016 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0017 POP 01-OCT-2018 TO
N/A (SAME AS PREVIOUS LOCATION)
0101 POP 01-OCT-2019 TO
30-SEP-2020
N/A (SAME AS PREVIOUS LOCATION)
0102 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0103 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0104 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0105 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0106 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0107 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0108 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0109 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0110 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0111 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0112 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0113 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0114 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0115 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0116 POP 01-OCT-2019 TO
N/A (SAME AS PREVIOUS LOCATION)
0201 POP 01-OCT-2020 TO
30-SEP-2021
N/A (SAME AS PREVIOUS LOCATION)
0202 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0203 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0204 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0205 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0206 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0207 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0208 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0209 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0210 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0211 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0212 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0213 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0214 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0215 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0216 POP 01-OCT-2020 TO
N/A (SAME AS PREVIOUS LOCATION)
0301 POP 01-OCT-2021 TO
30-SEP-2022
N/A (SAME AS PREVIOUS LOCATION)
0302 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0303 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0304 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0305 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0306 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0307 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0308 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0309 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0310 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0311 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0312 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0313 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0314 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0315 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0316 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0317 POP 01-OCT-2021 TO
N/A (SAME AS PREVIOUS LOCATION)
0401 POP 01-OCT-2022 TO
30-SEP-2023
N/A (SAME AS PREVIOUS LOCATION)
0402 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0403 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0404 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0405 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0406 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0407 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0408 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0409 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0410 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0411 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0412 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0413 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0414 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0415 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
0416 POP 01-OCT-2022 TO
N/A (SAME AS PREVIOUS LOCATION)
CLAUSES INCORPORATED BY REFERENCE
52.203-3 Gratuities APR 1984
52.203-6 Alt I Restrictions On Subcontractor Sales To The Government
(Sep 2006) -- Alternate I
OCT 1995
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
52.203-19 Prohibition on Requiring Certain Internal Confidentiality
Agreements or Statements
JAN 2017
52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber
Content Paper
MAY 2011
52.204-7 System for Award Management OCT 2016
52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011
52.204-10 Reporting Executive Compensation and First-Tier
Subcontract Awards
OCT 2016
52.204-13 System for Award Management Maintenance OCT 2016
52.204-16 Commercial and Government Entity Code Reporting JUL 2016
52.204-18 Commercial and Government Entity Code Maintenance JUL 2016
52.209-6 Protecting the Government's Interest When Subcontracting
With Contractors Debarred, Suspended, or Proposed for
Debarment
OCT 2015
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
NOV 2015
52.212-1 Instructions to Offerors--Commercial Items JAN 2017
52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017
52.219-6 Notice Of Total Small Business Set-Aside NOV 2011
52.219-8 Utilization of Small Business Concerns NOV 2016
52.219-13 Notice of Set-Aside of Orders NOV 2011
52.219-14 Limitations On Subcontracting JAN 2017
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 SEP 2016
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
52.222-54 Employment Eligibility Verification OCT 2015
52.222-55 Minimum Wages Under Executive Order 13658 DEC 2015
52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011
52.223-10 Waste Reduction Program MAY 2011
52.223-11 Ozone-Depleting Substances and High Global Warming
Potential Hydrofluorocarbons.
JUN 2016
52.223-18 Encouraging Contractor Policies To Ban Text Messaging
While Driving
AUG 2011
52.223-22 Public Disclosure of Greenhouse Gas Emissions and
Reduction Goals -- Representation.
DEC 2016
52.225-13 Restrictions on Certain Foreign Purchases JUN 2008
52.228-5 Insurance - Work On A Government Installation JAN 1997
52.232-11 Extras APR 1984
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
52.233-4 Applicable Law for Breach of Contract Claim OCT 2004
52.237-2 Protection Of Government Buildings, Equipment, And
Vegetation
APR 1984
52.237-3 Continuity Of Services JAN 1991
52.242-13 Bankruptcy JUL 1995
52.242-15 Stop-Work Order AUG 1989
52.247-34 F.O.B. Destination NOV 1991
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
252.203-7003 Agency Office of the Inspector General DEC 2012
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 Covered Defense Information and Cyber
Incident Reporting
OCT 2016
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
252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or
Hazardous Materials
SEP 2014
252.223-7008 Prohibition of Hexavalent Chromium JUN 2013
252.225-7001 Buy American And Balance Of Payments Program-- Basic DEC 2017
252.225-7002 Qualifying Country Sources As Subcontractors DEC 2017
252.225-7012 Preference For Certain Domestic Commodities DEC 2017
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
CLAUSES INCORPORATED BY FULL TEXT
52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (NOV 2017)
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 (u) of this provision.
https://www.sam.gov/portal
(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;
(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 (u) 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 https://www.acquisition.gov/
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…
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