Conformed_Copy_FA4861-14-R-C001.pdf

99 CONS/LGCC

5865 SWAAB BLVD, BLDG 588

NELLIS AFB NV 89191-7065

702-652-3366

702-652-3367

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)

13b. RATING

13a. THIS CONTRACT IS A RATED ORDER

X

CODE

FA4861-14-R-C001 24-Sep-2014

b. TELEPHONE NUMBER

701-682-8458

8. OFFER DUE DATE/LOCAL TIME

02:00 PM 23 Jan 2015

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.

FA4861

SIZE STD:

9. ISSUED BY

FACILITY

CODE

17a.CONTRACTOR/

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

15. DELIVER TO CODE F3G3FA 16. ADMINISTERED BY

99 CS/SCXB - F3G3FA

TINA WHATLEY

4375 N. WASHINGTON BLVD

BLDG 589

NELLIS AFB NV 89191-7074

TEL: 702-652-6425 FAX:

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

DEREK URBAN

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

(TYPE OR PRINT)

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

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

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

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

SEE SCHEDULE

517110

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

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:

0 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

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

FA4861-14-R-C001

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 12 Months BTS-Nellis

FFP

O&M for the Base Telecommunication System (BTS) IAW contract terms and conditions.

FOB: Destination

SIGNAL CODE: A

NET AMT

0002 12 Months BTS-Creech

FFP

O&M for the Base Telecommunication System (BTS) IAW contract terms and conditions.

0003 12 Months BTS-Command Post

FFP

O&M for the Base Telecommunication System (BTS) IAW contract terms and conditions.

0004 12 Months BTS-Hospital Switch

FFP

O&M for the Base Telecommunication System (BTS) IAW contract terms and conditions.

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

Work Orders

FFP

THIS CLIN IS UNPRICED. OFFERORS SHALL NOT PROPOSE A UNIT

PRICE AGAINST THIS CLIN. THIS CLIN WILL BE USED FOR

SUBSEQUENT TASK ORDERS/WORK ORDERS. PRICING FOR TASK

ORDERS/WORK ORDERS WILL BE COMPILED UTILIZING THE PRICING

TABLE, ATTACHMENT 3.**Preceding to be removed after award.**

This CLIN provides funding for work orders within scope of the contract.

Contract will be funded as required by work order. Base Telecommunications

System (BTS) work orders (WOs) are based on pricing on the attached Pricing

Table, Purchase, Installation, Removal, Relocation and Miscellaneous (PIRRM)

Schedule consisting of product identification items necessary to complete each

WO in accordance with the contract terms and conditions.

MAX

UNIT UNIT PRICE MAX AMOUNT

Special Projects

FFP

THIS CLIN IS UNPRICED. OFFERORS SHALL NOT PROPOSE A UNIT

PRICE AGAINST THIS CLIN. Special Projects. Special projects are Firm Fixed

Price (FFP) negotiated requirements when an effort is needed that is not covered by current line items on the contract. These are one-time efforts that are within the scope of the contract and will be accomplished IAW the terms and conditions of the contract including, but not limited to, PWS Section 1.5.

1001 6 Months OPTION BTS-Nellis

FFP

O&M for the Base Telecommunication System (BTS) IAW contract terms and conditions.

1002 6 Months OPTION BTS-Creech

FFP

O&M for the Base Telecommunication System (BTS) IAW contract terms and conditions.

1003 6 Months OPTION BTS-Command Post

FFP

O&M for the Base Telecommunication System (BTS) IAW contract terms and conditions.

1004 6 Months OPTION BTS-Hospital Switch

FFP

O&M for the Base Telecommunication System (BTS) IAW contract terms and conditions.

OPTION Work Orders

FFP

THIS CLIN IS UNPRICED. OFFERORS SHALL NOT PROPOSE A UNIT

PRICE AGAINST THIS CLIN. THIS CLIN WILL BE USED FOR

SUBSEQUENT TASK ORDERS/WORK ORDERS. PRICING FOR TASK

ORDERS/WORK ORDERS WILL BE COMPILED UTILIZING THE PRICING

TABLE, ATTACHMENT 3.**Preceding to be removed after award.**

This CLIN provides funding for work orders within scope of the contract. Contract will be funded as required by work order. Base Telecommunications System (BTS) work orders (WOs) are based on pricing on the attached Pricing Table, Purchase, Installation, Removal, Relocation and Miscellaneous (PIRRM) Schedule consisting of product identification items necessary to complete each WO in accordance with the contract terms and conditions.

UNIT UNIT PRICE MAX AMOUNT

OPTION Special Projects

FFP

THIS CLIN IS UNPRICED. OFFERORS SHALL NOT PROPOSE A UNIT

PRICE AGAINST THIS CLIN. Special Projects. Special projects are Firm Fixed

Price (FFP) negotiated requirements when an effort is needed that is not covered by current line items on the contract. These are one-time efforts that are within the scope of the contract and will be accomplished IAW the terms and conditions of the contract including, but not limited to, PWS Section 1.5.

2001 6 Months OPTION BTS-Nellis

FFP

O&M for the Base Telecommunication System (BTS) IAW contract terms and conditions.

2002 6 Months OPTION BTS-Creech

FFP

O&M for the Base Telecommunication System (BTS) IAW contract terms and conditions.

2003 6 Months OPTION BTS-Command Post

FFP

O&M for the Base Telecommunication System (BTS) IAW contract terms and conditions.

2004 6 Months OPTION BTS-Hospital Switch

FFP

O&M for the Base Telecommunication System (BTS) IAW contract terms and conditions.

OPTION Work Orders

FFP

THIS CLIN IS UNPRICED. OFFERORS SHALL NOT PROPOSE A UNIT

PRICE AGAINST THIS CLIN. THIS CLIN WILL BE USED FOR

SUBSEQUENT TASK ORDERS/WORK ORDERS. PRICING FOR TASK

ORDERS/WORK ORDERS WILL BE COMPILED UTILIZING THE PRICING

TABLE, ATTACHMENT 3.**Preceding to be removed after award.**

This CLIN provides funding for work orders within scope of the contract. Contract will be funded as required by work order. Base Telecommunications System (BTS) work orders (WOs) are based on pricing on the attached Pricing Table, Purchase, Installation, Removal, Relocation and Miscellaneous (PIRRM) Schedule consisting of product identification items necessary to complete each WO in accordance with the contract terms and conditions.

UNIT UNIT PRICE MAX AMOUNT

OPTION Special Projects

FFP

THIS CLIN IS UNPRICED. OFFERORS SHALL NOT PROPOSE A UNIT

PRICE AGAINST THIS CLIN. Special Projects. Special projects are Firm Fixed

Price (FFP) negotiated requirements when an effort is needed that is not covered by current line items on the contract. These are one-time efforts that are within the scope of the contract and will be accomplished IAW the terms and conditions of the contract including, but not limited to, PWS Section 1.5.

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

3003AA

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

3003AB

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

3003AC

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

3003AD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

3003AE

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

4003AA

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

4003AB

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

4003AC

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

4003AD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

4003AE

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

5003AA

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

5003AB

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

5003AC

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

5003AD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

5003AE

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

RESERVED

FFP

THIS CLIN WILL BE DELETED AT TIME OF AWARD

CONTRACT MINIMUM/MAXIMUM QUANTITY AND CONTRACT VALUE

The minimum quantity and contract value for all orders issued against this contract shall not be less than the minimum quantity and contract value stated in the following table. The maximum quantity and contract value for all orders issued against this contract shall not exceed the maximum quantity and contract value stated in the following table.

MINIMUM

MINIMUM

AMOUNT

MAXIMUM

QUANTITY

MAXIMUM

AMOUNT

$4,500,000.00

DELIVERY/TASK ORDER MINIMUM/MAXIMUM QUANTITY AND ORDER VALUE

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

Delivery/Task Order issued shall not exceed the maximum quantity and order value stated in the following table.

MINIMUM

AMOUNT

MAXIMUM

QUANTITY

MAXIMUM

1.00 999.00

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

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

CLIN

QUANTITY

MINIMUM

AMOUNT

MAXIMUM

QUANTITY

MAXIMUM

3003AA

3003AB

3003AC

3003AD

3003AE

4003AA

4003AB

4003AC

4003AD

4003AE

5003AA

5003AB

5003AC

5003AD

5003AE

LIST OF ATTACHMENTS

List of Attachments

Attachmen t

Title Date Page s

1 PWS Nellis-Creech Sept 2014 Sept 2014 96

1 PWS Nellis-Creech (Revision 10 Oct 2014) 10 October

2 EIPS 30 JULY 2014 30 Jul 2014 40

3 Pricing Table (.xls) N/A (.xls)

3 Pricing Table (.xls) 23 Dec 2014 (.xls)

4 WD 05-2331 (Rev.-14) 08/05/2014 9

5 Past Performance Questionnaire N/A 3

6 Nellis Creech Topology N/A 2

7 NV140001 10102014 NV1 10/10/1014 9

7 NV140004 10102014 NV4 10/10/2014 7

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 N/A N/A N/A Government

0006 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 N/A N/A N/A Government

1006 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 N/A N/A N/A Government

2006 Destination Government Destination Government

3001 Destination Government Destination Government

3002 Destination Government Destination Government

3003 Destination Government Destination Government

3003AA Destination Government Destination Government

3003AB Destination Government Destination Government

3003AC Destination Government Destination Government

3003AD Destination Government Destination Government

3003AE 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

4001 Destination Government Destination Government

4002 Destination Government Destination Government

4003 Destination Government Destination Government

4003AA Destination Government Destination Government

4003AB Destination Government Destination Government

4003AC Destination Government Destination Government

4003AD Destination Government Destination Government

4003AE 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

5001 Destination Government Destination Government

5002 Destination Government Destination Government

5003 Destination Government Destination Government

5003AA Destination Government Destination Government

5003AB Destination Government Destination Government

5003AC Destination Government Destination Government

5003AD Destination Government Destination Government

5003AE Destination Government Destination Government

5004 Destination Government Destination Government

5005 Destination Government Destination Government

5006 Destination Government Destination Government

5007 Destination Government Destination Government

5008 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 POP 01-MAR-2015 TO

29-FEB-2016

N/A 99 CS/SCXB - F3G3FA

TINA WHATLEY

4375 N. WASHINGTON BLVD

BLDG 589

NELLIS AFB NV 89191-7074

702-652-6425

F3G3FA

0002 POP 01-MAR-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-MAR-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-MAR-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 N/A N/A N/A N/A

0006 POP 01-MAR-2015 TO

N/A 99 CS/SCXB - F3G3FA

TINA WHATLEY

4375 N. WASHINGTON BLVD

BLDG 589

NELLIS AFB NV 89191-7074

702-652-6425

1001 POP 01-MAR-2016 TO

31-AUG-2016

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-MAR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-MAR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-MAR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 N/A N/A N/A N/A

1006 POP 01-MAR-2016 TO

N/A 99 CS/SCXB - F3G3FA

TINA WHATLEY

4375 N. WASHINGTON BLVD

BLDG 589

NELLIS AFB NV 89191-7074

702-652-6425

2001 POP 01-SEP-2016 TO

28-FEB-2017

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 01-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 01-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 01-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 N/A N/A N/A N/A

2006 POP 01-SEP-2016 TO

N/A 99 CS/SCXB - F3G3FA

TINA WHATLEY

4375 N. WASHINGTON BLVD

BLDG 589

NELLIS AFB NV 89191-7074

702-652-6425

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

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

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

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

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

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

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

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

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

3005 N/A N/A N/A N/A

3006 N/A N/A N/A N/A

3007 N/A N/A N/A N/A

3008 N/A N/A N/A N/A

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

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

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

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

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

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

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

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

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

4005 N/A N/A N/A N/A

4006 N/A N/A N/A N/A

4007 N/A N/A N/A N/A

4008 N/A N/A N/A N/A

5001 N/A N/A N/A N/A

5002 N/A N/A N/A N/A

5003 N/A N/A N/A N/A

5003AA N/A N/A N/A N/A

5003AB N/A N/A N/A N/A

5003AC N/A N/A N/A N/A

5003AD N/A N/A N/A N/A

5003AE N/A N/A N/A N/A

5004 N/A N/A N/A N/A

5005 N/A N/A N/A N/A

5006 N/A N/A N/A N/A

5007 N/A N/A N/A N/A

5008 N/A N/A N/A N/A

CLAUSES INCORPORATED BY REFERENCE

52.202-1 Definitions NOV 2013

52.203-3 Gratuities APR 1984

52.203-5 Covenant Against Contingent Fees MAY 2014

52.203-11 Certification And Disclosure Regarding Payments To

Influence Certain Federal Transactions

SEP 2007

52.203-12 Limitation On Payments To Influence Certain Federal

Transactions

OCT 2010

52.204-2 Security Requirements AUG 1996

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

Content Paper

MAY 2011

52.204-7 System for Award Management JUL 2013

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.212-1 Instructions to Offerors--Commercial Items APR 2014

52.212-4 Contract Terms and Conditions--Commercial Items MAY 2014

52.215-2 Audit and Records--Negotiation OCT 2010

52.215-8 Order of Precedence--Uniform Contract Format OCT 1997

52.215-10 Price Reduction for Defective Certified Cost or Pricing Data AUG 2011

52.215-11 Price Reduction for Defective Certified Cost or Pricing Data--

Modifications

AUG 2011

52.215-12 Subcontractor Certified Cost or Pricing Data OCT 2010

52.215-13 Subcontractor Certified Cost or Pricing Data--Modifications OCT 2010

52.215-21 Requirements for Certified Cost or Pricing Data or

Information Other Than Certified Cost or Pricing Data--

Modifications

OCT 2010

52.222-4 Contract Work Hours and Safety Standards Act - Overtime

Compensation

MAY 2014

52.222-6 Construction Wage Rate Requirements MAY 2014

52.222-7 Withholding of Funds MAY 2014

52.222-8 Payrolls and Basic Records MAY 2014

52.222-9 Apprentices and Trainees JUL 2005

52.222-10 Compliance with Copeland Act Requirements FEB 1988

52.222-11 Subcontracts (Labor Standards) MAY 2014

52.222-12 Contract Termination-Debarment MAY 2014

52.222-13 Compliance With Construction Wage Rate Requirements and

Related Regulations

MAY 2014

52.222-14 Disputes Concerning Labor Standards FEB 1988

52.222-15 Certification of Eligibility MAY 2014

52.222-27 Affirmative Action Compliance Requirements for

Construction

FEB 1999

52.222-30 Construction Wage Rate Requirements--Price Adjustment

(None or Separately Specified Method)

MAY 2014

52.222-99 Notification of Employee Rights under the National Labor

Relations Act (Deviation)

JUN 2010

52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011

52.223-5 Alt I Pollution Prevention and Right-to-Know Information (May

2011) Alternate I

MAY 2011

52.223-6 Drug-Free Workplace MAY 2001

52.223-10 Waste Reduction Program MAY 2011

52.223-11 Ozone-Depleting Substances MAY 2001

52.223-17 Affirmative Procurement of EPA-Designated Items in Service and Construction Contracts

MAY 2008

52.225-10 Notice of Buy American Requirement--Construction Materials MAY 2014

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

52.229-3 Federal, State And Local Taxes FEB 2013

52.232-1 Payments APR 1984

52.232-8 Discounts For Prompt Payment FEB 2002

52.232-11 Extras APR 1984

52.232-17 Interest MAY 2014

52.232-18 Availability Of Funds APR 1984

52.232-23 Assignment Of Claims MAY 2014

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013

52.233-1 Disputes MAY 2014

52.233-3 Protest After Award AUG 1996

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

52.236-2 Differing Site Conditions APR 1984

52.236-3 Site Investigation and Conditions Affecting the Work APR 1984

52.236-5 Material and Workmanship APR 1984

52.236-7 Permits and Responsibilities NOV 1991

52.236-8 Other Contracts APR 1984

52.236-9 Protection of Existing Vegetation, Structures, Equipment, Utilities, and Improvements

APR 1984

52.236-12 Cleaning Up APR 1984

52.236-13 Accident Prevention NOV 1991

52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.237-3 Continuity Of Services JAN 1991

52.242-13 Bankruptcy JUL 1995

52.242-14 Suspension of Work APR 1984

52.243-1 Changes--Fixed Price AUG 1987

52.245-1 Government Property APR 2012

52.245-9 Use And Charges APR 2012

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

52.246-12 Inspection of Construction AUG 1996

52.246-16 Responsibility For Supplies APR 1984

52.246-25 Limitation Of Liability--Services FEB 1997

52.249-2 Termination For Convenience Of The Government (Fixed-

Price)

APR 2012

52.249-8 Default (Fixed-Price Supply & Service) APR 1984

52.249-10 Default (Fixed-Price Construction) APR 1984

52.253-1 Computer Generated Forms JAN 1991

252.201-7000 Contracting Officer's Representative DEC 1991

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7001 Prohibition On Persons Convicted of Fraud or Other Defense-

Contract-Related Felonies

DEC 2008

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 AUG 2013

252.204-7003 Control Of Government Personnel Work Product APR 1992

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

252.205-7000 Provision Of Information To Cooperative Agreement Holders DEC 1991

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

The Government of a Terrorist Country

MAR 2014

252.216-7000 Economic Price Adjustment--Basic Steel, Aluminum, Brass, Bronze Or Copper Mill Products

MAR 2012

252.222-7000 Restriction On Employment Of Personnel MAR 2000

252.222-7004 Compliance With Spanish Social Security Laws and

Regulations

JUN 1997

252.222-7006 Restrictions on the Use of Mandatory Arbitration Agreements DEC 2010

252.223-7006 Prohibition On Storage And Disposal Of Toxic And

Hazardous Materials

APR 2012

252.225-7012 Preference For Certain Domestic Commodities FEB 2013

252.226-7001 Utilization of Indian Organizations and Indian-Owned

Economic Enterprises, and Native Hawaiian Small Business

Concerns

SEP 2004

252.227-7025 Limitations on the Use or Disclosure of Government-

Furnished Information Marked with Restrictive Legends

MAY 2013

252.227-7028 Technical Data or Computer Software Previously Delivered to the Government

JUN 1995

252.227-7030 Technical Data--Withholding Of Payment MAR 2000

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006

252.236-7000 Modification Proposals-Price Breakdown DEC 1991

252.236-7005 Airfield Safety Precautions DEC 1991

252.237-7010 Prohibition on Interrogation of Detainees by Contractor

Personnel

JUN 2013

252.243-7001 Pricing Of Contract Modifications DEC 1991

252.243-7002 Requests for Equitable Adjustment DEC 2012

252.245-7001 Tagging, Labeling, and Marking of Government-Furnished

Property

APR 2012

252.245-7002 Reporting Loss of Government Property APR 2012

252.246-7004 Safety of Facilities, Infrastructure, and Equipment for Military

Operations

OCT 2010

252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (APR 2010)

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

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

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

(B) Have ( ) have not ( ), within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) contract or subcontract; violation of Federal or State antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property (if offeror checks “have”, the offeror shall also see 52.209-7, if included in this solicitation); and

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

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

Federal taxes in an amount that exceeds $3,000 for which the liability remains unsatisfied.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

(End of provision)

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING RESPONSIBILITY

MATTERS (JULY 2013)

(a) The Contractor shall update the information in the Federal Awardee Performance and Integrity Information

System (FAPIIS) on a semi-annual basis, throughout the life of the contract, by posting the required information in the System for Award Management database via https://www.acquisition.gov.

(b) As required by section 3010 of the Supplemental Appropriations Act, 2010 (Pub. L. 111-212), all information posted in FAPIIS on or after April 15, 2011, except past performance reviews, will be publicly available. FAPIIS consists of two segments--

(1) The non-public segment, into which Government officials and the Contractor post information, which can only be viewed by--

(i) Government personnel and authorized users performing business on behalf of the Government; or

(ii) The Contractor, when viewing data on itself; and

(2) The publicly-available segment, to which all data in the non-public segment of FAPIIS is automatically transferred after a waiting period of 14 calendar days, except for--

(i) Past performance reviews required by subpart 42.15;

(ii) Information that was entered prior to April 15, 2011; or

(iii) Information that is withdrawn during the 14-calendar-day waiting period by the Government official who posted it in accordance with paragraph (c)(1) of this clause.

(c) The Contractor will receive notification when the Government posts new information to the Contractor's record.

(1) If the Contractor asserts in writing within 7 calendar days, to the Government official who posted the information, that some of the information posted to the non-public segment of FAPIIS is covered by a disclosure exemption under the Freedom of Information Act, the Government official who posted the information must within 7 calendar days remove the posting from FAPIIS and resolve the issue in accordance with agency Freedom of

Information procedures, prior to reposting the releasable information. The contractor must cite 52.209-9 and request removal within 7 calendar days of the posting to FAPIIS.

(2) The Contractor will also have an opportunity to post comments regarding information that has been posted by the

Government. The comments will be retained as long as the associated information is retained, i.e., for a total period of 6 years. Contractor comments will remain a part of the record unless the Contractor revises them.

https://www.acquisition.gov/

(3) As required by section 3010 of Pub. L. 111-212, all information posted in FAPIIS on or after April 15, 2011, except past performance reviews, will be publicly available.

(d) Public requests for system information posted prior to April 15, 2011, will be handled under Freedom of

Information Act procedures, including, where appropriate, procedures promulgated under E.O. 12600.

(End of clause)

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:

SEE ADDENDUM TO 52.212-2 FOR EVALUATION FACTORS & SUBFACTORS FOR AWARD

(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.

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (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 (c) through (o) of this provision.

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

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

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

(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 http://www.acquisition.gov/

(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 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.

(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 (o) 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, 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.

https://www.acquisition.gov/

(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…