FA4659-16-R-0003.pdf

319 CONTRACTING FLIGHT

575 TUSKEGEE AIRMEN BLVD

GRAND FORKS AFB ND 58205 6436

(701) 747-5287

(701) 747-4215

UNDER DPAS (15 CFR 700)

11. DELIVERY FOR FOB

RFQ

SEE SCHEDULE

14. METHOD OF SOLICITATION

IFB RFP

CODE

SEE ADDENDUM

BLOCK IS MARKED

DESTINATION UNLESS

12. DISCOUNT TERMS

(No Collect Calls)

$38.5M

13b. RATING

13a. THIS CONTRACT IS A RATED ORDER

X

CODE

FA4659-16-R-0003 05-Apr-2016

b. TELEPHONE NUMBER

701-747-5314

8. OFFER DUE DATE/LOCAL TIME

04:00 PM 05 May 2016

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV 3/2005)

Prescribed by GSA

FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER) 31c. DATE SIGNED

ADDENDA X ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

22. UNIT 23. UNIT PRICE 24. AMOUNT21. QUANTITY

CODE 10. THIS ACQUISITION IS

UNRESTRICTED

FAX: NAICS:

TEL:

CODE 18a. PAYMENT WILL BE MADE BYOFFEROR

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TEL.

FA4659

SIZE STD:

9. ISSUED BY

FACILITY

CODE

17a.CONTRACTOR/

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

15. DELIVER TO CODE F2A3E2 16. ADMINISTERED BY

319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG 410, RM 155B

GRAND FORKS AFB ND 58205-6219

TEL: 7017474944 FAX:

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

JONATHON E. ZOLNAI

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES

SEE SCHEDULE

562112

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 HEREIN.

SB

HUBZONE SB

SET ASIDE: % FOR

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

F2A3E26041AQ01

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

TEL: EMAIL:

2 COPIES

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

.OFFER DATED YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

X

8(A)

SVC-DISABLED VET-OWNED SB

EMERGING SB

X

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

FA4659-16-R-0003

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, test, maintain, and clean Oil Water

Separators, Grit Chambers, and Underground Storage Tanks (UST) at Grand Forks

AFB, ND for the period date awarded - 31 May 2017 in accordance with the Performance work Statement.

FOB: Destination

NET AMT

0001AA 75 Each Inspect OWS/Grit and UST

FFP

Inspection of Oil Water Separators, Grit Chambers, and Underground Storage

Tanks IAW PWS 1.2.1, Base Year, date awarded - 31 May 17

FOB: Destination

PURCHASE REQUEST NUMBER: F2A3E26041AQ01

SIGNAL CODE: A

0001AB 25 Each Sampling OWS & Analysis

FFP

Sampling of Oil Water Separators IAW PWS 1.2.2, Base Year, date awarded - 31

May 17

FOB: Destination

ITEM NO SUPPLIES/SERVICES ESTIMATED

QUANTITY

UNIT UNIT PRICE ESTIMATED AMOUNT

0001AC 180,000 Gallon Pumping of non-hazardous liquid

FFP

Pumping of non-hazardous liquid IAW PWS 1.3.1.1, Base Year, date awarded - 31

May 17

ESTIMATED

UNIT UNIT PRICE ESTIMATED AMOUNT

0001AD 80,000 Gallon Solid Waste

FFP

Remove Sludge & Clean IAW PWS 1.3.1.2, Base Year, date awarded - 31 May 17

UNIT UNIT PRICE ESTIMATED AMOUNT

0001AE 15,000 Gallon Hazardous Waste Handling

Hazardous Waste Handling IAW PWS 1.3.2, Base Year, date awarded - 31 May 17

UNIT UNIT PRICE ESTIMATED AMOUNT

0001AF 170,000 Gallon Wastewater and Sludge Removal

FFP

Waste Water & Sludge Removal IAW PWS 1.3.1.1, Base Year, date awarded - 31

May 17

NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, test, and clean Grease Traps Grand Forks

AFB, ND for the period date awarded - 31 May 2017 in accordance with the

Performance work Statement

0002AA 20 Each Grease Traps

FFP

Service and Clean Grease Traps IAW PWS 1.7.1, 1.7.2, Base Year, date awarded -

31 May 17

NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, collect and dispose of all used vegetable oil from containers at Forks AFB, ND for the period date awarded - 31 May 2017 in accordance with the Performance work Statement

0003AA 20 Each Collect & Dispose of used vegetable oil

FFP

Pump and Service Used Vegetable Oil Containers IAW PWS 1.8.1, Base Year, date awarded - 31 May 17

FOB: Destination

NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to mow, till, sample and complete annual report at Forks AFB, ND for the period date awarded - 31 May 2017 in accordance with the Performance work Statement.

0004AA 4 Each Mow Land Treatment Farm

FFP

Mowing Land Treatment Farm IAW PWS 1.12, Base Year, date awarded - 31

May 17

FOB: Destination

0004AB 4 Each Tilling of Land Treatment Farm

FFP

Tilling Land Treatment Farm IAW PWS 1.12.5, Base Year, date awarded - 31 May

FOB: Destination

0004AC 9 Each Sampling of Ground water (LTF)

FFP

Sampling of Ground Water (LTF) IAW PWS 1.12.4, Base Year, date awarded - 31

May 17

FOB: Destination

0004AD 17 Each Sampling of Soil (LTF)

FFP

Sampling of Soil (LTF) IAW PWS 1.12.4, Base Year, date awarded - 31 May 17

FOB: Destination

0004AE 1 Each Annual LTF Report

FFP

Annual LTF Report IAW PWS 1.12, Base Year, date awarded - 31 May 17

FOB: Destination

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, test, maintain, and clean Oil Water

Separators, Grit Chambers, and Underground Storage Tanks (UST) at Grand Forks

1 Jun 2017 - 31 May 2018 in accordance with the Performance work Statement

1001AA 75 Each OPTION Inspect OWS/Grit and UST

FFP

Inspection of Oil Water Separators, Grit Chambers, and Underground Storage

Tanks IAW PWS 1.2.1, Option Year 1, 01 Jun 17 - 31 May 18

1001AB 25 Each OPTION Sampling OWS & Analysis

FFP

Sampling of Oil Water Separators IAW PWS 1.2.2, Option Year 1, 01 Jun 17 - 31

May 18

UNIT UNIT PRICE ESTIMATED AMOUNT

1001AC 180,000 Gallon OPTION Pumping of non-hazardous liquid

FFP

Pumping of non-hazardous liquid IAW PWS 1.3.1.1, Option Year 1, 01 Jun 17 - 31

May 18

UNIT UNIT PRICE ESTIMATED AMOUNT

1001AD 80,000 Gallon OPTION Solid Waste

Remove Sludge & Clean IAW PWS 1.3.1.2, Option Year 1, 01 Jun 17 - 31 May 18

UNIT UNIT PRICE ESTIMATED AMOUNT

1001AE 15,000 Gallon OPTION Hazardous Waste Handling

UNIT UNIT PRICE ESTIMATED AMOUNT

1001AF 170,000 Gallon OPTION Wastewater and Sludge Removal

FFP

Waste Water & Sludge Removal IAW PWS 1.3.1.1, Option Year 1, 01 Jun 17 - 31

May 18

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, test, and clean Grease Traps Grand Forks

AFB, ND for the period 1 Jun 2017 - 31 May 2018 in accordance with the

1002AA 20 Each OPTION Grease Traps

FFP

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, collect and dispose of all used vegetable oil from containers at Forks AFB, ND for the period

1 Jun 2017 - 31 May 2018 in accordance with

1003AA 20 Each OPTION Collect & Dispose of used vegetable oil

FFP

Pump and Service Used Vegetable Oil Containers IAW PWS 1.8.1, Option Year 1, 01 Jun 17 - 31 May 18

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to mow, till, sample and complete annual report at Forks AFB, ND for the period

1 Jun 2017 - 31 May 2018 in accordance with

1004AA 4 Each OPTION Mow Land Treatment Farm

FFP

Mowing Land Treatment Farm IAW PWS 1.12, Base Year, date awarded - 31

May 17

1004AB 4 Each OPTION Tilling of Land Treatment Farm

FFP

Tilling Land Treatment Farm IAW PWS 1.12.5, Base Year, date awarded - 31 May

1004AC 9 Each OPTION Sampling of Ground water (LTF)

FFP

Sampling of Ground Water (LTF) IAW PWS 1.12.4, Base Year, date awarded - 31

May 17

1004AD 17 Each OPTION Sampling of Soil (LTF)

FFP

Sampling of Soil (LTF) IAW PWS 1.12.4, Base Year, date awarded - 31 May 17

1004AE 1 Each OPTION Annual LTF Report

FFP

Annual LTF Report IAW PWS 1.12, Base Year, date awarded - 31 May 17

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, test, maintain, and clean Oil Water

Separators, Grit Chambers, and Underground Storage Tanks (UST) at Grand Forks

1 Jun 2018 - 31 May 2019 in accordance with the Performance work Statement

2001AA 75 Each OPTION Inspect OWS/Grit and UST

FFP

Inspection of Oil Water Separators, Grit Chambers, and Underground Storage

Tanks IAW PWS 1.2.1, Option Year 2, 01 Jun 18 - 31 May 19

2001AB 25 Each OPTION Sampling OWS & Analysis

FFP

Sampling of Oil Water Separators IAW PWS 1.2.2, Option Year 2, 01 Jun 18 - 31

May 19

UNIT UNIT PRICE ESTIMATED AMOUNT

2001AC 180,000 Gallon OPTION Pumping of non-hazardous liquid

FFP

Pumping of non-hazardous liquid IAW PWS 1.3.1.1, Option Year 2, 01 Jun 18 - 31

May 19

UNIT UNIT PRICE ESTIMATED AMOUNT

2001AD 80,000 Gallon OPTION Solid Waste

Remove Sludge & Clean IAW PWS 1.3.1.2, Option Year 2, 01 Jun 18 - 31 May 19

UNIT UNIT PRICE ESTIMATED AMOUNT

2001AE 15,000 Gallon OPTION Hazardous Waste Handling

UNIT UNIT PRICE ESTIMATED AMOUNT

2001AF 170,000 Gallon OPTION Wastewater and Sludge Removal

FFP

Waste Water & Sludge Removal IAW PWS 1.3.1.1, Option Year 2, 01 Jun 18 - 31

May 19

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, test, and clean Grease Traps Grand Forks

AFB, ND for the period 1 Jun 2018 - 31 May 2019 in accordance with the

2002AA 20 Each OPTION Grease Traps

FFP

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, collect and dispose of all used vegetable oil from containers at Forks AFB, ND for the period

1 Jun 2018 - 31 May 2019 in accordance with

2003AA 20 Each OPTION Collect & Dispose of used vegetable oil

FFP

Pump and Service Used Vegetable Oil Containers IAW PWS 1.8.1, Option Year 2, 01 Jun 18 - 31 May 19

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to mow, till, sample and complete annual report at Forks AFB, ND for the period

1 Jun 2018 - 31 May 2019 in accordance with

2004AA 4 Each OPTION Mow Land Treatment Farm

FFP

Mowing Land Treatment Farm IAW PWS 1.12, Base Year, date awarded - 31

May 17

2004AB 4 Each OPTION Tilling of Land Treatment Farm

FFP

Tilling Land Treatment Farm IAW PWS 1.12.5, Base Year, date awarded - 31 May

2004AC 9 Each OPTION Sampling of Ground water (LTF)

FFP

Sampling of Ground Water (LTF) IAW PWS 1.12.4, Base Year, date awarded - 31

May 17

2004AD 17 Each OPTION Sampling of Soil (LTF)

FFP

Sampling of Soil (LTF) IAW PWS 1.12.4, Base Year, date awarded - 31 May 17

2004AE 1 Each OPTION Annual LTF Report

FFP

Annual LTF Report IAW PWS 1.12, Base Year, date awarded - 31 May 17

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, test, maintain, and clean Oil Water

Separators, Grit Chambers, and Underground Storage Tanks (UST) at Grand Forks

1 Jun 2019 - 31 May 2020 in accordance with the Performance work Statement

3001AA 75 Each OPTION Inspect OWS/Grit and UST

FFP

Inspection of Oil Water Separators, Grit Chambers, and Underground Storage

Tanks IAW PWS 1.2.1, Option Year 3, 01 Jun 19 - 31 May 20

3001AB 25 Each OPTION Sampling OWS & Analysis

FFP

Sampling of Oil Water Separators IAW PWS 1.2.2, Option Year 3, 01 Jun 19 - 31

May 20

UNIT UNIT PRICE ESTIMATED AMOUNT

3001AC 180,000 Gallon OPTION Pumping of non-hazardous liquid

FFP

Pumping of non-hazardous liquid IAW PWS 1.3.1.1, Option Year 3, 01 Jun 19 - 31

May 20

UNIT UNIT PRICE ESTIMATED AMOUNT

3001AD 80,000 Gallon OPTION Solid Waste

Remove Sludge & Clean IAW PWS 1.3.1.2, Option Year 3, 01 Jun 19 - 31 May 20

UNIT UNIT PRICE ESTIMATED AMOUNT

3001AE 15,000 Gallon OPTION Hazardous Waste Handling

UNIT UNIT PRICE ESTIMATED AMOUNT

3001AF 170,000 Gallon OPTION Wastewater and Sludge Removal

FFP

Waste Water & Sludge Removal IAW PWS 1.3.1.1, Option Year 3, 01 Jun 19 - 31

May 20

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, test, and clean Grease Traps Grand Forks

AFB, ND for the period 1 Jun 2019 - 31 May 2020 in accordance with the

3002AA 20 Each OPTION Grease Traps

FFP

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, collect and dispose of all used vegetable oil from containers at Forks AFB, ND for the period

1 Jun 2019 - 31 May 2020 in accordance with

3003AA 20 Each OPTION Collect & Dispose of used vegetable oil

FFP

Pump and Service Used Vegetable Oil Containers IAW PWS 1.8.1, Option Year 3, 01 Jun 19 - 31 May 20

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to mow, till, sample and complete annual report at Forks AFB, ND for the period

1 Jun 2019 - 31 May 2020 in accordance with

3004AA 4 Each OPTION Mow Land Treatment Farm

FFP

Mowing Land Treatment Farm IAW PWS 1.12, Base Year, date awarded - 31

May 17

3004AB 4 Each OPTION Tilling of Land Treatment Farm

FFP

Tilling Land Treatment Farm IAW PWS 1.12.5, Base Year, date awarded - 31 May

3004AC 9 Each OPTION Sampling of Ground water (LTF)

FFP

Sampling of Ground Water (LTF) IAW PWS 1.12.4, Base Year, date awarded - 31

May 17

3004AD 17 Each OPTION Sampling of Soil (LTF)

FFP

Sampling of Soil (LTF) IAW PWS 1.12.4, Base Year, date awarded - 31 May 17

3004AE 1 Each OPTION Annual LTF Report

FFP

Annual LTF Report IAW PWS 1.12, Base Year, date awarded - 31 May 17

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, test, maintain, and clean Oil Water

Separators, Grit Chambers, and Underground Storage Tanks (UST) at Grand Forks

1 Jun 2020 - 31 May 2021 in accordance with the Performance work Statement

4001AA 75 Each OPTION Inspect OWS/Grit and UST

FFP

Inspection of Oil Water Separators, Grit Chambers, and Underground Storage

Tanks IAW PWS 1.2.1, Option Year 4, 01 Jun 20 - 31 May 21

4001AB 25 Each OPTION Sampling OWS & Analysis

FFP

Sampling of Oil Water Separators IAW PWS 1.2.2, Option Year 4, 01 Jun 20 - 31

May 21

UNIT UNIT PRICE ESTIMATED AMOUNT

4001AC 180,000 Gallon OPTION Pumping of non-hazardous liquid

FFP

Pumping of non-hazardous liquid IAW PWS 1.3.1.1, Option Year 4, 01 Jun 20 - 31

May 21

UNIT UNIT PRICE ESTIMATED AMOUNT

4001AD 80,000 Gallon OPTION Solid Waste

Remove Sludge & Clean IAW PWS 1.3.1.2, Option Year 4, 01 Jun 20 - 31 May 21

UNIT UNIT PRICE ESTIMATED AMOUNT

4001AE 15,000 Gallon OPTION Hazardous Waste Handling

UNIT UNIT PRICE ESTIMATED AMOUNT

4001AF 170,000 Gallon OPTION Wastewater and Sludge Removal

FFP

Waste Water & Sludge Removal IAW PWS 1.3.1.1, Option Year 4, 01 Jun 20 - 31

May 21

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, test, and clean Grease Traps Grand Forks

AFB, ND for the period 1 Jun 2020 - 31 May 2021 in accordance with the

4002AA 20 Each OPTION Grease Traps

FFP

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to service, collect and dispose of all used vegetable oil from containers at Forks AFB, ND for the period

1 Jun 2020 - 31 May 2021 in accordance with

4003AA 20 Each OPTION Collect & Dispose of used vegetable oil

FFP

Pump and Service Used Vegetable Oil Containers IAW PWS 1.8.1, Option Year 4, 01 Jun 20 - 31 May 21

OPTION NONPERSONAL SERVICES

FFP

Provide all supervision, personnel, equipment, transportation, material, and other items and services necessary to mow, till, sample and complete annual report at Forks AFB, ND for the period

1 Jun 2020 - 31 May 2021 in accordance with

4004AA 4 Each OPTION Mow Land Treatment Farm

FFP

Mowing Land Treatment Farm IAW PWS 1.12, Base Year, date awarded - 31

May 17

4004AB 4 Each OPTION Tilling of Land Treatment Farm

FFP

Tilling Land Treatment Farm IAW PWS 1.12.5, Base Year, date awarded - 31 May

4004AC 9 Each OPTION Sampling of Ground water (LTF)

FFP

Sampling of Ground Water (LTF) IAW PWS 1.12.4, Base Year, date awarded - 31

May 17

4004AD 17 Each OPTION Sampling of Soil (LTF)

FFP

Sampling of Soil (LTF) IAW PWS 1.12.4, Base Year, date awarded - 31 May 17

4004AE 1 Each OPTION Annual LTF Report

FFP

Annual LTF Report IAW PWS 1.12, Base Year, date awarded - 31 May 17

RECAPITULATION/BID SHEET

RECAPITULATION

Basic Year (Contract Award – 31 May 17) $___________

First Option Year (01 Jun 17 – 31 May 18) $___________

Second Option Year (01 Jun 18 – 31 May 19) $___________

Third Option Year 01 Jun 19 – 31 May 20) $___________

Fourth Option Year (01 Jun 20 – 31 May 21) $___________

GRAND TOTAL AMOUNT $___________

CLIN DELIVERY/TASK ORDER MINIMUM/MAXIMUM QUANTITY AND CLIN ORDER

VALUE

The minimum quantity and order value for the given Delivery/Task Order issued for this CLIN shall not be less than the minimum quantity and order value stated in the following table. The maximum quantity and order value for the given Delivery/Task Order issued for this CLIN shall not exceed the maximum quantity and order value stated in the following table.

CLIN

MINIMUM

QUANTITY

MINIMUM

AMOUNT

MAXIMUM

QUANTITY

MAXIMUM

AMOUNT

0001AA

0001AB

0001AC

0001AD

0001AE

0001AF

0002AA

0003AA

0004AA

0004AB

0004AC

0004AD

0004AE

1001AA

1001AB

1001AC

1001AD

1001AE

1001AF

1002AA

1003AA

1004AA

1004AB

1004AC

1004AD

1004AE

2001AA

2001AB

2001AC

2001AD

2001AE

2001AF

2002AA

2003AA

2004AA

2004AB

2004AC

2004AD

2004AE

3001AA

3001AB

3001AC

3001AD

3001AE

3001AF

3002AA

3003AA

3004AA

3004AB

3004AC

3004AD

3004AE

4001AA

4001AB

4001AC

4001AD

4001AE

4001AF

4002AA

4003AA

4004AA

4004AB

4004AC

4004AD

4004AE

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A Government

0001AA Destination Government Destination Government

0001AB Destination Government Destination Government

0001AC Destination Government Destination Government

0001AD Destination Government Destination Government

0001AE Destination Government Destination Government

0001AF Destination Government Destination Government

0002 N/A N/A N/A Government

0002AA Destination Government Destination Government

0003 N/A N/A N/A Government

0003AA Destination Government Destination Government

0004 N/A N/A N/A Government

0004AA Destination Government Destination Government

0004AB Destination Government Destination Government

0004AC Destination Government Destination Government

0004AD Destination Government Destination Government

0004AE 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

1002 N/A N/A N/A Government

1002AA Destination Government Destination Government

1003 N/A N/A N/A Government

1003AA Destination Government Destination Government

1004 N/A N/A N/A Government

1004AA Destination Government Destination Government

1004AB Destination Government Destination Government

1004AC Destination Government Destination Government

1004AD Destination Government Destination Government

1004AE 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 Destination Government Destination Government

2002 N/A N/A N/A Government

2002AA Destination Government Destination Government

2003 N/A N/A N/A Government

2003AA Destination Government Destination Government

2004 N/A N/A N/A Government

2004AA Destination Government Destination Government

2004AB Destination Government Destination Government

2004AC Destination Government Destination Government

2004AD Destination Government Destination Government

2004AE Destination Government Destination Government

3001 N/A N/A N/A Government

3001AA Destination Government Destination Government

3001AB Destination Government Destination Government

3001AC Destination Government Destination Government

3001AD Destination Government Destination Government

3001AE Destination Government Destination Government

3001AF Destination Government Destination Government

3002 N/A N/A N/A Government

3002AA Destination Government Destination Government

3003 N/A N/A N/A Government

3003AA Destination Government Destination Government

3004 N/A N/A N/A Government

3004AA Destination Government Destination Government

3004AB Destination Government Destination Government

3004AC Destination Government Destination Government

3004AD Destination Government Destination Government

3004AE 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 Destination Government Destination Government

4001AF Destination Government Destination Government

4002 N/A N/A N/A Government

4002AA Destination Government Destination Government

4003 N/A N/A N/A Government

4003AA Destination Government Destination Government

4004 N/A N/A N/A Government

4004AA Destination Government Destination Government

4004AB Destination Government Destination Government

4004AC Destination Government Destination Government

4004AD Destination Government Destination Government

4004AE Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 N/A N/A N/A N/A

0001AA POP 01-JUN-2016 TO

31-MAY-2017

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

F2A3E2

0001AB POP 01-JUN-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AC POP 01-JUN-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AD POP 01-JUN-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AE POP 01-JUN-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AF POP 01-JUN-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0002 N/A N/A N/A N/A

0002AA POP 01-JUN-2016 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

0003 N/A N/A N/A N/A

0003AA POP 01-JUN-2016 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

0004 N/A N/A N/A N/A

0004AA POP 01-JUN-2016 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

0004AB POP 01-JUN-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AC POP 01-JUN-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AD POP 01-JUN-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AE POP 01-JUN-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

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

1001AA POP 01-JUN-2017 TO

31-MAY-2018

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

1001AB POP 01-JUN-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AC POP 01-JUN-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AD POP 01-JUN-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AE POP 01-JUN-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AF POP 01-JUN-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1002 N/A N/A N/A N/A

1002AA POP 01-JUN-2017 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

1003 N/A N/A N/A N/A

1003AA POP 01-JUN-2017 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

1004 N/A N/A N/A N/A

1004AA POP 01-JUN-2017 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

1004AB POP 01-JUN-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1004AC POP 01-JUN-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1004AD POP 01-JUN-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1004AE POP 01-JUN-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

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

2001AA POP 01-JUN-2018 TO

31-MAY-2019

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

2001AB POP 01-JUN-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AC POP 01-JUN-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AD POP 01-JUN-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AE POP 01-JUN-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AF POP 01-JUN-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2002 N/A N/A N/A N/A

2002AA POP 01-JUN-2018 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

2003 N/A N/A N/A N/A

2003AA POP 01-JUN-2018 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

2004 N/A N/A N/A N/A

2004AA POP 01-JUN-2018 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

2004AB POP 01-JUN-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2004AC POP 01-JUN-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2004AD POP 01-JUN-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2004AE POP 01-JUN-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

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

3001AA POP 01-JUN-2019 TO

31-MAY-2020

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

3001AB POP 01-JUN-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AC POP 01-JUN-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AD POP 01-JUN-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AE POP 01-JUN-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AF POP 01-JUN-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3002 N/A N/A N/A N/A

3002AA POP 01-JUN-2019 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

3003 N/A N/A N/A N/A

3003AA POP 01-JUN-2019 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

3004 N/A N/A N/A N/A

3004AA POP 01-JUN-2019 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

3004AB POP 01-JUN-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3004AC POP 01-JUN-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3004AD POP 01-JUN-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3004AE POP 01-JUN-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

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

4001AA POP 01-JUN-2020 TO

31-MAY-2021

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

4001AB POP 01-JUN-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AC POP 01-JUN-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AD POP 01-JUN-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AE POP 01-JUN-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AF POP 01-JUN-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4002 N/A N/A N/A N/A

4002AA POP 01-JUN-2020 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

4003 N/A N/A N/A N/A

4003AA POP 01-JUN-2020 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

4004 N/A N/A N/A N/A

4004AA POP 01-JUN-2020 TO

N/A 319 CES/CEO - F2A3E2

SONIA BRUMSKILL

575 TUSKEGEE AIRMEN BLVD, BLDG

410, RM 155B

GRAND FORKS AFB ND 58205-6219

7017474944

4004AB POP 01-JUN-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4004AC POP 01-JUN-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4004AD POP 01-JUN-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4004AE POP 01-JUN-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.202-1 Definitions NOV 2013

52.203-3 Gratuities APR 1984

52.203-5 Covenant Against Contingent Fees MAY 2014

52.203-6 Alt I Restrictions On Subcontractor Sales To The Government

(Sep 2006) -- Alternate I

OCT 1995

52.203-7 Anti-Kickback Procedures MAY 2014

52.203-11 Certification And Disclosure Regarding Payments To

Influence Certain Federal Transactions

SEP 2007

52.203-17 Contractor Employee Whistleblower Rights and Requirement

To Inform Employees of Whistleblower Rights

APR 2014

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber

Content Paper

MAY 2011

52.204-7 System for Award Management JUL 2013

52.204-10 Reporting Executive Compensation and First-Tier Subcontract

Awards

OCT 2015

52.204-13 System for Award Management Maintenance JUL 2013

52.209-2 Prohibition on Contracting with Inverted Domestic

Corporations--Representation

NOV 2015

52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for

Debarment

OCT 2015

52.209-7 Information Regarding Responsibility Matters JUL 2013

52.209-9 Updates of Publicly Available Information Regarding

Responsibility Matters

JUL 2013

52.209-10 Prohibition on Contracting With Inverted Domestic

Corporations

NOV 2015

52.212-1 Instructions to Offerors--Commercial Items OCT 2015

52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015

52.214-34 Submission Of Offers In The English Language APR 1991

52.214-35 Submission Of Offers In U.S. Currency APR 1991

52.217-5 Evaluation Of Options JUL 1990

52.219-4 Notice of Price Evaluation Preference for HUBZone Small

Business Concerns

OCT 2014

52.219-8 Utilization of Small Business Concerns OCT 2014

52.222-1 Notice To The Government Of Labor Disputes FEB 1997

52.222-3 Convict Labor JUN 2003

52.222-21 Prohibition Of Segregated Facilities APR 2015

52.222-22 Previous Contracts And Compliance Reports FEB 1999

52.222-25 Affirmative Action Compliance APR 1984

52.222-26 Equal Opportunity APR 2015

52.222-35 Equal Opportunity for Veterans OCT 2015

52.222-36 Equal Opportunity for Workers with Disabilities JUL 2014

52.222-37 Employment Reports on Veterans OCT 2015

52.222-40 Notification of Employee Rights Under the National Labor

Relations Act

DEC 2010

52.222-41 Service Contract Labor Standards MAY 2014

52.222-43 Fair Labor Standards Act And Service Contract Labor

Standards - Price Adjustment (Multiple Year And Option

Contracts)

MAY 2014

52.222-50 Combating Trafficking in Persons MAR 2015

52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.225-13 Restrictions on Certain Foreign Purchases JUN 2008

52.227-1 Authorization and Consent DEC 2007

52.227-2 Notice And Assistance Regarding Patent And Copyright

Infringement

DEC 2007

52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

JUL 2013

52.233-3 Protest After Award AUG 1996

52.233-4 Applicable Law for Breach of Contract Claim OCT 2004

52.237-3 Continuity Of Services JAN 1991

52.242-13 Bankruptcy JUL 1995

52.242-15 Stop-Work Order AUG 1989

52.243-1 Alt I Changes--Fixed Price (Aug 1987) - Alternate I APR 1984

52.246-4 Inspection Of Services--Fixed Price AUG 1996

52.247-34 F.O.B. Destination NOV 1991

52.253-1 Computer Generated Forms JAN 1991

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013

252.204-7003 Control Of Government Personnel Work Product APR 1992

252.204-7004 Alt A System for Award Management Alternate A FEB 2014

252.209-7004 Subcontracting With Firms That Are Owned or Controlled By

The Government of a Country that is a State Sponsor of

Terrorism

OCT 2015

252.225-7001 Buy American And Balance Of Payments Program-- Basic

(Nov 2014)

NOV 2014

252.225-7002 Qualifying Country Sources As Subcontractors DEC 2012

252.225-7012 Preference For Certain Domestic Commodities FEB 2013

252.225-7031 Secondary Arab Boycott Of Israel JUN 2005

252.226-7001 Utilization of Indian Organizations and Indian-Owned

Economic Enterprises, and Native Hawaiian Small Business

Concerns

SEP 2004

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006

252.243-7002 Requests for Equitable Adjustment DEC 2012

252.247-7023 Transportation of Supplies by Sea APR 2014

252.247-7024 Notification Of Transportation Of Supplies By Sea MAR 2000

CLAUSES INCORPORATED BY FULL TEXT

52.204-5 WOMEN-OWNED BUSINESS (OTHER THAN SMALL BUSINESS) (OCT 2014)

(a) Definition. Women-owned business concern, as used in this provision, means a concern 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; and whose management and daily business operations are controlled by one or more women.

(b) Representation. [Complete only if the offeror is a women-owned business concern and has not represented itself as a small business concern in paragraph (c)(1) of FAR 52.219-1, Small Business Program Representations, of this solicitation.] The offeror represents that it ( ___ ) is a women-owned business concern.

(End of provision)

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS (DEC

2014)

The Contractor's representations and certifications, including those completed electronically via the System for

Award Management (SAM), are incorporated by reference into the contract.

(End of clause)

52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (OCT 2015)

(a)(1) The Offeror certifies, to the best of its knowledge and belief, that-

(i) The Offeror and/or any of its Principals-

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

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

State antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property (if offeror checks “have”, the offeror shall also see 52.209-7, if included in this solicitation); and

(C) Are ( ) are not ( ) presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision.;

and

(D) Have , have not , within a three-year period preceding this offer, been notified of any delinquent

Federal taxes in an amount that exceeds $3,500 for which the liability remains unsatisfied.

(1) Federal taxes are considered delinquent if both of the following criteria apply:

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

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

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

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

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

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

(ii) The Offeror has ( ) has not ( ), within a three-year period preceding this offer, had one or more contracts terminated for default by any Federal agency.

(2) Principal, for the purposes of this certification, means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager;

head of a division or business segment; and similar positions).

(b) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

(c) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible.

(d) Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a) of this provision. The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

(e) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If it is later determined that the Offeror knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default.

(End of provision)

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

(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:

Factor 1:

1. Past Performance

Factor 2:

2. Price

Past Performance is significantly more important than price.

(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. Proposals will be evaluated to include the six month option based upon option year four pricing at the time of award. 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.

Addendum to FAR 52.212-2:

BASIS FOR CONTRACT AWARD: This is a competitive source selection in which competing offerors past and present performance history will be evaluated on a basis significantly more important than price. By submission of its offer in accordance with the instructions provided in clause FAR 52.212-1, Instruction to Offerors, the offeror accedes to the terms of this model contract and all such offers shall be treated equally except for their prices and performance records. The evaluation process shall proceed as follows:

1. Price Evaluation. Initially, the Government shall rank all acceptable offers (and unacceptable proposals that are correctable) by price, including any option prices if applicable. Price reasonableness: The price information submitted in each offeror’s price proposal, as required by addendum to 52.212-1 will be evaluated to determine if proposed prices are fair and reasonable (which may include, but not limited to, one or more of the following proposal analysis techniques listed below). A contract will not be awarded to an offeror whose price is not determined to be fair and reasonable. The Government may use any of the following price analysis techniques IAW

FAR 15.404-1(b) to determine price reasonableness: comparison of proposed prices received, use of parametric estimating/rough yardsticks, comparison with competitive published price lists or market prices, comparison with independent Government cost estimates, comparison with market research, and analysis of pricing information provided by the offeror.

TOTAL EVALUATED PRICE: The offeror’s Total Evaluated Price (TEP) will be presented to the Source Selection

Authority (SSA) for award decision purposes. The offeror’s TEP will be the price offered in the base year and all option CLINS to include the six (6) month extension of services. The six (6) month extension price will be based on option year four (4) pricing. The price evaluation will document the affordability and reasonableness of the proposed

TEP.

2. Performance Confidence Assessment: Using questionnaires, the contracting officer shall seek recent and relevant performance information on all offerors based on (1) the past and present efforts provided by the offeror and (2) data independently obtained from other government and commercial sources. Recency is past performance consisting of

Oil Water Separator Services performed within the last five years, from the date of the issuance of this solicitation.

Ongoing contracts must have been ongoing for at least six months from the date of issuance of this solicitation to be considered recent. Relevant contracts include Oil/Water Separator Services that are similar or greater in scope, magnitude, and complexity than the effort described in the solicitation. Relevancy assessment ratings are defined as follows:

Very Relevant - Past/present performance effort involved essentially the same magnitude of effort and complexities this solicitation requires

Relevant - Past/present performance effort involved much of the magnitude of effort and complexities this solicitation requires.

Somewhat Relevant - Past/present performance effort involved some of the magnitude of effort and complexities this solicitation requires.

Not Relevant - Past/present performance efforts involved little or none of the magnitude of effort and complexities this solicitation requires.

3. The government reserves the right to seek information on higher priced offerors if none of the lower priced offerors receive a Substantial Confidence performance assessment. The purpose of the past performance evaluation is to allow the government to assess the offeror’s ability to perform the effort described in this RFP, based on the offeror’s demonstrated present and past performance. The assessment process will result in an overall performance confidence assessment of Substantial Confidence, Satisfactory Confidence, Limited Confidence, No Confidence, or

Unknown Confidence as defined below. Past performance regarding predecessor companies or sub-contractors that will perform major or critical aspects of the requirement will not be considered as highly as past performance information for the principal offeror. Offerors with no relevant past or present performance history or the offeror’s performance record is so limited that no confidence assessment rating can be reasonably assigned shall receive the rating "Unknown Confidence," meaning the rating is treated neither favorably nor unfavorably. Confidence assessment ratings are defined as follows:

Substantial Confidence – Based on the offeror's performance record, the government has a high expectation that the offeror will successfully perform the required effort.

Satisfactory Confidence – Based on the offeror's performance record, the government has an expectation that the offeror will successfully perform the required effort.

Limited Confidence – Based on the offeror's performance record, the government has a low expectation that the offeror will successfully perform the required effort.

No Confidence – Based on the offeror's performance record, the government has no expectation that the offeror will be able to successfully perform the required effort.

Unknown Confidence – No performance record is identifiable or the offeror's performance record is so limited that no confidence assessment rating can be reasonably assigned.

4. In evaluating past performance, the government reserves the right to give greater consideration to information on those contracts deemed most relevant to the effort described in this RFP.

5. If the lowest priced evaluated offer is judged to have a Substantial Confidence performance assessment, that offer represents the best value for the government and the evaluation process stops at this point. Award shall be made to that offeror without further consideration of any other offers.

6. If the lowest priced offeror is not judged to have a Substantial Confidence performance confidence assessment, the next lowest priced offeror will be evaluated and the process will continue (in order by price) until an offeror is judged to have a Substantial Confidence performance confidence assessment or until all offerors are evaluated. The

Source Selection Authority shall then make an integrated assessment best value decision.

7. Offerors are cautioned to submit sufficient information and in the format specified in provision FAR 52.212-1 and the addendum to FAR 52.212-1. Offerors may be asked to clarify certain aspects of their proposal (for example, the relevance of past performance information) or respond to adverse past performance information to which the offeror has not previously had an opportunity to respond. Adverse past performance is defined as past performance information that supports a less than satisfactory rating on any evaluation element or any unfavorable comments received from sources without a formal rating system. 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.

8. The government intends to award a contract without discussions with respective offerors. The government, however, reserves the right to conduct discussions if deemed in its best interest.

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (NOV 2015)

ALTERNATE I (OCT 2014)

The offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site accessed through http://www.acquisition.gov .