Solicitation_FA5606-11-R-0001_Local_Drayage.pdf

52 CONTRACTING SQ (CONS)

CIVIL ENGINEERING FLIGHT

GEB128., ARNOLD BLVD.

SPANGDAHLEM 54529

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

FA5606-15-R-0001 02-Apr-2015

b. TELEPHONE NUMBER

452-9518

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 04 May 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.

FA5606

SIZE STD:

9. ISSUED BY

FACILITY

CODE

17a.CONTRACTOR/

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

15. DELIVER TO CODE F3W305 16. ADMINISTERED BY

52 CES/CEHS - HOUSING MAINTENANCE

GEB. 166

FLUGPLATZ SPANGDAHLEM

SPANGDAHLEM 54529

TEL: 452-6278 FAX:

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

HILDEGARD KREUTZ

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

484210

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:

2 COPIES

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

.OFFER DATED YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

X

8(A)

SVC-DISABLED VET-OWNED SB

EMERGING SB

X

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

FA5606-15-R-0001

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES ESTIMATED

QUANTITY

UNIT UNIT PRICE ESTIMATED AMOUNT

LOCAL DRAYAGE SERVICE:

FFP

NON-PERSONAL SERVICES FOR THE FURNISHINGS MANAGEMENT

OFFICE (FMO) FOR SPANGDAHLEM AIR BASE AND GSUs to furnish all personnel, equipment, power tools, all types of licenses and permits, materials, supervision, supplies, services and transportation necessary to assemble, disassemble, transfer, transport, issue, pick-up, and deliver Government-owned furnishings as defined in the Performance Work Statement (PWS).

BASIC YEAR: 1 OCT 2015 - 31 AUG 2016

FOB: Destination

NSN: V003-LO-CAL-DRAY

SIGNAL CODE: A

ESTIMATED

NET AMT

UNIT UNIT PRICE ESTIMATED AMOUNT

0001AA 4,500 Each

LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

DESTINATION DISTANCE WITHIN A TWENTY-FIVE (25) KM RADIUS

FROM POINT OF ORIGIN ---

***" THE UNIT OF ISSUE "EACH" = VAN METER" ****

(1 VAN METER = 5 CUBIC METER = 176.57 CUBIC FEET)

BASIC YEAR: 1 OCT 2015 - 31 AUG 2016

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0001AB 270 Each

LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

DESTINATION DISTANCE WITHIN A TWENTY-SIX (26) KM THROUGH A

SEVENTY-FIVE (75) KM RADIUS FROM POINT OF ORIGIN.

**" THE UNIT OF ISSUE "EACH" = VAN METER" ****

UNIT UNIT PRICE ESTIMATED AMOUNT

0001AC 45 Each

LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

DESTINATION DISTANCE WITHIN A SEVENTY-SIX (76) KM THROUGH A

ONE-HUNDRED-FIFTY (150) KM RADIUS FROM POINT OF ORIGIN.

UNIT UNIT PRICE ESTIMATED AMOUNT

0001AD 20 Each

LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs - DESTINATION DISTANCE GREATER THAN A

UNIT UNIT PRICE ESTIMATED AMOUNT

0001AE 90 Hours

LOCAL DRAYAGE SERVICE:

FFP

NON-VEHICULAR SERVICES AS STATED IN THE PWS, PARAGRAPH 1.7.

(d)

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION LOCAL DRAYAGE SERVICE:

FFP

NON-PERSONAL SERVICES FOR THE FURNISHINGS MANAGEMENT

OFFICE (FMO) FOR SPANGDAHLEM AIR BASE AND GSUs to furnish all personnel, equipment, power tools, all types of licenses and permits, materials, supervision, supplies, services and transportation necessary to assemble, disassemble, transfer, transport, issue, pick-up and deliver Government-owned furnishings as defined in the Performance Work Statement (PWS).

1ST OPTION YEAR: 1 SEP 2016 - 31 AUG 2017

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1001AA 4,500 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

1ST OPTION YEAR: 1 SEP 2016 - 31 AUG 2017

UNIT UNIT PRICE ESTIMATED AMOUNT

1001AB 270 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

UNIT UNIT PRICE ESTIMATED AMOUNT

1001AC 45 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

UNIT UNIT PRICE ESTIMATED AMOUNT

1001AD 20 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

UNIT UNIT PRICE ESTIMATED AMOUNT

1001AE 90 Hours

OPTION LOCAL DRAYAGE SERVICE:

FFP

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION LOCAL DRAYAGE SERVICE

FFP

NON-PERSONAL SERVICES FOR THE FURNISHINGS MANAGEMENT

OFFICE (FMO) FOR SPANGDAHLEM AIR BASE AND GSUs to furnish all personnel, equipment, power tools, all types of licenses and permits, materials, supervision, supplies, services and transportation necessary to assemble, disassemble, transfer, transport, issue, pick-up and deliver Government-owned furnishings as defined in the Performance Work Statement (PWS).

2ND OPTION YEAR: 1 SEP 2017 - 31 AUG 2018

UNIT UNIT PRICE ESTIMATED AMOUNT

2001AA 4,500 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

UNIT UNIT PRICE ESTIMATED AMOUNT

2001AB 270 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

UNIT UNIT PRICE ESTIMATED AMOUNT

2001AC 45 Each

OPTION LOCAL DRAYAGE CONTRACT

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

UNIT UNIT PRICE ESTIMATED AMOUNT

2001AD 20 Each

OPTION LOCAL DRAYAGE CERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

UNIT UNIT PRICE ESTIMATED AMOUNT

2001AE 90 Hours

OPTION LOCAL DRAYAGE SERVICE:

FFP

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION LOCAL DRAYAGE SERVICE:

FFP

NON-PERSONAL SERVICES FOR THE FURNISHINGS MANAGEMENT

OFFICE (FMO) FOR SPANGDAHLEM AIR BASE AND GSUs to furnish all personnel, equipment, power tools, all types of licenses and permits, materials, supervision, supplies, services and transportation necessary to assemble, disassemble, transfer, transport, issue, pick-up and deliver Government-owned furnishings as defined in the Performance Work Statement (PWS).

3RD OPTION YEAR: 1 SEP 2018 - 31 AUG 2019

UNIT UNIT PRICE ESTIMATED AMOUNT

3001AA 4,500 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

UNIT UNIT PRICE ESTIMATED AMOUNT

3001AB 270 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

UNIT UNIT PRICE ESTIMATED AMOUNT

3001AC 45 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

UNIT UNIT PRICE ESTIMATED AMOUNT

3001AD 20 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

UNIT UNIT PRICE ESTIMATED AMOUNT

3001AE 90 Hours

OPTION LOCAL DRAYAGE SERVICE:

FFP

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION LOCAL DRAYAGE SERVICE:

FFP

NON-PERSONAL SERVICES FOR THE FURNISHINGS MANAGEMENT

OFFICE (FMO) FOR SPANGDAHLEM AIR BASE AND GSUs to furnish all personnel, equipment, power tools, all types of licenses and permits, materials, supervision, supplies, services and transportation necessary to assemble, disassemble, transfer, transport, issue, pick-up and deliver Government-owned furnishings as defined in the Performance Work Statement (PWS).

4TH OPTION YEAR: 1 SEP 2019 - 31 AUG 2020

UNIT UNIT PRICE ESTIMATED AMOUNT

4001AA 4,500 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

UNIT UNIT PRICE ESTIMATED AMOUNT

4001AB 270 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

SIGNAL CODE: a

UNIT UNIT PRICE ESTIMATED AMOUNT

4001AC 45 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

AIR BASE AND GSUs -

UNIT UNIT PRICE ESTIMATED AMOUNT

4001AD 20 Each

OPTION LOCAL DRAYAGE SERVICE

FFP

FOR THE FURNISHINGS MANAGEMENT OFFICE FOR SPANGDAHLEM

UNIT UNIT PRICE ESTIMATED AMOUNT

4001AE 90 Hours

OPTION LOCAL DRAYAGE SERVICE:

FFP

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

0001AA Destination Government Destination Government

0001AB Destination Government Destination Government

0001AC Destination Government Destination Government

0001AD Destination Government Destination Government

0001AE Destination Government Destination Government

1001 Destination Government Destination Government

1001AA Destination Government Destination Government

1001AB Destination Government Destination Government

1001AC Destination Government Destination Government

1001AD Destination Government Destination Government

1001AE Destination Government Destination Government

2001 Destination Government Destination Government

2001AA Destination Government Destination Government

2001AB Destination Government Destination Government

2001AC Destination Government Destination Government

2001AD Destination Government Destination Government

2001AE Destination Government Destination Government

3001 Destination Government Destination Government

3001AA Destination Government Destination Government

3001AB Destination Government Destination Government

3001AC Destination Government Destination Government

3001AD Destination Government Destination Government

3001AE Destination Government Destination Government

4001 Destination Government Destination Government

4001AA Destination Government Destination Government

4001AB Destination Government Destination Government

4001AC Destination Government Destination Government

4001AD Destination Government Destination Government

4001AE Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 POP 01-OCT-2015 TO

31-AUG-2016

N/A 52 CES/CEHS - HOUSING MAINTENANCE

GEB. 166

FLUGPLATZ SPANGDAHLEM

SPANGDAHLEM 54529

452-6278

F3W305

0001AA POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AB POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AC POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AD POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AE POP 01-OCT-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-SEP-2016 TO

31-AUG-2017

N/A (SAME AS PREVIOUS LOCATION)

1001AA POP 01-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AB POP 01-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AC POP 01-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AD POP 01-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AE POP 01-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 01-SEP-2017 TO

31-AUG-2018

N/A (SAME AS PREVIOUS LOCATION)

2001AA POP 01-SEP-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AB POP 01-SEP-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AC POP 01-SEP-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AD POP 01-SEP-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AE POP 01-SEP-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 01-SEP-2018 TO

31-AUG-2019

N/A (SAME AS PREVIOUS LOCATION)

3001AA POP 01-SEP-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AB POP 01-SEP-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AC POP 01-SEP-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AD POP 01-SEP-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AE POP 01-SEP-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 01-SEP-2019 TO

31-AUG-2020

N/A (SAME AS PREVIOUS LOCATION)

4001AA POP 01-SEP-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AB POP 01-SEP-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AC POP 01-SEP-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AD POP 01-SEP-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AE POP 01-SEP-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

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

52.203-6 Alt I Restrictions On Subcontractor Sales To The Government

(Sep 2006) -- Alternate I

OCT 1995

52.203-7 Anti-Kickback Procedures MAY 2014

52.203-12 Limitation On Payments To Influence Certain Federal

Transactions

OCT 2010

52.203-17 Contractor Employee Whistleblower Rights and Requirement

To Inform Employees of Whistleblower Rights

APR 2014

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

Content Paper

MAY 2011

52.204-6 Data Universal Numbering System Number JUL 2013

52.204-7 System for Award Management JUL 2013

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.204-10 Reporting Executive Compensation and First-Tier Subcontract

Awards

JUL 2013

52.204-12 Data Universal Numbering System Number Maintenance DEC 2012

52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for

Debarment

AUG 2013

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

52.222-1 Notice To The Government Of Labor Disputes FEB 1997

52.222-29 Notification Of Visa Denial JUN 2003

52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.225-13 Restrictions on Certain Foreign Purchases JUN 2008

52.225-14 Inconsistency Between English Version And Translation Of

Contract

FEB 2000

52.225-25 Prohibition on Contracting with Entities Engaging in Certain

Activities or Transactions Relating to Iran-- Representation and Certifications.

DEC 2012

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

52.232-18 Availability Of Funds APR 1984

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

52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.242-13 Bankruptcy JUL 1995

52.242-15 Stop-Work Order AUG 1989

52.247-5 Familiarization With Conditions APR 1984

52.247-8 Estimated Weights or Quantities Not Guaranteed APR 1984

52.247-12 Supervision, Labor, or Materials APR 1984

52.247-21 Contractor Liability for Personal Injury and/or Property

Damage

APR 1984

52.247-22 Contractor Liability for Loss of and/or Damage to Freight

Other Than Household Goods

APR 1984

52.247-27 Contract Not Affected by Oral Agreement 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

252.204-7003 Control Of Government Personnel Work Product APR 1992

252.204-7012 Safeguarding of Unclassified Controlled Technical

Information

NOV 2013

252.204-7015 Disclosure of Information to Litigation Support Contractors FEB 2014

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

252.209-7001 Disclosure of Ownership or Control by the Government of a

Terrorist Country

JAN 2009

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

The Government of a Terrorist Country

MAR 2014

252.216-7003 Economic Price Adjustment - Wage Rates or Material Prices

Controlled by a Foreign Government

MAR 2012

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

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

Hazardous Materials

SEP 2014

252.225-7005 Identification Of Expenditures In The United States JUN 2005

252.225-7031 Secondary Arab Boycott Of Israel JUN 2005

252.225-7041 Correspondence in English JUN 1997

252.229-7000 Invoices Exclusive of Taxes or Duties JUN 1997

252.229-7002 Customs Exemptions (Germany) JUN 1997

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7008 Assignment of Claims (Overseas) JUN 1997

252.233-7001 Choice of Law (Overseas) JUN 1997

252.246-7000 Material Inspection And Receiving Report MAR 2008

5352.223-9001 HEALTH AND SAFETY ON GOVERNMENT

INSTALLATIONS

JAN 2012

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)

52.212-1 INSTRUCTIONS TO OFFERORS--COMMERCIAL ITEMS (APR 2014)

- SEE ALSO BELOW ADDENDUM TO 52.212-1

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code and small business size standard for this acquisition appear in Block 10 of the solicitation cover sheet (SF

1449). However, the small business size standard for a concern which submits an offer in its own name, but which proposes to furnish an item which it did not itself manufacture, is 500 employees.

(b) Submission of offers. Submit signed and dated offers to the office specified in this solicitation at or before the exact time specified in this solicitation. Offers may be submitted on the SF 1449, letterhead stationery, or as otherwise specified in the solicitation. As a minimum, offers must show--

(1) The solicitation number;

(2) The time specified in the solicitation for receipt of offers;

(3) The name, address, and telephone number of the offeror;

(4) A technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary;

(5) Terms of any express warranty;

(6) Price and any discount terms;

(7) "Remit to" address, if different than mailing address;

(8) A completed copy of the representations and certifications at FAR 52.212-3 (see FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically);

(9) Acknowledgment of Solicitation Amendments;

(10) Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information); and

(11) If the offer is not submitted on the SF 1449, include a statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offers that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

(c) Period for acceptance of offers. The offeror agrees to hold the prices in its offer firm for 30 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

(d) Product samples. When required by the solicitation, product samples shall be submitted at or prior to the time specified for receipt of offers. Unless otherwise specified in this solicitation, these samples shall be submitted at no expense to the Government, and returned at the sender's request and expense, unless they are destroyed during preaward testing.

(e) Multiple offers. Offerors are encouraged to submit multiple offers presenting alternative terms and conditions or commercial items for satisfying the requirements of this solicitation. Each offer submitted will be evaluated separately.

(f) Late submissions, modifications, revisions, and withdrawals of offers:

(1) Offerors are responsible for submitting offers, and any modifications, revisions, or withdrawals, so as to reach the

Government office designated in the solicitation by the time specified in the solicitation. If no time is specified in the solicitation, the time for receipt is 4:30 p.m., local time, for the designated Government office on the date that offers or revisions are due.

(2)(i) Any offer, modification, revision, or withdrawal of an offer received at the Government office designated in the solicitation after the exact time specified for receipt of offers is “late” and will not be considered unless it is received before award is made, the Contracting Officer determines that accepting the late offer would not unduly delay the acquisition; and--

(A) If it was transmitted through an electronic commerce method authorized by the solicitation, it was received at the initial point of entry to the Government infrastructure not later than 5:00 p.m. one working day prior to the date specified for receipt of offers; or

(B) There is acceptable evidence to establish that it was received at the Government installation designated for receipt of offers and was under the Government's control prior to the time set for receipt of offers; or

(C) If this solicitation is a request for proposals, it was the only proposal received.

(ii) However, a late modification of an otherwise successful offer, that makes its terms more favorable to the

Government, will be considered at any time it is received and may be accepted.

(3) Acceptable evidence to establish the time of receipt at the Government installation includes the time/date stamp of that installation on the offer wrapper, other documentary evidence of receipt maintained by the installation, or oral testimony or statements of Government personnel.

(4) If an emergency or unanticipated event interrupts normal Government processes so that offers cannot be received at the Government office designated for receipt of offers by the exact time specified in the solicitation, and urgent

Government requirements preclude amendment of the solicitation or other notice of an extension of the closing date, the time specified for receipt of offers will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal Government processes resume.

(5) Offers may be withdrawn by written notice received at any time before the exact time set for receipt of offers.

Oral offers in response to oral solicitations may be withdrawn orally. If the solicitation authorizes facsimile offers, offers may be withdrawn via facsimile received at any time before the exact time set for receipt of offers, subject to the conditions specified in the solicitation concerning facsimile offers. An offer may be withdrawn in person by an offeror or its authorized representative if, before the exact time set for receipt of offers, the identity of the person requesting withdrawal is established and the person signs a receipt for the offer.

(g) Contract award (not applicable to Invitation for Bids). The Government intends to evaluate offers and award a contract without discussions with offerors. Therefore, the offeror's initial offer should contain the offeror's best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government may reject any or all offers if such action is in the public interest; accept other than the lowest offer; and waive informalities and minor irregularities in offers received.

(h) Multiple awards. The Government may accept any item or group of items of an offer, unless the offeror qualifies the offer by specific limitations. Unless otherwise provided in the Schedule, offers may not be submitted for quantities less than those specified. The Government reserves the right to make an award on any item for a quantity less than the quantity offered, at the unit prices offered, unless the offeror specifies otherwise in the offer.

(i) Availability of requirements documents cited in the solicitation. (1)(i) The GSA Index of Federal Specifications, Standards and Commercial Item Descriptions, FPMR Part 101-29, and copies of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained for a fee by submitting a request to--GSA

Federal Supply Service Specifications Section, Suite 8100, 470 East L'Enfant Plaza, SW, Washington, DC

20407, Telephone (202) 619-8925, Facsimile (202) 619-8978.

(ii) If the General Services Administration, Department of Agriculture, or Department of Veterans Affairs issued this solicitation, a single copy of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained free of charge by submitting a request to the addressee in paragraph (i)(1)(i) of this provision. Additional copies will be issued for a fee.

(2) Most unclassified Defense specifications and standards may be downloaded from the following ASSIST websites:

(i) ASSIST (https://assist.dla.mil/online/start/).

(ii) Quick Search (http://quicksearch.dla.mil/).

(iii) ASSISTdocs.com (http://assistdocs.com).

(3) Documents not available from ASSIST may be ordered from the Department of Defense Single Stock Point

(DoDSSP) by--

(i) Using the ASSIST Shopping Wizard (https://assist.dla.mil/wizard/index.cfm);

(ii) Phoning the DoDSSP Customer Service Desk (215) 697-2179, Mon-Fri, 0730 to 1600 EST; or

(iii) Ordering from DoDSSP, Building 4, Section D, 700 Robbins Avenue, Philadelphia, PA 19111-5094, Telephone

(215) 697-2667/2179, Facsimile (215) 697-1462.

(4) Nongovernment (voluntary) standards must be obtained from the organization responsible for their preparation, publication, or maintenance.

(j) Data Universal Numbering System (DUNS) Number. (Applies to all offers exceeding $3,000, and offers of

$3,000 or less if the solicitation requires the Contractor to be registered in the System for Award Management

(SAM) database. The offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation “DUNS” or “DUNS +4” followed by the DUNS or DUNS +4 number that identifies the offeror's name and address. The DUNS +4 is the DUNS number plus a 4-character suffix that may be assigned at the discretion of the offeror to establish additional SAM records for identifying alternative Electronic Funds Transfer (EFT) accounts

(see FAR Subpart 32.11) for the same concern. If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one. An offeror within the United States may contact Dun and Bradstreet by calling

1-866-705-5711 or via the internet at http://fedgov.dnb.com/webform. An offeror located outside the United States must contact the local Dun and Bradstreet office for a DUNS number. The offeror should indicate that it is an offeror for a Government contract when contacting the local Dun and Bradstreet office.

(k) System for Award Management. Unless exempted by an addendum to this solicitation, by submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the SAM database prior to award, during performance and through final payment of any contract resulting from this solicitation. If the Offeror does not become registered in the SAM database in the time prescribed by the Contracting

Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror. Offerors may obtain information on registration and annual confirmation requirements via the SAM database accessed through https://www.acquisition.gov.

(l) Debriefing. If a post-award debriefing is given to requesting offerors, the Government shall disclose the following information, if applicable:

https://assist.dla.mil/online/start/ http://quicksearch.dla.mil/ http://assistdocs.com/ https://assist.dla.mil/wizard/index.cfm https://www.acquisition.gov/

(1) The agency's evaluation of the significant weak or deficient factors in the debriefed offeror's offer.

(2) The overall evaluated cost or price and technical rating of the successful and the debriefed offeror and past performance information on the debriefed offeror.

(3) The overall ranking of all offerors, when any ranking was developed by the agency during source selection.

(4) A summary of the rationale for award;

(5) For acquisitions of commercial items, the make and model of the item to be delivered by the successful offeror.

(6) Reasonable responses to relevant questions posed by the debriefed offeror as to whether source-selection procedures set forth in the solicitation, applicable regulations, and other applicable authorities were followed by the agency.

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

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

52.212.2

(1) FACTOR 1 - Price

(2) FACTOR 2 - Technical

Subfactor 1: Business License (Authorization to Perform in Germany).

Subfactor 2: Certificate of Authorization to Transport Goods on the Roads of

Germany (Gueterkraftverkehrsgenehmigung).

Subfactor 3: Contractor Quality Control Plan (QCP)

(3) FACTOR 3 – Past Performance

Award will be made to the lowest priced, technically acceptable offer with an acceptable past performance rating and is deemed responsible.

(b) Options. For purposes of evaluation only. The Government will add the price for the base and all option periods including PRICING FOR 50% OF THE FINAL OPTION PERIOD (CLAUSE 52.217-8 “Option to Extend

Services (Nov 1999)” in order to establish the total evaluated price. 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

(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.

http://www.acquisition.gov/

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.

https://www.acquisition.gov/

(1) Small business concern. The offeror represents as part of its offer that it ( ) is, ( ) is not a small business concern.

(2) Veteran-owned small business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents as part of its offer that it ( ___ ) is, ( ___ ) is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. (Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.) The offeror represents as part of its offer that it ( ___ ) is, ( ___ ) is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents, for general statistical purposes, that it ( ___ ) is, ( ___ ) is not a small disadvantaged business concern as defined in 13 CFR 124.1002.

(5) Women-owned small business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents that it ( ) is, ( ) is not a women-owned small business concern.

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

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

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

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB

Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ----------.] Each

WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

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

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

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

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

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