Solicitation Amendment - FA301625R00470002.pdf

WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 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 NUMBER

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

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NUMBER

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 Government 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: REFERENCE 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. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) 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)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

Solicitation/Contract Form JBSA KUBOTA KUV Maintenance Services

Product Service Code: J023

FA301625R00470002

Supplies or Services & Prices or Costs Additional Information/Notes

Item Supplies / Services Estimated Quantity Unit Unit Price Amount

200 Hours Service Maintenance per Kubota IAW PWS. Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

147 Each

400 Hours Service Maintenance per Kubota IAW PWS. Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

98 Each

1000 Hours OR 1 Year Service Maintenance per Kubota IAW PWS.

Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

49 Each

2000 Hours OR 2 Year Service Maintenance per Kubota IAW PWS.

Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

49 Each

Unscheduled Maintenance and Repair (Materials). Not to Exceed $25,000.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

1 Lot

Unscheduled Maintenance and Repair (Hours Estimated).

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

725 Hours

200 Hours Service Maintenance per Kubota IAW PWS. Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

147 Each

400 Hours Service Maintenance per Kubota IAW PWS. Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

98 Each

1000 Hours OR 1 Year Service Maintenance per Kubota IAW PWS.

Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

49 Each

2000 Hours OR 2 Year Service Maintenance per Kubota IAW PWS.

Quantities are estimated.

49 Each

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

Unscheduled Maintenance and Repair (Materials). Not to Exceed $25,000.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

1 Lot

Unscheduled Maintenance and Repair (Hours Estimated).

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

725 Hours

200 Hours Service Maintenance per Kubota IAW PWS. Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

147 Each

400 Hours Service Maintenance per Kubota IAW PWS. Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

98 Each

1000 Hours OR 1 Year Service Maintenance per Kubota IAW PWS.

Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

49 Each

2000 Hours OR 2 Year Service Maintenance per Kubota IAW PWS.

Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

49 Each

Unscheduled Maintenance and Repair (Materials). Not to Exceed $25,000.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

1 Lot

Unscheduled Maintenance and Repair (Hours Estimated).

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

725 Hours

200 Hours Service Maintenance per Kubota IAW PWS. Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

147 Each

400 Hours Service Maintenance per Kubota IAW PWS. Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

98 Each

1000 Hours OR 1 Year Service Maintenance per Kubota IAW PWS.

Quantities are estimated.

49 Each

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

2000 Hours OR 2 Year Service Maintenance per Kubota IAW PWS.

Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

49 Each

Unscheduled Maintenance and Repair (Materials). Not to Exceed $25,000.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

1 Lot

Unscheduled Maintenance and Repair (Hours Estimated).

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

725 Hours

200 Hours Service Maintenance per Kubota IAW PWS. Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

147 Each

400 Hours Service Maintenance per Kubota IAW PWS. Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

98 Each

1000 Hours OR 1 Year Service Maintenance per Kubota IAW PWS.

Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

49 Each

2000 Hours OR 2 Year Service Maintenance per Kubota IAW PWS.

Quantities are estimated.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

49 Each

Unscheduled Maintenance and Repair (Materials). Not to Exceed $25,000.

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

1 Lot

Unscheduled Maintenance and Repair (Hours Estimated).

Product Service Code: J023 Pricing Arrangement: Firm Fixed Price

725 Hours

Description/Specifications/Statement of Work

Requirements JBSA KUBOTA KUV Maintenance Services

Packaging and Marking

Inspection and Acceptance

Deliveries or Performance

Line Item Delivery Schedule Estimated Quantity Address and POC

147 Each

Period of Performance From 01 Oct 2025 To 30 Sep 2026

98 Each

Period of Performance From 01 Oct 2025 To 30 Sep 2026

49 Each

Period of Performance From 01 Oct 2025 To 30 Sep 2026

49 Each

Period of Performance From 01 Oct 2025 To 30 Sep 2026

1 Lot

Period of Performance From 01 Oct 2025 To 30 Sep 2026

725 Hours

Period of Performance From 01 Oct 2025 To 30 Sep 2026

147 Each

Period of Performance From 01 Oct 2026 To 30 Sep 2027

98 Each

Period of Performance From 01 Oct 2026 To 30 Sep 2027

49 Each

Period of Performance From 01 Oct 2026 To 30 Sep 2027

49 Each

Period of Performance From 01 Oct 2026 To 30 Sep 2027

1 Lot

Period of Performance From 01 Oct 2026 To 30 Sep 2027

725 Hours

Period of Performance From 01 Oct 2026 To 30 Sep 2027

147 Each

Period of Performance From 01 Oct 2027 To 30 Sep 2028

98 Each

Period of Performance From 01 Oct 2027 To 30 Sep 2028

49 Each

Period of Performance From 01 Oct 2027 To 30 Sep 2028

49 Each

Period of Performance From 01 Oct 2027 To 30 Sep 2028

1 Lot

Period of Performance From 01 Oct 2027 To 30 Sep 2028

725 Hours

Period of Performance From 01 Oct 2027 To 30 Sep 2028

147 Each

Period of Performance From 01 Oct 2028 To 30 Sep 2029

98 Each

Period of Performance From 01 Oct 2028 To 30 Sep 2029

49 Each

Period of Performance From 01 Oct 2028 To 30 Sep 2029

49 Each

Period of Performance From 01 Oct 2028 To 30 Sep 2029

1 Lot

Period of Performance From 01 Oct 2028 To 30 Sep 2029

725 Hours

Period of Performance From 01 Oct 2028 To 30 Sep 2029

147 Each

Period of Performance From

01 Oct 2029 To 30 Sep 2030

98 Each

Period of Performance From 01 Oct 2029 To 30 Sep 2030

49 Each

Period of Performance From 01 Oct 2029 To 30 Sep 2030

49 Each

Period of Performance From 01 Oct 2029 To 30 Sep 2030

1 Lot

Period of Performance From 01 Oct 2029 To 30 Sep 2030

725 Hours

Period of Performance From 01 Oct 2029 To 30 Sep 2030

Contract Administration Data

DFARS Clauses Incorporated by Reference

Number Title Effective Date

Alternate/ Deviation

Variation Effective Date

252.201-7000 Contracting Officer's Representative. Dec 1991 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports. Dec 2018

DFARS Clauses Incorporated by Full Text

252.232-7006 Wide Area WorkFlow Payment Instructions. (Jan 2023)

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

(a) As used in this clause- Definitions.

"Department of Defense Activity Address Code (DoDAAC)" is a six position code that uniquely identifies a unit, activity, or organization.

"Document type" means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

"Local processing office (LPO)" is the office responsible for payment certification when payment certification is done external to the entitlement system.

"Payment request" and "receiving report" are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Electronic invoicing.

Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) To access WAWF, the Contractor shall- WAWF access.

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before WAWF training.

submitting payment requests through WAWF. Both can be accessed by selecting the "Web Based Training" link on the WAWF home page at https://wawf.eb.mil/

(e) Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol. WAWF methods of document submission.

(f) The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for this WAWF payment instructions.

contract or task or delivery order:

(1) The Contractor shall submit payment requests using the following document type(s): Document type.

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items-

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

_n/a

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

_2in1___

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial financing, submit a commercial financing request.

(2) ) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

[Note: The Contractor may use a WAWF "combo" document type to create some combinations of invoice and receiving report in one step.]

(3) The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating Document routing.

payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC _F87700___

Issue By DoDAAC _FA3016__

Admin DoDAAC _FA3016___

Inspect By DoDAAC _F3P3A6___

Ship To Code _F3P3A6___

Ship From Code _N/A___

Mark For Code _N/A___

Service Approver (DoDAAC) _F3P3A6___

Service Acceptor (DoDAAC) _F3P3A6___

Accept at Other DoDAAC _N/A___

LPO DoDAAC _N/A___

DCAA Auditor DoDAAC _N/A___

Other DoDAAC(s) _N/A___

(4) The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance Payment request.

with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F. Receiving report.

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.

Customer: Vernon Willingham, vernon.willingham@us.af.mil;

Contract Specialist: Theresa Viveros, theresa.viveros@us.af.mil;

Contracting Officer: N. Marie Phillips, norena.phillips@us.af.mil

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.

(End of clause)

Special Contract Requirements

Contract Clauses

52.213-3 (Deviation 2025-O0004) Offeror Representations and Certifications-Commercial Products and Commercial Services (MAR 2025) (DEVIATION 2025-O0003 and2025-O0004)

(a) Definitions. As used in this provision-

Covered telecommunications equipment or services has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

Economically disadvantaged women-owned small business(EDWOSB) concern means a small business concern that is at least 51percent 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, and the concern is certified by SBA or an approved third-party certifier in accordance with 13 CFR 127.300. 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 toa 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.

Reasonable inquiry has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

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 Section2 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"-

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(SDVOSB) concern means a small business concern-

(1)

(i) Not less than 51 percent of which is owned and controlled 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; or

(2) A small business concern eligible under the SDVOSB Program in accordance with 13 CFR part 128 (see subpart 19.14).

(3) , as used in this definition, means a veteran as defined in 38U.S.C. 101(2), with a disability that is service Service-disabled veteran connected, as defined in 38U.S.C. 101(16), and who is registered in the Beneficiary Identification and Records Locator Subsystem, or successor system that is maintained by the Department of Veterans Affairs' Veterans Benefits Administration, as a service-disabled veteran.

Service-disabled veteran-owned small business(SDVOSB) concern eligible under the SDVOSB Program means an SDVOSB concern that-

(1) Effective January 1, 2024, is designated in the System for Award Management (SAM) as certified by the Small Business Administration(SBA) in accordance with 13 CFR 128.300; or

(2) Has represented that it is an SDVOSB concern in SAM and submitted a complete application for certification to SBA on or before December31, 2023.

Service-disabled veteran-owned small business(SDVOSB) Program means a program that authorizes contracting officers to limit competition, including award on a sole-source basis, to SDVOSB concerns eligible under the SDVOSB Program.

Small business concern-

(1) Means a concern, including its affiliates, that is independently owned and operated, not dominant in its field of operation, and qualified as a small business under the criteria in 13 CFR part 121 and size standards in this solicitation.

(2) , as used in this definition, means business concerns, one of whom directly or indirectly controls or has the power to control the Affiliates others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13 CFR 121.103.

Small disadvantaged business concern, consistent with 13 CFR 124.1001, 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 at13 CFR124.103) 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 the threshold at 13 CFR 124.104(c)(2) after taking into account the applicable exclusions set forth at 13 CFR124.104(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 re placed 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 and controlled 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 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 least51 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, and the concern is certified by SBA or an approved third-party certifier in accordance with 13 CFR 127.300.

(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 in SAM.

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR52.212-3, Offeror Representations and Certifications-Commercial Products and Commercial Services, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(s) applicable to the NAICS code(s) referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs .

[Offeror to identify the applicable paragraphs at (c) through (v) 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 for supplies to be delivered or services to be performed in the United States or its outlying areas, or when the contracting officer has applied part 19in accordance with 19.000(b)(1)(ii). Check all that apply.

(1) offeror represents as part of its offer that-Small business concern. The

(i) It is, is not a small business concern; or

(ii) It is, is not a small business joint venture that complies with the requirements of 13 CFR 121.103(h) and 13CFR 125.8(a) and (b).

[ .]The offeror shall enter the name and unique entity identifier of each party to the joint venture:

(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) [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this SDVOSB concern.

provision.]The offeror represents that it is, is not an SDVOSB concern.

(4) . The offeror represents that it is, is not an SDVOSB joint venture eligible SDVOSB concern joint venture eligible under the SDVOSB Program under the SDVOSB Program that complies with the requirements of 13 CFR 128.402. [Complete only if the offeror represented itself as an SDVOSB concern in paragraph (c)(3) of this provision.] [The offeror shall enter the name and unique entity identifier of each party to the joint venture: .]

(5) 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 124.1001.

(6) . [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.

(7) The offeror represents that it is, is not a joint venture that complies with the WOSB joint venture eligible under the WOSB Program.

requirements of 13 CFR 127.506(a) through (c). [ .]The offeror shall enter the name and unique entity identifier of each party to the joint venture:

(8) The offeror represents that it is, is not a joint venture that Economically disadvantaged women-owned small business (EDWOSB) joint venture.

complies with the requirements of 13 CFR 127.506(a) through (c). [The offeror shall enter the name and unique entity identifier of each party to the joint venture: .]

Note to paragraphs (c)(9) and(10): Complete paragraphs (c)(9) and (10) only if this solicitation is expected to exceed the simplified acquisition threshold.

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

(10) . If this is an invitation for bid, small business offerors may identify the labor surplus areas in Tie bid priority for labor surplus area concerns 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:

(11) . [ .] 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, as having been certified by SBA as a HUBZone small business concern in the Dynamic Small Business Search and SAM, and will attempt to maintain an employment rate of HUBZone residents of 35 percent of its employees during performance of a HUBZone contract (see 13 CFR 126.200(e)(1)); and

(ii) It is, is not a HUBZone joint venture that complies with the requirements of 13 CFR 126.616(a) through (c). [The offeror shall enter the name and unique entity identifier of each party to the joint venture: .] Each HUBZone small business concern participating in the HUBZone joint venture shall provide representation of its HUBZone status.

(d) [Reserved]

(e) Certification Regarding Payments to Influence FederalTransactions (31 http://uscode.house.gov/ U.S.C. 1352). (Applies only if the contractis expected to exceed $150,000.) By submission of its offer, the offerorcertifies to the best of its knowledge and belief that no Federal appropriatedfunds have been paid or will be paid to any person for influencing or attemptingto influence an officer or employee of any agency, a Member of Congress, anofficer or employee of Congress or an employee of a Member of Congress on hisor her behalf in connection with the award of any resultant contract. If anyregistrants under the Lobbying Disclosure Act of 1995 have made a lobbyingcontact on behalf of the offeror with respect to this contract, the offerorshall complete and submit, with its offer, OMB Standard Form LLL, Disclosure ofLobbying Activities, to provide the name of the registrants. The offeror neednot report regularly employed officers or employees of the offeror to whompayments of reasonable compensation were made.

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

(1)

(i) The Offeror certifies thateach end product, except those listed in paragraph (f)(2) of this provision, isa domestic end product and that each domestic end product listed in paragraph(f)(3) of this provision contains a critical component.

(ii) The Offeror shall list as foreign end products thoseend products manufactured in the United States that do not qualify as domesticend products. For those foreign end products that do not consist wholly orpredominantly of iron or steel or a combination of both, the Offeror shall alsoindicate whether these foreign end products exceed 55 percent domestic content,except for those that are COTS items. If the percentage of the domestic contentis unknown, select "no".

(iii) The Offeror shall separately list the line itemnumbers of domestic end products that contain a critical component (see FAR25.105).

(iv) The terms "commercially available off-the-shelf(COTS) item," "critical component," "domestic endproduct," "end product," "foreign end product," and"United States" are defined in the clause of this solicitationentitled "Buy American-Supplies."

(2) Foreign End Products:

Line Item No. Country of Origin Exceeds 55% domestic content (yes/no)

[ ]List as necessary

(3) Domestic end products containing a critical component:

Line Item No.

(4) The Government will evaluate offers in accordance withthe policies and procedures of FAR part 25.

(g)

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

(i)

(A) The Offeror certifies thateach end product, except those listed in paragraph (g)(1)(ii) or (iii) of thisprovision, is a domestic end product and that each domestic end product listedin paragraph (g)(1)(iv) of this provision contains a critical component.

(B) Theterms "Bahraini, Moroccan, Omani, Panamanian, or Peruvian endproduct," "commercially available off-the-shelf (COTS) item,""critical component," "domestic end product," "endproduct," "foreign end product," "Free Trade Agreementcountry," "Free Trade Agreement country end product,""Israeli end product," and "United States" are defined inthe clause of this solicitation entitled "Buy American-Free TradeAgreements-Israeli Trade Act."

(ii) The Offeror certifies that the following supplies areFree Trade Agreement country end products (other than Bahraini, Moroccan,Omani, Panamanian, or Peruvian end products) or Israeli end products as definedin the clause of this solicitation entitled "Buy American-Free TradeAgreements-Israeli Trade Act."

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

Line Item No. Country of Origin

(iii) The Offeror shall list those supplies that areforeign end products (other than those listed in paragraph (g)(1)(ii) of thisprovision) as defined in the clause of this solicitation entitled "BuyAmerican-Free Trade Agreements-Israeli Trade Act." The Offeror shall listas other foreign end products those end products manufactured in the UnitedStates that do not qualify as domestic end products. For those foreign endproducts that do not consist wholly or predominantly of iron or steel or acombination of both, the Offeror shall also indicate whether these foreign endproducts exceed 55 percent domestic content, except for those that are COTSitems. If the percentage of the domestic content is unknown, select"no".

Other Foreign End Products:

Line Item No. Country of Origin Exceeds 55% domestic content (yes/no)

[List as necessary]

(iv) The Offeror shall list the line item numbers ofdomestic end products that contain a critical component (see FAR 25.105).

[List as necessary]

(v) The Government will evaluate offers in accordance with the policiesand procedures of FAR part 25.

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

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

Israeli End Products:

(3) . If AlternateIII to the clause at 52.225-3 is included in this Buy American-Free TradeAgreements-Israeli Trade Act Certificate, Alternate III solicitation, substitute thefollowing paragraphs (g)(1)(i)(B) and (g)(1)(ii) for paragraphs (g)(1)(i)(B)and (g)(1)(ii) of the basic provision:

(g)(1)(i)(B) The terms "Korean end product","commercially available off-the-shelf (COTS) item," "criticalcomponent," "domestic end product," "end product,""foreign end product," "Free Trade Agreement country,""Free Trade Agreement country end product," "Israeli endproduct," and "United States" are defined in the clause of thissolicitation entitled "Buy American-Free Trade Agreements-Israeli TradeAct."

(g)(1)(ii) The Offeror certifies that the following supplies areKorean end products or Israeli end products as defined in the clause of thissolicitation entitled "Buy American-Free Trade Agreements-Israeli TradeAct":

Korean End Products or Israeli End Products:

Line Item No. Country of Origin

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

(i) The offeror certifies that each end product, exceptthose listed in paragraph (g)(4)(ii) of this provision, is a U.S.-made ordesignated country end product, as defined in the clause of this solicitationentitled "Trade Agreements."

(ii) The offeror shall list as other end products those endproducts 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 accordancewith the policies and procedures of FAR part 25. For line items coveredby the WTO GPA, the Government will evaluate offers of U.S.-made or designatedcountry end products without regard to the restrictions of the Buy Americanstatute. The Government will consider for award only offers of U.S.-made ordesignated country end products unless the Contracting Officer determines thatthere are no offers for such products or that the offers for such products areinsufficient to fulfill the requirements of the solicitation.

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

(1) Are, are not presently debarred,suspended, proposed for debarment, or declared ineligible for the award ofcontracts by any Federal agency;

(2) Have, have not, within a three-yearperiod preceding this offer, been convicted of or had a civil judgment renderedagainst them for:

commission of fraud or a criminal offense in connection withobtaining, attempting to obtain, or performing a Federal, state or localgovernment contract or subcontract; violation of Federal or state antitruststatutes relating to the submission of offers; or commission of embezzlement,theft, forgery, bribery, falsification or destruction of records, making falsestatements, tax evasion, violating Federal criminal tax laws, or receivingstolen property;

(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 thisclause; and

(4) Have, have not, within a three-yearperiod preceding this offer, been notified of any delinquent Federal taxes inan amount that exceeds the threshold at 9.104-5(a)(2) for which the liabilityremains unsatisfied.

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

(A) The tax liability is finally determined. Theliability is finally determined if it has been assessed. A liability is notfinally determined if there is a pending administrative or judicial challenge.In the case of a judicial challenge to the liability, the liability is notfinally 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 liabilitywhen full payment was due and required. A taxpayer is not delinquent in caseswhere enforced collection action is precluded.

(ii) .Examples

(A) The taxpayer has received astatutory notice of deficiency, under I.R.C. (S)6212, which entitles the taxpayerto seek Tax Court review of a proposed tax deficiency. This is not a delinquenttax because it is not a final tax liability. Should the taxpayer seek Tax Courtreview, this will not be a final tax liability until the taxpayer has exercisedall judicial appeal rights.

(B) TheIRS has filed a notice of Federal tax lien with respect to an assessed taxliability, and the taxpayer has been issued a notice under I.R.C.

(S)6320entitling the taxpayer to request a hearing with the IRS Office of Appealscontesting the lien filing, and to further appeal to the Tax Court if the IRSdetermines to sustain the lien filing. In the course of the hearing, thetaxpayer is entitled to contest the underlying tax liability because thetaxpayer has had no prior opportunity to contest the liability. This is not adelinquent 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. (S)6159.The taxpayer is making timely payments and is in full compliance with theagreement 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.

(S)362 (theBankruptcy 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 products.

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)

(ii)

(j) Place of manufacture. (Does not applyunless the solicitation is predominantly for the acquisition of manufacturedend products.) For statistical purposes only, the offeror shall indicatewhether the place of manufacture of the end products it expects to provide inresponse to this solicitation is predominantly-

(1) In the United States (Check this box if the totalanticipated price of offered end products manufactured in the United Statesexceeds the total anticipated price of offered end products manufacturedoutside the United States); or

(2) Outside the United States.

(k) Certificates regarding exemptions from theapplication of the Service Contract Labor Standards (Certificationby the offeror as to its compliance with respect to the contract alsoconstitutes its certification as to compliance by its subcontractor if itsubcontracts out the exempt services.) [

]Thecontracting officer is to check a box to indicate if paragraph (k)(1) or (k)(2)applies.

(1) 22.1003-4(c)(1). Theofferor 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 FAR22.1003-4(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) 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 insubstantial quantities in the course of normal business operations;

(ii) The contract services will be furnished at prices thatare, or are based on, established catalog or market prices (see FAR22.1003-4(d)(2)(iii));

(iii) Each service employee who will perform the servicesunder the contract will spend only a small portion of his or her time (amonthly average of less than 20 percent of the available hours on an annualizedbasis, or less than 20 percent of available hours during the contract period ifthe contract period is less than a month) servicing the Government contract;and

(iv) The compensation (wage and fringe benefits) plan forall service employees performing work under the contract is the same as thatused for these employees and equivalent employees servicing commercialcustomers.

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

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

(ii) The Contracting Officer may not make an award to theofferor if the offeror fails to execute the certification in paragraph (k)(1)or (k)

(2) of this clause or to contact the Contracting Officer as required inparagraph (k)(3)(i) of this clause.

(l) Taxpayer Identification Number (TIN) ( 26U.S.C. 6109, 31 U.S.C. 7701). (Not applicable if the offeror is required toprovide this information to the SAM to be eligible for award.)

(1) All offerors must submit the information required inparagraphs (l)(3) through (l)(5) of this provision to comply with debtcollection requirements of 31 U.S.C. 7701(c) and 3325(d), reportingrequirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulationsissued by the Internal Revenue Service (IRS).

(2) The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the resulting contract is subject to the payment reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror's TIN.

(3) .Taxpayer Identification Number (TIN)

TIN: .

TIN has been applied for.

TIN is not required because:

Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States;

Offeror is an agency or instrumentality of a foreign government;

Offeror is an agency or instrumentality of the Federal Government.

(4) .Type of organization

Sole proprietorship;

Partnership;

Corporate entity (not tax-exempt);

Corporate entity (tax-exempt);

Government entity (Federal, State, or local);

Foreign government;

International organization per 26 CFR1.6049-4;

Other .

(5) .Common parent

Offeror is not owned or controlled by a common parent;

Name and TIN of common parent:

Name .

TIN .

(m) Restricted business operations in Sudan. By submission of its offer, the offeror certifies that the offeror does not conduct any restricted business operations in Sudan.

(n) Prohibition on Contracting with Inverted Domestic Corporations.

(1) Government agencies are not permitted to use appropriated (or otherwise made available) funds for contracts with either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation, unless the exception at 9.108-2(b) applies or the requirement is waived in accordance with the procedures at 9.108-4.

(2) Representation. The Offeror represents that-

(i) It is, is not an inverted domestic corporation; and

(ii) It is, is not a subsidiary of an inverted domestic corporation.

(o) Prohibition on contracting with entities engaging in certain activities or transactions relating to Iran.

(1) The offeror shall e-mail questions concerning sensitive technology to the Department of State atCISADA106@state.gov.

(2) . Unless a waiver is granted or an exception applies as provided in paragraph (o)(3) of this provision, by Representation and Certifications submission of its offer, the offeror-

(i) Represents, to the best of its knowledge and belief, that the offeror does not export any sensitive technology to the government of Iran or any entities or individuals owned or controlled by, or acting on behalf or at the direction of, the government of Iran;

(ii) Certifies that the offeror, or any person owned or controlled by the offeror, does not engage in any activities for which sanctions may be imposed under section 5 of the Iran Sanctions Act; and

(iii) Certifies that the offeror, and any person owned or controlled by the offeror, does not knowingly engage in any transaction that exceeds the threshold at FAR 25.703-2(a)(2) with Iran's Revolutionary Guard Corps or any of its officials, agents, or affiliates, the property and interests in property of which are blocked pursuant to the International Emergency Economic Powers Act (et seq.) (see OFAC's Specially Designated Nationals and Blocked Persons List at https://www.treasury.gov/resource-center/sanctions/SDN-List/ Pages/default.aspx).

(3) The representation and certification requirements of paragraph (o)(2) of this provision do not apply if-

(i) This solicitation includes a trade agreements certification ( , 52.212-3(g) or a comparable agency provision); ande.g.

(ii) The offeror has certified that…