FA811720R0027_______0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE Page 1

2. AMENDMENT/MODIFICATION NO.

FA8117-20-R-0027-0001

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20301902277

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, AFSC PZABA

3001 STAFF DR STE 1AC4 97E

TINKER AFB OK 73145-3015

BUYER: Kristen A. Carter/AFSC/PZABA kristen.carter@us.af.mil Phone: (405) 739- 9444

7. ADMINISTERED BY (If other than item 6) CODEFA8117

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA811720R0027

9B. DATED (SEE ITEM 11)

5-MAY-2020

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods. ( a ) By completing Items 8 and 15, and returning copies of the amendment; ( b ) By acknowledging receipt of this amendment on each copy of the offer submitted; or ( c ) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

Routine

“In accordance with the attached CAV AF Reporting Requirements (see the document listed in Section J), the contractor must include a DD1348-1 when serviceable assets are shipped. DCMA Quality Assurance Representatives (QARs) will not approve or sign the DD1348-1, but will ensure a DD1348-1 is included with each returned serviceable asset. If a DD1348-1 is not included with each returned serviceable asset, DCMA will not sign the DD250.”

15A. NAME AND TITLE OF SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR

BY ________________________________________________________

(Signature of person authorized to sign)

15C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16B. UNITED STATES OF AMERICA

BY ____________________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

FACILITY CODE

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE

30-105 STANDARD FORM 30 (REV. 10-83)

PRESCRIBED BY GSA

FAR (48 CFR) 53.243

X

X X

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to accomplish the following:

FIRST: The proposal submittal date and time is not extended. This modification is to clarify the CLIN structure and description.

SECOND: The CAV AF Reporting Requirements is hereby added to the front page.

THIRD: The following FAR Clauses have been updated and are hereby implemented into this amendment:

- FAR 52.204-24 - Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (AUG 2020)

- FAR 52.204-25 - Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment (AUG 2020)

- FAR 52.204-26 - Covered Telecommunications Equipment or Services Representation (AUG 2020)

FOURTH: The following CLINs are hereby updated as follows:

a) The Manufacturer, Part Number, and Alt Part Number for CLIN 0006 - Electronic Control Unit Assembly (ECUA) - Repair - Basic Year are hereby updated as follows:

FROM:

Manufacturer Part Number Alt Part Number

0CAM5 163250-304 163250-305

55820 4504451

TO:

Manufacturer Part Number Alt Part Number

0CAM5 4504451

b) The Manufacturer, Part Number, and Alt Part Number for CLIN 0009 - Electronic Control Unit Assembly (ECUA) - Over & Above - All Years are hereby updated as follows:

FROM:

Manufacturer Part Number Alt Part Number

0CAM5 4504451

TO:

Manufacturer Part Number Alt Part Number

0CAM5 163250-304 163250-305

0CAM5 4504451

c) The Manufacturer, Part Number, and Alt Part Number for CLIN 0010 - Electronic Control Unit Assembly (ECUA) - Over & Above Surge Expedite Fee - All Years are hereby updated as follows:

Amendment/Modification FA8117-20-R-0027-0001

FROM:

Manufacturer Part Number Alt Part Number

0CAM5 4504451

TO:

Manufacturer Part Number Alt Part Number

0CAM5 163250-304 163250-305

0CAM5 4504451

d) The Manufacturer, Part Number, and Alt Part Number for CLIN 0011 - Electronic Control Unit Assembly (ECUA) - Data - All Years are hereby updated as follows:

FROM:

Manufacturer Part Number Alt Part Number

0CAM5 4504451

TO:

Manufacturer Part Number Alt Part Number

0CAM5 163250-304 163250-305

0CAM5 4504451

e) The Manufacturer, Part Number, and Alt Part Number for CLIN 1006 - Electronic Control Unit Assembly (ECUA) - Option I are hereby updated as follows:

FROM:

Manufacturer Part Number Alt Part Number

0CAM5 163250-304 163250-305

55820 4504451

TO:

Manufacturer Part Number Alt Part Number

0CAM5 4504451

f) The Manufacturer, Part Number, and Alt Part Number for CLIN 2006 - Electronic Control Unit Assembly (ECUA) - Option II are hereby updated as follows:

FROM:

Manufacturer Part Number Alt Part Number

0CAM5 163250-304 163250-305

55820 4504451

TO:

Manufacturer Part Number Alt Part Number

0CAM5 4504451

g) The Manufacturer, Part Number, and Alt Part Number for CLIN 3006 - Electronic Control Unit Assembly (ECUA) - Option III are hereby updated as follows:

Amendment/Modification FA8117-20-R-0027-0001

FROM:

Manufacturer Part Number Alt Part Number

0CAM5 163250-304 163250-305

55820 4504451

TO:

Manufacturer Part Number Alt Part Number

0CAM5 4504451

h) The Manufacturer, Part Number, and Alt Part Number for CLIN 4006 - Electronic Control Unit Assembly (ECUA) - Option IV are hereby updated as follows:

FROM:

Manufacturer Part Number Alt Part Number

0CAM5 163250-304 163250-305

55820 4504451

TO:

Manufacturer Part Number Alt Part Number

0CAM5 4504451

FIFTH: Except as provided herein, all other terms and conditions of the subject solicitation, as heretofore changed, remain unchanged and are in full force and effect.

SUPPLIES OR SERVICES AND PRICES/COSTS

Electronic Control Unit Assembly (ECUA) - Repair

Basic Year Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

10 EA

CLIN ACRN ACRN Total

0006 AA

NSN: 2995-01-512-4702 JY

CONTROL UNIT,SUPERV

Manufacturer Part Number

0CAM5 4504451

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

Trade Agreement Act

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Type / Ship To PACRN Mark For B SW3211 Account 9 Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

B SW3211 7 EA *30 Calendar Days

Proposed Delivery

B SW3211 7 EA

Deliver unit(s) 7 EA every 30 days ARO or assets until complete. Early delivery is acceptable.

Electronic Control Unit Assembly (ECUA) - Over & Above

All Years Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

Electronic Control Unit Assembly (ECUA) - Over & Above

All Years

1 LO

CLIN ACRN ACRN Total

0009 AA

NSN: 2995-01-512-4702 JY

Manufacturer Part Number Alt Part Number

0CAM5 163250-304 163250-305

0CAM5 4504451

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

Trade Agreement Act

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Type / Ship To PACRN Mark For B SW3211 Account 9 Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

B SW3211 1 LO TBD

Proposed Delivery

B SW3211 1 LO

NOTE: Each contractor request for authorization to perform Over and Above (O&A) work shall be negotiated in accordance with the following and must be approved by the Government prior to performance.

OVER AND ABOVE WORK

Description: The O&A items set forth below are not included in the scope and prices of the basic work items detailed under the Attachments, outlined in Section J. In accordance with DFARS 252.217-7028, Over and Above Work, any work/performance required by this CLIN shall be accomplished only when directed and authorized by the Procuring Contracting Officer (PCO). In conjunction with the necessary Defense Contract Management Agency (DCMA) concurrence.

1) Fixed Price Items- to be negotiated as necessary

PROPOSED CONTRACTOR FIXED PRICING

Period Covered by Pricing Rate Per Hour, Man Hours (MH) Basic TBN Option I TBN Option II TBN Option III TBN Option IV TBN

2) Fixed Hourly Rate Items - to accomplish work set forth under this CLIN, the above fixed hourly rate per hour shall be used in negotiating the price.

Quality Audits Shall be processed in accordance with Appendix A to accomplish the performance of Quality Audits. The contractor shall not be paid for performance of Quality Audits that are determined unacceptable.

Teardown Deficiency Reports (TDRs) To accomplish work required by TDRs

Item Beyond Economical Repair Shall be processed in accordance with Section H "End Items Beyond Economical Repair

New and/or Revised Technical Order Requirement To comply with new and/or revised technical order requirements not listed in the work specifications and procedures under Section J Attachments

3) ACO Negotiated Items Disposal Costs To cover disposal costs including but not limited to, associated packing and handling incident to removal and return of residual property.

Exterior Shipping Containers To cover repair, modification, and/or replacement of exterior shipping containers if reusable containers are not furnished by the Government

Deliver unit(s) TBD. Early delivery is acceptable.

Electronic Control Unit Assembly (ECUA) - Over & Above Surge Expedite Fee

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

1 LO

CLIN ACRN ACRN Total

0010 AA

NSN: 2995-01-512-4702 JY

Manufacturer Part Number Alt Part Number

0CAM5 163250-304 163250-305

0CAM5 4504451

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

Trade Agreement Act

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Type / Ship To PACRN Mark For B SW3211 Account 9 Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

Electronic Control Unit Assembly (ECUA) - Over & Above Surge Expedite Fee

All Years

B SW3211 1 LO TBD

Proposed Delivery

B SW3211 1 LO

Electronic Control Unit Assembly (ECUA) - Data

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

1 LO

CLIN ACRN ACRN Total

0011 AA

NSN: 2995-01-512-4702 JY

Manufacturer Part Number Alt Part Number

0CAM5 163250-304 163250-305

0CAM5 4504451

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

Trade Agreement Act

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Type / Ship To PACRN Mark For B SW3211 Account 9 Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

B SW3211 1 LO TBD

Proposed Delivery

B SW3211 1 LO

DATA AND REPORTS

Provide data reporting in accordance with DD Form 1423-1 [CDRLS, Contract Data Requirements List] and DD Form 1664

[DIDs, Data Item Descriptions] as detailed below:

CLIN 0006 - BASIC

DID# CDRL Unit Pricing Per Report

TOTAL PRICE

DI-MGMT-81838 A001 Commercial Asset Visibility (CAV) Reporting NSP NSP

DI-PSSS-81995 A002 Contract Depot Maintenance (CDM) Production Report NSP NSP

DI-MGMT-80441C A003 Government Property Inventory Report NSP NSP

DI-TMSS-80229D A004 Technical Order Improvement Report and Reply NSP NSP

DI-PSSS-81534A A005 Teardown Deficiency Report NSP NSP

DI-MISC-81832 A006 Counterfeit Prevention Plan NSP NSP

DI-MGMT-80969 A007 Production Surge Plan NSP NSP

DI-SESS-80639E A008 Engineering Change Proposal (ECP) NSP NSP

DI-QCIC-80736 A009 Quality Deficiency Report NSP NSP DI-PSSS-81656B A010 Bill of Materials (BOM) for Logistics and Supply Chain

Risk Management

NSP NSP

*The award of any or all reports shall be at the sole discretion of the Government. The number of reports anticipated may or may not be ordered by the ACOC. The Government reserves the right to delete from the bid price each line item of data and/or reports that the Government does not desire prior to and after final award.*

Electronic Control Unit Assembly (ECUA) - Repair

Option Year I Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

10 EA

CLIN ACRN ACRN Total

1006 AA

NSN: 2995-01-512-4702 JY

CONTROL UNIT,SUPERV

Manufacturer Part Number

0CAM5 4504451

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

Trade Agreement Act

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Type / Ship To PACRN Mark For B SW3211 Account 9 Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

Electronic Control Unit Assembly (ECUA) - Repair

Option Year I B SW3211 7 EA *30 Calendar Days

Proposed Delivery

Option Year II Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

10 EA

CLIN ACRN ACRN Total

2006 AA

NSN: 2995-01-512-4702 JY

CONTROL UNIT,SUPERV

Manufacturer Part Number

0CAM5 4504451

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

Trade Agreement Act

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Type / Ship To PACRN Mark For B SW3211 Account 9 Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

B SW3211 7 EA *30 Calendar Days

Proposed Delivery

Electronic Control Unit Assembly (ECUA) - Repair

Option Year III Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

10 EA

CLIN ACRN ACRN Total

3006 AA

NSN: 2995-01-512-4702 JY

CONTROL UNIT,SUPERV

Manufacturer Part Number

0CAM5 4504451

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

Trade Agreement Act

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Type / Ship To PACRN Mark For B SW3211 Account 9 Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

B SW3211 7 EA *30 Calendar Days

Proposed Delivery

Option Year IV Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

10 EA

CLIN ACRN ACRN Total

4006 AA

Electronic Control Unit Assembly (ECUA) - Repair

Option Year IV

NSN: 2995-01-512-4702 JY

CONTROL UNIT,SUPERV

Manufacturer Part Number

0CAM5 4504451

55820 4504451 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

Trade Agreement Act

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Type / Ship To PACRN Mark For B SW3211 Account 9 Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

B SW3211 7 EA *30 Calendar Days

Proposed Delivery

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: B SW3211

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC

BLDG 506 DR 22

TINKER AFB OK 73145-8000

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

AWARD NUMBER:

ADDENDUM TO CLAUSE 52.212-4

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2020)

(IAW 4.2105(b))

ADDENDUM TO PROVISION 52.212-1

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2020)

(IAW 4.2105(a))

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it “does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument” in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Items.

(a) Definitions. As used in this provision-

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition. (1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services.”

(d) Representations. The Offeror represents that—

(1) It [ ] will, [ ] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds “will” in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that—

It [ ] does, [ ] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds “does” in paragraph (d)(2) of this section.

(e) Disclosures. (1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded “will” in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded “does” in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of provision)

52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES -

REPRESENTATION (DEC 2019)

(IAW FAR 4.2105(c))

(a) Definitions. As used in this provision, “covered telecommunications equipment or services” has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services”.

(c) Representation. The Offeror represents that it [ ] does, [ ] does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

(End of provision)