Solicitation_Amendment_-_FA301619RA0070001.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

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

BELOW IS CHECKED

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

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

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

FA301619RA0070001

Solicitation/Contract Form

Supplies or Services and Prices/Cost

Additional Information/Notes

Item Supplies/Service Quantity Unit Unit Price Amount

0001 CATEGORY A ITEMS

Product Service Code: S209 Firm Fixed Price

365,103.0 Each

0002 CATEGORY B ITEMS

Product Service Code: S209 Firm Fixed Price

118,353.0 Each

0003 CATEGORY C ITEMS

Product Service Code: S209 Firm Fixed Price

39,643.0 Each

0004 CATEGORY D ITEMS

Product Service Code: S209 Firm Fixed Price

7,334.0 Each

0101 CATEGORY A ITEMS

Product Service Code: S209 Firm Fixed Price

365,103.0 Each

0102 CATEGORY B ITEMS

Product Service Code: S209 Firm Fixed Price

118,353.0 Each

0103 CATEGORY C ITEMS

Product Service Code: S209 Firm Fixed Price

39,643.0 Each

0104 CATEGORY D ITEMS

Product Service Code: S209 Firm Fixed Price

7,334.0 Each

0201 CATEGORY A ITEMS

Product Service Code: S209 Firm Fixed Price

365,103.0 Each

0202 CATEGORY B ITEMS

Product Service Code: S209 Firm Fixed Price

118,353.0 Each

0203 CATEGORY C ITEMS

Product Service Code: S209 Firm Fixed Price

39,643.0 Each

0204 CATEGORY D ITEMS

Product Service Code: S209 Firm Fixed Price

7,334.0 Each

0301 CATEGORY A ITEMS

Product Service Code: S209 Firm Fixed Price

365,103.0 Each

0302 CATEGORY B ITEMS

Product Service Code: S209 Firm Fixed Price

118,353.0 Each

0303 CATEGORY C ITEMS

Product Service Code: S209 Firm Fixed Price

39,643.0 Each

0304 CATEGORY D ITEMS

Product Service Code: S209 Firm Fixed Price

7,334.0 Each

0401 CATEGORY A ITEMS

Product Service Code: S209 Firm Fixed Price

365,103.0 Each

0402 CATEGORY B ITEMS

Product Service Code: S209 Firm Fixed Price

118,353.0 Each

0403 CATEGORY C ITEMS

Product Service Code: S209 Firm Fixed Price

39,643.0 Each

0404 CATEGORY D ITEMS

Product Service Code: S209 Firm Fixed Price

7,334.0 Each

Description/Specifications/Statement of Work

Requirements Non-personal dry cleaning and laundry services in support of the 802d FSS. Services shall include facility, labor, supervision, materials, equipment and vehicles for transport of laundry to and from Contractor's facility and designated base locations necessary to perform full laundry services as defined by the Performance Work Statement and attached Appendices.

Packaging and Marking

Inspection and Acceptance

0001 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0002 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0003 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0004 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Email:

Telephone: (210) 000-0000

0101 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0102 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0103 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0104 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0201 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH

Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0202 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0203 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0204 Inspection and Acceptance Location

Both

Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0301 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0302 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0303 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0304 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0401 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0402 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0403 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

0404 Inspection and Acceptance Location

Both Destination Instructions: AS PER ATTACHED PERFORMANCE WORK STATEMENT AND APPENDICES

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

37 FSS FSVL

5187 GOTT ST BLDG 5187

AF BPN NO MILSBILLS PROCESSES

LACKLAND AFB, TX 78236

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000

Deliveries or Performance

Contractor Destination

0001 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2MRAH Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

FORCE SUPPORT 502 FRS/FSC

1212 STANLEY RD SUITE 20

AF BPN NO MILSBILLS PROCESSES

FORT SAM HOUSTON, TX 78234 5020

United States

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2019

to

29 FEB 2020

0002 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2019

to

29 FEB 2020

0003 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH

Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2019

to

29 FEB 2020

0004 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2019

to

29 FEB 2020

0101 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2020

to

28 FEB 2021

0102 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2020

to

28 FEB 2021

0103 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2020

to

28 FEB 2021

0104 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000

Period of Performance From

01 MAR 2020

to

28 FEB 2021

0201 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2021

to

28 FEB 2022

0202 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2021

to

28 FEB 2022

0203 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2021

to

28 FEB 2022

0204 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2021

to

28 FEB 2022

0301 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2022

to

28 FEB 2023

0302 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2022

to

28 FEB 2023

0303 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2022

to

28 FEB 2023

0304 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000

Period of Performance From

01 MAR 2022

to

28 FEB 2023

0401 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2023

to

29 FEB 2024

0402 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2023

to

29 FEB 2024

0403 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2023

to

29 FEB 2024

0404 Delivery Schedule Ship To Address

Place of Performance

DoDAAC: F2M3SH Cage:

DunsNumber:

Duns4Number:

CountryCode:

OfficeCode:

UPON AWARD

Telephone: (210) 000-0000 Email:

Period of Performance From

01 MAR 2023

to

29 FEB 2024

Contract Administration Data

Special Contract Requirements

Contract Clauses

Although Block 27 a is not marked, FAR Clauses 52.212-1, -2 and -4 are incorporated by reference. FAR Clause 52.212-5 is included in the SF 1449.

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 52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards OCT 2018) 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 52.204-19 Incorporation by Reference of Representations and Certifications. DEC 2014 52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, or Proposed for Debarment OCT 2015 52.209-9 Updates of Publicly Available Information Regarding Responsibility Matters OCT 2018 52.209-10 Prohibition on Contracting with Inverted Domestic Corporations NOV 2015 52.212-1 Instructions to Offerors--Commercial Items JAN 2017 52.212-2 Evaluation - Commercial Items OCT 2014 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 OCT 2018) 52.219-13 Notice of Set-Aside of Orders NOV 2011 52.219-14 Limitations on Subcontracting JAN 2017 (DEVIATION 2019-O0003) 52.219-28 Post-Award Small Business Program Rerepresentation JUL 2013 52.222-3 Convict Labor JUN 2003 52.222-17 Nondisplacement of Qualified Workers MAY 2014 52.222-19 Child Labor--Cooperation with Authorities and Remedies JAN 2018 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 AUG 2018 52.222-43 Fair Labor Standards Act and Service Contract Labor Standards -- Price Adjustment (Multiple Year and Option Contracts) AUG 2018 52.222-55 Minimum Wages Under Executive Order 13658 DEC 2015 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011 52.223-18 Encouraging Contractor Policies To Ban Text Messaging While Driving AUG 2011 52.223-22 Public Disclosure of Greenhouse Gas Emissions and Reductions Goals--Representation DEC 2016 52.225-13 Restrictions on Certain Foreign Purchases JUN 2008 52.227-1 Authorization and Consent DEC 2007 52.227-2 Notice and Assistance Regarding Patent and Copyright Infringement DEC 2007 52.228-5 Insurance--Work on a Government Installation JAN 1997 52.232-1 Payments APR 1984 52.232-8 Discounts for Prompt Payment FEB 2002 52.232-18 Availability Of Funds APR 1984 52.232-33 Payment by Electronic Funds Transfer--System for Award Management JUL 2013 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business Subcontractors DEC 2013 52.233-2 Service of Protest SEP 2006 52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.237-2 Protection of Government Buildings, Equipment, and Vegetation APR 1984 52.242-13 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 Representative DEC 1991 252.203-7000 Requirements Relating to Compensation of Former DoD Officials SEP 2011 252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.203-7005 Representation Relating to Compensation of Former DoD Officials NOV 2011 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7012 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 252.225-7001 Buy American and Balance of Payments Program DEC 2017 252.225-7002 Qualifying Country Sources as Subcontractors DEC 2017 252.225-7048 Export-Controlled Items JUN 2013 252.226-7001 Utilization of Indian Organizations, 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 252.237-7012 Instruction to Offerors (Count of Articles) DEC 1991 252.237-7014 Loss or Damage (Count of Articles) DEC 1991 252.237-7016 Delivery Tickets--Basic NOV 2014 252.237-7018 Special Definitions of Government Property DEC 1991 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

52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (2018)

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

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

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

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

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

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

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

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

(i) In a criminal proceeding, a conviction.

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

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

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

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

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

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

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

(End of provision)

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.

(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 Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ___ .] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

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

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

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

___ .] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

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

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

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

(i) It [ ___ ] is, [ ___ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

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

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

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

___ Black American.

___ Hispanic American.

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

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

___ Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal).

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

(d) Representations required to implement provisions of Executive Order 11246 --

(1) Previous contracts and compliance. The offeror represents that --

(i) It [ ___ ] has, [ ___ ] has not, participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and

(ii) It [ ___ ] has, [ ___ ] has not, filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that --

(i) It [ ___ ] has developed and has on file, [ ___ ] has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR parts 60-1 and 60-2), or

(ii) It [ ___ ] has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American - Supplies, is included in this solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of "domestic end product." The terms "commercially available off-the-shelf (COTS) item," "component," "domestic end product," "end product," "foreign end product," and "United States" are defined in the clause of this solicitation entitled "Buy American--Supplies."

(2) Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

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

(g)

(1) Buy American -- Free Trade Agreements -- Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American -- Free Trade Agreements -- Israeli Trade Act, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The terms "Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product," "commercially available off-the-shelf (COTS) item," "component," "domestic end product," "end product," "foreign end product," "Free Trade Agreement country," "Free Trade Agreement country end product," "Israeli end product," and "United States" are defined in the clause of this solicitation entitled "Buy American--Free Trade Agreements-- Israeli Trade Act."

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

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

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

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

Other Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

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

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

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

Canadian End Products:

Line Item No.: ___

[List as necessary]

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

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products or Israeli end products as defined in the clause of this solicitation entitled "Buy American--

Free Trade Agreements--Israeli Trade Act'':

Canadian or Israeli End Products:

Line Item No.: Country of Origin:

[List as necessary]

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

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

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

Line Item No.: Country of Origin:

[List as necessary]

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

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

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

Other End Products

Line Item No.: Country of Origin:

[List as necessary]

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