RFP 08R0012.doc

Section SF 1449 - CONTINUATION SHEET

Addenda to Block 19 thru 24 of SF 1449

SCHEDULE

SUPPLIES OR SERVICES AND PRICES/COSTS:

CONTRACTOR SHALL PROVIDE ALL NECESSARY PERSONNEL, SUPERVISION, MANAGEMENT, TOOLS, EQUIPMENT, TRANSPORTATION, MATERIALS AND ANY OTHER ITEMS OR SERVICES NECESSARY TO OPERATE AND MAINTAIN HOSPITAL/CLINIC FACILITIES AT YOKOTA AIR BASE, JAPAN AS DESCRIBED IN PERFORMANCE-BASED WORK STATEMENT (PWS).

O&M Hospital/Clinic Facilities, Yokota Air Base, Japan, Management Operation and Functional Area I (Preventive Maintenance), in accordance with attached PWS (para 1.1.3.1).

POP 01-OCT-2008 TO 30-SEP-2009

FFP

NSN: J065-FY-09F-UNAI

PURCHASE REQUEST NUMBER: F4G4A38063AQ01

SIGNAL CODE: A

NET AMT

O&M Hospital/Clinic Facilities, Yokota Air Base, Functional Area II (Routine Maintenance and Repair), in accordance with attached PWS (para 1.1.3.2).

POP 01-OCT-2008 TO 30-SEP-2009

FFP

NSN: J065-FY-09F-UNII

NET AMT

Materials, Parts and Supplies in support of CLIN 0001 and 0002.

Payment of the items will be made at net purchase cost on reimbursement basis IAW paragraph 1.1.3.3. of the PWS.

POP 01-OCT-2008 TO 30-SEP-2009

FFP

NSN: J065-FY-09P-TSMT

NOT TO EXCEED AMT

Management Operation and Functional Area I (Preventive Maintenance), in accordance with attached PWS (para 1.1.3.1).

POP 01-OCT-2009 TO 30-SEP-2010

FFP

NSN: J065-FY-09F-UNAI

NET AMT

Functional Area II (Routine Maintenance and Repair), in accordance with attached PWS (para 1.1.3.2).

POP 01-OCT-2009 TO 30-SEP-2010

FFP

NSN: J065-FY-09F-UNII

NET AMT

in support of CLIN 1001 and 1002.

Payment of the items will be made at net purchase cost on reimbursement basis IAW paragraph 1.1.3.3. of the PWS.

POP 01-OCT-2009 TO 30-SEP-2010

FFP

NSN: J065-FY-09P-TSMT

NOT TO EXCEED AMT

Management Operation and Functional Area I (Preventive Maintenance), in accordance with attached PWS (para 1.1.3.1).

POP 01-OCT-2010 TO 30-SEP-2011

FFP

NET AMT

Functional Area II (Routine Maintenance and Repair), in accordance with attached PWS (para 1.1.3.2).

POP 01-OCT-2010 TO 30-SEP-2011

FFP

NET AMT

in support of CLIN 2001 and 2002.

Payment of the items will be made at net purchase cost on reimbursement basis IAW paragraph 1.1.3.3. of the PWS.

POP 01-OCT-2010 TO 30-SEP-2011

FFP

NOT TO EXCEED AMT

Management Operation and Functional Area I (Preventive Maintenance), in accordance with attached PWS (para 1.1.3.1).

POP 01-OCT-2011 TO 30-SEP-2012

FFP

NET AMT

Functional Area II (Routine Maintenance and Repair), in accordance with attached PWS (para 1.1.3.2).

POP 01-OCT-2011 TO 30-SEP-2012

FFP

NET AMT

in support of CLIN 3001 and 3002.

Payment of the items will be made at net purchase cost on reimbursement basis IAW paragraph 1.1.3.3. of the PWS

POP 01-OCT-2011 TO 30-SEP-2012

FFP

NOT TO EXCEED AMT

Management Operation and Functional Area I (Preventive Maintenance), in accordance with attached PWS (para 1.1.3.1).

POP 01-OCT-2012 TO 30-SEP-2013

FFP

NET AMT

Functional Area II (Routine Maintenance and Repair), in accordance with attached PWS (para 1.1.3.2).

POP 01-OCT-2012 TO 30-SEP-2013

FFP

NET AMT

in support of CLIN 4001 and 4002.

Payment of the items will be made at net purchase cost on reimbursement basis IAW paragraph 1.1.3.3. of the PWS.

POP 01-OCT-2012 TO 30-SEP-2013

FFP NSN: J065-FY-09P-TSMT

NOT TO EXCEED AMT

Note 1: The government contemplates award of a Firm-Fixed Price contract from this solicitation with materials, parts and supplies to be paid at net cost in support of Functional Area I and II tasks.

Note 2: The prices for CLIN 0003 and corresponding CLIN under each option period will be determined by the Government upon award of the basic contract and/or exercise of individual option period, subject to FAR 52.232-18, Availability of Funds. Offerors, therefore, shall not enter a unit prices for these CLINs nor will be evaluated for award.

Note 3: Solicitation provisions will be physically removed from any resultant award, but will be deemed to be incorporated by reference in that award.

Addenda to SF 1449

Block 17b of SF 1449, Remittance Address:

If the remittance address is different from the mailing address, enter the remittance address below. Failure to provide this information may impact payment.

Block 18b of SF 1449, Submit Invoices to Address:

Submit invoices to address shown below.

374TH MEDICAL SUPPORT SQ

UNIT 5225 BLDG 4408

YOKOTA AB

FUSSA-SHI, TOKYO 197-0001 JAPAN

TEL: 042-552-2511-5-5623

Block 25, SF 1449, Accounting and Appropriation Data:

FY 09 Funds are subject to availability in accordance with FAR 52.232-18.

Addendum to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS - COMMERCIAL ITEMS (Feb 2007):

(k) Taxes. The text is deleted and replaced as follows:

(a) Unless otherwise provided in this contract, the contract price includes all applicable taxes and duties, except taxes and duties that the Government of the United States and the Government of Japan have agreed shall not be applicable to expenditures in Japan by or on behalf of the United States.

(b) The Status of Forces Agreement between the Japan and the United States and implementing the Japanese laws authorizes the United States exemption from certain Japanese taxes for materials, supplies, equipment and services procured for official purpose in Japan by the United States Armed Forces or by authorized agencies of the United States Armed Forces. Those taxes include (1) Consumption tax, (2) Gasoline tax and local road tax on gasoline, (3) Diesel oil tax, and (4) Liquefied petroleum gas tax.

(c) The Contractor will submit requests for gasoline or diesel oil tax exemption certificate to the Contracting Officer. This request will show the actual amount of gasoline or diesel oil used exclusively for the performance of this contract, with documentary evidence and detailed item breakdown to support the accurate consumption of gasoline or diesel oil, or other necessary information and data as may be required. The Contracting Officer will issue to the Contractor a tax exemption certificate for the actual amount of gasoline or diesel oil used exclusively for the performance of this contract.

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS--COMMERCIAL ITEMS (JUN 2008) (DEVIATION)

(a) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph (a) if the contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records-Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor's directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices at all reasonable times, the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(b)(1) Notwithstanding the requirements of any other clause in this contract, the Contractor is not required to flow down any FAR clause, other than those in paragraphs (i) through (vii) of this paragraph in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause--

(i) 52.219-8, Utilization of Small Business Concerns (MAY 2004) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $550,000 ($1,000,000 for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(ii) 52.222-26, Equal Opportunity (MAR 2007)(E.O. 11246).

(iii) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans (SEP 2006)(38 U.S.C. 4212).

(iv) 52.222-36, Affirmative Action for Workers with Disabilities (Jun 1998) (29 U.S.C. 793).

(v) 52.222-39, Notification of Employee Rights Concerning Payment of Union Dues or Fees (DEC 2004) (E.O. 13201)

(vi) 52.222-41, Service Contract Act of 1965 (Nov 2007), flow down required for all subcontracts subject to the Service Contract Act of 1965 (41 U.S.C. 351, et seq.).

(vii) 52.222-50, Combating Trafficking in Persons (AUG 2007) (22 U.S.C. 7104(g)). Flow down required in accordance with paragraph (f) of FAR clause 52.222-50.

(viii) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Requirements (Nov 2007) (41 U.S.C. 351, et seq.)

(ix) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services—Requirements (Nov 2007) (41 U.S.C. 351, et seq.)

(x) 52.247-64, Preference for Privately-Owned U.S. Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx 1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the contractor may include in its subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligations.

(End of clause)

252.212-7001 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS APPLICABLE TO DEFENSE ACQUISITIONS OF COMMERCIAL ITEMS (SEP 2006) (DEVIATION)

(a) In addition to the clauses listed in paragraph (b) of the Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items clause of this contract (FAR 52.212-5 (DEVIATION), the Contractor shall include the terms of the following clause, if applicable, in subcontracts for commercial items or commercial components, awarded at any tier under this contract:

(End of clause)

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 60 days before the contract expires.

Note: Since these services will be performed strictly in the country of Japan, the contractor is required to follow the labor standards of Japan. The rates will not be adjusted as a result of revisions to prevailing labor rates provided by the Secretary of Labor, as applicable to contracts performed in the United States. Therefore, payment shall be made at the rates specified for the period of performance immediately preceding the period of extended services.

(End of Clause)

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days before the contract expires; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 66 months.

(End of clause)

CLAUSES INCORPORATED BY REFERENCE

252.232-7008

Assignment of Claims (Overseas) For the purpose of this clause, the blank is completed as follows

(d) None

JUN 1997

5352.201-9101 OMBUDSMAN (AUG 2005)

For the purpose of this clause, the blank is completed as follows:

(c) Name: Michael E. Debreczeni, Lt Col, USAF

Address: 374 Contacting Squadron

Unit 5228, Bldg 620, Yokota Air Base

Fussa-shi, Tokyo 197-0001

Phone No: 042-552-2511, Ext 57099

Facsimile No: 042-552-2511, Ext 53346

E-mail: michael.debreczeni@yokota.af.mil Concerns, issues, disagreements, and recommendations that cannot be resolved at the Squadron Ombudsman level may be brought by the concerned party for further consideration to the MAJCOM Ombudsman, Frederick Mark, HQ PACAF/A7KP, Hickam AFB, HI 96835-5427, Phone No. 808-449-8572, Facsimile No: 808-449-8571.

Concerns, issues, disagreements, and recommendations that cannot be resolved at the MAJCOM Ombudsman level may be brought by the concerned party for further consideration to the Air Force Ombudsman, Associate Deputy Assistant Secretary (ADAS)(Contracting), SAF/AQC, 1060, Air Force Pentagon, Washington DC 20330-1060, Phone No: 703-588-7004, Facsimile No: 703-588-1067

(End of clause)

5352.242-9000 CONTRACTOR ACCESS TO AIR FORCE INSTALLATIONS (AUG 2007)

(a) The contractor shall obtain base identification and vehicle passes for all contractor personnel who make frequent visits to or perform work on the Air Force installation(s) cited in the contract. Contractor personnel are required to wear or prominently display installation identification badges or contractor-furnished, contractor identification badges while visiting or performing work on the installation.

(b) The contractor shall submit a written request on company letterhead to the contracting officer listing the following: contract number, location of work site, start and stop dates, and names of employees and subcontractor employees needing access to the base. The letter will also specify the individual(s) authorized to sign for a request for base identification credentials or vehicle passes. The contracting officer will endorse the request and forward it to the issuing base pass and registration office or security police for processing. When reporting to the registration office, the authorized contractor individual(s) should provide a valid driver’s license, current vehicle registration, valid vehicle insurance certificate, and None to obtain a vehicle pass.

(c) During performance of the contract, the contractor shall be responsible for obtaining required identification for newly assigned personnel and for prompt return of credentials and vehicle passes for any employee who no longer requires access to the work site.

(d) When work under this contract requires unescorted entry to controlled or restricted areas, the contractor shall comply with AFI 31-101, Volume 1, the Air Force Installation Security Program, and AFI 31-501, Personnel Security Program Management, as applicable.

(e) Upon completion or termination of the contract or expiration of the identification passes, the prime contractor shall ensure that all base identification passes issued to employees and subcontractor employees are returned to the issuing office.

(f) Failure to comply with these requirements may result in withholding of final payment.

LIST OF DOCUMENTS, EXHIBITS, OR ATTACHMENTS:

(*excluding separate volume for Appendix E)

(Not part of the resulting contract)

(Not part of the resulting contract)

1 Page

4 Pages

(Not part of the resulting contract)

ADDENDUM TO FAR 52.212-1

Paragraph (c ) of this provision is revised to read as follows:

The offeror agrees to hold the prices in its offer firm for 90 calendar days from the date specified for receipt of offers.

For the purpose of this provision, the blank is completed as follows

(a) same as block 9 of SF 1449

52.212-2, EVALUATION – COMMERCIAL ITEMS (JAN 1999) This provision is incorporated by reference, and paragraph (a) is modified to read as follows:

(a) This is a competitive best value source selection in which proposals will be evaluated on an integrated assessment of price and past/present performance, with past/present performance approximately equal to price. The Government will award a contract resulting from this solicitation to the responsible offeror whose proposal conforms to the solicitation requirements and will provide the best value to the Government in terms of the past/present performance and price. The evaluation process shall proceed as follows:

(i) Initially, offers shall be ranked according to evaluated prices. The price evaluation will be made on the basis of the total price of all line items including all options except for CLIN 0003 and corresponding CLINs under Options. The prices for CLIN 0003 and corresponding CLINs under Options will be determined by the Government upon award of the basic contract and exercise of individual option period, subject to FAR 52.232-18, Availability of Funds. Single award will result from this evaluation. An offeror must therefore propose on all line items except for CLIN x003 including options (See paragraph (b) below).

(ii) Using Past Performance Survey, the Government shall seek performance information on the offerors based on (1) the references provided by the offerors and (2) data independently obtained from governmental and commercial sources. The purpose of the past performance evaluation is to allow the Government to assess the offeror’s performance risk (i.e. the Government’s judgment of the probability of an offeror successfully performing the effort described in this solicitation), based on the offeror’s demonstrated present and past performance on relevant contract. Relevancy definitions are listed in paragraph (a)(vi)A(2) below. The performance confidence assessment process will result in an overall risk rating of high, significant, satisfactory, unknown, little or no confidence. Past performance regarding predecessor companies, key personnel who have relevant experience, or subcontractors that will perform major or critical aspects of the requirement may be evaluated. Offerors with no relevant past or present performance history shall receive the rating “unknown confidence,” meaning the rating is treated neither favorably nor unfavorably. When relevant performance record indicates performance problems, the Government will consider the number and severity of the problems and the appropriateness and effectiveness of any corrective actions taken (not just planned or promised). The Government may review more recent contracts or performance evaluations to ensure corrective actions have been implemented and to evaluate their effectiveness.

(iii) In evaluating past performance, the Government reserves the right to give greater consideration to information on those contracts deemed most relevant to the effort described in this solicitation.

(iv) The Government reserves the right to award a contract to other than the lowest priced offer or other than the offeror with the highest rated past performance evaluation.

(v) Offerors are cautioned to submit sufficient information and in the format specified in paragraph (a)(vi)(A)(1) below. Offeror’s may be asked to clarify certain aspects of their proposal (for example, the relevance of past performance information) or respond to adverse past performance information to which the offeror has not previously had an opportunity to respond. Communication conducted to resolve minor or clerical errors will not constitute discussions and the Contracting Officer reserve the right to award a contract without the opportunity for proposal revision.

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

A. Past Performance Information: Only references for same or similar type contracts desired. Submit original plus one (1) copy. The response shall consist of (1) Past Performance Reference List and (2) Past Performance Survey.

(1) Past Performance Reference List: Past Performance Reference List (Solicitation Attachment # 3) shall be used and submitted from offerors to 374 CONS/LGCB, by either e-mail (keisuke.kiyotaka.jp@yokota.af.mil) or FAX (042-530-3319), not later than 20 Aug 08) to match the information of Past Performance Survey as required in below paragraph (2). Offeror shall submit the reference list of three (3) contracts performed (on-going or completed) as prime contractor, subcontractor, joint ventures and/or teaming partners of the most relevant contracts (similar in scope, size and complexity) for US Government agencies, Government of Japan or its political subdivisions, or commercial customers within the last 3 years of this solicitation release date. Furnish the following information for each reference on the list of contracts information:

1. Name of contracting activity (e.g. Government Agency/Company name)

2. Point of Contact (POC), Contracting Officer and/or Contract Administrator’s phone/FAX number, and e-mail address (if available)

3. Contract number and project title

4. Contract Type (e.g. Firm-Fixed Price, IDIQ, Requirements type)

5. Total contract value

6. Performance period (e.g. date/month/year through date/month/year)

7. Description of contract work performed

8. Contracting Officer’s name and phone number

9. Government Inspector/commercial project manager and phone number

10. List of major subcontractors if applicable

In addition, the offeror may provide information on problems encountered on the contracts identified in A.(1) above and corrective actions taken to resolve these problems. This may include a discussion of efforts accomplished by the offeror to resolve problems encountered on prior contracts as well as past efforts to identify and manage program risk.

(2) Past Performance Survey: The Government requires the Past Performance Information of the contracts identified in Past Performance Reference List from each contracting activity or commercial activities. The offeror shall send out the Past Performance Survey (See Solicitation Attachment # 4) to respective Points of Contact (POCs) of contracting activity identified in Past Performance Reference List. The responsibility to send out the Past Performance Survey rests solely with the offeror – i.e., it shall not be delegated to any other entity. Once the Past Performance Survey is completed by your POCs, the information contained therein shall be considered sensitive and shall not be releasable. Past Performance Survey shall be sent directly back to 374 CONS/LGCB from evaluating agencies/companies, not later than 25 Aug 08 by either e-mail (keisuke.kiyotaka.jp@yokota.af.mil) FAX (042-530-3319 or 011-81-42-530-3319 from U.S.). Offerors are responsible for ensuring that their reference sources receive the Past Performance Survey in time to complete and return the Past Performance Survey to 374th Contracting Squadron. No Past Performance Survey will be accepted directly from the offeror being evaluated. The Government will evaluate the quality and extent of offeror’s experience deemed relevant to the requirements of this RFP. The Government will use information submitted by the offeror and other sources such as other Federal Government offices and commercial sources, to assess experience.

Relevant Contracts. Submit information on contracts that you consider relevant in demonstrating your ability to perform the proposed effort. Include rationale supporting your assertion of relevance. Offerors are required to explain what aspects of the contracts are deemed relevant to the proposed effort, and to what aspects of the proposed effort they relate. This may include a discussion of efforts accomplished by the offeror to resolve problems encountered on prior contracts as well as past efforts to identify and manage program risk. Relevant contracts (similar in scope, size and complexity) may include the work requirement(s) for –

1. Comprehensive preventive maintenance and management to perform operation maintenance and repair of medical treatment facilities 2.

Daily operational checks, preventive maintenance, statutory inspection, calibration, corrective maintenance and repair of equipment, systems or real property such as electric distribution systems, water treatment/water softener systems, medical and dental gas distribution systems, Heating Ventilation and Air Conditioning systems, elevators, air compressors, and vacuum pumps of medical treatment or similar facilities .

3. 24 Hour Support to respond to unanticipated emergencies such as loss, damage or malfunction of electrical power or other critical systems or components of medical treatment or similar facilities.

B. Past Performance Evaluation:

(1) Based on evaluation results, each offeror will be assigned one of the following ratings:

(2) Past performance evaluation will be performed based on the following criteria:

1. Recency: Each contract will be confirmed whether the contract has been completed during the past 3 years from this solicitation release date, or is currently in progress.

2. Relevancy: A relevancy determination of the offeror's present and past performance as prime contractor, subcontractor, joint ventures, and/or teaming partners will be made. Higher relevancy will be assessed for contracts that are most similar to the effort, or portion of the effort, for which that contractor is being proposed, and may contribute to an overall higher relevancy score for the offeror. The Government is not bound by the offeror's opinion of relevancy. The following relevancy definitions apply:

Very Relevant: Past/present performance effort involved essentially the same scope and size of effort and complexities this solicitation requires.

Relevant: Past/present performance effort involved much of the same or similar scope and size of effort and complexities this solicitation requires.

Somewhat Relevant: Past/present performance effort involved some of the same or similar scope and size of effort and complexities this solicitation requires.

Not Relevant: Past/present performance effort did not involve any of the same or similar scope and size of effort and complexities this solicitation requires.

3. Quality: Quality rating is assigned based on the Quality Rating Criteria evaluated under Paragraph 3 of Past Performance Survey (Solicitation Attachment # 4).

(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)

FAR 52.212-3, OFFEROR REPRESENTATIONS AND CERTIFICATIONS – COMMERCIAL ITEMS (JUN 2008) (WITH ALTERNATE I (APR 2002))

(Paragraphs (a), (b), (c), (d), (f), (g), (i), (k) and (m) are not applicable to this solicitation due to the non-applicability of FAR 19 and 22.)

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $100,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract.

(h) Certification Regarding Debarment, Suspension or Ineligibility for Award (Executive Order 12689).

(Applies only if the contract value is expected to exceed the simplified acquisition threshold.) The offeror certifies, to the best of its knowledge and belief, that the offeror and/or any of its principals--

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

(2) [ ] 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 Federal, state or local government 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, or receiving stolen property; and

(3) [ ] Are, [ ] are not presently indicated for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses.

(4) [ ] 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.

(j) Place of manufacture. (Does not apply unless the solicitation is predominantly for the acquisition of manufactured end products.) For statistical purposes only, the offeror shall indicate whether the place of manufacture of the end products it expects to provide in response to this solicitation is predominantly—

(1) [ ] In the United States (Check this box if the total anticipated price of offered end products manufactured in the United States exceeds the total anticipated price of offered end products manufactured outside the United States); or

(2) [ ] Outside the United States.

(l) Taxpayer Identification Number (TIN) (26 U.S.C. 6109, 31 U.S.C. 7701). (Not applicable if the offeror is required to provide this information to a central contractor registration database to be eligible for award.)

(1) All offerors must submit the information required in paragraphs (l)(3) through (l)(5) of this provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by the Internal Revenue Service (IRS).

(2) The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the resulting contract is subject to the payment reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror's TIN.

(3) Taxpayer Identification Number (TIN).

[ ] TIN: _____________________.

[ ] TIN has been applied for.

[ ] TIN is not required because:

[ ] Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States;

[ ] Offeror is an agency or instrumentality of a foreign government;

[ ] Offeror is an agency or instrumentality of the Federal Government.

(4) Type of organization.

[ ] Sole proprietorship;

[ ] Partnership;

[ ] Corporate entity (not tax-exempt);

[ ] Corporate entity (tax-exempt);

[ ] Government entity (Federal, State, or local);

[ ] Foreign government;

[ ] International organization per 26 CFR 1.6049-4;

[ ] Other _________________________.

(5) Common parent.

[ ] Offeror is not owned or controlled by a common parent;

[ ] Name and TIN of common parent:

Name ___________________.

TIN _____________________.

(End of provision)

252.212-7000 Offeror representations and certifications- Commercial items. (JUN 2005)

(a) Definitions.

As used in this clause-

(1) Foreign person means any person other than a United States person as defined in Section 16(2) of the Export Administration Act of 1979 (50 U.S.C. App. Sec. 2415).

(2) United States means the 50 States, the District of Columbia, outlying areas, and the outer Continental Shelf as defined in 43 U.S.C. 1331.

(3) United States person is defined in Section 16(2) of the Export Administration Act of 1979 and means any United States resident or national (other than an individual resident outside the United States and employed by other than a United States person), any domestic concern (including any permanent domestic establishment of any foreign concern), and any foreign subsidiary or affiliate (including any permanent foreign establishment) of any domestic concern which is controlled in fact by such domestic concern, as determined under regulations of the President.

(b) Certification.

By submitting this offer, the Offeror, if a foreign person, company or entity, certifies that it -

(1) Does not comply with the Secondary Arab Boycott of Israel; and

(2) Is not taking or knowingly agreeing to take any action, with respect to the Secondary Boycott of Israel by Arab countries, which 50 U.S.C. App. Sec. 2407(a) prohibits a United States person from taking.

(c) Representation of Extent of Transportation by Sea. (This representation does not apply to solicitations for the direct purchase of ocean transportation services).

(1) The Offeror shall indicate by checking the appropriate blank in paragraph (c)(2) of this provision whether transportation of supplies by sea is anticipated under the resultant contract. The term "supplies" is defined in the Transportation of Supplies by Sea clause of this solicitation.

(2) Representation.

The Offeror represents that it-

___Does anticipate that supplies will be transported by sea in the performance of any contract or subcontract resulting from this solicitation.

___Does not anticipate that supplies will be transported by sea in the performance of any contract or subcontract resulting from this solicitation.

(3) Any contract resulting from this solicitation will include the Transportation of Supplies by Sea Clause. If the Offeror represents that it will not use ocean transportation, the resulting contract will also include the Defense Federal Acquisition Regulation Supplement clause at 252.247-7024, Notification of Transportation of Supplies by Sea.

(End of provision)

ADDENDUM TO DFARS 252.212-7000

Certification of paragraph (b) herein does not apply to this solicitation.