FA4819-14-T-0012_Sol.pdf

325 CONS/LGCCB

501 ILLINOIS AVE, STE 5

TYNDALL AFB FL 32403

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)

$7M

13b. RATING

13a. THIS CONTRACT IS A RATED ORDER

X

CODE

FA4819-14-T-0012 09-Jul-2014

b. TELEPHONE NUMBER

850-283-9148

8. OFFER DUE DATE/LOCAL TIME

09:00 AM 31 Jul 2014

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.

FA4819

SIZE STD:

9. ISSUED BY

FACILITY

CODE

17a.CONTRACTOR/

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

15. DELIVER TO CODE F4A360 16. ADMINISTERED BY

325 CES/CEOQ - F4A360

STEVE DUPONT

119 ALABAMA AVE, STE 1

TYNDALL AFB FL 32403-5005

TEL: 850-283-8990 FAX:

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

DANIEL J ALVARADO

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

1 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

561790

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: 100 % FOR

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

F4A3604052AQ02

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 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

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 4 Each In Flight Kitchen

FFP

Bldg. 208, wall mounted canopy, char broiled grill commercial kitchen shed type hood, stainless steel, IAW PWS.

FOB: Destination

PURCHASE REQUEST NUMBER: F4A3604052AQ02

SIGNAL CODE: A

NET AMT

Other Services to Buildings and Dwellings

0002 4 Each Bowling Alley Kitchen

FFP

Bldg. 914, shed type kitchen hood, stainless steel, IAW PWS.

FOB: Destination

0003 8 Each BX Snack Bar

FFP

Bldg. 950, 2 each, shed type commercial kitchen hood, stainless steel, IAW PWS.

FOB: Destination

0004 24 Each Burger King

FFP

Bldg. 960, 2 each, island type commercial kitchen hoods, stainless steel, IAW

PWS.

FOB: Destination

0005 2 Each Child Care Center

FFP

Bldg. 1410, shed type commercial kitchen hood, stainless steel, IAW PWS.

FOB: Destination

0006 1 Each Heritage Club

FFP

Bldg. 1454, island canopy kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

FOB: Destination

0007 1 Each Heritage Club

FFP

Bldg. 1454, canopy hood, Checkers Lounge, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

FOB: Destination

0008 4 Each Horizons Club (Horizons)

FFP

Bldg. 1550, double island canopy kitchen hood, stainless steel, IAW PWS.

FOB: Destination

0009 8 Each Horizons Club (Horizons)

FFP

Bldg. 1550, canopy kitchen hood, stainless steel, IAW PWS.

FOB: Destination

0010 8 Each Dining Facility

FFP

Bldg. 1690, 4 ea., shed type commercial kitchen hoods, stainless steel, IAW PWS.

FOB: Destination

0011 8 Each Dining Facility

FFP

Bldg. 1690, 2 ea., island type commercial kitchen hoods, stainless steel, IAW PWS.

FOB: Destination

0012 4 Each Yacht Club (Marina)

FFP

Bldg. 2699, shed type kitchen hood, stainless steel, IAW PWS.

FOB: Destination

0013 1 Each Youth Center

FFP

Bldg. 3223, shed type commercial kitchen hood, stainless steel. IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

FOB: Destination

0014 1 Each Fitness Center

FFP

Bldg. 1601, shed type commercial kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

FOB: Destination

1001 4 Each OPTION In Flight Kitchen (Option Year 1)

FFP

Bldg. 208, wall mounted canopy, char broiled grill commercial kitchen shed type hood, stainless steel, IAW PWS.

FOB: Destination

1002 4 Each OPTION Bowling Alley Kitchen (Option Year 1)

FFP

Bldg. 914, shed type kitchen hood, stainless steel, IAW PWS.

1003 8 Each OPTION BX Snack Bar (Option Year 1)

FFP

Bldg. 950, 2 each, shed type commercial kitchen hood, stainless steel, IAW PWS.

1004 24 Each OPTION Burger King (Option Year 1)

FFP

Bldg. 960, 2 each, island type commercial kitchen hoods, stainless steel, IAW

PWS.

1005 2 Each OPTION Child Care Center (Option Year 1)

FFP

Bldg. 1410, shed type commercial kitchen hood, stainless steel, IAW PWS.

1006 1 Each OPTION Heritage Club (Option Year 1)

FFP

Bldg. 1454, island canopy kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

1007 1 Each OPTION Heritage Club (Option Year 1)

FFP

Bldg. 1454, canopy hood, Checkers Lounge, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

1008 4 Each OPTION Horizons Club (Horizons) (Option Year 1)

FFP

Bldg. 1550, double island canopy kitchen hood, stainless steel, IAW PWS.

1009 8 Each OPTION Horizons Club (Horizons) (Option Year 1)

FFP

Bldg. 1550, canopy kitchen hood, stainless steel, IAW PWS.

1010 8 Each OPTION Dining Facility (Option Year 1)

FFP

Bldg. 1690, 4 ea., shed type commercial kitchen hoods, stainless steel, IAW PWS.

1011 8 Each OPTION Dining Facility (Option Year 1)

FFP

Bldg. 1690, 2 ea., island type commercial kitchen hoods, stainless steel, IAW PWS.

1012 4 Each OPTION Yacht Club (Marina) (Option Year 1)

FFP

Bldg. 2699, shed type kitchen hood, stainless steel, IAW PWS.

1013 1 Each OPTION Youth Center (Option Year 1)

FFP

Bldg. 3223, shed type commercial kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

1014 1 Each OPTION Fitness Center (Option Year 1)

FFP

Bldg. 1601, shed type commercial kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

2001 4 Each OPTION In Flight Kitchen (Option Year 2)

FFP

Bldg. 208, wall mounted canopy, char broiled grill commercial kitchen shed type hood, stainless steel, IAW PWS.

2002 4 Each OPTION Bowling Alley Kitchen (Option Year 2)

FFP

Bldg. 914, shed type kitchen hood, stainless steel, IAW PWS.

2003 8 Each OPTION BX Snack Bar (Option Year 2)

FFP

Bldg. 950, 2 each, shed type commercial kitchen hood, stainless steel, IAW PWS.

2004 24 Each OPTION Burger King (Option Year 2)

FFP

Bldg. 950, 2 each, island type commercial kitchen hoods, stainless steel, IAW

PWS.

2005 2 Each OPTION Child Care Center (Option Year 2)

FFP

Bldg. 1410, shed type commercial kitchen hood, stainless steel, IAW PWS.

2006 1 Each OPTION Heritage Club (Option Year 2)

FFP

Bldg. 1454, island canopy kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

2007 1 Each OPTION Heritage Club (Option Year 2)

FFP

Bldg. 1454, canopy hood, Checkers Lounge, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

2008 4 Each OPTION Horizons Club (Horizons) (Option Year 2)

FFP

Bldg. 1550, double island canopy kitchen hood, stainless steel, IAW PWS.

2009 8 Each OPTION Horizons Club (Horizons) (Option Year 2)

FFP

Bldg. 1550, canopy kitchen hood, stainless steel, IAW PWS.

2010 8 Each OPTION Dining Facility (Option Year 2)

FFP

Bldg. 1690, 4 ea., shed type commercial kitchen hoods, stainless steel, IAW PWS.

2011 8 Each OPTION Dining Facility (Option Year 2)

FFP

Bldg. 1690, 2 ea., island type commercial kitchen hoods, stainless steel, IAW PWS.

2012 4 Each OPTION Yacht Club (Marina) (Option Year 2)

FFP

Bldg. 2699, shed type kitchen hood, stainless steel, IAW PWS.

2013 1 Each OPTION Youth Center (Option Year 2)

FFP

Bldg. 3223, shed type commercial kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

2014 1 Each OPTION Fitness Center (Option Year 2)

FFP

Bldg. 1601, shed type commercial kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

3001 4 Each OPTION In Flight Kitchen (Option Year 3)

FFP

Bldg. 208, wall mounted canopy, char broiled grill commercial kitchen shed type hood, stainless steel, IAW PWS.

3002 4 Each OPTION Bowling Alley Kitchen (Option Year 3)

FFP

Bldg. 914, shed type kitchen hood, stainless steel, IAW PWS.

3003 8 Each OPTION BX Snack Bar (Option Year 3)

FFP

Bldg. 950, 2 each, shed type commercial kitchen hood, stainless steel, IAW PWS.

3004 24 Each OPTION Burger King (Option Year 3)

FFP

Bldg. 960, 2 each, island type commercial kitchen hoods, stainless steel, IAW

PWS.

3005 2 Each OPTION Child Care Center (Option Year 3)

FFP

Bldg. 1410, shed type commercial kitchen hood, stainless steel, IAW PWS.

3006 1 Each OPTION Heritage Club (Option Year 3)

FFP

Bldg. 1454, island canopy kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

3007 1 Each OPTION Heritage Club (Option Year 3)

FFP

Bldg. 1454, canopy hood, Checkers Lounge, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

3008 4 Each OPTION Horizons Club (Horizons) (Option Year 3)

FFP

Bldg. 1550, double island canopy kitchen hood, stainless steel, IAW PWS.

3009 8 Each OPTION Horizons Club (Horizons) (Option Year 3)

FFP

Bldg. 1550, canopy kitchen hood, stainless steel, IAW PWS.

3010 8 Each OPTION Dining Facility (Option Year 3)

FFP

Bldg. 1690, 4 ea., shed type commercial kitchen hoods, stainless steel, IAW PWS.

3011 8 Each OPTION Dining Facility (Option Year 3)

FFP

Bldg. 1690, 2 ea., island type commercial kitchen hoods, stainless steel, IAW PWS.

3012 4 Each OPTION Yacht Club (Marina) (Option Year 3)

FFP

Bldg. 2699, shed type kitchen hood, stainless steel, IAW PWS.

3013 1 Each OPTION Youth Center (Option Year 3)

FFP

Bldg. 3223, shed type commercial kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

3014 1 Each OPTION Fitness Center (Option Year 3)

FFP

Bldg. 1601, shed type commercial kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

4001 4 Each OPTION In Flight Kitchen (Option Year 4)

FFP

Bldg. 208, wall mounted canopy, char broiled grill commercial kitchen shed type hood, stainless steel, IAW PWS.

4002 4 Each OPTION Bowling Alley Kitchen (Option Year 4)

FFP

Bldg. 914, shed type kitchen hood, stainless steel, IAW PWS.

4003 8 Each OPTION BX Snack Bar (Option Year 4)

FFP

Bldg. 950, 2 each, shed type commercial kitchen hood, stainless steel, IAW PWS.

4004 24 Each OPTION Burger King (Option Year 4)

FFP

Bldg. 960, 2 each, island type commercial kitchen hoods, stainless steel, IAW

PWS.

4005 2 Each OPTION Child Care Center (Option Year 4)

FFP

Bldg. 1410, shed type commercial kitchen hood, stainless steel, IAW PWS.

4006 1 Each OPTION Heritage Club (Option Year 4)

FFP

Bldg. 1454, island canopy kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

4007 1 Each OPTION Heritage Club (Option Year 4)

FFP

Bldg. 1454, canopy hood, Checkers Lounge, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

4008 4 Each OPTION Horizons Club (Horizons) (Option Year 4)

FFP

Bldg. 1550, double island canopy kitchen hood, stainless steel, IAW PWS.

4009 8 Each OPTION Horizons Club (Horizons) (Option Year 4)

FFP

Bldg. 1550, canopy kitchen hood, stainless steel, IAW PWS.

4010 8 Each OPTION Dining Facility (Option Year 4)

FFP

Bldg. 1690, 4 ea., shed type commercial kitchen hoods, stainless steel, IAW PWS.

4011 8 Each OPTION Dining Facility (Option Year 4)

FFP

Bldg. 1690, 2 ea., island type commercial kitchen hoods, stainless steel, IAW PWS.

4012 4 Each OPTION Yacht Club (Marina)(Option Year 4)

FFP

Bldg. 2699, shed type kitchen hood, stainless steel, IAW PWS.

4013 1 Each OPTION Youth Center (Option Year 4)

FFP

Bldg. 3223, shed type commercial kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

4014 1 Each OPTION Fitness Center (Option Year 4)

FFP

Bldg. 1601, shed type commercial kitchen hood, stainless steel, IAW PWS. This is a Not To Exceed (NTE) amount of 1 and on a As Required basis.

52.222-99

52.222-99, Establishing a Minimum Wage for Contractors. (DEVIATION)

The contracting officer shall insert the following clause in solicitations and resultant contracts that include the FAR clause 52.222-6 and/or 52.222-41, and work is to be performed in whole or in part in the United States (the 50 States and the District of Columbia).

ESTABLISHING A MINIMUM WAGE FOR CONTRACTORS

(DEVIATION 2014-00017) (JUNE 2014)

This clause implements Executive Order 1365.8, Establishing a Minimum Wage for Contractors, dated February 12, 2014, and OMB Policy Memorandum M-14-09, dated June 12, 2014.

(a) Each service employee, laborer, or mechanic employed in the United States

(the 50 States and the District of Columbia) in the performance of this contract by the prime Contractor or any subcontractor, regardless of any contractual relationship which may be alleged to exist between the Contractor and service employee, laborer, or mechanic, shall be paid not less than the applicable minimum wage under Executive Order 13658. The minimum wage required to be paid to each service employee, laborer, or mechanic performing work on this contract between January 1, 2015, and December 31, 2015, shall be $10.10 per hour.

(b) The Contractor shall adjust the minimum wage paid under this contract each time the Secretary of Labor's annual determination of the applicable minimum wage under section 2(a)(ii) of Executive Order 13658 results in a higher minimum wage. Adjustments to the Executive Order minimum wage under section 2(a)(ii) of Executive Order 13658 will be effective for all service employees, laborers, or mechanics subject to the Executive Order beginning January 1of the following year. The Secretary of Labor will publish annual determinations in the Federal Register no later than 90 days before such new wage is to take effect. The Secretary will also publish the applicable minimum wage on www.wdol.gov (or any successor website). The applicable published minimum wage is incorporated by reference into this contract.

(c) The Contracting Officer will adjust the contract price or contract unit price under this clause only for the increase in labor costs resulting from the annual inflation increases in the Executive Order 13658 minimum wage beginning on January I, 2016. The Contracting Officer shall consider documentation as to the specific costs and workers impacted in determining the amount of the adjustment.

(d) The Contractor Officer will not adjust the contract price under this clause for any costs other than those identified in paragraph (c) of this clause, and will not http://www.wdol.gov/

FA4819-14-T-0012

provide price adjustments under this clause that result in duplicate price adjustments with the respective clause of this contract implementing the Service Contract Labor Standards statute (formerly known as the Service Contract Act) or the Wage Rate Requirements (Construction) statute (formerly known as the Davis Bacon Act).

(e) The Contractor shall include the substance of this clause, including this paragraph (e) in all subcontracts.

(End of clause)

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 0008 Destination Government Destination Government 0009 Destination Government Destination Government 0010 Destination Government Destination Government 0011 Destination Government Destination Government 0012 Destination Government Destination Government 0013 Destination Government Destination Government 0014 Destination Government Destination Government 1001 Destination Government Destination Government 1002 Destination Government Destination Government 1003 Destination Government Destination Government 1004 Destination Government Destination Government 1005 Destination Government Destination Government 1006 Destination Government Destination Government 1007 Destination Government Destination Government 1008 Destination Government Destination Government 1009 Destination Government Destination Government 1010 Destination Government Destination Government 1011 Destination Government Destination Government 1012 Destination Government Destination Government

1013 Destination Government Destination Government 1014 Destination Government Destination Government 2001 Destination Government Destination Government 2002 Destination Government Destination Government 2003 Destination Government Destination Government 2004 Destination Government Destination Government 2005 Destination Government Destination Government 2006 Destination Government Destination Government 2007 Destination Government Destination Government 2008 Destination Government Destination Government 2009 Destination Government Destination Government 2010 Destination Government Destination Government 2011 Destination Government Destination Government 2012 Destination Government Destination Government 2013 Destination Government Destination Government 2014 Destination Government Destination Government 3001 Destination Government Destination Government 3002 Destination Government Destination Government 3003 Destination Government Destination Government 3004 Destination Government Destination Government 3005 Destination Government Destination Government 3006 Destination Government Destination Government 3007 Destination Government Destination Government 3008 Destination Government Destination Government 3009 Destination Government Destination Government 3010 Destination Government Destination Government 3011 Destination Government Destination Government 3012 Destination Government Destination Government 3013 Destination Government Destination Government 3014 Destination Government Destination Government 4001 Destination Government Destination Government 4002 Destination Government Destination Government 4003 Destination Government Destination Government 4004 Destination Government Destination Government 4005 Destination Government Destination Government 4006 Destination Government Destination Government 4007 Destination Government Destination Government 4008 Destination Government Destination Government 4009 Destination Government Destination Government 4010 Destination Government Destination Government 4011 Destination Government Destination Government 4012 Destination Government Destination Government 4013 Destination Government Destination Government 4014 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 POP 01-OCT-2014 TO

30-SEP-2015

N/A 325 CES/CEOQ - F4A360

STEVE DUPONT

119 ALABAMA AVE, STE 1

TYNDALL AFB FL 32403-5005

850-283-8990

F4A360

0002 POP 01-OCT-2014 TO

30-SEP-2015

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-OCT-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-OCT-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 01-OCT-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 01-OCT-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 01-OCT-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 01-OCT-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 POP 01-OCT-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0010 POP 01-OCT-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0011 POP 01-OCT-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0012 POP 01-OCT-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0013 POP 01-OCT-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0014 POP 01-OCT-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-OCT-2015 TO

30-SEP-2016

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1007 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1008 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1009 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1010 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1011 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1012 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1013 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1014 POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 01-OCT-2016 TO

30-SEP-2017

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2006 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2007 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2008 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2009 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2010 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2011 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2012 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2013 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2014 POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 01-OCT-2017 TO

30-SEP-2018

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3006 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3007 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3008 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3009 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3010 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3011 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3012 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3013 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3014 POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 01-OCT-2018 TO

30-SEP-2019

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4006 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4007 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4008 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4009 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4010 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4011 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4012 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4013 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4014 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.204-7 System for Award Management JUL 2013 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First-Tier Subcontract

Awards

JUL 2013

52.204-13 System for Award Management Maintenance JUL 2013 52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for Debarment

AUG 2013

52.212-1 Instructions to Offerors--Commercial Items APR 2014 52.212-4 Contract Terms and Conditions--Commercial Items SEP 2013 52.215-1 Instructions to Offerors--Competitive Acquisition JAN 2004 52.215-8 Order of Precedence--Uniform Contract Format OCT 1997 52.217-5 Evaluation Of Options JUL 1990 52.219-6 Notice Of Total Small Business Set-Aside NOV 2011 52.222-3 Convict Labor JUN 2003 52.222-17 Nondisplacement of Qualified Workers MAY 2014 52.222-19 Child Labor -- Cooperation with Authorities and Remedies JAN 2014 52.222-21 Prohibition Of Segregated Facilities FEB 1999 52.222-26 Equal Opportunity MAR 2007 52.222-35 Equal Opportunity for Veterans SEP 2010 52.222-36 Affirmative Action For Workers With Disabilities OCT 2010 52.222-37 Employment Reports on Veterans SEP 2010 52.222-41 Service Contract Act Of 1965 NOV 2007 52.222-43 Fair Labor Standards Act And Service Contract Act - Price

Adjustment (Multiple Year And Option)

SEP 2009

52.222-50 Combating Trafficking in Persons FEB 2009 52.223-3 Hazardous Material Identification And Material Safety Data JAN 1997 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011 52.223-6 Drug-Free Workplace MAY 2001 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 52.232-1 Payments APR 1984 52.232-11 Extras APR 1984 52.232-18 Availability Of Funds APR 1984 52.232-23 Assignment Of Claims JAN 1986 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 52.237-1 Site Visit APR 1984 52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.243-1 Alt I Changes--Fixed Price (Aug 1987) - Alternate I APR 1984 52.249-4 Termination For Convenience Of The Government (Services)

(Short Form)

APR 1984

252.203-7000 Requirements Relating to Compensation of Former DoD Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7004 Alt A System for Award Management Alternate A MAR 2014 252.223-7006 Prohibition On Storage And Disposal Of Toxic And

Hazardous Materials

APR 2012

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 252.245-7002 Reporting Loss of Government Property APR 2012

CLAUSES INCORPORATED BY FULL TEXT

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

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

1. Evaluation Criteria: The Government shall evaluate proposals using the following criteria:

i. Technical Acceptability

ii. Price

2. Basis for Contract Award: The Government shall use the Lowest Price Technically Acceptable (LPTA) method to determine the awardee. The Government intends to award a contract without discussions with respective quoters.

The Government, however, reserves the right to conduct discussions if deemed in its best interest. In order to be eligible for award, the offeror must have been assigned a pass rating for technical acceptability. If the offeror is assigned a fail rating under any technical factor, the offeror shall automatically be assigned an overall fail rating for technical. The Government shall award to the lowest priced offeror whose quote was deemed to be technically acceptable.

3. Relative Importance of Criteria: Once a quote has been deemed technically acceptable (PASS/FAIL), the award decision will be based on price.

i. Pass/Fail: Technical offeror must clearly demonstrate the ability to perform the services/tasks intended for the Hoods & Ducts Services IAW Performance Work Statement (PWS), paragraph 1.1; see attachment 1.

4. Pricing Evaluation:

i. The Government will proceed to award the contract to the contractor who provided the lowest priced technically acceptable quote.

ii. Quotes presented that have a price significantly lower than the Independent Government Estimate may be considered non-responsive by the Contracting Officer. The next lowest technically acceptable quote may then be reviewed for pricing responsiveness and contract award. The process may be repeated until a technically acceptable quote is determined to have responsive pricing.

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

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party.

Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of provision)

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (MAY 2014)

ALTERNATE I (MAY 2014)

An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual representations and certifications electronically via http://www.acquisition.gov. If an offeror has not completed the annual representations and certifications electronically at the System for Award Management (SAM) website, the offeror shall complete only paragraphs (b) through (i) of this provision.

(a) Definitions. As used in this provision:

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

"Forced or indentured child labor" means all work or service-

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

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

Inverted domestic corporation, as used in this section, means a foreign incorporated entity which is treated as an inverted domestic corporation under 6 U.S.C. 395(b), i.e., a corporation that used to be incorporated in the United States, or used to be a partnership in the United States, but now is incorporated in a foreign country, or is a subsidiary whose parent corporation is incorporated in a foreign country, that meets the criteria specified in 6 U.S.C.

395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c). An inverted domestic corporation as herein defined does not meet the definition of an inverted domestic corporation as defined by the Internal Revenue Code at 26 U.S.C. 7874.

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

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

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

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

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

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

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

(8) FSC 9610, Ores;

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

(10) FSC 9630, Additive Metal Materials.

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

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

Subsidiary means an entity in which more than 50 percent of the entity is owned--

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

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

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

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

"Women-owned small business concern" means a small business concern—

“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 its stock is owned by one or more women; or

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

"Women-owned business concern" means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women;

and whose management and daily business operations are controlled by one or more women.

(b) (1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted electronically on the SAM website.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ----------.

(Offeror to identify the applicable paragraphs at (c) through (n) 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 on ORCA.]

(c) Offerors must complete the following representations when the resulting contract will 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, for general statistical purposes, 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 to paragraphs (c)(8) and (9): 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) [Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns, or FAR 52.219-25, Small Disadvantaged Business Participation Program—Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.]

(i) General. The offeror represents that either—

(A) It [_] is, [_] is not certified by the Small Business Administration as a small disadvantaged business concern and identified, on the date of this representation, as a certified small disadvantaged business concern in the SAM Dynamic Small Business Search database maintained by the Small Business Administration , and that no material change in disadvantaged ownership and control has occurred since its certification, and, where the concern is owned by one or more individuals claiming disadvantaged status, the net worth of each individual upon whom the certification is based does not exceed $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); or

(B) It [_] has, [_] has not submitted a completed application to the Small Business Administration or a Private Certifier to be certified as a small disadvantaged business concern in accordance with 13 CFR 124, Subpart B, and a decision on that application is pending, and that no material change in disadvantaged ownership and control has occurred since its application was submitted.

(ii) Joint Ventures under the Price Evaluation Adjustment for Small Disadvantaged Business Concerns. The offeror represents, as part of its offer, that it is a joint venture that complies with the requirements in 13 CFR 124.1002(f) and that the representation in paragraph (c)(10)(i) of this provision is accurate for the small disadvantaged business concern that is participating in the joint venture. [The offeror shall enter the name of the small disadvantaged business concern that is participating in the joint venture: ________________.]

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

(i) It [_] is, [_] is not a HUBZone small business concern listed, on the date of this representation, 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)(11)(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.

(12) Complete if the offeror has represented itself as disadvantaged in paragraph (c)(4) or (c)(10) of this provision.)

(The offeror shall check the category in which its ownership falls):

___ Black American.

___ Hispanic American.

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

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

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

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

(d) Certifications and 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 either to the Equal Opportunity clause of this solicitation, the 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 Subparts 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 $100,000.) 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--Balance of Payments Program Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American--Balance of Payments Program--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.