Solicitation_-_FA460019QA014.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

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

DATE

7. FOR SOLICITATION

INFORMATION CALL:

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

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

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

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

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

OFFER

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

BELOW IS CHECKED

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

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

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

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

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

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

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

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

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

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

FA460019QA014

Solicitation/Contract Form

Supplies or Services and Prices/Cost

Additional Information/Notes

Item Supplies/Service Quantity Unit Unit Price Amount

0001 Chemistry Analyzer Lease. Period of Performance 01 Aug 2019 - 31 Jul 2020 Manufacturer's Part Number: Null Product Service Code: W066 Firm Fixed Price

CIN: 00000000000004249784

12.0 Months

Option Line Item

Chemistry Analyzer Lease. Period of Performance 01 Aug 2020 - 31 Jul 2021.

Product Service Code: W066 Firm Fixed Price

12.0 Months

Option Line Item

Chemistry Analyzer Lease. Period of Performance 01 Aug 2021 - 31 Jul 2022 Product Service Code: W066 Firm Fixed Price

12.0 Months

Option Line Item

Chemistry Analyzer Lease. Period of Performance 01 Aug 2022 to 31 Jul Product Service Code: W066 Firm Fixed Price

12.0 Months

Option Line Item

Chemistry Analyzer Lease. Period of Performance 01 Aug 2023 - 31 Jul 2024 Product Service Code: W066 Firm Fixed Price

12.0 Months

Option Line Item

Chemistry Analyzer Lease. Period of Performance 01 Aug 2024 - 31 Jan Product Service Code: W066 Firm Fixed Price

6.0 Months

Description/Specifications/Statement of Work

STATEMENT OF WORK FOR

Chemistry Analyzer

AIR FORCE MEDICAL

CLINICAL SUPPORT SERVICES

Non-Personal Services

05 June 2019

1. SCOPE OF WORK: Equipment Lease/Service program. The contactor shall provide all personnel, equipment, tools, materials, installation reagents, supervision, transportation, one service/operator's manual and other ancillary components, equipment, items and services necessary for the installation and operation of the chemistry analyzer(s)* for ~175K annual (based off of the historical data of 173,811 tests in FY18, 184,587 tests in FY17, and 198,448 tests in FY16) Chemistry tests and at the Ehrling Bergquist Clinic, 2501 Capehart Rd, Bellevue Nebraska, 68113. Test menu:

Albumin, serum/plasma Alkaline phosphatase, serum/plasma ALT, serum/plasma Amylase, serum/plasma AST, serum/plasma Bilirubin, direct, serum/plasma Bilirubin, total, neonatal, serum/plasma Bilirubin, total, serum/plasma Calcium, serum/plasma Chloride, serum/plasma Cholesterol, serum/plasma CO2, serum/plasma Creatine kinase (CK), serum/plasma Creatinine, serum/plasma Creatinine, urine, quantitative GGT, serum/plasma Glucose, serum/plasma hCG, quantitative, serum HDL cholesterol, serum/plasma LD, serum/plasma LDL cholesterol, serum/plasma, measured Lipase, serum/plasma Magnesium, serum/plasma Microalbumin (urine albumin), quantitative Phosphorus, serum/plasma Potassium, serum/plasma Potassium, urine Protein, total, quantitative, urine Protein, total, serum/plasma Sodium, serum/plasma Sodium, urine Triglycerides, serum/plasma Urea, serum/plasma Uric acid, serum/plasma Alcohol/ETOH, serum/plasma C-reactive protein, high sensitivity Prostate specific antigen (PSA) T4, free TSH, serum/plasma Vitamin D, 25-hydroxy Hemoglobin A1c*

- 5,400 tests/yr *Offering may include separate standalone analyzer to satisfy Hemoglobin A1c testing needs.

Specifications are as follows:

1.1. New (not previously owned) Food & Drug Administration (FDA)-approved analyzer(s) and components, with auto-loading feature.

1.2. Must be a discrete analyzer, capable of performing at least 150 patient tests/(hr)

1.3. Capable of processing adult and pediatric (micro-sample) specimen collection tubes.

1.4. For applicable tests, must meet performance requirements for federally regulated analytes.

1.5. Must include some "walk away" maintenance procedure capabilities, allowing for after-hours scheduling of maintenance tasks.

1.6. Must have on-board tracking of reagent, controls, calibrators, and ancillary reagents.

1.7. Included reagents/ancillaries are primarily ready-to-use, with minimal technician preparation required.

1.8. Provide reagents with stability through estimated usage (i.e., minimal reagent waste due to expiration).

1.9. Calibration material is provided for each assay.

1.10. Must have capabilities for user-defined test parameters.

1.11. Contractor shall only offer items which already have an Authorization to Operate (ATO), or items for which the contractor agrees to go through the DoD Information Assurance (IA) approval process and obtain a Risk Management Framework (RMF) ATO. A completed Joint Medical Device Risk Assessment Questionnaire (DRAQ), v1.1, for the offered system must be provided with proposal. All equipment and software supplied at initial and subsequent installations will accurately reflect responses provided on DRAQ.

1.12. The system must have barcode/data reading capabilities.

1.13. The system must have proven interface capabilities with Composite Health Care System (CHCS).

1.14. System must possess software capable of multitasking, i.e., allows technicians to perform data operations simultaneously with analyzer operations.

1.15. Must be capable of loading reagents while system is operational (stand-by not required to load).

1.16. If instrument-feed water is required for operation of the Chemistry system, must provide water purification system and applicable maintenance, supplies, and services.

2. OPERATIONAL/SERVICE REQUIREMENTS: Equipment and services must comply with Clinical Laboratory Improvement Act (CLIA), Occupational Safety and Health Administration (OSHA), Centers for Disease Control and Prevention (CDC), and FDA requirements. In addition to analyzer system, the contractor supplies the following at no additional expense to the government:

2.1. All materials, accessories, reagents, calibrators, and ancillary products necessary to operate the analyzer and report results via bi-directional interface.

2.2. All software and hardware necessary to operate the analyzer, manage integrated software, and print analyzer reports.

2.3. The contractor shall directly provide scheduled preventative maintenance inspections (PMIs) at manufacturer or regulatory agency-required intervals, calibrations/calibration material, and on-site repair services for all provided equipment at the manufacturer- or regulatory agency-required intervals. Manufacturer-recommended parts, materials, updates, technical data, tools and test equipment shall be used, as applicable.

2.4. Maintenance Services: Once maintenance actions are initiated, shall be continued through completion unless otherwise coordinated with the laboratory. Services shall be performed during normal duty hours of 0730 to 1630, Monday thru Friday.

The contractor shall provide a service report for any maintenance, inspection, or repair activities performed on site, prior to departing the clinic.

2.4.1. Scheduled Maintenance. The contractor shall coordinate required PMIs and system calibrations at least two weeks in advance, and will performance scheduled services with minimal disruptions to laboratory operations. These inspections shall include quality assurance checks for proper operation, detection and correction of incipient failures, actions pertaining to periodic technical inspections, lubrications, adjustments, calibrations, controls, cleaning, and replacement of worn parts at a biannual frequency.

2.4.2. Customer Support. The contractor shall provide telephone customer service for analytical equipment Monday through Friday, 0730-1630 CST, excluding federal holidays. Telephone assistance shall be toll-free to the government for troubleshooting and/or repair support for malfunctions. All tools, test equipment, parts, and supplies necessary to return the equipment to operating specifications will be provided at no additional government expense.

2.4.3. Unscheduled Maintenance. If the analyzer system is not operational, and telephone support fails to resolve the issue, the contractor's representative is to arrive within one business day of the service request. All tools, test equipment, parts, and supplies necessary to return the equipment to operating specifications will be provided at no additional government expense.

Unscheduled downtime for non-preventative maintenance/repairs shall not exceed 5% of the total operational time.

3. INSTALLATION

3.1. The contractor shall provide an Uninterrupted Power Supply (UPS) for the analyzer and supporting equipment. The contractor shall ensure that the UPS provides enough power during a commercial power outage to sustain analyzer system operations for the lesser of instrument shutdown cycle or 30 minutes. All contractors shall include with their quote the specific type of UPS (make, model) required for their equipment.

3.2. The contractor must provide Safety Data Sheets (SDSs) and instructions for use (IFUs) for all required supply items that are utilized on the system at no cost to the government prior to installation, and allow continued access to updated materials throughout contract period.

3.3. To obtain acceptable performance on the analyzer, all studies must be presented to the laboratory director or designee for acceptance and approval prior to the contractor representative's departure.

3.4. Installation support personnel shall complete daily clean-up and a final (upon installation completion) clean-up of the work area, to include any need for cosmetic repairs on walls, floorings, ceiling, etc.

3.5. The contractor shall provide a dedicated representative to perform/oversee system installation, set up, and method verification studies. The contractor shall provide all reagent/materials needed to perform 2.4., and 3.5.1. through 3.5.4.

3.5.1. Establishing Quality Control (QC) files and entering QC limits.

3.5.2. Establishing user defined patient parameters, alerts, and reflexive testing.

3.5.3. Performing comparison studies with currently used test methods.

3.5.4. Performing linearity verifications to validate analytical measurement range for each assay.

3.5.5. Performing precision studies to verify manufacturer's claims for each assay.

4. CONTRACTOR PERSONNEL

4.1. Point of Contact: The contractor shall provide dedicated point(s) of contact who shall be responsible for the performance of service and maintenance. The point of contact shall have full authority to act for the contractor on all matters relating to the execution of this contract. The contractor shall designate this individual in writing to the contracting officer representative (COR) upon contract award. The POC shall be available via telephone Monday-Friday, 7:30 AM-4:30 PM, excluding Federal Holidays.

4.2. Employee Training: The contractor shall provide on-site instrument operations training at time of equipment installation.

Contractor shall provide advanced operator training on- or off-site for one government employee during the base year, and for one government employee at each option year thereafter. If off-site, this shall include transportation, food and lodging expenses. The contractor shall grant laboratory and biomedical equipment technician (BMET) staff access to available virtual training modules applicable to the analyzer system.

4.3. Physical Security: The BMET or Medical Laboratory will provide a representative to sign the contractor's representative in at applicable security check points when performing service at the Erhling Bergquist Clinic. Representative(s) must possess a valid driver's license, and comply with installation access provisions while performing services at the Ehrling Berquist Clinic. The contractor shall be responsible for safeguarding all government property, and shall check out with a government representative upon completion of work.

5. ADDITIONAL REQUIREMENTS

5.1. Reagents and consumables. The Contractor shall furnish all items needed to perform this contract according to all of its terms. The contractor shall provide all supplies necessary to perform correlation, precision, linearity and other studies related to installation and performance of the Chemistry testing.

5.2. Special Working Conditions: All equipment, parts, materials, and services supplied by the contractor shall conform to the applicable safety standards as indicated in the current code of Federal Regulations, Occupational Safety and Health Administration (OSHA) Standards.

6. GENERAL INFORMATION

6.1. Hours of Operation: The contractor shall perform preventive maintenance services and software upgrades required under this contract between normal business hours, 0730 to 1630, Central time, Monday through Friday excluding federal holidays.

6.2. Holidays: The contractor shall not be required to perform on-site services, repairs, and/or software updates during the following federal holidays: New Year's Day, Martin Luther King's Birthday, President's Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veteran's Day, Thanksgiving Day and Christmas Day.

Requirements 55 MDG Chemistry Analyzer. Equipment Lease/Service program for installation and operation of the chemistry analyzer(s) for about 175K annual Chemistry tests and at the 55 MDG Clinic

Packaging and Marking

Inspection and Acceptance

FAR Clauses Incorporated by Reference

Number Title Effective Date 52.246-4 Inspection of Services-Fixed-Price. 1996-08 0001 Inspection and Acceptance Location

Both Destination Instructions: None

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

EHRLING BERQUIST HOSP 2501 CAPE RD

AF BPN NO MILSBILLS PROCESSES

OFFUTT AFB, NE 68113 2160

United States

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.e.wilkins.civ@mail.mil

Option Line Item

Inspection and Acceptance Location

Both Destination Instructions: None

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

EHRLING BERQUIST HOSP 2501 CAPE RD

AF BPN NO MILSBILLS PROCESSES

OFFUTT AFB, NE 68113 2160

United States

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.e.wilkins.civ@mail.mil

Option Line Item

Inspection and Acceptance Location

Both Destination Instructions: None

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

EHRLING BERQUIST HOSP 2501 CAPE RD

AF BPN NO MILSBILLS PROCESSES

OFFUTT AFB, NE 68113 2160

United States

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.e.wilkins.civ@mail.mil

Option Line Item

Inspection and Acceptance Location

Both Destination Instructions: None

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

EHRLING BERQUIST HOSP 2501 CAPE RD

AF BPN NO MILSBILLS PROCESSES

OFFUTT AFB, NE 68113 2160

United States

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.e.wilkins.civ@mail.mil

Option Line Item

Inspection and Acceptance Location

Both Destination Instructions: None

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

EHRLING BERQUIST HOSP 2501 CAPE RD

AF BPN NO MILSBILLS PROCESSES

OFFUTT AFB, NE 68113 2160

United States

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.e.wilkins.civ@mail.mil

Option Line Item

Inspection and Acceptance Location

Both Destination Instructions: None

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

EHRLING BERQUIST HOSP 2501 CAPE RD

AF BPN NO MILSBILLS PROCESSES

OFFUTT AFB, NE 68113 2160

United States

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.e.wilkins.civ@mail.mil

Deliveries or Performance

Government Destination

0001 Delivery Schedule Ship To Address

Partial Delivery Schedule Delivery Period

01 AUG 2019

31 JUL 2020

12.0 Months

Ship To

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

EHRLING BERQUIST HOSP 2501 CAPE RD

AF BPN NO MILSBILLS PROCESSES

OFFUTT AFB, NE 68113 2160

United States

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.e.wilkins.civ@mail.mil

Period of Performance From

01 AUG 2019

to

31 JUL 2020

Option Line Item

Delivery Schedule Ship To Address

Partial Delivery Schedule Delivery Period

01 AUG 2020

31 JUL 2021

12.0 Months

Ship To

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

EHRLING BERQUIST HOSP 2501 CAPE RD

AF BPN NO MILSBILLS PROCESSES

OFFUTT AFB, NE 68113 2160

United States

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.e.wilkins.civ@mail.mil

Period of Performance From

01 AUG 2020

to

31 JUL 2021

Option Line Item Delivery Schedule Ship To Address

Partial Delivery Schedule Delivery Period

01 AUG 2021

31 JUL 2022

12.0 Months

Ship To

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

EHRLING BERQUIST HOSP 2501 CAPE RD

AF BPN NO MILSBILLS PROCESSES

OFFUTT AFB, NE 68113 2160

United States

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.e.wilkins.civ@mail.mil

Period of Performance From

01 AUG 2021

to

31 JUL 2022

Option Line Item

Delivery Schedule Ship To Address

Partial Delivery Schedule Delivery Period

01 AUG 2022

31 JUL 2023

12.0 Months

Ship To

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

EHRLING BERQUIST HOSP 2501 CAPE RD

AF BPN NO MILSBILLS PROCESSES

OFFUTT AFB, NE 68113 2160

United States

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.e.wilkins.civ@mail.mil

Period of Performance From

01 AUG 2022

to

31 JUL 2023

Option Line Item

Delivery Schedule Ship To Address

Partial Delivery Schedule Delivery Period

01 AUG 2023

31 JUL 2024

12.0 Months

Ship To

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

EHRLING BERQUIST HOSP 2501 CAPE RD

AF BPN NO MILSBILLS PROCESSES

OFFUTT AFB, NE 68113 2160

United States

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.e.wilkins.civ@mail.mil

Period of Performance From

01 AUG 2023

to

31 JUL 2024

Option Line Item

Delivery Schedule Ship To Address

Partial Delivery Schedule Delivery Period

01 AUG 2024

31 JAN 2025

6.0 Months

Ship To

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

EHRLING BERQUIST HOSP 2501 CAPE RD

AF BPN NO MILSBILLS PROCESSES

OFFUTT AFB, NE 68113 2160

United States

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.e.wilkins.civ@mail.mil

Period of Performance From

01 AUG 2024

to

31 JAN 2025

FAR Clauses Incorporated by Reference

Number Title Effective Date 52.247-34 F.o.b. Destination. 1991-11

Contract Administration Data

DFARS Clauses Incorporated by Reference

Number Title Effective Date 252.201-7000 Contracting Officer's Representative 1991-12 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports. 2018-12

DFARS Clauses Incorporated by Full Text

252.232-7006 Wide Area WorkFlow Payment Instructions. 2018-12

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

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.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

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

(1) Have a designated electronic business point of contact in the System for Award Management at https:// www.acquisition.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) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before 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) WAWF methods of document submission. Document submissions may be via Web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

Combo

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

Government Location

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating 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 FA4600 Admin DoDAAC FA4600 Inspect By DoDAAC F3H4A1 Ship To Code NA Ship From Code NA Mark For Code NA Service Approver (DoDAAC) F3H4A1 Service Acceptor (DoDAAC) F3H4A1 Accept at Other DoDAAC NA LPO DoDAAC NA DCAA Auditor DoDAAC NA Other DoDAAC(s) NA

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

cody.benjamin.3@us.af.mil and/or jonathan.zimmerman@us.af.mil

(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.

Cody Benjamin Contracting Officer cody.benjamin.3@us.af.mil

(402) 294-3621

2nd Lt Jonathan Zimmerman Contracting Administrator jonathan.zimmerman@us.af.mil

(402) 294-4097

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

(End of clause)

Special Contract Requirements

Contract Clauses

FAR Clauses Incorporated by Reference

Number Title Effective Date 52.202-1 Definitions. 2013-11 52.203-3 Gratuities. 1984-04 52.203-17 Contractor Employee Whistleblower Rights and Requirement To Inform

Employees of Whistleblower Rights.

2014-04

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper.2011-05 52.204-9 Personal Identity Verification of Contractor Personnel. 2011-01 52.204-18 Commercial and Government Entity Code Maintenance. 2016-07 52.232-39 Unenforceability of Unauthorized Obligations. 2013-06 52.232-40 Providing Accelerated Payments to Small Business Subcontractors. 2013-12 52.233-4 Applicable Law for Breach of Contract Claim. 2004-10 52.237-2 Protection of Government Buildings, Equipment, and Vegetation. 1984-04 52.242-13 Bankruptcy. 1995-07 52.246-25 Limitation of Liability-Services. 1997-02 52.249-8 Default (Fixed-Price Supply and Service). 1984-04

DFARS Clauses Incorporated by Reference

Number Title Effective Date 252.203-7000 Requirements Relating to Compensation of Former DoD Officials 2011-09 252.203-7002 Requirement to Inform Employees of Whistleblower Rights. 2013-09 252.204-7003 Control of Government Personnel Work Product. 1992-04 252.204-7012 Safeguarding Covered Defense Information and Cyber Incident

Reporting.

2016-10

252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support. 2016-05 252.205-7000 Provision of Information to Cooperative Agreement Holders 1991-12 252.209-7004 Subcontracting with Firms that are Owned or Controlled by the

Government of a Country that is a State Sponsor of Terrorism.

2015-10

252.219-7003 Small Business Subcontracting Plan (DoD Contracts). 2018-12 252.223-7006 Prohibition on Storage, Treatment, and Disposal of Toxic or Hazardous

Materials.

2014-09

252.225-7001 Buy American and Balance of Payments Program. 2017-12 252.225-7012 Preference for Certain Domestic Commodities. 2017-12 252.225-7048 Export-Controlled Items. 2013-06 252.226-7001 Utilization of Indian Organizations, Indian-Owned Economic

Enterprises, and Native Hawaiian Small Business Concerns.

2004-09

252.232-7010 Levies on Contract Payments. 2006-12 252.237-7010 Prohibition on Interrogation of Detainees by Contractor Personnel. 2013-06 252.243-7001 Pricing of Contract Modifications. 1991-12 252.243-7002 Requests for Equitable Adjustment. 2012-12 252.244-7000 Subcontracts for Commercial Items 2013-06

FAR Clauses Incorporated by Full Text

52.212-3 Alternate I Offeror Representations and Certifications-Commercial Items. - (Alternate I) 2018-10 Offeror Representations and Certifications -- Commercial Items (Oct 2018)

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management (SAM) accessed through https://www.sam.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (u)) of this provision.

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

“Economically disadvantaged women-owned small business (EDWOSB) concern” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

“Forced or indentured child labor” means all work or service—

(6) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(7) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

“Highest-level owner” means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

“Immediate owner” means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: Ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

“Inverted domestic corporation,” means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

“Manufactured end product” means any end product in product and service codes (PSCs) 1000-9999, except—

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

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

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

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

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

(8) PSC 9610, Ores;

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

(10) PSC 9630, Additive Metal Materials.

“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

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

“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

Sensitive technology—

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically—

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b) (3)).

“Service-disabled veteran-owned small business concern”—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

“Small business concern” means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.

“Small disadvantaged business concern, consistent with 13 CFR 124.1002,” means a small business concern under the size standard applicable to the acquisition, that--

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by--

(i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

“Subsidiary” means an entity in which more than 50 percent of the entity is owned—

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

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

“Veteran-owned small business concern” means a small business concern—

(1) Not less than 51 percent of which is owned by one or more veterans(as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

“Women-owned business concern” means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

“Women-owned small business concern” means a small business concern --

(1) That is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and

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

“Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127),” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States.

(b)

(1) Annual Representations and Certifications. Any changes provided by the Offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications 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 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), 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 (u) of this provision that the offeror has completed for the purposes of this solicitation only, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

(c) Offerors must complete the following representations when the resulting contract is to be performed in the United States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it [_] is, [_] is not a small business concern.

(2) Veteran-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it [_] is, [_] is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that it [_] is, [_] is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [_] is, [_] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of

Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

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

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

(2) Foreign End Products:

LINE ITEM NO.

COUNTRY OF ORIGIN

[List as necessary]

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

(g)

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

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

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

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

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) or this provision) as defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements—Israeli Trade Act.”

The offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph

(2) of the definition of “domestic end product.”

Other Foreign End Products:

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

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

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

Canadian End Products:

Line Item No.:

[List as necessary]

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

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

Canadian or Israeli End Products:

Line Item No.:

Country of Origin:

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

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

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

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

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

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

Other End Products

(iii) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25. For line items covered by the WTO GPA, the Government will evaluate offers of U.S.-made or designated country end products without regard to the restrictions of the Buy American statute. The Government will consider for award only offers of U.S.-made or designated country end products unless the Contracting Officer determines that there are no offers for such products or that the offers for such products are insufficient to fulfill the requirements of the solicitation.

(h) Certification Regarding Responsibility Matters (Executive Order 12689). (Applies only if the contract value is expected to exceed the simplified acquisition…