FA810610R0017.pdf

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV. 4/2002)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 J

1. REQUISITION NUMBER

FD20301130003

5. SOLICITATION NUMBER

FA8106-10-R-0017

6. SOLICITATION ISSUE DATE

b. TELEPHONE NUMBER (No collect calls)

(405 ) 736 -5124 ext.

2. CONTRACT NO.

7. FOR SOLICITATION

INFORMATION CALL

3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

a. NAME

Niem Luu

8. OFFER DUE DATE/LOCAL

TIME

4OCT2010 3:00PM

12. DISCOUNT TERMS11. DELIVERY FOR FOB DEST.

UNLESS BLOCK IS MARKED

SEE SCHEDULE

10. THIS ACQUISITION IS

UNRESTRICTED

SET ASIDE: 100 % FOR

SMALL BUSINESS

HUBZONE SMALL BUS

NAICS CODE: 336413

SIZE STD: 1,000

13a. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)

13b. RATING

DO: A1 52.211-14, 52.211-15

14. METHOD OF SOLICITATION

RFQ IFB RFP

9. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, OC ALC GKSK

3001 STAFF DR STE 1AG1 104A

TINKER AFB OK 73145-3303

BUYER: Niem Luu/OCALC/GKSK niem.luu@tinker.af.mil Phone: (405) 736- 5124 Fax: (405) 736-3193 No Collect Calls

15. DELIVER TO CODE

SEE LINE ITEM SCHEDULE

16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR FACILITY

CODE CODE

18a. PAYMENT WILL BE MADE BY CODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS

CHECKED.

FA8106

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Routine

THIS IS A TOTAL SMALL BUSINESS SET-ASIDE.

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 120 days.

SEE LINE ITEM SCHEDULE

(Attach Additional Sheets as Necessary)

26. AWARD AMOUNT (For Gov’t use only)

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 COPIES 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.

29. AWARD OF CONTRACT: REF. OFFER DATED - - . YOUR OFFER ON

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

X

X X

X

25. ACCOUNTING AND APPROPRIATION DATA SEE FUNDS SCHEDULE

X

SCD:A

Total

STANDARD FORM 1449 (REV. 4/2002) BACK

COMPUTER GENERATED 8/31/2010, 9:42 AM

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32b. SIGNATURE OF AUTHORIZED GOV’T REPRESENTATIVE

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

32c. DATE

41c. DATE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER36. PAYMENT

COMPLETE PARTIAL FINAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC’D (YY/MM/DD) 42d. TOTAL CONTAINERS

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

SEE LINE ITEM SCHEDULE

(Attach Additional Sheets as Necessary)

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

Request for Proposal FA8106-10-R-0017

SUPPLIES OR SERVICES AND PRICES/COSTS

B-1. CLAUSES AND PROVISIONS

(a) The purpose of this acquisition is to procure Technical Orders (TOs) support for aircraft under Contract Logistic Support (CLS) Sustainment Division. The Sustainment Division fleets includes but is not limited to the KC-10, VC-25, E4B, C-9, C-12, C-20, C-21, C-26, C-38, E-9, T-1, T-43, T-51, TG-10, TG-15, UV-18 and HFGCS platforms. This solicitation contemplates award of a Requirement type contract (see Clause at 52.216-18, "Ordering", 52.216-19, "Order Limitations" and 52.216-21, "Requirements".

It is expected that work not yet specified and/or changed work procedures/specifications/location shall be incorporated throughout the performance of the contract. In addition, it is expected platforms will be added/deleted throughtout the performance of the contract. The Contractor shall perform such added or changed work under line items currently provided in the contract or added to the contract. If such change would result in an increase or decrease of cost under this contract, an appropriate increase or decrease of the contract price shall be negotiated and evidenced by a supplemental agreement to this contract.

The Contractor is required to comply with all requirements specified in Appendix A, Performance Work Statement

(PWS).

(b) Clauses and provisions from the Federal Acquisition Regulation (FAR) and supplements thereto are incorporated in this document by reference and in full text. Those incorporated by reference have the same force and effect as if they were given in full text.

(c) Clauses and provisions in this document will be numbered in sequence, but will not necessarily appear in consecutive order.

(d) Representations, Instructions and Evaluations will be physically removed from any resultant award, but will be deemed to be incorporated by reference, in that award.

(e) LINE ITEM STRUCTURE The Government reserves the right to add/remove Contract Line Item Numbers (CLINs) as required to support all platforms supported by OC-ALC/GKS. Sub-Contract Line Item Numbers (SubCLIN) may be established under CLIN to accommodate various Accounting Classification Reference Numbers (ACRN), Accounting and Appropriation Data.

NOTE 1: All references to “X” in the contract line item number (CLIN) represent sequential numbering of the year as follows:

BASIC Transition X = 0

OPTION 1 X = 1

OPTION 2 X = 2

OPTION 3 X = 3

OPTION 4 X = 4

EXAMPLE: The first CLIN for Option 1 is 1001 and the first CLIN for Option 2 is 2001.

(f) DELIVERIES OR PERFORMANCE Performance under this contract shall be from 01 Dec 2010 through 31 Dec 2014. Performance is subject to availability of funds. Maximum days of Phase-In are 30 days.

(Options to be exercised within 30 days of the expiration of the term of the contract or before)

PERIOD DATES

BASIC Transition 01 Dec 10 – 31 Dec 10 OPTION 1 01 Jan 10 – 31 Dec 11 OPTION 2 01 Jan 11 – 31 Dec 12 OPTION 3 01 Jan 12 – 31 Dec 13 OPTION 4 01 Jan 13 – 31 Dec 14

(g) Prices are NOT to be provided in Section B-1. CLIN structure is presented for descriptive purpose only.

Please include prices for all CLINs on CLIN Pricing Matrix, Attachment 1.

(h) Subject to contract clause 52.232-18, Availability of Funds (Apr 2003), and existence of requirement, the Government intends to exercise Option 1 in accordance with clause 52.217-9, Option to Extend the Term of the Contract (Mar 2000).

OPTION 1 BEGINS AT THE END OF PHASE-IN AND CONTINUES THROUGH 31 Dec 11

Transition

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

The Contractor shall perform all phase-in/phase-out tasks on a non-interference basis, including all labor, materials, travel and joint inventory in accordance with (IAW) PWS paragraph 3.2, 3.4, 1.25.1 and 1.25.2 in preparation for full contract performance and moving the entire inventory to another location at the end of performance period. The phase-in period shall begin on 01 Dec 10 and end on 31 December 10 for a maximum of 30-days.

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Commercial Shipping Document Quality Assurance: Commercial Item Inspection Type / Ship To Quantity (U/I) Beginning

Specified Date Specified Date Req No / Pri

Required Delivery

A TBC 1 EA 1 DEC 2010 31 DEC 2010

Proposed Delivery

A TBC 1 EA

TO Support

Item No.

X002

Firm Fixed Price Quantity U/I Unit Price Total Estimated Cost

1 LO

The Contractor shall provide all labor and material necessary to provide TO Support IAW PWS and Attachemnt 1, Pricing Matrix.

NOTE: The Government shall order work incrementally under this CLIN by the issuance of a Contract Order Package (COP), as set forth in the SOW. When work authorized under a COP is completed, the contractor shall submit an invoice for payment. The appropriate Government Technical Order Manager's signature in the Acceptance Block of the invoice must be obtained before payment is authorized. DFAS shall make payments under this CLIN upon receipt of a properly authorized invoice.

NOTE: When submitting an invoice for work done under CLIN X002, reference the appropriate informational SubCLIN(s) (X00201-X00218) in the item description. Additional informational subCLIN(s) may be added to individual orders to accommodate funding requiremnt. The Contract Order Package will identify which informational subCLIN(s) need to be referenced.

CLIN X002 Information SubCLIN are set up as follows:

X00201 Text Change X00202 Text Change to Illustration X00203 Technical Page Development from Source data X00204 Revised Illustration X00205 New Illustration X00206 Pre-Publication Review Copy X00207 Printing Package from Form Sets X00208 History Package Development X00209 Reprints X00210 Digitized Data Delivery of Change/Revision Page X00211 Maintenance and Storage of Technical Manuals History Folders X00212 Update Tech Manual Indexed Portable Doc File (IPDF) X00213 Enhance Poor Quality IPDF File X00214 Convert Paper to IPDF X00215 Convert Digital to IPDF X00216 Convert Paper to Digital Editable File X00217 Digital Data Conversion to SGML X00218 Convert Paper to SGML

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Invoice Quality Assurance: Commercial Item Inspection Place of Perf Quantity (U/I) To be cited on individual orders issued hereunder

_ Req No / Pri

Required Period of Performance

1 LO TBC

Proposed Period of Performance

1 LO

Stock, Store and Issue TOs

Item No.

X003

Stock, Store and Issue TOs

Firm Fixed Price Quantity U/I Unit Price Total Estimated Cost

1 LO

The Contractor shall provide all labor and material necessary to provide support for stock, store and issue TO orders IAW PWS 1.19 and Attachemnt 1, Pricing Matrix.

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Invoice Quality Assurance: Commercial Item Inspection Place of Perf Quantity (U/I) To be cited on individual orders issued hereunder

_ Req No / Pri

Required Period of Performance

1 LO TBC

Proposed Period of Performance

1 LO

Over and Above

Item No.

X004

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

The Contractor shall perform all Over and Above tasks as directed by the PCO/ACO in writing including travel in support of technical conference that is not within 25-mile radius IAW PWS paragraph 1.2.6, 4.1.6, contract clause DFARS 252-217-7028, Over and Above Work and 5352.291-9000, Additional Over and Above Work Procedures.

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Invoice Quality Assurance: Commercial Item Inspection Place of Perf Quantity (U/I) To be cited on individual orders issued hereunder

_ Req No / Pri

Required Period of Performance

1 LO TBC

Proposed Period of Performance

1 LO

Data

Item No.

X005

Firm Fixed Price Unit Price Amount Not Separately Priced Not Separately Priced

The Contractor shall provide data IAW reports in Exhibit A.

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Invoice Exhibit: A Quality Assurance: Commercial Item Inspection Place of Perf Quantity (U/I) Beginning Ending Req No / Pri

Required Period of Performance

A TBC 1 DEC 2010 31 DEC 2010

Proposed Period of Performance

A TBC

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A TBC

TO BE CITED IN ORDER

MARK FOR: (See Individual Line Item) REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER:

CONTRACT CLAUSES

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS--COMMERCIAL ITEMS (JUL 2010)

(IAW FAR 12.301(b)(4))

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.222-50, Combating Trafficking in Persons (Feb 2009) (22 U.S.C. 7104(g)).

__ __ Alternate I (Aug 2007) of 52.222-50 (22 U.S.C. 7104(g)).

(2) 52.233-3, Protest After Award (Aug 1996)(31 U.S.C 3553).

(3) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004)(Pub. L. 108-77, 108-78).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[Contracting Officer check as appropriate.] __X __ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sep 2006), with Alternate I (Oct 1995)(41 U.S.C. 253g and 10 U.S.C. 2402).

__ __ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Apr 2010) (Pub. L.

110-252, Title VI, Chapter 1 (41 U.S.C. 251 note)).

_______ (3) 52.203-15, Whistleblower Protections Under the American Recovery and

Reinvestment Act of 2009 (Jun 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

_______ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Jul 2010) (Pub. L. 109-282) (31 U.S.C. 6101 note).

_______ (5) 52.204-11, American Recovery and Reinvestment Act—Reporting Requirements (Jul 2010) (Pub. L. 111-15).

__ __ (6) 52.219-3, Notice of Total HUBZone Set-Aside (Jan 1999)(15 U.S.C. 657a).

__ __ (7) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business

Concerns (July 2005) (if the offeror elects to waive the preference, it shall so indicate in its offer)(15 U.S.C. 657a).

(8) [Reserved] __X __ (9) (i) 52.219-6, Notice of Total Small Business Set-Aside (June 2003)(15 U.S.C.

644).

__ __ (9) (ii) Alternate I (Oct 1995) of 52.219-6.

__ __ (9) (iii) Alternate II (Mar 2004) of 52.219-6.

__ __ (10) (i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003)(15 U.S.C.

644).

__ __ (10) (ii) Alternate I (Oct 1995) of 52.219-7 __ __ (10) (iii) Alternate II (Mar 2004) of 52.219-7 __X __ (11) 52.219-8, Utilization of Small Business Concerns (May 2004)(15 U.S.C.

637(d)(2) and (3)). )). (Use in accordance with DDP Memo dated 19 Nov 2009, DARS Tracking Number 2009-O0009, Class Deviation to the FAR—Small Disadvantaged Business Certification for Subcontractors.)

__ __ (12) (i) 52.219-9, Small Business Subcontracting Plan (Jul 2010)(15 U.S.C.

637(d)(4)).

__ __ (12) (ii) Alternate I (Oct 2001) of 52.219-9.

__ __ (12) (iii) Alternate II (Oct 2001) of 52.219-9.

_______ (12) (iv) Alternate III (Jul 2010) of 52.219-9.

__X __ (13) 52.219-14, Limitations on Subcontracting (Dec 1996)(15 U.S.C. 637(a)(14)).

__ __ (14) 52.219-16, Liquidated Damages—Subcontracting Plan (Jan 1999) (15 U.S.C.

637(d)(4)(F)(i)).

__ __ (15) (i) 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged

Business Concerns (Oct 2008)(10 U.S.C. 2323) (if the offeror elects to waive the adjustment, it shall so indicate in its offer). (In accordance with DDP Memo dated 11 Feb 2009, DAR Tracking Number 2009-O0003, Suspension of the Price Evaluation Adjustment for Small Disadvantaged Businesses, this clause is suspended in DoD. Applies to all solicitations issued from 13 March 2009 to 12 March 2010.)

__ __ (15) (ii) Alternate I (June 2003) of 52.219-23. (In accordance with DDP Memo dated 11 Feb 2009, DAR Tracking Number 2009-O0003, Suspension of the Price Evaluation Adjustment for Small Disadvantaged Businesses, this clause is suspended in DoD. Applies to all solicitations issued from 13 March 2009 to 12 March 2010.)

__ __ (16) 52.219-25, Small Disadvantaged Business Participation Program—Disadvantaged Status and Reporting (Apr 2008)(Pub. L. 103-355, section 7102, and 10 U.S.C. 2323). )). (Use in accordance with DDP Memo dated 19 Nov 2009, DARS Tracking Number 2009-O0009, Class Deviation to the FAR—Small Disadvantaged Business Certification for Subcontractors.)

__ __ (17) 52.219-26, Small Disadvantaged Business Participation Program—Incentive Subcontracting (Oct 2000) (Pub. L. 103-355, section 7102, and 10 U.S.C. 2323).

__ __ (18) 52.219-27, Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside (May 2004)(15 U.S.C. 657 f).

__X __ (19) 52.219-28, Post Award Small Business Program Rerepresentation (Apr 2009) (15 U.S.C. 632(a)(2)).

__X __ (20) 52.222-3, Convict Labor (June 2003)(E.O. 11755).

__ __ (21) 52.222-19, Child Labor—Cooperation with Authorities and Remedies (Jul

2010)(E.O. 13126).

__X __ (22) 52.222-21, Prohibition of Segregated Facilities (Feb 1999).

__X __ (23) 52.222-26, Equal Opportunity (Mar 2007)(E.O. 11246).

__X __ (24) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of the

Vietnam Era, and Other Eligible Veterans (Sep 2006)(38 U.S.C. 4212).

__X __ (25) 52.222-36, Affirmative Action For Workers with Disabilities (Jun 1998)(29 U.S.C.

793).

__X __ (26) 52.222-37, Employment Reports on Special Disabled Veterans, Veterans of the

Vietnam Era, and Other Eligible Veterans (Sep 2006)(38 U.S.C. 4212).

__ __ (27) 52.222-54, Employment Eligibility Verification (Jan 2009). (Executive Order

12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

__ __ (28) (i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA-Designated Items (May 2008)(42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ __ (28) (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ __ (29) 52.223-15, Energy Efficiency in Energy-Consuming Products (Dec 2007) (42.U.S.C. 8259b).

__ __ (30) (i) 52.223-16, IEEE 1680 Standard for the Environmental Assessment of Personal Computer Products (Dec 2007) (E.O. 13423).

__ __ (30) (ii) Alternate I, (Dec 2007) of 52.223-16.

__ __ (31) 52.225-1, Buy American Act--Supplies (Feb 2009)(41 U.S.C. 10a-10d).

__ __ (32) (i) 52.225-3, Buy American Act--Free Trade Agreement--Israeli Trade Act (Jun

2009) (41 U.S.C. 10a-10d, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C.

3805, Pub. L. 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, and 110-138).

__ __ (32) (ii) Alternate I (Jan 2004) of 52.225-3.

__ __ (32) (iii) Alternate II (Jan 2004) of 52.225-3.

__ __ (33) 52.225-5, Trade Agreements (Aug 2009) (19 U.S.C. 2501, et seq., 19 U.S.C.

3301 note).

___X __ (34) 52.225-13, Restriction on Certain Foreign Purchases (Jun 2008)(E.O.s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of Treasury).

__ __ (35) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007)(42 U.S.C.

5150).

__ __ (36) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007)(42 U.S.C. 5150).

__ __ (37) 52.232-29, Terms for financing of Purchases of Commercial Items (Feb 2002)(41 U.S.C. 522(f), 10 U.S.C. 2307(f)).

__ __ (38) 52.232-30, Installment Payments for Commercial Items (Oct 1995)(41 U.S.C.

255(f), 10 U.S.C. 2307(f)).

__ __ (39) 52.232-33, Payment by Electronic Funds Transfer—Central Contractor Registration (Oct 2003)(31.U.S.C. 3332).

__ __ (40) 52.232-34, Payment by Electronic Funds Transfer—Other than Central Contractor Registration (May 1999)(31.U.S.C. 3332).

__ __ (41) 52.232-36, Payment by Third Party (Feb 2010) (31 U.S.C. 3332).

__ __ (42) 52.239-1, Privacy or Security Safeguards (Aug 1996)(5 U.S.C. 552a).

__ __ (43) (i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels

(Feb 2006) (46 U.S.C. Appx. 1241(b) and 10 U.S.C. 2631).

__ _ (43) (ii) Alternate I (Apr 2003) of 52.247-64.

(c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[Contracting Officer check as appropriate.] __X __ (1) 52.222-41, Service Contract Act of 1965 (Nov 2007) (41 U.S.C. 351, et seq.).

__X __ (2) 52.222-42, Statement of Equivalent Rates for Federal Hires (May 1989) (29

U.S.C. 206 and 41 U.S.C. 351, et seq.).

__X __ (3) 52.222-43, Fair Labor Standards Act and Service Contract Act--Price Adjustment

(Multiple Year and Option Contracts) (Sep 2009) (29 U.S.C. 206 and 41 U.S.C.

351, et seq.).

__ __ (4) 52.222-44, Fair Labor Standards Act and Service Contract Act - Price Adjustment (Sep 2009) (29 U.S.C. 206 and 41 U.S.C. 351, et seq.).

__ __ (5) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment—Requirements (Nov 2007) (41 U.S.C. 351 et seq.).

__ __ (6) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services—Requirements (Feb 2009) (41 U.S.C. 351 et seq.).

__ __ (7) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations. (Mar 2009) (Pub. L. 110-247).

__ __ (8) 52.237-11, Accepting and Dispensing of $1 Coin (Sep 2008) (31 U.S.C.

5112(p)(1)).

(e)(1) Notwithstanding the requirements of the clauses in paragraphs (a), (b), (c) and (d) of this clause, the Contractor is not required to flow down any FAR clause, other than those in paragraphs (e)(1) of this paragraph in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause—

(ix) 52.222-50, Combating Trafficking in Persons (Feb 2009) (22 U.S.C. 7104 (g)).

Alternate I (Aug 2007) of 52.222-50 (22 U.S.C. 7104(g)).

252.212-7001 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS APPLICABLE TO DEFENSE ACQUISITIONS OF COMMERCIAL

ITEMS (JUN 2010)

(IAW DFARS 212.301(f)(iii))

(a) The Contractor agrees to comply with the following Federal Acquisition Regulation (FAR) clause which, if checked, is included in this contract by reference to implement provision of law applicable to acquisitions of commercial items or components.

__X __ 52.203-3 Gratuities (APR 1984) (10 U.S.C. 2207)

(b) The Contractor agrees to comply with any clause that is checked on the following list of Defense FAR Supplement clauses which, if checked, is included in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items or components.

__X __ (1) 252.203-7000 Requirements Relating to Compensation of Former DoD Officials (JAN 2009) (Section 847 of Pub. L. 110-181).

__X __ (2) 252.205-7000 Provision of Information to Cooperative Agreement Holders (DEC 1991) (10 U.S.C. 2416).

__ __ (3) 252.219-7003 Small Business Subcontracting Plan (DoD Contracts) (APR 2007) (15 U.S.C.

637). (DAR Tracking # 2008-O0008 specifies use of class deviation 252.219-7003 dated Feb 2009)

__ __ (4) 252.219-7004 Small Business Subcontracting Plan (Test Program) (AUG 2008) (15 U.S.C.

637 note). (DAR Tracking # 2008-O0008 specifies use of class deviation 252.219-7004 dated Feb 2009)

__ __ (5) 252.225-7001 Buy American Act and Balance of Payment Program (JAN 2009) (41 U.S.C.

10a-10d, E.O. 10582). (DAR Tracking # 2009-O0007 specifies use of class deviation 252.225-7001 dated Jul 2009)

__ __ (6) 252.225-7008 Restriction on Acquisition of Specialty Metals (JUL 2009) (10 U.S.C.2533b).

__ __ (7) 252.225-7009 Restriction on Acquisition of Certain Articles Containing Specialty Metals (JUL

2009) (10 U.S.C. 2533b).

__X __ (8) 252.225-7012 Preference for Certain Domestic Commodities (JUN 2010) (10 U.S.C. 2533a).

__ __ (9) 252.225-7015 Restriction on Acquisition of Hand or Measuring Tools (JUN 2005) (10 U.S.C.

2533a).

__ __ (10) 252.225-7016 Restriction on Acquisition of Ball and Roller Bearings (JUN 2006) (Section

8065 of Public Law 107-117 and the same restriction in subsequent DoD appropriations acts).

__ __ (11)(i) 252.225-7021 Trade Agreements (NOV 2009) (19 U.S.C. 2501-2518 and 19 U.S.C. 3301 note).( DAR Tracking # 2009-O0007 specifies use of class deviation 252.225-7021 dated Jul 2009)

__ __ (11)(ii) 252.225-7021 Alternate I (SEP 2008).

__ __ (12) 252.225-7027 Restriction on Contingent Fees for Foreign Military Sales (APR 2003) (22

U.S.C. 2779).

__ __ (13) 252.225-7028 Exclusionary Policies and Practices of Foreign Governments (APR 2003) (22

U.S.C. 2755).

__ _ (14)(i) 252.225-7036 Buy American Act--Free Trade Agreements--Balance of Payments Program

(JUL 2009) (41 U.S.C. 10a – 10d and 19 U.S.C. 3301 note). (DAR Tracking # 2009-O0007 specifies use of class deviation 252.225-7036 dated Jul 2009)

__ __ (14)(ii) 252.225-7036 Alternate I (JUL 2009) of 252.225-7036. (DAR Tracking # 2009-O0007 specifies use of class deviation 252.225-7036 ALT I dated Jul 2009)

__ _ (15) 252.225-7038 Restriction on Acquisition of Air Circuit Breakers (JUN 2005) (10 U.S.C.

2534(a)(3)).

__X __ (16) 252.226-7001 Utilization of Indian Organizations, Indian-Owned Economic Enterprises, and Native Hawaiian Small Business Concerns (SEP 2004) (Section 8021 of Public Law 107-248 and similar sections in subsequent DoD appropriations acts).

__ __ (17) 252.227-7015 Technical Data--Commercial Items (NOV 1995) (10 U.S.C. 2320).

__ __ (18) 252.227-7037 Validation of Restrictive Markings on Technical Data (SEP 1999) (10 U.S.C.

2321).

_ __ (19) 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports (MAR

2008) (10 U.S.C. 2227).

_ __ (20) 252.237-7019 Training for Contractor Personnel Interacting With Detainees (SEP 2006)

(Section 1092 of Pub. L. 108-375) __X __ (21) 252.243-7002 Requests For Equitable Adjustment (MAR 1998) (10 U.S.C. 2410).

________ (22) 252.247-7003 Pass-Through of Motor Carrier Fuel Surcharge Adjustment to the Cost Bearer (JUL 2009) (Section 884 of Public Law 110-417).

__ __ (23)(i) 252.247-7023 Transportation of Supplies by Sea (MAY 2002) (10 U.S.C. 2631).

__ __ (23)(ii) 252.247-7023 Alternate I (MAR 2000) of 252.247-7023.

__ __ (23)(iii) 252.247-7023 Alternate II (MAR 2000) of 252.247-7023.

__ __ (23)(iv) 252.247-7023 Alternate III (MAY 2002) of 252.247-7023.

__ __ (24) 252.247-7024 Notification of Transportation of Supplies by Sea (MAR 2000) (10 U.S.C.

2631).

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

(1) 252.237-7019 Training for Contractor Personnel Interacting With Detainees (SEP 2006) (Section 1092 of Pub. L. 108-375)

(2) 252.247-7003, Pass-Through of Motor Carrier Fuel Surcharge Adjustment to the cost Bearer (JUL 2009) (Section 884 of Public Law 110-417).

(3) 252.247-7023 Transportation of Supplies by Sea (MAY 2002) (10 U.S.C. 2631).

(4) 252.247-7024 Notification of Transportation of Supplies by Sea (MAR 2000) (10 U.S.C. 2631).

ADDENDUM TO CLAUSE 52.212-4

5352.201-9101 OMBUDSMAN (APR 2010)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, concerned parties may contact the Center/MAJCOM or AFISRA ombudsmen, OC-ALC/PKC at 405 736 -3273 , FAX - , email . Concerns, issues, disagreements, and recommendations that cannot be resolved at the MAJCOM/DRU or ARISRA level, may be brought by the concerned party for further consideration to the Air Force ombudsman, Associate Deputy Assistant Secretary (ADAS) (Contracting), SAF/AQC, 1060 Air Force Pentagon, Washington DC 20330-1060, phone number

(703) 588-7004, facsimile number (703) 588-1067.

(Applicable to all solicitations and contracts)

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(JAN 2009)

(IAW DFARS 203.970)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (JUL 2010)

(IAW FAR 4.1403(a))

252.204-7008 EXPORT-CONTROLLED ITEMS (APR 2010)

(IAW DFARS 204.7304)

52.209-8 UPDATES OF INFORMATION REGARDING RESPONSIBILITY MATTERS

(APR 2010)

(IAW FAR9.104-7(c))

(Applicable when the contract is expected to exceed $500,000 and the offeror certifies to have contracts and grants valued greater than $10,000,000)

52.211-8 TIME OF DELIVERY (JUN 1997)

(IAW FAR 11.404(a)(2)) DELIVERY FOR EACH ITEM IS ANNOTATED IN THE SCHEDULE (PART I SECTION B) UNDER EACH LINE

ITEM.

(Applicable when the Government desires delivery by a certain time but requires delivery by a specified later time, and the delivery schedule is to be based on the date of the contract)

52.211-8 TIME OF DELIVERY -- ALTERNATE I (APR 1984)

(IAW FAR 11.404(a)(2))

(b) the Government will make award by .

(Applicable when the delivery schedule is expressed in terms of specific calendar dates or specific periods and is based on an assumed date of award)

252.211-7007 REPORTING OF GOVERNMENT-FURNISHED EQUIPMENT IN THE ITEM UNIQUE

IDENTIFICATION (IUID) REGISTRY (NOV 2008)

(IAW DFARS 211.274-5(b))

(Applicable when FAR 52.245-1, Government Property, or FAR 52.245-2, Government Property Installation Operation Services, is used)

52.216-18 ORDERING (OCT 1995)

(IAW FAR 16.506(a))

(a) Such orders may be issued from Contract Award through 31 Dec 2014..

(Applicable to all orders issued hereunder)

52.216-19 ORDER LIMITATIONS (OCT 1995)

(IAW FAR 16.506(b))

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than 0, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor--

(1) Any order for a single item in excess of N/A;

(2) Any order for a combination of items in excess of N/A; or

(3) A series of orders from the same ordering office within N/A days that together call for quantities exceeding the limitation in subparagraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within N/A days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

52.216-21 REQUIREMENTS (OCT 1995)

(IAW FAR 16.506(d)(1))

(f) the Contractor shall not be required to make any deliveries under this contract after completion of deliveries IAW the last scheduled delivery of any outstanding oder issued prior to the expiration date of the contract or otherwise agreed by both parties.

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

(IAW FAR 17.208(f)) The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.

(The above Clause/Provision has been modified.)

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

(IAW FAR 17.208(g))

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days of cotnract expiration ; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 30 days before the contract expires.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 4 years 7 months .

(Applicable when the Government gives the contractor a preliminary written notice of its intent to extend the contract, or an extension of the contract includes an extension of the option, or a there is a specified limitation on the total duration of the contract)

252.217-7028 OVER AND ABOVE WORK (DEC 1991)

(IAW DFARS 217.7702)

THE FOLLOWING IS FILL-IN DATA FOR CLAUSE 52.212-5 PARA (b)(19):

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (APR 2009)

(g) If the Contractor does not have representations and certifications in ORCA, or does not have a representation in ORCA for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

The Contractor represents that it [ ] is, [ ] is not a small business concern under NAICS Code _____________ assigned to contract number ______________________________.

[Contractor to sign and date and insert authorized signer's name and title].

(Applicable when used to supplement clause FAR 52.219-9 Small Business Subcontracting Plan (DEVIATION)

5352.219-9001 USE OF JOINT VENTURES IN MEETING THE LIMITATIONS ON SUBCONTRACTING

REQIREMENT (AFMC) (NOV 2007)

(IAW AFMCFARS 5319.508(e))

(Applicable over $100,000)

52.222-1 NOTICE TO THE GOVERNMENT OF LABOR DISPUTES (FEB 1997)

(IAW FAR 22.103-5(a)) (IAW FAR 22.101-1(e), Applicable when the head of the contracting activity designates programs or requirements for which it is necessary that contractors be required to notify the Government of actual or potential labor disputes that are delaying or threaten to delay the timely contract performance (see 22.103-5(a)).

52.222-34 PROJECT LABOR AGREEMENT - ALTERNATE I (APR 2010)

(IAW FAR 22.505(b)(2)) (Applicable when submission of the project labor agreement is allowed after contract award)

THE FOLLOWING IS FILL-IN DATA FOR CLAUSE 52.212-5 PARA (c)(2):

52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 1989)

This Statement is for Information Only:

It is not a Wage Determination

Employee Class Monetary Wage Fringe Benefits Admistrators, SGML Spec, Illustrators

See Attachment 2

52.222-99 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR

RELATIONS ACT (JUN 2010)

(IAW DARS Tracking # 2010-O0013)

(Applicable to solicitations and resultant contracts over the simplified acquisition threshold, not performed exclusively outside the U.S., and not covered by an exemption granted by the Secretary of Labor)

52.232-18 AVAILABILITY OF FUNDS (APR 1984)

(IAW FAR 32.705-1(a))

252.232-7007 LIMITATION OF GOVERNMENT'S OBLIGATION (MAY 2006)

(IAW DFARS 232.705-70)

(a) Contract line item(s) X002 to X004 are incrementally funded. For these item(s), the sum of $ 0 of the total price is presently available for payment and allotted to this contract. An allotment schedule is set forth in paragraph (j) of this clause.

(b) For item(s) identified in paragraph (a) of this clause, the Contractor agrees to perform up to the point at which the total amount payable by the Government, including reimbursement in the event of termination of those item(s) for the Government's convenience, approximates the total amount currently allotted to the contract. The Contractor is not authorized to continue work on those item(s) beyond that point. The Government will not be obligated in any event to reimburse the Contractor in excess of the amount allotted to the contract for those item(s) regardless of anything to the contrary in the clause entitled "Termination for Convenience of the Government." As used in this clause, the total amount payable by the Government in the event of termination of applicable contract line item(s) for convenience includes costs, profit, and estimated termination settlement costs for those item(s).

(c) Notwithstanding the dates specified in the allotment schedule in paragraph (j) of this clause the Contractor will notify the Contracting Officer in writing at least ninety days prior to the date when, in the Contractor's best judgment, the work will reach the point at which the total amount payable by the Government, including the cost for termination for convenience, will approximate 85 percent of the total amount when allotted to the contract for performance of the applicable item(s). The notification will state (1) the estimated date when that point will be reached and (2) an estimate of additional funding, if any, needed to continue performance of applicable line items up to the next scheduled date for allotment of funds identified in paragraph (j) of this clause, or to a mutually agreed upon substitute date. The notification will also advise the Contracting Officer of the estimated amount of additional funds that will be required for the timely performance of the item(s) funded pursuant to this clause, for a subsequent period as may be specified in the allotment schedule in paragraph (j) of this clause or otherwise agreed to by the parties. If after such notification additional funds are not allotted by the date identified in the Contractor's notification or by an agreed substitute date, the Contracting Officer will terminate any item(s) for which additional funds have not been allotted, pursuant to the clause of this contract entitled "Termination for Convenience of the Government."

(d) When additional funds are allotted for continued performance of the contract line item(s) identified in paragraph

(a) of this clause, the parties will agree as to the period of contract performance which will be covered by the funds.

The provisions of paragraphs (b) through (d) of this clause will apply in like manner to the additional allotted funds and agreed substitute date, and the contract will be modified accordingly.

(e) If, solely by reason of failure of the Government to allot additional funds, by the dates indicated below, in amounts sufficient for timely performance of the contract line item(s) identified in paragraph (a) of this clause, the Contractor incurs additional costs or is delayed in the performance of the work under this contract and if additional funds are allotted, an equitable adjustment will be made in the price or prices (including appropriate target, billing, and ceiling prices where applicable) of the item(s), or in the time of delivery or both. Failure to agree to any such equitable adjustment hereunder will be a dispute concerning a question of fact within the meaning of the clause entitled "Disputes."

(f ) The Government may at any time prior to termination allot additional funds for the performance of the contract line item(s) identified in paragraph (a) of this clause.

(g) The termination provisions of this clause do not limit the rights of the Government under the clause entitled "Default." The provisions of this clause are limited to the work and allotment of funds for the contract line item(s) set forth in paragraph (a) of this clause. This clause no longer applies once the contract is fully funded except with regard to the rights or obligations of the parties concerning equitable adjustments negotiated under paragraphs (d) or (e) of this clause.

(h) Nothing in this clause affects the rights of the Government to terminate this contract pursuant to the clause of this contract entitled "Termination for Convenience of the Government."

(i) Nothing in this clause shall be construed as authorization of voluntary services whose acceptance is otherwise prohibited under 31 U.S.C. 1342.

(j) The parties contemplate that the Government will allot funds to this contract in accordance with the following schedule:

On execution of contract $ TBD

252.232-7009 MANDATORY PAYMENT BY GOVERNMENTWIDE COMMERCIAL PURCHASE CARD

(DEC 2006)

(IAW DFARS 232.1110)

(Applicable at or below the micro-purchase threshold and Governmentwide commercial purchase card is required)

252.232-7010 LEVIES ON CONTRACT PAYMENTS (DEC 2006)

(IAW DFARS 232.7102)

(Applicable to all solicitations and contracts over the micro-purchase threshold issued hereunder)

52.245-1 GOVERNMENT PROPERTY (AUG 2010)

(IAW FAR 45.107(a), DFARS 237.7003(c)) (Applicable in cost reimbursement, time-and-material, and labor-hour; and fixed-price when the Government will provide Government property. Also commercial where Government property exceeds $100,000)

52.245-9 USE AND CHARGES (AUG 2010)

(IAW FAR 45.107(c)) (Applicable when FAR 52.245-1 is included)

5352.245-9000 GOVERNMENT-FURNISHED PROPERTY (GFP) (AFMC) (OCT 2008)

(IAW AFMCFARS 5345.106(91))

Pursuant to the Government Property clause herein, the Government shall furnish the item(s) of property listed below as Government-Furnished Property (GFP) to the Contractor, f.o.b. Origin Origin , for use in performance of this contract. Upon completion of the contract, the Contractor shall obtain disposition instructions from the Government Property Administrator of the activity having responsibility for administration of the contract.

Item No

NSN Noun Part No Quantity Delivery Date

Item No

ARO ARO/Specified Date Period

(Applicable when Government-Furnished Property (GFP) is to be furnished to a contractor and the use of MILSTRIP requisitioning procedures by the contractor is not contemplated, unless orders contain a Government Property Management Attachment, which provides detailed instructions pertaining to the management and control of GFP)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503)

Government Contract Quality Assurance Inspection and Acceptance will be at destination(s) specified herein (Final).

Item No(s): 0001, X002, X003, X004, X005

5352.291-9000 ADDITIONAL OVER AND ABOVE WORK PROCEDURES (AFMC) (JUL 1997)

(IAW AFMCFARS 5391.102(a))

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

Form Number Description/File Name Date Number of Pages Appendix-A-PWS.pdf 31AUG2010 31

Appendix-B-GFP.pdf 08JUL2010 1

Appendix-C-Safety-Specification.pdf 11JUL2010 3

Exhibit-A-Reporting-Requirement.pdf 12JUL2010 1

Attachment-1-Pricing-Matrix.xlsx 25AUG2010 3

Attachment-2-Wage-Determination.pdf 02AUG2010 10

SOLICITATION PROVISIONS

REPRESENTATIONS, INSTRUCTIONS AND EVALUATIONS

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS

(AUG 2009)

(IAW FAR 12.301(b)(2))

(b) (1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (l)(2) of this provision do not automatically change the representations and certifications posted on the Online Representations and Certifications Application (ORCA) website.

(2) The offeror has completed the annual representations and certification electronically via the ORCA website at http://orca.bpn.gov , After reviewing the ORCA 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 (n) 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 on ORCA.]

(c) Check all that apply.

(1) [ ] is, [ ] is not a small business concern.

(2) [ ] is, [ ] is not a veteran-owned small business concern.

(3) [ ] is, [ ] is not a service-disabled veteran-owned small business concern.

(4) [ ] is, [ ] is not a small disadvantaged business concern.

(5) [ ] is, [ ] is not a women-owned small business concern.

Note: Complete paragraphs (c)(6) and (c)(7) only if this solicitation is expected to exceed the simplified acquisition threshold.

(6) [ ] is a women-owned business concern.

(7) 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:

(8) Small Business Size for the Small Business Competitiveness Demonstration Program and for the Targeted Industry Categories under the Small Business Competitiveness Demonstration Program.

[Complete only if the offeror has represented itself to be a small business concern under the size standards for this solicitation.]

(i) [Complete only for solicitations indicated in an addendum as being set-aside for emerging small businesses in one of the designated industry groups (DIGs).] The offeror represents as part of its offer that it [ ] is, [ ] is not an emerging small business.

(ii) [Complete only for solicitations indicated in an addendum as being for one of the targeted industry categories (TICs) or designated industry groups (DIGs).]

(B) (Check one of the following):

Average Annual Gross

Number of Employees Revenues ____50 or fewer ____$1 million or less ____51 – 100 ____$1,000,001 - $2 million ____101 - 250 ____$2,000,001 - $3.5 million ____251 – 500 ____$3,500,001 - $5 million ____501 – 750 ____$5,000,001 - $10 million ____751 - 1,000 ____$10,000,001 - $17 million ____Over 1,000 ____Over $17 million

(9) [Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns, or FAR 52.219-25, Small Disadvantaged Business Participation Program—Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.]

(i) General. The offeror represents that either--

(A) [ ] is, [ ] is not certified by the Small Business Administration

(B) [ ] has, [ ] has not submitted a completed application

(ii) name of the small disadvantaged business concern that is participating in the joint venture:

(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,

(ii) It [ ] is, [ ] is not a joint venture [The offeror shall enter the name or names of the HUBZone small business concern or concerns that are participating in the joint venture: ___________________________________________.]

(d) Representations required to implement provisions of Executive Order 11246--

(1) Previous Contracts and Compliance. The offeror represents that--

(i) [ ] has, [ ] has not participated in a previous contract or subcontract subject either to the Equal Opportunity clause of this solicitation; and

(ii) [ ] has, [ ] has not filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that--

(i) [ ] has developed and has on file, [ ] has not developed and does not have on file,

(ii) [ ] has not previously had contracts subject to the written affirmative action programs requirement

(f) Buy American Act Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American Act--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 Act—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 Act--Free Trade Agreement—Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American Act--Free Trade Agreement--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.