FA481917R6005.pdf

SEE ADDENDUM

(No Collect Calls)

FA481917R6005 06-Oct-2017

b. TELEPHONE NUMBER

850-283-8628

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 20 Oct 2017

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

FA48199. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

DAVID KIGERL

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

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

325 CONTRACTING SQ (STOP 28)

501 AIREY AVE, SUITE 5

TYNDALL AFB FL 32403-5526

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

850-283-1033FAX:

TEL: 850-283-8628

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$38,500,000

NAICS:

562211

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF76

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. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

FA481917R6005

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 85 Each

OIL/WATER SEPARATOR SERVICE (SCHEDULED)

FFP

Service oil/water separators in accordance with (IAW) para 1.1.1.6 of the performance work statement (PWS) dated 5 Oct 2017. See Appendix A-1 for location and frequency.

FOB: Destination

SIGNAL CODE: A

NET AMT

Hazardous Waste Treatment and Disposal

0002 15 Each

OIL/WATER SEPARATOR ANNUAL CLEANING

FFP

Clean and service oil/water separators in accordance with (IAW) para 1.1.1.10 and

1.1.5 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix

A-1 for location and frequency.

0003 28 Each

WASHRACK STORAGE TANKS

FFP

Service washrack storage tanks in accordance with (IAW) para 1.1.2 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-2 for location and frequency.

0004 70 Each

SERVICE GREASE TRAPS (SCHEDULED)

FFP

Service grease traps in accordance with (IAW) para 1.1.3 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-3 for location and frequency.

0005 9 Each

SERVICE GREASE TRAPS ANNUAL CLEANING

FFP

Clean and service grease traps in accordance with (IAW) para 1.1.3.4 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-3 for

0006 9 Each

SERVICE SEDIMENT/SAND TRAPS (SCHEDULED)

FFP

Service sediment/sand traps in accordance with (IAW) para 1.1.3 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-4 for

0007 18 Each

SERVICE LIFT STATIONS (SCHEDULED)

FFP

Service lift stations in accordance with (IAW) para 1.1.6 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-5 for location and frequency.

0008 2 Each

REMOVE WATER FROM FUE:L TANKS

FFP

Remove water from AAFES gas stations in accordance with (IAW) para 1.1.7 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-6 for

0009 4 Each

EMERGENCY SERVICES

FFP

Responds to emergency service calls In accordance with para. 1.1.8. of the PWS, dated 5 Oct 2017.

1001 85 Each

OPTION OIL/WATER SEPARATOR SERVICE (SCHEDULED)

FFP

Service oil/water separators in accordance with (IAW) para 1.1.1.6 of the performance work statement (PWS) dated 5 Oct 2017. See Appendix A-1 for location and frequency.

1002 15 Each

OPTION OIL/WATER SEPARATOR ANNUAL CLEANING

FFP

Clean and service oil/water separators in accordance with (IAW) para 1.1.1.10 and

1.1.5 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix

1003 28 Each

OPTION WASHRACK STORAGE TANKS

FFP

Service washrack storage tanks in accordance with (IAW) para 1.1.2 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-2 for

1004 70 Each

OPTION SERVICE GREASE TRAPS (SCHEDULED)

FFP

Service grease traps in accordance with (IAW) para 1.1.3 of the performance work

1005 9 Each

OPTION SERVICE GREASE TRAPS ANNUAL CLEANING

FFP

Clean and service grease traps in accordance with (IAW) para 1.1.3.4 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-3 for

1006 9 Each

OPTION SERVICE SEDIMENT/SAND TRAPS (SCHEDULED)

FFP

Service sediment/sand traps in accordance with (IAW) para 1.1.3 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-4 for

1007 18 Each

OPTION SERVICE LIFT STATIONS (SCHEDULED)

FFP

Service lift stations in accordance with (IAW) para 1.1.6 of the performance work

1008 2 Each

OPTION REMOVE WATER FROM FUE:L TANKS

FFP

Remove water from AAFES gas stations in accordance with (IAW) para 1.1.7 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-6 for

1009 4 Each

OPTION EMERGENCY SERVICES

FFP

Responds to emergency service calls In accordance with para. 1.1.8. of the PWS, 2001 85 Each

OPTION OIL/WATER SEPARATOR SERVICE (SCHEDULED)

FFP

Service oil/water separators in accordance with (IAW) para 1.1.1.6 of the performance work statement (PWS) dated 5 Oct 2017. See Appendix A-1 for location and frequency.

2002 15 Each

OPTION OIL/WATER SEPARATOR ANNUAL CLEANING

FFP

Clean and service oil/water separators in accordance with (IAW) para 1.1.1.10 and

1.1.5 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix

2003 28 Each

OPTION WASHRACK STORAGE TANKS

FFP

Service washrack storage tanks in accordance with (IAW) para 1.1.2 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-2 for

2004 70 Each

OPTION SERVICE GREASE TRAPS (SCHEDULED)

FFP

Service grease traps in accordance with (IAW) para 1.1.3 of the performance work

2005 9 Each

OPTION SERVICE GREASE TRAPS ANNUAL CLEANING

FFP

Clean and service grease traps in accordance with (IAW) para 1.1.3.4 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-3 for

2006 9 Each

OPTION SERVICE SEDIMENT/SAND TRAPS (SCHEDULED)

FFP

Service sediment/sand traps in accordance with (IAW) para 1.1.3 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-4 for

2007 18 Each

OPTION SERVICE LIFT STATIONS (SCHEDULED)

FFP

Service lift stations in accordance with (IAW) para 1.1.6 of the performance work

2008 2 Each

OPTION REMOVE WATER FROM FUE:L TANKS

FFP

Remove water from AAFES gas stations in accordance with (IAW) para 1.1.7 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-6 for

2009 4 Each

OPTION EMERGENCY SERVICES

FFP

Responds to emergency service calls In accordance with para. 1.1.8. of the PWS, 3001 85 Each

OPTION OIL/WATER SEPARATOR SERVICE (SCHEDULED)

FFP

Service oil/water separators in accordance with (IAW) para 1.1.1.6 of the performance work statement (PWS) dated 5 Oct 2017. See Appendix A-1 for location and frequency.

3002 15 Each

OPTION OIL/WATER SEPARATOR ANNUAL CLEANING

FFP

Clean and service oil/water separators in accordance with (IAW) para 1.1.1.10 and

1.1.5 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix

3003 28 Each

OPTION WASHRACK STORAGE TANKS

FFP

Service washrack storage tanks in accordance with (IAW) para 1.1.2 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-2 for

3004 70 Each

OPTION SERVICE GREASE TRAPS (SCHEDULED)

FFP

Service grease traps in accordance with (IAW) para 1.1.3 of the performance work

3005 9 Each

OPTION SERVICE GREASE TRAPS ANNUAL CLEANING

FFP

Clean and service grease traps in accordance with (IAW) para 1.1.3.4 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-3 for

3006 9 Each

OPTION SERVICE SEDIMENT/SAND TRAPS (SCHEDULED)

FFP

Service sediment/sand traps in accordance with (IAW) para 1.1.3 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-4 for

3007 18 Each

OPTION SERVICE LIFT STATIONS (SCHEDULED)

FFP

Service lift stations in accordance with (IAW) para 1.1.6 of the performance work

3008 2 Each

OPTION REMOVE WATER FROM FUE:L TANKS

FFP

Remove water from AAFES gas stations in accordance with (IAW) para 1.1.7 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-6 for

3009 4 Each

OPTION EMERGENCY SERVICES

FFP

Responds to emergency service calls In accordance with para. 1.1.8. of the PWS, 4001 85 Each

OPTION OIL/WATER SEPARATOR SERVICE (SCHEDULED)

FFP

Service oil/water separators in accordance with (IAW) para 1.1.1.6 of the performance work statement (PWS) dated 5 Oct 2017. See Appendix A-1 for location and frequency.

4002 15 Each

OPTION OIL/WATER SEPARATOR ANNUAL CLEANING

FFP

Clean and service oil/water separators in accordance with (IAW) para 1.1.1.10 and

1.1.5 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix

4003 28 Each

OPTION WASHRACK STORAGE TANKS

FFP

Service washrack storage tanks in accordance with (IAW) para 1.1.2 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-2 for

4004 70 Each

OPTION SERVICE GREASE TRAPS (SCHEDULED)

FFP

Service grease traps in accordance with (IAW) para 1.1.3 of the performance work

4005 9 Each

OPTION SERVICE GREASE TRAPS ANNUAL CLEANING

FFP

Clean and service grease traps in accordance with (IAW) para 1.1.3.4 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-3 for

4006 9 Each

OPTION SERVICE SEDIMENT/SAND TRAPS (SCHEDULED)

FFP

Service sediment/sand traps in accordance with (IAW) para 1.1.3 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-4 for

4007 18 Each

OPTION SERVICE LIFT STATIONS (SCHEDULED)

FFP

Service lift stations in accordance with (IAW) para 1.1.6 of the performance work

4008 2 Each

OPTION REMOVE WATER FROM FUE:L TANKS

FFP

Remove water from AAFES gas stations in accordance with (IAW) para 1.1.7 of the performance work statement (PWS), dated 5 Oct 2017. See Appendix A-6 for

4009 4 Each

OPTION EMERGENCY SERVICES

FFP

Responds to emergency service calls In accordance with para. 1.1.8. of the PWS, 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

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

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

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

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

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-NOV-2017 TO

31-OCT-2018

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

119 ALABAMA AVE, STE 1,BLDG 421

TYNDALL AFB FL 32403

850-283-3074

F4A360

0002 POP 01-NOV-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-NOV-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-NOV-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 01-NOV-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 01-NOV-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 01-NOV-2017 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

248 FLORIDA AVE B6021

TYNDALL AFBF FL 32403

850-283-3074

0008 POP 01-NOV-2017 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

119 ALABAMA AVE, STE 1,BLDG 421

TYNDALL AFB FL 32403

850-283-3074

0009 POP 01-NOV-2017 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

248 FLORIDA AVE B6021

TYNDALL AFBF FL 32403

850-283-3074

1001 POP 01-NOV-2018 TO

31-OCT-2019

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

119 ALABAMA AVE, STE 1,BLDG 421

TYNDALL AFB FL 32403

850-283-3074

1002 POP 01-NOV-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-NOV-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-NOV-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 01-NOV-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 01-NOV-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1007 POP 01-NOV-2018 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

248 FLORIDA AVE B6021

TYNDALL AFBF FL 32403

850-283-3074

1008 POP 01-NOV-2018 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

119 ALABAMA AVE, STE 1,BLDG 421

TYNDALL AFB FL 32403

850-283-3074

1009 POP 01-NOV-2018 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

248 FLORIDA AVE B6021

TYNDALL AFBF FL 32403

850-283-3074

2001 POP 01-NOV-2019 TO

31-OCT-2020

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

119 ALABAMA AVE, STE 1,BLDG 421

TYNDALL AFB FL 32403

850-283-3074

2002 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2006 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2007 POP 01-NOV-2019 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

248 FLORIDA AVE B6021

TYNDALL AFBF FL 32403

850-283-3074

2008 POP 01-NOV-2019 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

119 ALABAMA AVE, STE 1,BLDG 421

TYNDALL AFB FL 32403

850-283-3074

2009 POP 01-NOV-2019 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

248 FLORIDA AVE B6021

TYNDALL AFBF FL 32403

850-283-3074

3001 POP 01-NOV-2020 TO

31-OCT-2021

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

119 ALABAMA AVE, STE 1,BLDG 421

TYNDALL AFB FL 32403

850-283-3074

3002 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3006 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3007 POP 01-NOV-2020 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

248 FLORIDA AVE B6021

TYNDALL AFBF FL 32403

850-283-3074

3008 POP 01-NOV-2020 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

119 ALABAMA AVE, STE 1,BLDG 421

TYNDALL AFB FL 32403

850-283-3074

3009 POP 01-NOV-2020 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

248 FLORIDA AVE B6021

TYNDALL AFBF FL 32403

850-283-3074

4001 POP 01-NOV-2021 TO

31-OCT-2022

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

119 ALABAMA AVE, STE 1,BLDG 421

TYNDALL AFB FL 32403

850-283-3074

4002 POP 01-NOV-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-NOV-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 01-NOV-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 01-NOV-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

4006 POP 01-NOV-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

4007 POP 01-NOV-2021 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

248 FLORIDA AVE B6021

TYNDALL AFBF FL 32403

850-283-3074

4008 POP 01-NOV-2021 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

119 ALABAMA AVE, STE 1,BLDG 421

TYNDALL AFB FL 32403

850-283-3074

4009 POP 01-NOV-2021 TO

N/A 325 CES/CCQ STOP/42 - F4A360

LAWRENCE MROCZKOWSKI

248 FLORIDA AVE B6021

TYNDALL AFBF FL 32403

850-283-3074

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984

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 OCT 2016

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.212-1 Instructions to Offerors--Commercial Items JAN 2017

52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017

52.217-5 Evaluation Of Options JUL 1990

52.223-10 Waste Reduction Program MAY 2011

52.225-5 Trade Agreements OCT 2016

52.228-5 Insurance - Work On A Government Installation JAN 1997

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013

52.237-1 Site Visit APR 1984

52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.242-13 Bankruptcy JUL 1995

52.242-15 Stop-Work Order AUG 1989

252.201-7000 Contracting Officer's Representative DEC 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

252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7000 Disclosure Of Information OCT 2016

252.204-7003 Control Of Government Personnel Work Product APR 1992

252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

OCT 2016

252.222-7007 Representation Regarding Combating Trafficking in Persons JAN 2015

252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or

Hazardous Materials

SEP 2014

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

CLAUSES INCORPORATED BY FULL TEXT

52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (JULY 2013)

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

Administrative proceeding means a non-judicial process that is adjudicatory in nature in order to make a determination of fault or liability (e.g., Securities and Exchange Commission Administrative Proceedings, Civilian

Board of Contract Appeals Proceedings, and Armed Services Board of Contract Appeals Proceedings). This includes administrative proceedings at the Federal and State level but only in connection with performance of a

Federal contract or grant. It does not include agency actions such as contract audits, site visits, corrective plans, or inspection of deliverables.

Federal contracts and grants with total value greater than $10,000,000 means--

(1) The total value of all current, active contracts and grants, including all priced options; and

(2) The total value of all current, active orders including all priced options under indefinite-delivery, indefinite-quantity, 8(a), or requirements contracts (including task and delivery and multiple-award Schedules).

Principal 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 ( ) has ( ) does not have current active Federal contracts and grants with total value greater than

$10,000,000.

(c) If the offeror checked “has” in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information:

(1) Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the

Federal or State level that resulted in any of the following dispositions:

(i) In a criminal proceeding, a conviction.

(ii) In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more.

(iii) In an administrative proceeding, a finding of fault and liability that results in--

(A) The payment of a monetary fine or penalty of $5,000 or more; or

(B) The payment of a reimbursement, restitution, or damages in excess of $100,000.

(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision.

(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence.

(d) The offeror shall post the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in FAPIIS as required through maintaining an active registration in the System for Award Management database via https://www.acquisition.gov (see 52.204-7).

(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:

(1) PRICE

(2) TECHNICAL

(3) PAST PERFORMANCE

*Detailed Evaluation Criteria included in Addendum to FAR 52.212-2..

(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 (JAN 2017)

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

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

“Administrative merits determination” means certain notices or findings of labor law violations issued by an enforcement agency following an investigation. An administrative merits determination may be final or be subject to appeal or further review. To determine whether a particular notice or finding is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.

https://www.acquisition.gov/ https://www.sam.gov/portal

“Arbitral award or decision” means an arbitrator or arbitral panel determination that a labor law violation occurred, or that enjoined or restrained a violation of labor law. It includes an award or decision that is not final or is subject to being confirmed, modified, or vacated by a court, and includes an award or decision resulting from private or confidential proceedings. To determine whether a particular award or decision is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.

“Civil judgment” means—

(1) In paragraph (h) of this provision: A judgment or finding of a civil offense by any court of competent jurisdiction.

(2) In paragraph (s) of this provision: Any judgment or order entered by any Federal or State court in which the court determined that a labor law violation occurred, or enjoined or restrained a violation of labor law. It includes a judgment or order that is not final or is subject to appeal. To determine whether a particular judgment or order is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.

“DOL Guidance” means the Department of Labor (DOL) Guidance entitled: ``Guidance for Executive Order 13673, `Fair Pay and Safe Workplaces' ''. The DOL Guidance, dated August 25, 2016, can be obtained from www.dol.gov/fairpayandsafeworkplaces.

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

“Enforcement agency” means any agency granted authority to enforce the Federal labor laws. It includes the enforcement components of DOL (Wage and Hour Division, Office of Federal Contract Compliance

Programs, and Occupational Safety and Health Administration), the Equal Employment Opportunity Commission, the Occupational Safety and Health Review Commission, and the National Labor Relations Board. It also means a

State agency designated to administer an OSHA-approved State Plan, but only to the extent that the State agency is acting in its capacity as administrator of such plan. It does not include other Federal agencies which, in their capacity as contracting agencies, conduct investigations of potential labor law violations. The enforcement agencies associated with each labor law under E.O. 13673 are--

(1) Department of Labor Wage and Hour Division (WHD) for--

(i) The Fair Labor Standards Act;

(ii) The Migrant and Seasonal Agricultural Worker Protection Act;

(iii) 40 U.S.C. chapter 31, subchapter IV, formerly known as the Davis-Bacon Act;

(iv) 41 U.S.C. chapter 67, formerly known as the Service Contract Act;

(v) The Family and Medical Leave Act; and

(vi) E.O. 13658 of February 12, 2014 (Establishing a Minimum Wage for Contractors);

(2) Department of Labor Occupational Safety and Health Administration (OSHA) for--

(i) The Occupational Safety and Health Act of 1970; and http://www.dol.gov/fairpayandsafeworkplaces

(ii) OSHA-approved State Plans;

(3) Department of Labor Office of Federal Contract Compliance Programs (OFCCP) for--

(i) Section 503 of the Rehabilitation Act of 1973;

(ii) The Vietnam Era Veterans' Readjustment Assistance Act of 1972 and the Vietnam Era Veterans' Readjustment

Assistance Act of 1974; and

(iii) E.O. 11246 of September 24, 1965 (Equal Employment Opportunity);

(4) National Labor Relations Board (NLRB) for the National Labor Relations Act; and

(5) Equal Employment Opportunity Commission (EEOC) for--

(i) Title VII of the Civil Rights Act of 1964;

(ii) The Americans with Disabilities Act of 1990;

(iii) The Age Discrimination in Employment Act of 1967; and

(iv) Section 6(d) of the Fair Labor Standards Act (Equal Pay Act).

"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.

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

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

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

“Labor compliance agreement” means an agreement entered into between a contractor or subcontractor and an enforcement agency to address appropriate remedial measures, compliance assistance, steps to resolve issues to increase compliance with the labor laws, or other related matters.

“Labor laws” means the following labor laws and E.O.s:

(1) The Fair Labor Standards Act.

(2) The Occupational Safety and Health Act (OSHA) of 1970.

(3) The Migrant and Seasonal Agricultural Worker Protection Act.

(4) The National Labor Relations Act.

(5) 40 U.S.C. chapter 31, subchapter IV, formerly known as the Davis-Bacon Act.

(6) 41 U.S.C. chapter 67, formerly known as the Service Contract Act.

(7) E.O. 11246 of September 24, 1965 (Equal Employment Opportunity).

(8) Section 503 of the Rehabilitation Act of 1973.

(9) The Vietnam Era Veterans' Readjustment Assistance Act of 1972 and the Vietnam Era Veterans' Readjustment

Assistance Act of 1974.

(10) The Family and Medical Leave Act.

(11) Title VII of the Civil Rights Act of 1964.

(12) The Americans with Disabilities Act of 1990.

(13) The Age Discrimination in Employment Act of 1967.

(14) E.O. 13658 of February 12, 2014 (Establishing a Minimum Wage for Contractors).

(15) Equivalent State laws as defined in the DOL Guidance. (The only equivalent State laws implemented in the

FAR are OSHA-approved State Plans, which can be found at www.osha.gov/dcsp/osp/approved_state_plans.html).

“Labor law decision” means an administrative merits determination, arbitral award or decision, or civil judgment, which resulted from a violation of one or more of the laws listed in the definition of

``labor laws''.

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

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

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

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

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

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

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

(8) PSC 9610, Ores;

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

(10) PSC 9630, Additive Metal Materials.

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

http://www.osha.gov/dcsp/osp/approved_state_plans.html

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

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

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

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

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

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

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

(6) Have been voluntarily suspended.

Sensitive technology--

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

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

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

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

(50 U.S.C. 1702(b)(3)).

Service-disabled veteran-owned small business concern--

(1) Means a small business concern--

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

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

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

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

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

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

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

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

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

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

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

“Successor” means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term

“successor” does not include new offices/divisions of the same company or a company that only changes its name.

The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

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

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

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

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

United States.

Note to paragraph (a): By a court order issued on October 24, 2016, the following definitions in this paragraph (a) are enjoined indefinitely as of the date of the order: ``Administrative merits determination'', ``Arbitral award or decision'', paragraph (2) of ``Civil judgment'', ``DOL Guidance'', ``Enforcement agency'', ``Labor compliance agreement'', ``Labor laws'', and ``Labor law decision''. The enjoined definitions will become effective immediately if the court terminates the injunction. At that time, DoD, GSA, and NASA will publish a document in the Federal

Register advising the public of the termination of the injunction.

(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 (u) of this provision that the offeror has completed for the purposes of this solicitation only, if any.) These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on 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 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 https://www.acquisition.gov/

Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ___ .] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

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

(i) It [ ___ ] is, [ ___ ] is not an EDWOSB concern, has provided all the required documents to the WOSB

Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

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

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

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

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

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

List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR Part 126; and

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

(d) 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 $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of

Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB

Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy

American --Supplies, is included in this solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of

“domestic end product.” The terms “commercially available off-the-shelf (COTS) item,”…