RFP_FA5270-15-R-0018.pdf

18 CONS/LGCB

POC: YASUKO YONEHARA

UNIT 5199, BLDG 95 KADENA AB

APO AP 96368

315-634-5019

315-634-4795

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

FA5270-15-R-0018 26-Aug-2015

b. TELEPHONE NUMBER

315-634-5967

8. OFFER DUE DATE/LOCAL TIME

08:00 AM 26 Sep 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.

FA5270

SIZE STD:

9. ISSUED BY

FACILITY

CODE

17a.CONTRACTOR/

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

15. DELIVER TO CODE F2H4A1 16. ADMINISTERED BY

18 MDSS/SGSI

LT SHANNON NAIL

BLDG. 626

KADENA AB

OKINAWA, JAPAN 904-0000

TEL: 630-4303 FAX:

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

YASUKO YONEHARA

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

TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS

SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS

SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

SB

HUBZONE SB

SET ASIDE: % FOR

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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:

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

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

FA5270-15-R-0018

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 12 Months Family Health Front Desk Clerk

FFP

The Contractor shall provide Family Health Front Desk Clerk service to Primary

Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

(PWS).

Basic Year Period of Performance: 1 Nov 2015 through 31 Oct 2016.

FOB: Destination

SIGNAL CODE: A

NET AMT

0002 12 Months Flight Medicine Front Desk Clerk

FFP

The Contractor shall provide Flight Medicine Front Desk Clerk service to Primary

Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

(PWS).

Basic Year Period of Performance: 1 Nov 2015 through 31 Oct 2016.

0003 12 Months Pediatrics Front Desk Clerk

FFP

The Contractor shall provide Pediatrics Front Desk Clerk service to Primary Care

Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

(PWS).

Basic Year Period of Performance: 1 Nov 2015 through 31 Oct 2016.

0004 12 Months Patient Administration Records Function

FFP

The Contractor shall provide Patient Administration Records Function service to

Primary Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the Primary Care Clinics in accordance with Performance-based Work

Statement (PWS).

Basic Year Period of Performance: 1 Nov 2015 through 31 Oct 2016.

0005 12 Months Appointment Clerks

FFP

The Contractor shall provide Appointment Clerks service to Primary Care Manager

(PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the Primary Care

Clinics in accordance with Performance-based Work Statement (PWS).

Basic Year Period of Performance: 1 Nov 2015 through 31 Oct 2016.

1001 12 Months OPTION Family Health Front Desk Clerk

FFP

The Contractor shall provide Family Health Front Desk Clerk service to Primary

Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

(PWS).

Option Year 1 Period of Performance: 1 Nov 2016 through 31 Oct 2017.

1002 12 Months OPTION Flight Medicine Front Desk Clerk

FFP

The Contractor shall provide Flight Medicine Front Desk Clerk service to Primary

Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

1003 12 Months OPTION Pediatrics Front Desk Clerk

FFP

The Contractor shall provide Pediatrics Front Desk Clerk service to Primary Care

Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

1004 12 Months OPTION Patient Administration Records Function

FFP

The Contractor shall provide Patient Administration Records Function service to

Primary Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the Primary Care Clinics in accordance with Performance-based Work

Statement (PWS).

1005 12 Months OPTION Appointment Clerk

FFP

The Contractor shall provide Appointment Clerk service to Primary Care Manager

(PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the Primary Care

Clinics in accordance with Performance-based Work Statement (PWS).

2001 12 Months OPTION Family Health Front Desk Clerk

FFP

The Contractor shall provide Family Health Front Desk Clerk service to Primary

Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

Option Year 2 Period of Performance: 1 Nov 2017 through 31 Oct 2018.

2002 12 Months OPTION Flight Medicine Front Desk Clerk

FFP

The Contractor shall provide Flight Medicine Front Desk Clerk service to Primary

Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

2003 12 Months OPTION Pediatrics Front Desk Clerk

FFP

The Contractor shall provide Pediatrics Front Desk Clerk service to Primary Care

Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

2004 12 Months OPTION Patient Administration Records Function

FFP

The Contractor shall provide Patient Administration Records Function service to

Primary Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the Primary Care Clinics in accordance with Performance-based Work

2005 12 Months OPTION Appointment Clerk

FFP

The Contractor shall provide Appointment Clerk service to Primary Care Manager

(PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the Primary Care

3001 12 Months OPTION Family Health Front Desk Clerk

FFP

The Contractor shall provide Family Health Front Desk Clerk service to Primary

Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

Option Year 3 Period of Performance: 1 Nov 2018 through 31 Oct 2019.

3002 12 Months OPTION Flight Medicine Front Desk Clerk

FFP

The Contractor shall provide Flight Medicine Front Desk Clerk service to Primary

Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

3003 12 Months OPTION Pediatrics Front Desk Clerk

FFP

The Contractor shall provide Pediatrics Front Desk Clerk service to Primary Care

Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

3004 12 Months OPTION Patient Administration Records Function

FFP

The Contractor shall provide Patient Administration Records Function service to

Primary Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the Primary Care Clinics in accordance with Performance-based Work

3005 12 Months OPTION Appointment Clerk

FFP

The Contractor shall provide Appointment Clerk service to Primary Care Manager

(PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the Primary Care

4001 12 Months OPTION Family Health Front Desk Clerk

FFP

The Contractor shall provide Family Health Front Desk Clerk service to Primary

Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

Option Year 4 Period of Performance: 1 Nov 2019 through 31 Oct 2020.

4002 12 Months OPTION Flight Medicine Front Desk Clerk

FFP

The Contractor shall provide Flight Medicine Front Desk Clerk service to Primary

Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

4003 12 Months OPTION Pediatrics Front Desk Clerk

FFP

The Contractor shall provide Pediatrics Front Desk Clerk service to Primary Care

Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the

Primary Care Clinics in accordance with Performance-based Work Statement

4004 12 Months OPTION Patient Administration Records Function

FFP

The Contractor shall provide Patient Administration Records Function service to

Primary Care Manager (PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the Primary Care Clinics in accordance with Performance-based Work

4005 12 Months OPTION Appointment Clerk

FFP

The Contractor shall provide Appointment Clerk service to Primary Care Manager

(PCM) teams and beneficiaries to ensure daily functions associated with patient appointing, patient records management, and consult tracking for the Primary Care

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

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

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

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

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

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 POP 01-NOV-2015 TO

31-OCT-2016

N/A 18 MDSS/SGSI

LT SHANNON NAIL

BLDG. 626

KADENA AB

OKINAWA, JAPAN 904-0000

630-4303

F2H4A1

0002 POP 01-NOV-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-NOV-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-NOV-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 01-NOV-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-NOV-2016 TO

31-OCT-2017

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-NOV-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-NOV-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-NOV-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 01-NOV-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 01-NOV-2017 TO

31-OCT-2018

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 01-NOV-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 01-NOV-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 01-NOV-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 01-NOV-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 01-NOV-2018 TO

31-OCT-2019

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 01-NOV-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 01-NOV-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 01-NOV-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 01-NOV-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 01-NOV-2019 TO

31-OCT-2020

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984

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

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

Content Paper

MAY 2011

52.209-7 Information Regarding Responsibility Matters JUL 2013

52.222-56 Certification Regarding Trafficking in Persons Compliance

Plan.

MAR 2015

52.224-1 Privacy Act Notification APR 1984

52.224-2 Privacy Act APR 1984

52.228-3 Worker's Compensation Insurance (Defense Base Act) JUL 2014

52.229-6 Taxes--Foreign Fixed-Price Contracts FEB 2013

52.232-18 Availability Of Funds APR 1984

52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.233-2 Service Of Protest SEP 2006

52.242-13 Bankruptcy JUL 1995

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 AUG 2013

252.204-7003 Control Of Government Personnel Work Product APR 1992

252.204-7011 Alternative Line Item Structure SEP 2011

252.204-7012 Safeguarding of Unclassified Controlled Technical

Information

NOV 2013

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

252.209-7002 Disclosure Of Ownership Or Control By A Foreign

Government

JUN 2010

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

The Government of a Country that is a State Sponsor of

Terrorism

DEC 2014

252.215-7008 Only One Offer OCT 2013

252.222-7002 Compliance With Local Labor Laws (Overseas) JUN 1997

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

252.225-7012 Preference For Certain Domestic Commodities FEB 2013

252.225-7042 Authorization to Perform APR 2003

252.225-7050 Disclosure of Ownership or Control by the Government of a

Country that is a State Sponsor of Terrorism

DEC 2014

252.226-7001 Utilization of Indian Organizations and Indian-Owned

Economic Enterprises, and Native Hawaiian Small Business

Concerns

SEP 2004

252.229-7000 Invoices Exclusive of Taxes or Duties JUN 1997

252.229-7001 Tax Relief SEP 2014

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7008 Assignment of Claims (Overseas) JUN 1997

252.232-7010 Levies on Contract Payments DEC 2006

252.233-7001 Choice of Law (Overseas) JUN 1997

252.243-7002 Requests for Equitable Adjustment DEC 2012

252.244-7000 Subcontracts for Commercial Items JUN 2013

CLAUSES INCORPORATED BY FULL TEXT

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 will be used to evaluate offers:

(1) Price

(2) Past Performance

Past Performance is approximately equal to price.

(b) Options. The government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options will 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, will 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)

ADDENDUM TO 52.212-2

Addendum to FAR 52.212-2, Evaluation - Commercial Items

The following is inserted as new paragraph (d) of the provision:

“(d) BASIS FOR CONTRACT AWARD: This is a competitive Limited Tradeoff (LTO) best value award conducted in accordance with Federal Acquisition Regulation (FAR) Parts 12 and 13 in which competing offerors’ combined past performance information will be evaluated on a basis approximately equal to price. By submission of its offer, the offeror accedes to all solicitation requirements, including terms and conditions, representations and certifications, and technical requirements, in addition to those identified as evaluation factors or subfactors. All technically acceptable offers will be treated equally except for their prices and performance records. Failure to meet a requirement may result in an offer being determined unacceptable. The government reserves the right to award acontract to other than the lowest Total Evaluated Price (TEP), if the difference in the Past Performance Confidence Rating of another offeror justifies the higher price premium. In that event, the Contracting Officer will make an integrated assessment best value award decision using the TEP and the Past Performance Confidence

Rating. The evaluation process will include the following:

(1) Price Evaluation Factor. The government will rank all offers by price, including all option prices.

The price evaluation will document the fairness and reasonableness of the total evaluated price (TEP).

The government reserves the right to perform price realism analysis. Total Evaluated Price: A TEP will be computed for each offer in order to meet the requirements of FAR Parts 6 and 17. The price of a six-month extension authorized by 52.217-8, Option to Extend Services, will be added to the proposed price for each potential contract performance period. The TEP is a two-part computation. First, the offeror’s total proposed price will be determined by multiplying the quantities identified in the Pricing Schedule by the unit price, limited to two decimal places, for each Contract Line

Item Number (CLIN) to confirm the extended total amount for each CLIN; the sum of all extended amounts will be the offeror’s total proposed price. Second, the total proposed price (total amount for

CLINs 0001 thru 4005) plus the sum of Option to Extend Services clause 52.217-8 formula (shown below) will constitute the TEP.

The formula for the Option to Extend Services amount is as follows:

Base Year = CLIN Extended Amount x 6*

Option Year 1 = CLIN Extended Amount x 6*

Option Year 2 = CLIN Extended Amount x 6*

Option Year 3 = CLIN Extended Amount x 6*

Option Year 4 = CLIN Extended Amount x 6*

Note: *Multiply unit amount by six (6) if the unit is one (1) month. If unit is not one (1) month, then adjust the multiplicative factor to calculate the amount for a six (6) month period of performance.

Evaluating the Option CLINs does not obligate the Government to exercise the Options.

(2) Past Performance Factor. The Government will evaluate recent and relevant performance information on all offerors based on (i) the references provided by the offeror, (ii) any past performance information obtained from survey/questionnaires (Attachment 2), and (iii) any data independently obtained by the Government. If a reference identified by the offeror does not submit a survey/questionnaire, the government will follow up with the reference POC, but it is not responsible for the failure of a reference POC to provide a survey/questionnaire.

(A) Recent past performance information includes contracts performed and/or being performed for any customer within the last three (3) years from the issuance date of the solicitation.

(B) Relevant contracts performance effort involved similar scope, magnitude of effort, and complexities to that required by this solicitation. The Government will assess relevancy for each contract and assign a rating as described in Table 2 below:

Table 2. Past Performance Relevancy Ratings

Rating Rating Definition

Very Relevant Present/past performance effort involved essentially the same scope and magnitude of effort and complexities as the effort this solicitation requires.

Relevant Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires.

Somewhat Relevant Present/past performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires.

Not Relevant Present/past performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires.

(A) Performance quality of work will be assessed based on the (i) Quality Assessment

Criteria evaluated under Performance Quality Assessment: For each of the recent past performance information reviewed, the Section 4 of the Present/Past Performance

Survey/Questionnaire (Attachment 2) and (ii) the evaluation factors in the Federal Past

Performance Information Retrieval System (PPIRS), if available.

(B) The purpose of the past performance evaluation is to assess the degree of confidence the

Government has in the offeror’s ability to meet the solicitation requirements based on the

Not Relevant

Present/past performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires.

offeror’s demonstrated record of performance. The assessment process will result in an offeror’s overall performance confidence assessment rating of Substantial Confidence, Satisfactory Confidence, Limited Confidence, No Confidence, or Unknown

Confidence. Offerors with no recent past or present performance history or the offeror’s performance record is so limited that no confidence assessment rating can be reasonably assigned will receive the rating “Unknown Confidence,” meaning the offeror is treated neither favorably nor unfavorably (neutral). As a result of the relevancy and performance quality assessments, offerors will receive an integrated past performance confidence assessment rating as described in Table 3 below:

TABLE 3. Past Performance Confidence Assessment Ratings

Rating Description

SUBSTANTIAL

CONFIDENCE

Based on the offeror’s recent/relevant performance record, the

Government has a high expectation that the offeror will successfully perform the required effort.

SATISFACTORY

Based on the offeror’s recent/relevant performance record, the

Government has an expectation that the offeror will successfully

LIMITED CONFIDENCE

Based on the offeror’s recent/relevant performance record, the

Government has a low expectation that the offeror will successfully

NO CONFIDENCE

Based on the offeror’s recent/relevant performance record, the

Government has no expectation that the offeror will successfully

UNKNOWN

No recent/relevant performance is identifiable or the offeror’s performance record is so sparse that no confidence assessment rating can be reasonably assigned.

Note: 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.

(4) 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.

(5) Integrated Assessment The government reserves the right to award a contract to other than the lowest price offer if the difference in the Past Performance Confidence Rating of another offeror justifies the higher price premium. In that event, the Contracting Officer will make an integrated assessment best value award decision using the TEP and the Past Performance

Confidence Rating.”

(End of Addenda)

CLAUSES INCORPORATED BY FULL TEXT

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS

(MAR 2015) ALTERNATE I (OCT 2014)

The offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site accessed through http://www.acquisition.gov . If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through

(p) 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

(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).

“ 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;

http://www.acquisition.gov/

(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.

“ 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.

“ 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 its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

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

(1) That is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and

(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 on the

SAMwebsite.

(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 representation 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 (p) 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 SAM.]

(c) Offerors must complete the following representations when the resulting contract is to 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.

https://www.acquisition.gov/

(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: Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold.

(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that—

(i) It [ ___ ] is, [ ___ ] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ___ .] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

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

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

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

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

(8) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph

(c)(1) of this provision.] The offeror represents that it [ ___ ] is, a women-owned business concern.

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

(10) 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.

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

[The offeror shall check the category in which its ownership falls]:

___ Black American.

___ Hispanic American.

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

___ Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The

Philippines, Republic of Palau, Republic of the Marshall Islands, Federated States of Micronesia, the

Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).

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

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

(d) 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 to the Equal

Opportunity clause of this solicitation; 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 parts 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,” “ component,” “ domestic end product,” “ end product,” “ foreign end product,” and “ United States” are defined in the clause of this solicitation entitled “ Buy

American—Supplies.”

(2) Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

(3) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(g)

(1) Buy American -- Free Trade Agreements -- Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American -- Free Trade Agreements -- Israeli Trade Act, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) 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 terms “ Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product,” “ commercially available off-the-shelf (COTS) item,” “ component,” “ domestic end product,” “ end product,”

“ foreign end product,” “ Free Trade Agreement country,” “ Free Trade Agreement country end product,” “ Israeli end product,” and “ United States” are defined in the clause of this solicitation entitled “ Buy American--Free Trade Agreements--Israeli Trade Act.”

(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products

(other than Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled “ Buy American—Free Trade Agreements—Israeli

Trade Act” :

Free Trade Agreement Country End Products (Other than Bahrainian, Moroccan, Omani, Panamanian, or

Peruvian End Products) or Israeli End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) or this provision) as defined in the clause of this solicitation entitled “ Buy

American—Free Trade Agreements—Israeli Trade Act.” The offeror shall list as other 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.”

Other Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

(iv) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(2) Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate I. If Alternate I to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products as defined in the clause of this solicitation entitled “ Buy American—Free Trade Agreements—Israeli Trade Act” :

Canadian End Products:

Line Item No.:

[List as necessary]

(3) Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate II. If Alternate II to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror…