RFQ_-_Man_Down_System_-_FBO.pdf

Request for Quote: FA3016-18-U-0354

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice.

This announcement constitutes the only solicitation; proposals are being requested and a separate RFQ will not be issued.

The solicitation number is FA3016-18-U-0354 and is issued as a Request for Quotation.

This combined synopsis/solicitation incorporates provisions and clauses in effect through Federal Acquisition Circular 2005-99

This purchase is restricted to: Total Small Business concerns.

NAICS code: 334210

Small business size standard: 1,250 Employees

Man Down System – Stand Alone Mesh Network Alert System

Please respond to this RFQ by emailing response to: Jack A. Caniglia at E-mail: jack.caniglia.3@us.af.mil or Jorge Canavati at E-mail: jorge.canavati@us.af.mil no later than 3:00pm CST, 10 September 2018 (or sooner if possible) in order to be considered timely. Please contact Jack Caniglia at (210)671-1721 or Jorge Canavati (210)671-1728 with additional questions at the above noted email addresses or phone numbers indicated.

Please provide a quote for the line items listed below. Failure to quote on all CLINs may render the quote unacceptable and ineligible for award consideration.

ITEM DESCRIPTION QTY Unit Unit Price Extended

Amount

0001 Description: Hub IAW Statement of Objectives (SOO) 2 EA $_____________ $_____________

0002 Description: Management Software IAW Statement of Objectives (SOO) 2 EA $_____________ $_____________

0003 Description: Pager with Charger IAW Statement of Objectives (SOO) 75 EA $_____________ $_____________

0004 Description: Wireless Repeater IAW Statement of Objectives (SOO) 150 EA $_____________ $_____________ mailto:jorge.canavati@us.af.mil

0005 Description: Outdoor Enclosure Device IAW Statement of Objectives (SOO) 150 EA $_____________ $_____________

0006 Description: Project Management IAW Statement of Objectives (SOO) 1 EA $_____________ $_____________

Description: Onsite Intallation and Optimizatin Testing and Training IAW Statement of Objectives (SOO)

1 EA $_____________ $_____________

Delivery Requirements: 60 Days ARO

TOTAL COST $___________

Please provide the information below:

Company

Name:

DUNS # Required Cage Code Number:

POC: Telephone #

E-Mail Address: Tax ID#:

Special Notes and Instructions:

1. This order is a total set-aside for small business concerns. Only quotes submitted by small business concerns will be accepted by the Government. Any quote that is submitted by a contractor that is not a small business concern will not be considered for award.

2. 52.212-1- Instructions to Offerors –Commercial Items is incorporated by reference. The following addenda applies to the provision:

(b) Submission of offers:

i. Offers shall include a description of the items being offered in sufficient detail to evaluate compliance with the requirements of the solicitation and the salient characteristics listed below.

Product Salient Characteristics

CLIN 0001

Description: Hub

CLIN 0001 – Hub Specifications

Specifications of the network hubs to be used for the installation are as follows:

• Radio frequency: 2405-2480MHz

• Channel operating mode: Fixed frequency, or frequency hopping

• Maximum no of radio channels simultaneously used per system: 16

• Radio power: 10mW

• Radio coding: modulation format OQPSK DSSS

IEEE 802.15.4

• Network coverage optimum spacing: 10m repeater to repeater

• Standard hub power: AC-DC power adaptor

Electrical Specification for network hub

• Standard hub back-up batteries: 3 x C cell NiMH rechargeable batteries

• Maxi hub power: AC-DC power adaptor

• Repeater power: 2 X D cell high capacity alkaline manganese batteries

• Pager power: 1 X NiMH rechargeable battery

(non-removable)

• Mains powered repeater power: 9.5-15V DC

15mA

• Proprietary rechargeable battery pack as back-up

• Charging rack: AC-DC power adaptor

• Call point power: 2 X D cell high capacity alkaline manganese batteries

• Pager power: 1 X NiMH rechargeable battery

(non-removable)

• Battery life: 2 years Mains powered repeater: 11

– 15V 25mA

• Desk charger: power supply 3V with international multi-connector

• 50% charge from 12 hours charging time

• 40 minute charge provides approx. 8 hours usage

• 50% charge from 12 hours charging time

• 40 minute charge provides approx. 8 hours usage

Unit weight and dimensions.

• Dimensions 4.72"x3.43"x2.36"

• Weight 0.40 lb

CLIN 0002

Description: Management Software

CLIN 0003

Electrical Specification for network repeaters

• Back-up of 2AA NiMH rechargeable batteries

• Main powered call point: 11 – 15V 25mA, proprietary rechargeable battery pack back-up

• Desk charger: power supply 3V with international multi-connector

• 50% charge from 12 hours charging time

• 40 minute charge provides approx. 8 hours usage

• Multi-charger: 4 pagers charged simultaneously

• 50% charge from 12 hours charging time

• 40 minute charge provides approx. 8 hours usage

Radio frequency specification.

• 2 x serial port: 300 – 9600

• Port A: ESPA input/output TAP input/output, Port B: TAP input, ESPA input

• Radio frequency: 2405-2480MHz

• Radio channels: 16

• Channel operating mode: Fixed frequency, or frequency hopping

• Maximum no. of radio channels simultaneously used per system: 16

• Radio power: 10mW

• Radio coding: modulation format OQPSK DSSS

IEEE 802.15.4

• Network coverage optimum spacing: 10m repeater to repeater

• 16 Radio power 10mW Radio coding CDMA

IEEE 802.15.4

Unit weight and dimensions.

CLIN 0002 – Management Software Specfications

• Management Software to configure network settings for HUB and Repeaters.

• Device configuration using a Windows 10 stand-alone computer provided by the 341st TRS running web browser software for connection to the HUNS on the internal MESH network

CLIN 0003 – Pager Specfications

Description: Pager with Charger

CLIN 0004

Descrption: Wireless Repeater

A single pager configured to send messages to a groups of pagers

• Users to be located, and communicated with pagers

• Systems can be extended into remote areas

• Pagers will display received messages with acknowledgement

• Ability to generate an alarm from the button on the pager.

• Display shows alarms from other pagers.

• Emergency and Assist Alarms buttons

• 4 line character variable color display

• Pager power 1 x AAA cell high capacity alkaline manganese,

• NiMH rechargeable battery

• Radio frequency 2405 – 2480MHz

• Radio channels 16 Channel operating mode fixed frequency.

• Frequency hopping Maximum number of radio channels simultaneously

Electrical Specification for pagers.

• Pager power: 1 X NiMH rechargeable battery

(non-removable)

• Battery life: 2 years Mains powered repeater: 11

– 15V 25mA

• Desk charger: power supply 3V with international multi-connector

• 50% charge from 12 hours charging time

• 40 minute charge provides approx. 8 hours usage

• 50% charge from 12 hours charging time

• 40 minute charge provides approx. 8 hours usage

• Ultra high capacity batteries: AA 2600 mAh and

AAA 1000 mA

• Recharged for up to 1000 times

CLIN 004 – Wireless Repeater Specifications

Electrical Specification for network repeaters

• Back-up of 2AA NiMH rechargeable batteries

• Main powered call point: 11 – 15V 25mA, proprietary rechargeable battery pack back-up

CLIN 0005

Description: Outdoor Enclosure Device

• Desk charger: power supply 3V with international multi-connector

• 50% charge from 12 hours charging time

• 40 minute charge provides approx. 8 hours usage

• Multi-charger: 4 pagers charged simultaneously

• 50% charge from 12 hours charging time

• 40 minute charge provides approx. 8 hours usage

Radio frequency specification.

• 2 x serial port: 300 – 9600

• Port A: ESPA input/output TAP input/output, Port B: TAP input, ESPA input

• Radio frequency: 2405-2480MHz

• Radio channels: 16

• Channel operating mode: Fixed frequency, or frequency hopping

• Maximum no. of radio channels simultaneously used per system: 16

• Radio power: 10mW

• Radio coding: modulation format OQPSK DSSS

IEEE 802.15.4

• Network coverage optimum spacing: 10m repeater to repeater

• 16 Radio power 10mW Radio coding CDMA

IEEE 802.15.4

Unit weight and dimensions.

CLIN 0005 Outdoor Enclosure Device Specifications

• The enclosures will follow the National Electrical

Manufacturers Association (NEMA) for North America.

• The enclosures will protect against personal access to hazardous parts, and additional type-dependent designated environmental conditions.

• The NEMA enclosure will provide protection against environmental hazards such as water, dust, oil or coolant or atmospheres containing corrosive agents such as acetylene or gasoline.

CLIN 0006

Description: Project Management

CLIN 0007

Description: Onsite Installation, Optimization Testing and Training

Specifications of outdoor enclosure to be used for the installation are as follows:

• Material is UL/CSA listed high density polyethylene (HDPE)

• Conform to NEMA Types 1.3, 3S,4, 4X, 5, 6, and 6P

• Wall Mount

• Series: N1C

• Composition: Metallic

• No. of Doors: 1

• NEMA Standards

• Cover Design: Hinged

• Window/Clear Cover: No

• Latching Mechanism: Quarter-Turn Latch

• Material: Steel

• Options Included: Ground Stud

• Panel Incl.: No

• Approvals: UL;CSA

• H x W x D: 14 in x 12 in x 8 in

• Weight: 21 lbs

CLIN 006 Project Management Specifications

Provide design documents no later than five days after the award of the contract for all equipment associated with the installation and turnkey usage of network repeaters, network hubs, and outdoor enclosures in the main base kennel, and median base kennels.

Installation will consist of providing services as defined in this SOO except for those items specified as government furnished property and services. The contractor shall perform to the standards in this SOO.

CLIN 0007 Onsite Installation, Optimization Testing and Training Specifications

Installation shall include the assembly, mounting, installation and software configuration of all equipment.

All materials and accessories shall be installed in accordance with industry standards and manufacturer’s written recommendations

Contractor shall provide telephone support and field service support during normal duty hours. Contractor share provide on-site support for hardware failure within 24 hours, Monday through Friday for up to two years.

Contractor shall provide all documentation, user guides, operations and administrative manuals to the government. All configuration, coding software, and passwords to the camera system shall become the property of the government.

The contractor shall provide training to the 341 TRS staff on the use of the stand-alone mesh network alert system after completion of project.

(c) Period for Acceptance of Offers. The paragraph is tailored as follows: “The offeror agrees to hold the prices in its quote firm for 60 calendar days from the date specified for receipt of quotes.”

(d) Product Samples is deleted in its entirety

(e) Multiple Offers is deleted in its entirety

(g) Contract award is deleted in its entirety

(h) Multiple Awards is deleted in its entirety

3. 52.212-2—Evaluation Commercial Items

a. 502d CONS/JBKAA will issue a purchase order to the responsible vendor whose quote will be the most advantageous to the Government. The following shall be used to evaluate quotes:

PART I – PRICE

Request for Quote: A unit price shall be inserted for each Firm Fixed Price (FFP) Contract Line Item Number (CLIN) and shall be rounded up to two decimal places. The extended amount must equal the unit price multiplied by the number/quantity of units. The “TOTAL AMOUNT” is the sum of the extended amount for all CLINs.

PART II – TECHNICAL - Limited to no more than 10 pages (not counting back/front). Electronic documents shall be in Microsoft Word and/or Excel format (Microsoft Office 2010 or current version) or Adobe Acrobat Reader.

(a) The technical description will be evaluated for the following technical factor and sub factors:

Factor 1: Offeror shall provide a detailed technical approach that shall include:

(1) The approach, methodology and proposed solution set to satisfy the requirements included in the Statement of Objective.

(2) A proposed list of equipment and logical diagram(s) demonstrating how the requirement will be satisfied. Offeror shall comply with the Equipment Products as stated in the Statement of Objectives and this Request for Quote.

(3) A high level milestone schedule demonstrating proposed method to meet required period of performance.

(4) Certification offeror is an OEM Registered Partner.

(5) Proposed warranty and maintenance plan.

Page limitations shall be treated as maximums. Excess pages will not be considered in the evaluation. The maximum page limitation for the TECHNICAL description is 10 pages. Cover pages, tables of contents, lists of figures, glossaries, tabs, dividers and blank pages will not be counted against page limits.

Page Size and Format. A page is defined as each face of a sheet of paper containing information. Page size shall be 8.5 x 11 inches, not including foldouts. Pages shall be single-spaced and all pages within a given section shall be numbered consecutively. Except for the reproduced sections of the solicitation document, the font size shall be no less than 10 point, Times New Roman Font. Tracking, kerning, and leading values shall not be changed from the default values of the word processing or page layout software. Use at least 1 inch margins on the top and bottom and no less than .75” inch side margins. Charts and diagrams may be at a smaller font but should be legible and no smaller than 8 point.

All charts, graphs and matrices must be no larger than 8 1/2” X 11” page.

Legible tables, charts, graphs and figures shall be used wherever practical to depict organizations, systems and layout, implementation schedules, plans, etc. These displays shall be uncomplicated, legible and shall not exceed 11 by 17 inches in size. Foldout pages shall fold entirely within the volume, and each 8.5 x 11 surface of a foldout shall be counted as a separate page. Foldout pages may only be used for large tables, charts, graphs, diagrams and schematics; not for pages of text. For tables, charts, graphs and figures, the text shall be no smaller than 8 point.

4. Mandatory Registrations. To be eligible for award, registration with the System for Award Management (SAM) must be current (legacy for On-line Registration and Certifications Application (ORCA) and Central Contractor Registration (CCR) registrations). To register or update former CCR and Reps & Certs that are not current go to https://www.sam.gov/portal/public/SAM/ and provide mandatory information.

5. Invoices. All invoices must be submitted electronically through WAWF.

6. Delivery/Assembly: Delivery shall be FOB Destination and included in CLIN prices noted above, unless otherwise and clearly noted by offeror in submitted offer. The items must be fully assembled and ready for use upon delivery.

7. The following FAR/DFARS provisions and clauses are applicable to this solicitation:

(For full text references, go to www.arnet.gov or http://farsite.hill.af.mil.)

ADDENDUM TO 52.212-4 Contract Terms & Conditions – Commercial Items Paragraph (c) of Clause 52.212-4 is tailored as follows:

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties with the exception of administrative changes, such as changes in the paying office, appropriations data, etc., which may be changed unilaterally by the Government.

(End of Addendum)

Incorporated by Reference:

52.204-7 System for Award Management 52.204-10 Reporting Executive Compensatin and First-Tier Subcontract Awards

52.204-13 System For Award Management Maintenance 52.204-16 Commercial & Government Entity Code Reporting

52.204-18 Commercial & Government Entity Code Maintenance 52.204-23 Prohibition on Contracting for Hardware, Software, and Services Developed or https://www.sam.gov/portal/public/SAM/ http://www.arnet.gov/ http://farsite.hill.af.mil/ provided by Kasperky Lab and Other Covered Entites 52.209-6 Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment

52.209-10 Prohibition on Contracting with Inverted Domestic Corporations 52.212-1 Instructions to Offerors – Commercial Items

52.212-4 Contract Terms and Conditions – Commercial Items 52.219-6 Notice of Total Small Business Set-Aside

52.222-3 Convict Labor 52.222-19 Child Labor – Cooperation with Authorities & Remedies 52.222-21 Prohibition of Segregated Facilities 52.222-26 Equal Opportunity

52.222-50 Combatting Trafficking in Persons 52.223-18 Encouraging Contractor Policies to ban Text Messaging While Driving 52.225-13 Restrictions on Certain Foreign Purchases 52.232-33 Payment by Electronic Funds Transfer – SAM 52.232-39 Unenforceability of Unauthorized Obligations 52.232-40 Providing Accelerated Payments to Small Business Subcontractors 52.233-3 Protest After Award 52.233-4 Applicable Law for Breach of Contract Claim 52.242-15 Stop Work Order 52.247-34 F.O.B. Destination

252.203-7000 Requirements Relating to Compensation of Former DoD Officials 252.203-7002 Requirements to Inform Employees of Whistleblower Rights 252.203-7003 Agency Office of the Inspector General 252.203-7005 Representation Relating to Compensation of Former DoD Officials 252.204-7003 Control of Government Personnel Work Product 252.204-7004 Alternate A, System for Award Management 252.204-7012 Safeguarding Covered Defense Information 252.223-7008 Prohibition of Hexavalent Chromium 252.225-7012 Export-Controlled Items 252.225-7048 Export-Controlled Items 252.232-7003 Electronic Submissions of Payment Requests & Receiving Reports 252.232-7010 Levies on Contract Payments

252.243.7001 Pricing of Contract Modifications

252.243-7002 Request for Equitable Adjustment 252.247-7023 Transportation of Supplies by Sea

5352.223-9000 Elimination of Use of Class 1 Ozone Depleting Substances

Incorporated by Full Text:

52.212-3 Offeror Representation and Certifications – Commercial Items (Nov 2017)

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 http://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.

(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 http://www.sam.gov/portal 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—

(6) 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

(7) 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.

“Predecessor” means an entity that is replaced by a successor and includes any predecessors of the predecessor.

“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.

“Successor” means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

“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.

https://www.acquisition.gov/

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

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

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

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

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

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

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

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

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

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

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

(i) It [_] is, [_] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business

Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [_] is, [_] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the

HUBZone joint venture: __________.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

(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:

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

Other Foreign End Products:

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

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

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

Canadian End Products:

Line Item No.:

[List as necessary]

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

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

Canadian or Israeli End Products:

Line Item No.: Country of Origin:

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

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

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

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

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

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

Other End Products

(iii) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25. For line items covered by the WTO GPA, the Government will evaluate offers of

U.S.-made or designated country end products without regard to the restrictions of the Buy American statute. The Government will consider for award only offers of U.S.-made or designated country end products unless the Contracting Officer determines that there are no offers for such products or that the offers for such products are insufficient to fulfill the requirements of the solicitation.

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

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

(2) [_] Have, [_] have not, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract;

violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property; and

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

(4) [_] Have, [_] have not, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds $3,500 for which the liability remains unsatisfied.

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

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

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

(ii) Examples.

(A) The taxpayer has received a statutory notice of deficiency, under I.R.C. §6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appear rights.

(B) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. §6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals Contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. In the course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.

(C) The taxpayer has entered into an installment agreement pursuant to I.R.C. §6159. The taxpayer is making timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the taxpayer is not currently required to make full payment.

(D) The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. §362 (the Bankruptcy Code).

(i) Certification Regarding Knowledge of Child Labor for Listed End Products (Executive Order 13126). [The Contracting Officer must list in paragraph (i)(1) any end products being acquired under this solicitation that are included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, unless excluded at 22.1503(b).]

(1) Listed End Product

Listed End Product: Listed Countries of Origin:

(2) Certification. [If the Contracting Officer has identified end products and countries of origin in paragraph (i)(1) of this provision, then the offeror must certify to either (i)(2)(i) or (i)(2)(ii) by checking the appropriate block.]

[_] (i) The offeror will not supply any end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product.

[_] (ii) The offeror may supply an end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product. The offeror certifies that is has made a good faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture any such end product furnished under this contract. On the basis of those efforts, the offeror certifies that it is not aware of any such use of child labor.

(j) Place of manufacture. (Does not apply unless the solicitation is predominantly for the acquisition of manufactured end products.) For statistical purposes only, the offeror shall indicate whether the place of manufacture of the end products it expects to provide in response to this solicitation is predominantly—

(1) [_] In the United States (Check this box if the total anticipated price of offered end products manufactured in the United States exceeds the total anticipated price of offered end products manufactured outside the United States); or

(2) [_] Outside the United States.

(k) Certificates regarding exemptions from the application of the Service Contract Labor Standards. (Certification by the offeror as to its compliance with respect to the contract also constitutes its certification as to compliance by its subcontractor if it subcontracts out the exempt services.) [The contracting officer is to check a box to indicate if paragraph (k)(1) or (k)(2) applies.]

(1) [_] Maintenance, calibration, or repair of certain equipment as described in FAR 22.1003-4(c)(1). The offeror [_] does [_] does not certify that—

(i) The items of equipment to be serviced under this contract are used regularly for other than Governmental purposes and are sold or traded by the offeror (or subcontractor in the case of an exempt subcontract) in substantial quantities to the general public in the course of normal business operations;

(ii) The services will be furnished at prices which are, or are based on, established catalog or market prices (see FAR 22.1003-4(c)(2)(ii)) for the maintenance, calibration, or repair of such equipment; and

(iii) The compensation (wage and fringe benefits) plan for all service employees performing work under the contract will be the same as that used for these employees and equivalent employees servicing the same equipment of commercial customers.

(2) [_] Certain services as described in FAR 22.1003-4(d)(1). The offeror [_] does [_] does not certify that—

(i) The services under the contract are offered and sold regularly to non-Governmental customers, and are provided by the offeror (or subcontractor in the case of an exempt subcontract) to the general public in substantial quantities in the course of normal business operations;

(ii) The contract services will be furnished at prices that are, or are based on, established catalog or market prices (see FAR 22.1003-4(d)(2)(iii));

(iii) Each service employee who will perform the services under the contract will spend only a small portion of his or her time (a monthly average of less than 20 percent of the available hours on an annualized basis, or less than 20 percent of available hours during the contract period if the contract period is less than a month) servicing the Government contract; and

(iv) The compensation (wage and fringe benefits) plan for all service employees performing work under the contract is the same as that used for these employees and equivalent employees servicing commercial customers.

(3) If paragraph (k)(1) or (k)(2) of this clause applies—

(i) If the offeror does not certify to the conditions in paragraph (k)(1) or (k)(2) and the Contracting Officer did not attach a Service Contract Labor Standards wage determination to the solicitation, the offeror shall notify the Contracting Officer as soon as possible; and

(ii) The Contracting Officer may not make an award to the offeror if the offeror fails to…