FA4486-08-R-0011.pdf

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Portuguese Civilian Employee Insurance Coverage
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FA4486-08-R-0011
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SOLICITATION - FA4486-08-R-0011

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32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

SEE SCHEDULE

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES 21. QUANTITY 22. UNIT 24. AMOUNT

PAGE 2 OF

23. UNIT PRICE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV 3/2005) BACK

Prescribed by GSA

FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

FA4486-08-R-0011

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Each

65 ABW

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

PURCHASE REQUEST NUMBER: F2N37P8083A100

SIGNAL CODE: A

NET AMT

0002 1 Each

65 MED GP

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

0003 1 Each

DET 6

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

0004 1 Each

DECA

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

0005 1 Each

729 AMS

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

0006 1 Each

DRMO

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

1001 Each

OPTION

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

1001AA 1 Each

65 ABW

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

1001AB 1 Each

65 MED GP

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

1001AC 1 Each

DET 6

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

1001AD 1 Each

DECA

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

1001AE 1 Each

729 AMS

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

1001AF 1 Each

DRMO

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

2001 Each

OPTION

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

2001AA 1 Each

65 ABW

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

2001AB 1 Each

65 MED GP

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

2001AC 1 Each

DET 6

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

2001AD 1 Each

DECA

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

2001AE 1 Each

729 AMS

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

2001AF 1 Each

DRMO

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

3001 Each

OPTION

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

3001AA 1 Each

65 ABW

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

3001AB 1 Each

65 MED GP

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

3001AC 1 Each

DET 6

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

3001AD 1 Each

DECA

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

3001AE 1 Each

729 AMS

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

3001AF 1 Each

DRMO

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

4001 Each

OPTION

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

4001AA 1 Each

65 ABW

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

4001AB 1 Each

65 MED GP

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

4001AC 1 Each

DET 6

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

4001AD 1 Each

DECA

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

4001AE 1 Each

729 AMS

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

4001AF 1 Each

DRMO

FFP

SERVICES NON-PERSONAL: Insurance Coverage required by Portuguese law and in accordance with the attached Statement of Work for job related injuries and accidents for Portuguese Civilan Employees working for the United States Government. Proposal will be based on an estimated gross annual payroll of 11.200.000,00 Euros. Please do not write on the line. Provide percentage / pricing in Bid Schedule (Attachment 4).

FOB: Destination

NSN: G009-IN-SRN-CONT

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 1001 N/A N/A N/A Government 1001AA Destination Government Destination Government 1001AB Destination Government Destination Government 1001AC Destination Government Destination Government 1001AD Destination Government Destination Government 1001AE Destination Government Destination Government 1001AF Destination Government Destination Government 2001 N/A N/A N/A Government

2001AA Destination Government Destination Government 2001AB Destination Government Destination Government 2001AC Destination Government Destination Government 2001AD Destination Government Destination Government 2001AE Destination Government Destination Government 2001AF N/A N/A N/A Government 3001 N/A N/A N/A Government 3001AA Destination Government Destination Government 3001AB N/A Government Destination Government 3001AC Destination Government Destination Government 3001AD Destination Government Destination Government 3001AE Destination Government Destination Government 3001AF Destination Government Destination Government 4001 N/A N/A N/A Government 4001AA Destination Government Destination Government 4001AB Destination Government Destination Government 4001AC Destination Government Destination Government 4001AD Destination Government Destination Government 4001AE N/A N/A N/A Government 4001AF Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 POP 01-OCT-2008 TO

30-SEP-2009

N/A 65 MSS/DPC - F2N37P

MRS. CARLA LEAL

CIVILIAN PERSONNEL OFFICE

BLDG T-112

APO AE 09720

011-351-295-575137 FOB: Destination

F2N37P

0002 POP 01-OCT-2008 TO

30-SEP-2009

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-OCT-2008 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-OCT-2008 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 01-OCT-2008 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 01-OCT-2008 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 N/A N/A N/A N/A

1001AA POP 01-OCT-2009 TO

30-SEP-2010

N/A 65 MSS/DPC - F2N37P

MRS. CARLA LEAL

CIVILIAN PERSONNEL OFFICE

BLDG T-112

APO AE 09720

011-351-295-575137

1001AB POP 01-OCT-2009 TO

30-SEP-2010

N/A (SAME AS PREVIOUS LOCATION)

1001AC POP 01-OCT-2009 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AD POP 01-OCT-2009 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AE POP 01-OCT-2009 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AF POP 01-OCT-2009 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 N/A N/A N/A N/A

2001AA POP 01-OCT-2010 TO

30-SEP-2011

N/A 65 MSS/DPC - F2N37P

MRS. CARLA LEAL

CIVILIAN PERSONNEL OFFICE

BLDG T-112

APO AE 09720

011-351-295-575137

2001AB POP 01-OCT-2010 TO

30-SEP-2011

N/A (SAME AS PREVIOUS LOCATION)

2001AC POP 01-OCT-2010 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AD POP 01-OCT-2010 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AE POP 01-OCT-2010 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AF POP 01-OCT-2010 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 N/A N/A N/A N/A

3001AA POP 01-OCT-2011 TO

30-SEP-2012

N/A 65 MSS/DPC - F2N37P

MRS. CARLA LEAL

CIVILIAN PERSONNEL OFFICE

BLDG T-112

APO AE 09720

011-351-295-575137

3001AB POP 01-OCT-2011 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AC POP 01-OCT-2011 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AD POP 01-OCT-2011 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AE POP 01-OCT-2011 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AF POP 01-OCT-2011 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 N/A N/A N/A N/A

4001AA POP 01-OCT-2012 TO

30-SEP-2013

N/A 65 MSS/DPC - F2N37P

MRS. CARLA LEAL

CIVILIAN PERSONNEL OFFICE

BLDG T-112

APO AE 09720

011-351-295-575137

4001AB POP 01-OCT-2012 TO

30-SEP-2013

N/A (SAME AS PREVIOUS LOCATION)

4001AC POP 01-OCT-2012 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AD POP 01-OCT-2012 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AE POP 01-OCT-2012 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AF POP 01-OCT-2012 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.204-9 Personal Identity Verification of Contractor Personnel SEP 2007 52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for Debarment

SEP 2006

52.212-4 Contract Terms and Conditions--Commercial Items FEB 2007 52.214-34 Submission Of Offers In The English Language APR 1991 52.217-5 Evaluation Of Options JUL 1990 52.232-18 Availability Of Funds APR 1984 52.232-33 Payment by Electronic Funds Transfer--Central Contractor

Registration

OCT 2003

52.233-3 Protest After Award AUG 1996 52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.237-3 Continuity Of Services JAN 1991 52.242-13 Bankruptcy JUL 1995 52.242-15 Stop-Work Order AUG 1989 52.253-1 Computer Generated Forms JAN 1991 252.201-7000 Contracting Officer's Representative DEC 1991 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7004 Alt A Central Contractor Registration (52.204-7) Alternate A SEP 2007 252.222-7002 Compliance With Local Labor Laws (Overseas) JUN 1997 252.225-7041 Correspondence in English JUN 1997 252.225-7042 Authorization to Perform APR 2003 252.229-7000 Invoices Exclusive of Taxes or Duties JUN 1997 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

MAR 2008

252.232-7008 Assignment of Claims (Overseas) JUN 1997 252.232-7010 Levies on Contract Payments DEC 2006 252.233-7001 Choice of Law (Overseas) JUN 1997 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.243-7002 Requests for Equitable Adjustment MAR 1998

CLAUSES INCORPORATED BY FULL TEXT

52.212-1 INSTRUCTIONS TO OFFERORS--COMMERCIAL ITEMS (APR 2008)

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code and small business size standard for this acquisition appear in Block 10 of the solicitation cover sheet (SF 1449). However, the small business size standard for a concern which submits an offer in its own name, but which proposes to furnish an item which it did not itself manufacture, is 500 employees.

(b) Submission of offers. Submit signed and dated offers to the office specified in this solicitation at or before the exact time specified in this solicitation. Offers may be submitted on the SF 1449, letterhead stationery, or as otherwise specified in the solicitation. As a minimum, offers must show--

(1) The solicitation number;

(2) The time specified in the solicitation for receipt of offers;

(3) The name, address, and telephone number of the offeror;

(4) A technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary;

(5) Terms of any express warranty;

(6) Price and any discount terms;

(7) "Remit to" address, if different than mailing address;

(8) A completed copy of the representations and certifications at FAR 52.212-3 (see FAR 52.212-3(l) for those representations and certifications that the offeror shall complete electronically);

(9) Acknowledgment of Solicitation Amendments;

(10) Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information); and

(11) If the offer is not submitted on the SF 1449, include a statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offers that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

(c) Period for acceptance of offers. The offeror agrees to hold the prices in its offer firm for 30 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

(d) Product samples. When required by the solicitation, product samples shall be submitted at or prior to the time specified for receipt of offers. Unless otherwise specified in this solicitation, these samples shall be submitted at no expense to the Government, and returned at the sender's request and expense, unless they are destroyed during preaward testing.

(e) Multiple offers. Offerors are encouraged to submit multiple offers presenting alternative terms and conditions or commercial items for satisfying the requirements of this solicitation. Each offer submitted will be evaluated separately.

(f) Late submissions, modifications, revisions, and withdrawals of offers:

(1) Offerors are responsible for submitting offers, and any modifications, revisions, or withdrawals, so as to reach the Government office designated in the solicitation by the time specified in the solicitation. If no time is specified in the solicitation, the time for receipt is 4:30 p.m., local time, for the designated Government office on the date that offers or revisions are due.

(2)(i) Any offer, modification, revision, or withdrawal of an offer received at the Government office designated in the solicitation after the exact time specified for receipt of offers is “late” and will not be considered unless it is received before award is made, the Contracting Officer determines that accepting the late offer would not unduly delay the acquisition; and--

(A) If it was transmitted through an electronic commerce method authorized by the solicitation, it was received at the initial point of entry to the Government infrastructure not later than 5:00 p.m. one working day prior to the date specified for receipt of offers; or

(B) There is acceptable evidence to establish that it was received at the Government installation designated for receipt of offers and was under the Government's control prior to the time set for receipt of offers; or

(C) If this solicitation is a request for proposals, it was the only proposal received.

(ii) However, a late modification of an otherwise successful offer, that makes its terms more favorable to the Government, will be considered at any time it is received and may be accepted.

(3) Acceptable evidence to establish the time of receipt at the Government installation includes the time/date stamp of that installation on the offer wrapper, other documentary evidence of receipt maintained by the installation, or oral testimony or statements of Government personnel.

(4) If an emergency or unanticipated event interrupts normal Government processes so that offers cannot be received at the Government office designated for receipt of offers by the exact time specified in the solicitation, and urgent Government requirements preclude amendment of the solicitation or other notice of an extension of the closing date, the time specified for receipt of offers will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal Government processes resume.

(5) Offers may be withdrawn by written notice received at any time before the exact time set for receipt of offers.

Oral offers in response to oral solicitations may be withdrawn orally. If the solicitation authorizes facsimile offers, offers may be withdrawn via facsimile received at any time before the exact time set for receipt of offers, subject to the conditions specified in the solicitation concerning facsimile offers. An offer may be withdrawn in person by an offeror or its authorized representative if, before the exact time set for receipt of offers, the identity of the person requesting withdrawal is established and the person signs a receipt for the offer.

(g) Contract award (not applicable to Invitation for Bids). The Government intends to evaluate offers and award a contract without discussions with offerors. Therefore, the offeror's initial offer should contain the offeror's best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government may reject any or all offers if such action is in the public interest; accept other than the lowest offer; and waive informalities and minor irregularities in offers received.

(h) Multiple awards. The Government may accept any item or group of items of an offer, unless the offeror qualifies the offer by specific limitations. Unless otherwise provided in the Schedule, offers may not be submitted for quantities less than those specified. The Government reserves the right to make an award on any item for a quantity less than the quantity offered, at the unit prices offered, unless the offeror specifies otherwise in the offer.

(i) Availability of requirements documents cited in the solicitation. (1)(i) The GSA Index of Federal Specifications, Standards and Commercial Item Descriptions, FPMR Part 101-29, and copies of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained for a fee by submitting a request to--GSA Federal Supply Service Specifications Section, Suite 8100, 470 East L'Enfant Plaza, SW, Washington, DC 20407, Telephone (202) 619-8925, Facsimile (202) 619-8978.

(ii) If the General Services Administration, Department of Agriculture, or Department of Veterans Affairs issued this solicitation, a single copy of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained free of charge by submitting a request to the addressee in paragraph (i)(1)(i) of this provision.

Additional copies will be issued for a fee.

(2) Most unclassified Defense specifications and standards may be downloaded from the following ASSIST websites:

(i) ASSIST (http://assist.daps.dla.mil).

(ii) Quick Search (http://assist.daps.dla.mil/quicksearch).

(iii) ASSISTdocs.com (http://assistdocs.com).

(3) Documents not available from ASSIST may be ordered from the Department of Defense Single Stock Point (DoDSSP) by--

(i) Using the ASSIST Shopping Wizard (http://assist.daps.dla.mil/wizard);

(ii) Phoning the DoDSSP Customer Service Desk (215) 697-2179, Mon-Fri, 0730 to 1600 EST; or

(iii) Ordering from DoDSSP, Building 4, Section D, 700 Robbins Avenue, Philadelphia, PA 19111-5094, Telephone (215) 697-2667/2179, Facsimile (215) 697-1462.

(4) Nongovernment (voluntary) standards must be obtained from the organization responsible for their preparation, publication, or maintenance.

(j) Data Universal Numbering System (DUNS) Number. (Applies to all offers exceeding $3,000, and offers of $3,000 or less if the solicitation requires the Contractor to be registered in the Central Contractor Registration (CCR) database. The offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation “DUNS” or “DUNS +4” followed by the DUNS or DUNS +4 number that identifies the offeror's name and address. The DUNS +4 is the DUNS number plus a 4-character suffix that may be assigned at the discretion of the offeror to establish additional CCR records for identifying alternative Electronic Funds Transfer (EFT) accounts (see FAR Subpart 32.11) for the same concern. If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one. An offeror within the United States may contact Dun and Bradstreet by calling 1-866-705-5711 or via the internet at http://fedgov.dnb.com/webform. An offeror located outside the United States must contact the local Dun and Bradstreet office for a DUNS number. The offeror should indicate that it is an offeror for a Government contract when contacting the local Dun and Bradstreet office.

(k) Central Contractor Registration. Unless exempted by an addendum to this solicitation, by submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the CCR database prior to award, during performance and through final payment of any contract resulting from this solicitation. If the Offeror does not become registered in the CCR database in the time prescribed by the Contracting Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror. Offerors may obtain information on registration and annual confirmation requirements via the Internet at http://www.ccr.gov or by calling 1-888-227-2423 or 269-961-5757.

(l) Debriefing. If a post-award debriefing is given to requesting offerors, the Government shall disclose the following information, if applicable:

(1) The agency's evaluation of the significant weak or deficient factors in the debriefed offeror's offer.

(2) The overall evaluated cost or price and technical rating of the successful and the debriefed offeror and past performance information on the debriefed offeror.

(3) The overall ranking of all offerors, when any ranking was developed by the agency during source selection.

(4) A summary of the rationale for award;

(5) For acquisitions of commercial items, the make and model of the item to be delivered by the successful offeror.

(6) Reasonable responses to relevant questions posed by the debriefed offeror as to whether source-selection procedures set forth in the solicitation, applicable regulations, and other applicable authorities were followed by the agency.

ADDENDUM to 52.212-1 PROPOSAL PREPARATION INSTRUCTIONS

A. To assure timely and and equitable evaluation of the proposal, the offeror must follow the instructions herein. The proposal must be complete, self-sufficient and respond directly to the requirements of this solicitation. The response shall consist of two (2) parts; Part I – Price Proposal and Part II – Technical Proposal.

B. The contracting officer has determined there is a high probability of adequate price competition in this acquisition. Upon examination of the initial offers, the contracting officer will review this determination and if, in the contracting officer’s opinion, adequate price competition exists no additional cost information will be requested and certification under FAR 15.406-2 will not be required. However, if at any time during this competition the contracting officer determines that adequate price competition no longer exists offerors may be required to submit information other than cost or pricing data to support a determination of price fair and reasonable.

C. Specific Instructions:

1. PART I – PRICE PROPOSAL - Submit original copy

(a) Complete blocks 17a, 30a, b and c of the SF1449. In doing so, the offeror accedes to the contract terms and conditions as written in the SOLICITATION, with attachments. The SOLICITATION constitutes the model contract.

(b) Insert the proposed premium percentage and extended price amount based on the provided estimated gross annual payroll in bid schedule (attachment 4) . The proposal must be submitted for a base year plus four (4) Option Years.

(c) Complete the necessary fill-ins and certifications in provisions. The provisions FAR 52.212-3 shall be returned along with proposal.

2. PART II – TECHNICAL PROPOSAL – Submit original copy Provide the following subfactors with your proposal:

(a) Insurance Business Certificate

(b) Experience: Provide name of 3 organizations with over 100 employees that your company has provided this type of insurance coverage within the last 3 years, to include the point of contact and phone number.

(c) Contractor Quality Control Plan: A detailed plan of how your company will meet the requirements of this Statement of Work (page limit 5 pages). The plan must also specifically include the answer to the following questions:

1. Where do the employees report for initial care?

2. As stated in the Statement of Work, Lajes AB will provide the contractor with the USAFE BASE IMT 50 to inform of any accident/injury. Where do these forms need to be delivered and within what timeframe?

3. What does the employee need to do, to inform the provider to receive follow-up care?

4. How will follow-up care and/or physical therapy be scheduled and what transportation is authorized to attend these appointments?

5. What do employees need to do in order to get paid (for time away from work, transportation reimbursements, or any other payment required by Portuguese law?

General Information

INFORMATION REGARDING SUBMISSION OF PROPOSAL: Hand carried proposals must be submitted to Connie Pires, 65th Contracting Sq., Unit 7775 Bldg T-615, APO AE 09720. The sealed envelope or package used to submit your proposal must show the time and date specified for receipt, the Solicitation No. FA4486-08-R-0011 and the name and address of the offeror.

Offerors are cautioned that Lajes Field, Terceira, Azores, Portugal has visitor control procedures requiring individuals not affiliated with the installation to obtain a visitor pass prior to entrance. SOME DELAY SHOULD BE ANTICIPATED WHEN HANDCARRYING PROPOSALS. Offerors should allow sufficient time to obtain a visitor pass and arrive at Bldg T-615 PRIOR to the time specified for receipt. Late proposals will be processed in accordance with FAR 52.212-1(f) “Late submission, modifications, revisions and withdrawals of Offers.”

(End of provision)

52.212-2 EVALUATION--COMMERCIAL ITEMS (JAN 1999)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Price Technical Capability

Technical and past performance, when combined, does not offor any additional advantage.

Past Performance is not applicable in this solicitation

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of clause)

ADDENDUM TO 52.212-2

BASIS FOR AWARD

Contract award will be made on the basis of the lowest evaluated price proposals meeting or exceeding the acceptability standards for non-cost factors IAW FAR 15.101-2—Lowest Price Technically Acceptable Source Selection Process. By submission of its offer, the offeror accedes to all solicitation requirements, including terms and conditions, representations and certifications and technical requirements, in addition to those identified as evaluation factors or subfactors. Failure to meet a requirement may result in an offer being determined technically unacceptable. Offerors must clearly identify any exception to the solicitation terms and conditions and provide complete accompanying rationale. The Contracting Officer will make a determination of the contractor’s responsibility in accordance with FAR 9.105. The evaluation process shall proceed as follows:

A. Price Evaluation: “Initially, offers shall be ranked acoording to price, including any option prices. For items with estimated quantities listed in Attachment 4, Bid Schedule, the offeror’s proposed prices will be determined by multiplying the premium percentage by the estimated base gross annual wage amount to confirm the extended amount. The price evaluation will document the reasonableness and affordability of the proposed total evaluated price based on the following subfactor:

1. Complete Bid Schedule (Attachment 4 of the solicitation)

B. Technical Capability: Next, the government technical evaluation team shall evaluate the technical proposals submitted by the lowest priced offeror on a pass/fail basis, assigning a rating of Acceptable or Unacceptable. The proposals shall be evaluated against the following subfactors:

1. Insurance Business Certificate

2. Experience: Provide name of 3 organizations with over 100 employees that your company has provided this type of insurance coverage within the last 3 years, to include the point of contact and phone number.

3. Contractor Quality Control Plan: A detailed plan of how your company will meet the requirements of this Statement of Work. The plan must also specifically include the answer to the following questions:

a. Where do the employees report for initial care?

b. As stated in the Statement of Work, Lajes AB will provide the contractor with the USAFE BASE IMT 50 to inform of any accident/injury. Where do these forms need to be delivered and within what timeframe?

c. What does the employee need to do to inform the provider to receive follow-up care?

d. How will follow-up care and/or physical therapy be scheduled and what transportation is authorized to attend these appointments?

e. What do employees need to do in order to get paid (for time away from work, transportation reimbursements, or any other payment required by Portuguese law?

C. Offerors are cautioned to submit sufficient information and in format specified in ADDENDUM 52.212-1 INSTRUCTION TO OFFERORS. Offerors may be asked to clarify certain aspects of their proposal.

Communication conducted to resolve minor or clerical errors will not constitute discussions and the contracting officer reserves the right to award a contract without the opportunity for proposal revision.

D. If the lowest priced evaluated offer is deemed “technically acceptable”, that offer represents the best value for the government.

E. In the event the government does not make an award pursuant to paragraph D, the government reserves the right to continue the evaluation process until an offeror is deemed to be “technically acceptable” and award a contract to other than the lowest priced offeror. The government intends to award a contract without discussions with respective offerors. The government, however, reserves the right to conduct dicussions if deemed in its best interest.

(End of clause)

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (JUN 2008)

An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual representations and certifications electronically at http://orca.bpn.gov. If an offeror has not completed the annual representations and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (c) through (m) of this provision.

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

"Emerging small business" means a small business concern whose size is no greater than 50 percent of the numerical size standard for the NAICS code designated.

"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.

Manufactured end product means any end product in Federal Supply Classes (FSC) 1000-9999, except--

(1) FSC 5510, Lumber and Related Basic Wood Materials;

(2) Federal Supply Group (FSG) 87, Agricultural Supplies;

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

(5) FSC 9410, Crude Grades of Plant Materials;

(6) FSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) FSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) FSC 9610, Ores;

(9) FSC 9620, Minerals, Natural and Synthetic; and

(10) FSC 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 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.

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.

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 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 its stock is owned by one or more women; or

(2) Whose management and daily business operations are controlled by one or more women.

"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 stock of which is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

(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 Online Representations and Certifications Application (ORCA) website.

(2) The offeror has completed the annual representations and certifications electronically via the ORCA website at http://orca.bpn.gov. After reviewing the ORCA database information, the offeror verifies by submission of this offer that the representations 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 (m) of this provision that the offeror has completed for the purposes of this solicitation only, if any.)

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