FA811821R0039 COMPLETE SOLICITATION.pdf

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1447 (REV. 8/2016)

PREVIOUS EDITION NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.214(d)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

24. TOTAL AWARD AMOUNT (For Government Use Only)

TELEPHONE NUMBER

UNIQUE ENTITY

IDENTIFIER

CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

NO COLLECT CALLS

4. SOLICITATION NUMBER

FA8118-21-R-0039

6.SOLICITATION ISSUE DATE

8. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

HUBZONE SMALL

BUSINESS EDWOSB

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS NAICS: 336413

8(A) SIZE STANDARD: 1,250

DATE SIGNED

28. UNITED STATES OF AMERICA (Signature of Contracting Officer)

26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION NUMBER

SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR CHANGES WHICH

ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

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

SOLICITATION FOR F‐16 HYDRAULIC MOTOR PUMP, NSN: 1650‐01‐302‐3404

SEE LINE ITEM SCHEDULE

22.

AMOUNT

16. AUTHORITY FOR USING OTHER THAN 10 USC 2304 41 USC 253

FULL AND OPEN COMPETITION (c) (1 ) (c) ( )

DATE SIGNED

27. SIGNATURE OF OFFEROR/CONTRACTOR

20.

UNIT

21.

UNIT PRICE

19.

QUANTITY

13. CONTRACTOR OFFEROR CODE FACILITY CODE

11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN * ___ CALENDAR DAYS (60 CALENDAR DAYS UNLESS OFFEROR

INSERTS A DIFFERENT PERIOD) FROM THE DATE SET FORTH IN BLOCK 9 ABOVE, THE CONTRACTOR AGREES TO HOLD

ITS OFFERED PRICES FIRM FOR THE ITEMS SOLICITED HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO

THE TERMS AND CONDITIONS STATED HEREIN. *120

RATING

DO: A1

3. AWARD/EFFECTIVE DATE

FA8118

2. CONTRACT NUMBER

X

17.

ITEM NUMBER

12. ADMINISTERED BY CODE

Estimated

SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK: 14 EFT:T

SCD:B

NAME AND TITLE OF SIGNER (Type or Print) NAME OF CONTRACTING OFFICER

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAYMENT DISCOUNT

25. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SETFORTH OR OTHERWISE

IDENTIFIED ABOVE AND ON ANY CONTINUATION SHEETS SUBJECT

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

10. ITEMS TO BE PURCHASED (Brief Description)

SUPPLIES SERVICES Other Aircraft Part and Auxiliary Equipment Manufacturing7

9. (Agency Use)

LATE OFFERS ARE SUBJECT TO LATE PROPOSAL PROVISIONS INCORPORATED HEREIN. ALL OFFERS ARE SUBJECT TO SUCH PROVISIONS, REPRESENTATIONS, CERTIFICATIONS AND SPECIFICATIONS AS ARE ATTACHED OR INCORPORATED BY REFERENCE. SOLICITATION: OFFERS WILL BE RECEIVED AT THE ISSUING OFFICE

UNTIL

19‐JUL‐2021 3:00PM

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232‐7003.)

X

7. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, AFSC PZABB

3001 STAFF DR STE 1AC4 99A

TINKER AFB OK 73145‐3303

BUYER: Max Simpson/AFSC/PZABB maxwell.simpson@us.af.mil Phone: (405) 739‐ 5463

X

1. THIS CONTRACT IS A RATED ORDER UNDER DPAS

(15 CFR 700)SOLICITATION/CONTRACT

BIDDER/OFFEROR TO COMPLETE BLOCKS 11, 13, 15, 21, 22, & 27.

J

STANDARD FORM 1447 (REV. 8/2016) BACK

NO RESPONSE FOR REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include Zip Code)

WE DO NOT DESIRE TO BE RETAINED ON THE MAILING LIST FOR FUTURE PROCUREMENT OF THE TYPE OF

ITEMS INVOLVED

WE DO

OTHER (Specify)

UNABLE TO IDENTIFY THE ITEM(S)

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

DO NOT REGULARILY MANUFACTURE OR SELL THE TYPE OF ITEMS

INVOLVED

DATE AND LOCAL TIME 19 JUL 2021 3:00 PM

SOLICITATION NUMBER FA811821R0039

FROM: AFFIX

STAMP

HERE

TO:

ATTN:Max Simpson/AFSC/PZABB

DEPARTMENT OF THE AIR FORCE, AFSC PZABB

3001 STAFF DR STE 1AC4 99A

TINKER AFB OK 73145‐3303

FA8118‐21‐R‐0039

PART I ‐ THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

B.1. REMANUFACTURE

THIS SOLICITATION IS ISSUED Remanufacture of the F‐16 HYDRAULIC MOTOR PUMP, NSN: 1650‐01‐302‐3404.

(a) The contractor shall provide all labor, facilities, equipment and all material to accomplish the overhaul to return the end item to a serviceable condition in accordance with the solicitation requirements and all attachments. in Section J hereof.

(b) IAW the STATEMENT OF WORK (SOW); Item 2.2.1: Basic repair requirements. The end item shall be functionally tested to determine the failure mode causing the unserviceable condition, disassembled to the point necessary to correct the deficiency, cleaned, components inspected, assembled, and tested according to the applicable technical documents. Performance objectives, are specified in SECTION 5. (TABLE 5‐1, OF SOW). The pricing for these items shall be included in the repair cost.

(c) A Pre‐Award Survey and IPE may be required for each CLIN. Details are provided STATEMENT OF WORK (SOW).

The Pre‐Award Survey and/or IPE may be waived at the Government’s discretion.

(d) Prequalification of sources is essential to maintain high quality and maximum operational safety. The requirements of FAR 9.202(a) apply. Sources must be qualified prior to being considered for award. Interested vendors that have not been previous approved for this acquisition must submit a Source Approval Request (SAR) package to the Source Development, Small Business Office @ 405‐739‐7243, or via email:

afsc.sb.workflow@us.af.mil . As prescribed in FAR 9.202(e). The contracting officer need not delay a proposed award in order to provide a potential offeror with any opportunity to demonstrate its ability to meet the standards specified for qualification.

(e) In order to receive any technical data related to this acquisition, offerors must be registered with WWW.SAM.GOV. Additionally, requests are to be submitted directly to PCO, for Technical Orders (TOs). The request shall include the applicable solicitation number, the specific data needed (including TO numbers), and a copy of the current, approved DD Form 2345. The form, including instructions for completing the form, is available at:

http://www.dtic.mil/whs/directives/infomgt/forms/forminfo/forminfopage2220.html.

The Government is not responsible for misdirected or untimely requests.

(f) Some units of items listed in Section B may, upon disassembly and/or inspection, be determined to be beyond the remanufacture limits specified in the work Specification and/or Technical Orders. Any cost for work performed by the Contractor, prior to determination that such equipment is beyond these limits, shall be included in the unit price(s) of the listed item(s). Condemned units shall not be counted as production.

(g) Offerors must clearly identify all proposed deviations from the solicitation requirements and/or exceptions to the terms and conditions. Offerors must also provide complete rationale for all proposed deviations and/or exceptions. See section L, INSTRUCTIONS, CONDITIONS, AND NOTICES TO RESPONDENTS FOR PROPOSAL

PREPARATION USING PRICE‐ONLY PROCEDURES.

(h) If you believe that any of the Government's required deliveries are unreasonable or not obtainable, provide a schedule your firm considers to be a reasonable, obtainable delivery schedule and include, as an attachment to your response, delivery is to be IAW the solicitation. Note: Failure to meet or exceed theGovernment's required delivery and/or include the information requested in the solicitation may result in the proposal not being considered for award.

(i) Dates listed in clause 252.216‐7006 are based on the estimated effective contract date of 24 SEPTEMBER 2021. These dates will be revised, if necessary, prior to award based on the actual award date. The fill‐in data in Clause 252.217‐7001 will be (BLANK) until a surge is specified; negotiations will be completed based on surge requirement and subsequent contractor proposal to support the surge.

(j) Item Unique Identification (IUID) marking is required in accordance with DFARS 252.211‐7003.

Contractor determined location and method of marking is acceptable.

(k) GOVERNMENT PROPERTY FURNISHED FOR REPAIR (FAR 16.503(c)) Failure of the Government to furnish such items in the amounts or quantities described in the Schedule as “estimated” or “maximum”will not entitle the contractor to any equitable adjustment in price under the Government Property clause of the contract.

(l) Submission of other than certified cost or pricing data. It is anticipated that pricing of this action, based on adequate price competition; therefore, offerors are not required to submit other than certified cost or pricing data. However, if after receipt of proposals it is determined that adequate price competition does not exist, other than certified cost or pricing data may be required.

(m) "Notice to Offeror(s)/Supplier(s): Funds are not presently available for this effort. No award will be made under this solicitation until funds are available. The Government reserves the right to cancel this solicitation, either before or after the closing date. In the event the Government cancels this solicitation, the Government has no obligation to reimburse an offeror for any costs."

B.02 ADDITIONAL INFORMATION

THIS SOLICITATION CONTEMPLATES AN AWARD OF A 5‐YEAR REQUIREMENTS TYPE

CONTRACT. PERIOD OF PERFORMANCE IS ONE BASIC YEAR AND FOUR ONE‐YEAR OPTION PERIODS.

REMANUFACTURE OF F‐16 HYDRAULIC PUMP ‐ NSN: 1650‐01‐302‐3404

REMANUFACTURE OF F‐16 HYDRAULIC PUMP ‐ NSN: 1650‐01‐302‐3404

BASIC YEAR

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

4 EA

NSN: 1650‐01‐302‐3404

MOTOR‐PUMP,HYDRAULI

Provide hydraulic fluid under pressure to LEFPDU Aluminum and Steel alloy.

Manufacturer Part Number 06848 4111016‐1

1SR57 2743460‐1

70210 2743460‐1 Associated Document(s) Line Item(s)

FD20302000745 01 0001

Priority: R

REMANUFACTURE OF F‐16 HYDRAULIC PUMP ‐ NSN: 1650‐01‐302‐3404

BASIC YEAR

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

Type / Ship To Quantity (U/I) 2ea every 30 days

ARO/reps Req No / Pri

Required Delivery

+ CNOTE EA 2ea every 30 days ARO/rep

Proposed Delivery

+ CNOTE EA

Contact PMS

OVER & ABOVE

Item No.

To Be Negotiated Quantity U/I Unit Price

1 LO TBN

DESCRIPTION

“Over and above work” means work discovered during the course of performing overhaul, maintenance, and repair efforts that is

(i) Within the general scope of the contract;

(ii) Not covered by the line item(s) for the basic work under the contract; and

(iii) Necessary in order to satisfactorily complete the contract.

“Over and above work” shall be performed IAW the Appendix A and DFARS clause 252.217‐7028. The Government shall be the sole authority to determine whether over and above work is appropriate. When over and above work is required a subCLIN shall be established on the order for authorization and funding. Delivery will be as negotiated between the Contractor and

ACO/PCO.

FIXED PRICED ITEMS

At any time during contract performance, when sufficient data becomes available on a repetitive task being performed, either the Contractor or the Contracting Officer (Administrative or Procuring) may request a negotiation to establish a firm‐fixed‐price for that item for the remaining life of the contract.

Fixed priced items shall be defined as they are negotiated.

Over and Above Priority: R

DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423‐1, ATTACHED AND MADE A PART HEREOF.

EXHIBIT: A

RELATED LINE ITEM 1001

ITEM NO. ITEM DESCRIPTION

Best Estimated

QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

A001 CAV AF End Item Reporting TBD LO NSP NSP

A002 Contract Depot Maintenance (CDM) Prod.Report TBD LO NSP NSP

A003 Government Property Inventory Report TBD LO NSP NSP

A004 Production Surge Plan TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. 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.

DELIVERY IS IN ACCORDANCE WITH DD FORM 1423‐1.

Data 5 Year Estimated Cost:Year 1‐ Not Separately PricedYear 2‐ Not Separately PricedYear 3‐ Not Separately PricedYear 4‐ Not Separately PricedYear 5‐ Not Separately Priced Priority: R

REMANUFACTURE OF F‐16 HYDRAULIC PUMP ‐ NSN: 1650‐01‐302‐3404

OPTION YEAR I

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

4 EA

CLIN ACRN ACRN Total

1001 AA

NSN: 1650‐01‐302‐3404

MOTOR‐PUMP,HYDRAULI

Provide hydraulic fluid under pressure to LEFPDU Aluminum and Steel alloy.

REMANUFACTURE OF F‐16 HYDRAULIC PUMP ‐ NSN: 1650‐01‐302‐3404

OPTION YEAR I

Inspection: Origin Acceptance: Origin 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.)

Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE AA

Type / Ship To Quantity (U/I) 2ea every 30 days

ARO/reps Req No / Pri

Required Delivery

+ CNOTE 2 EA 2ea every 30 days ARO/rep

Proposed Delivery

+ CNOTE 2 EA

For Shipping Instructions, Contact PMS

OVER & ABOVE

Item No.

To Be Negotiated Quantity U/I Unit Price

1 LO TBN

DESCRIPTION

“Over and above work” means work discovered during the course of performing overhaul, maintenance, and repair efforts that is

(i) Within the general scope of the contract;

(ii) Not covered by the line item(s) for the basic work under the contract; and

(iii) Necessary in order to satisfactorily complete the contract.

“Over and above work” shall be performed IAW the Appendix A and DFARS clause 252.217‐7028. The Government shall be the sole authority to determine whether over and above work is appropriate. When over and above work is required a subCLIN shall be established on the order for authorization and funding. Delivery will be as negotiated between the Contractor and

ACO/PCO.

FIXED PRICED ITEMS

At any time during contract performance, when sufficient data becomes available on a repetitive task being performed, either the Contractor or the Contracting Officer (Administrative or Procuring) may request a negotiation to establish a firm‐fixed‐price for that item for the remaining life of the contract.

Fixed priced items shall be defined as they are negotiated.

Over and Above Priority: R

DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423‐1, ATTACHED AND MADE A PART HEREOF.

EXHIBIT: A

RELATED LINE ITEM 1001

ITEM NO. ITEM DESCRIPTION

Best Estimated

QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

A001 CAV AF End Item Reporting TBD LO NSP NSP

A002 Contract Depot Maintenance (CDM) Prod.Report TBD LO NSP NSP

A003 Government Property Inventory Report TBD LO NSP NSP

A004 Production Surge Plan TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. 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.

DELIVERY IS IN ACCORDANCE WITH DD FORM 1423‐1.

Data 5 Year Estimated Cost:Year 1‐ Not Separately PricedYear 2‐ Not Separately PricedYear 3‐ Not Separately PricedYear 4‐ Not Separately PricedYear 5‐ Not Separately Priced Priority: R

REMANUFACTURE OF F‐16 HYDRAULIC PUMP ‐ NSN: 1650‐01‐302‐3404

OPTION YEAR II

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

4 EA

CLIN ACRN ACRN Total

2001 AA

NSN: 1650‐01‐302‐3404

MOTOR‐PUMP,HYDRAULI

Provide hydraulic fluid under pressure to LEFPDU

REMANUFACTURE OF F‐16 HYDRAULIC PUMP ‐ NSN: 1650‐01‐302‐3404

OPTION YEAR II

Priority: R

Inspection: Origin Acceptance: Origin 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.)

Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE AB

Type / Ship To Quantity (U/I) 2ea every 30 days

ARO/reps Req No / Pri

Required Delivery

+ CNOTE 2 EA 2ea every 30 days ARO/rep

Proposed Delivery

+ CNOTE 2 EA

For Shipping Instructions, Contact PMS

OVER & ABOVE

Item No.

To Be Negotiated Quantity U/I Unit Price

1 LO TBN

DESCRIPTION

“Over and above work” means work discovered during the course of performing overhaul, maintenance, and repair efforts that is

(i) Within the general scope of the contract;

(ii) Not covered by the line item(s) for the basic work under the contract; and

(iii) Necessary in order to satisfactorily complete the contract.

“Over and above work” shall be performed IAW the Appendix A and DFARS clause 252.217‐7028. The Government shall be the sole authority to determine whether over and above work is appropriate. When over and above work is required a subCLIN shall be established on the order for authorization and funding. Delivery will be as negotiated between the Contractor and

At any time during contract performance, when sufficient data becomes available on a repetitive task being performed, either the Contractor or the Contracting Officer (Administrative or Procuring) may request a negotiation to establish a firm‐fixed‐price for that item for the remaining life of the contract.

Fixed priced items shall be defined as they are negotiated.

Over and Above Priority: R

DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423‐1, ATTACHED AND MADE A PART HEREOF.

EXHIBIT: A

RELATED LINE ITEM 2001

ITEM NO. ITEM DESCRIPTION

Best Estimated

QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

A001 CAV AF End Item Reporting TBD LO NSP NSP

A002 Contract Depot Maintenance (CDM) Prod.Report TBD LO NSP NSP

A003 Government Property Inventory Report TBD LO NSP NSP

A004 Production Surge Plan TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. 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.

DELIVERY IS IN ACCORDANCE WITH DD FORM 1423‐1.

Data 5 Year Estimated Cost:Year 1‐ Not Separately PricedYear 2‐ Not Separately PricedYear 3‐ Not Separately PricedYear 4‐ Not Separately PricedYear 5‐ Not Separately Priced Priority: R

REMANUFACTURE OF F‐16 HYDRAULIC PUMP ‐ NSN: 1650‐01‐302‐3404

OPTION YEAR III

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

4 EA

CLIN ACRN ACRN Total

3001 AA

NSN: 1650‐01‐302‐3404

MOTOR‐PUMP,HYDRAULI

REMANUFACTURE OF F‐16 HYDRAULIC PUMP ‐ NSN: 1650‐01‐302‐3404

OPTION YEAR III

Priority: R

Inspection: Origin Acceptance: Origin 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.)

Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE AC

Type / Ship To Quantity (U/I) 2ea every 30 days

ARO/reps Req No / Pri

Required Delivery

+ CNOTE 2 EA 2ea every 30 days ARO/rep

Proposed Delivery

+ CNOTE 2 EA

For Shipping Instructions, Contact PMS

OVER & ABOVE

OPTION III

Item No.

To Be Negotiated Quantity U/I Unit Price

1 LO TBN

DESCRIPTION

“Over and above work” means work discovered during the course of performing overhaul, maintenance, and repair efforts that is

(i) Within the general scope of the contract;

(ii) Not covered by the line item(s) for the basic work under the contract; and

(iii) Necessary in order to satisfactorily complete the contract.

“Over and above work” shall be performed IAW the Appendix A and DFARS clause 252.217‐7028. The Government shall be the sole authority to determine whether over and above work is appropriate. When over and above work is required a subCLIN shall be established on the order for authorization and funding. Delivery will be as negotiated between the Contractor and

At any time during contract performance, when sufficient data becomes available on a repetitive task being performed, either the Contractor or the Contracting Officer (Administrative or Procuring) may request a negotiation to establish a firm‐fixed‐price for that item for the remaining life of the contract.

Fixed priced items shall be defined as they are negotiated.

Over and Above Priority: R

DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423‐1, ATTACHED AND MADE A PART HEREOF.

EXHIBIT: A

RELATED LINE ITEM 3001

ITEM NO. ITEM DESCRIPTION

Best Estimated

QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

A001 CAV AF End Item Reporting TBD LO NSP NSP

A002 Contract Depot Maintenance (CDM) Prod.Report TBD LO NSP NSP

A003 Government Property Inventory Report TBD LO NSP NSP

A004 Production Surge Plan TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. 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.

DELIVERY IS IN ACCORDANCE WITH DD FORM 1423‐1.

Data 5 Year Estimated Cost:Year 1‐ Not Separately PricedYear 2‐ Not Separately PricedYear 3‐ Not Separately PricedYear 4‐ Not Separately PricedYear 5‐ Not Separately Priced Priority: R

REMANUFACTURE OF F‐16 HYDRAULIC PUMP ‐ NSN: 1650‐01‐302‐3404

OPTION YEAR IV

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

4 EA

CLIN ACRN ACRN Total

4001 AA

NSN: 1650‐01‐302‐3404

MOTOR‐PUMP,HYDRAULI

REMANUFACTURE OF F‐16 HYDRAULIC PUMP ‐ NSN: 1650‐01‐302‐3404

OPTION YEAR IV

Priority: R

Inspection: Origin Acceptance: Origin 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.)

Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE AD

Type / Ship To Quantity (U/I) 2ea every 30 days

ARO/reps Req No / Pri

Required Delivery

+ CNOTE 2 EA 2ea every 30 days ARO/rep

Proposed Delivery

+ CNOTE 2 EA

For Shipping Instructions, Contact PMS

OVER & ABOVE

OPTION IV

Item No.

To Be Negotiated Quantity U/I Unit Price

1 LO TBN

DESCRIPTION

“Over and above work” means work discovered during the course of performing overhaul, maintenance, and repair efforts that is

(i) Within the general scope of the contract;

(ii) Not covered by the line item(s) for the basic work under the contract; and

(iii) Necessary in order to satisfactorily complete the contract.

“Over and above work” shall be performed IAW the Appendix A and DFARS clause 252.217‐7028. The Government shall be the sole authority to determine whether over and above work is appropriate. When over and above work is required a subCLIN shall be established on the order for authorization and funding. Delivery will be as negotiated between the Contractor and

At any time during contract performance, when sufficient data becomes available on a repetitive task being performed, either the Contractor or the Contracting Officer (Administrative or Procuring) may request a negotiation to establish a firm‐fixed‐price for that item for the remaining life of the contract.

Fixed priced items shall be defined as they are negotiated.

Over and Above Priority: R

DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423‐1, ATTACHED AND MADE A PART HEREOF.

EXHIBIT: A

RELATED LINE ITEM 4001

ITEM NO. ITEM DESCRIPTION

Best Estimated

QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

A001 CAV AF End Item Reporting TBD LO NSP NSP

A002 Contract Depot Maintenance (CDM) Prod.Report TBD LO NSP NSP

A003 Government Property Inventory Report TBD LO NSP NSP

A004 Production Surge Plan TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. 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.

DELIVERY IS IN ACCORDANCE WITH DD FORM 1423‐1.

Data 5 Year Estimated Cost:Year 1‐ Not Separately PricedYear 2‐ Not Separately PricedYear 3‐ Not Separately PricedYear 4‐ Not Separately PricedYear 5‐ Not Separately Priced

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + CNOTE

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

AWARD NUMBER:

IAW CDRLs

PART I ‐ THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

52.246‐2 INSPECTION OF SUPPLIES‐‐FIXED‐PRICE (AUG 1996)

(IAW FAR 46.302)

(Applicable for supplies, services furnishing of supplies, fixed‐price and exceeds the simplified acquisition threshold)

52.246-11 HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT (DEC 2014)

(IAW FAR 46.311, DFARS 246.202-4(1))

(a) The Contractor shall comply with the higher‐level quality standard(s) listed below. [If more than one standard is listed, the offeror shall indicate its selection by checking the appropriate block.]*

Title Number Date Tailoring

*See Individual Line Item Schedule

(Applicable only if specified in the individual order/call issued hereunder)

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

(Applicable to the furnishing of supplies, services involving the furnishing of supplies, or research and development, when a fixed‐price contract is contemplated and the contract amount is expected to exceed the simplified acquisition threshold)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503)

(Applicable to all orders issued hereunder)

Government Contract Quality Assurance Inspection and Acceptance will be at (Final):

[CONTRACTOR FILL‐IN]

Item No(s): See schedule for items with the following code(s) listed below :

Inspection Code and Address:

PART I ‐ THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

(IAW FAR 11.703(b))

(Applicable when fixed‐price supplies are furnished)

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1))

(Applicable for supplies, services, or research and development)

52.242-17 GOVERNMENT DELAY OF WORK (APR 1984)

(IAW FAR 42.1305(c))

(Applicable to fixed‐price for supplies other than commercial or modified‐commercial items)

52.247-29 F.O.B. ORIGIN (FEB 2006)

(IAW FAR 47.303-1(c))

(Applicable when specifying f.o.b. origin)

52.247-55 F.O.B. POINT FOR DELIVERY OF GOVERNMENT-FURNISHED PROPERTY

(JUN 2003)

(IAW FAR 47.305-12(a)(2))

(Applicable when Government property is furnished and Government will be responsible for transportation arrangements and cost)

52.247-65 F.O.B. ORIGIN, PREPAID FREIGHT--SMALL PACKAGE SHIPMENTS (JAN 1991)

(IAW FAR 47.303-17(f))

(Applicable when specifying f.o.b. origin)

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b))

Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address

[CONTRACTOR FILL‐IN]

(Applicable when delivery term is f.o.b. origin)

PART I ‐ THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(IAW DFARS 232.7004(b), PGI 232.7004(b)(1), DFARS 212.301(f)(liii))

(f)WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

(Contracting Officer: Insert applicable document type(s).

Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (stand‐alone) and “Receiving Report” (stand‐alone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

(Contracting Officer: Insert inspection and acceptance locations or “Not applicable.”)

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC

Issue By DoDAAC

Admin DoDAAC

Inspect By DoDAAC

Ship To Code

Ship From Code

Mark For Code

Service Approver (DoDAAC)

Service Acceptor (DoDAAC)

Accept at Other DoDAAC

LPO DoDAAC

DCAA Auditor DoDAAC

Other DoDAAC(s)

(*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back‐up documentation, as defined in DFARS Appendix F, (e.g.

timesheets) in support of each payment request.

(5)WAWF email notifications. The Contractor shall enter the e‐mail address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

(Contracting Officer: Insert applicable email addresses or “Not applicable.”)

(g)WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

(Contracting Officer: Insert applicable information or “Not applicable.”)

(2) For technical WAWF help, contact the WAWF helpdesk at 866‐618‐5988.

(Applicable in solicitations and contracts or task or delivery orders, including solicitations and contracts using FAR part 12 procedures for the acquisition of commercial items, when 252.232‐7003 is used and none of the exceptions at 232.7002(b)(1) apply. See PGI 232.7004 for instructions on completing the clause)

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA TO BE CITED ON EACH INDIVIDUAL ORDER $0.00

ACRN TOTAL $ 0.00

ACTIVITY ADDRESS CODE/ROUTING IDENTIFIER CODE (RIC) (MAR 2010)

(IAW AFI 24-230, DoD 4000.25-6M)

(a) The Contractor shall identify any existing Activity Address Code with the designated activity type (EB, ED, EJ, EP, EY or EZ) code, which applies to Contractor's approved F.O.B point when receiving, taking custody, issuing, or shipping DoD assets.

Include existing Routing Identifier Code (RIC), which may be required for accessing Government Data Systems.

(b) Offeror shall insert the existing Activity Address Code and RIC Code, or identify that the Contracting Officer will need to obtain an Activity Address Code and/or Routing Identifier Code (RIC) on contractor’s behalf.

Existing Activity Address Code __________________

Existing Routing Identifier Code (RIC) ________________

[ ] I currently do not possess an Activity Address Code for the designated activity type. Use the following address to obtain the Activity Address Code:

[ ] I currently do not possess a Routing Identifier Code (RIC) for the designated activity type.

PART II ‐ CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(JUN 2020)

(IAW FAR 3.808(b))

(Applicable over $150,000)

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY

AGREEMENTS OR STATEMENTS (JAN 2017)

(IAW FAR 3.909-3 (b))

(Applicable in all solicitations and resultant contracts other than personal services contracts with individuals)

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

(IAW DFARS 203.171-4(a), DFARS 212.301(f)(ii))

(Applicable to all solicitations and contracts)

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

(Applicable to all solicitations and contracts)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (JUN 2020)

(IAW FAR 4.1403(a))

(Applicable over $30,000, unless not required to be reported in FPDS)

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (OCT 2018)

(IAW FAR 4.1105(b))

(Applicable to solicitations that contain the provision at 52.204‐7, and resulting contracts)

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (AUG 2020)

(IAW FAR 4.1804(c), FAR 12.301(d))

(Applicable when there is a requirement to be registered in SAM or to have a DUNS Number)

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

(Applicable to all solicitations and contracts)

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(JUN 2016)

(IAW FAR 4.1903)

(Applicable to all solicitations and contracts, except COTs, when a contractor’s system may contain Federal contract information)

52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES

DEVELOPED OR PROVIDED BY KASPERSKY LAB AND OTHER COVERED

ENTITIES (JUL 2018)

(IAW FAR 4.2004)

(Applicable on all contracts and solicitations.)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2020)

(IAW 4.2105(b))

252.204-7000 DISCLOSURE OF INFORMATION (OCT 2016)

(IAW DFARS 204.404-70(a)) (Applicable when the contractor will have access to or generate unclassified information that may be sensitive and inappropriate for release to the public)

252.204-7002 PAYMENT FOR SUBLINE ITEMS NOT SEPARATELY PRICED (APR 2020)

(IAW DFARS 204.7109(a))

(Applicable to all not separately priced subline items)

252.204-7003 CONTROL OF GOVERNMENT PERSONNEL WORK PRODUCT (APR 1992)

(IAW DFARS 204.404-70(b))

(Applicable to all orders issued hereunder)

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (DEC 2019)

(IAW DFARS 204.7304(c))

(Applicable to all solicitations and contracts, including commercial except when solely for commercial‐off‐the‐shelf items)

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

(IAW DFARS 204.7403(b), DFARS 212.301(f)(i)(F))

(Applicable to solicitations and contracts that involve litigation support services when 252.204‐7014 is not included)

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES (JAN 2021)

(IAW DFARS 204.2105(c))

(Applicable to all soliciations.)

252.204-7020 NIST SP 800-171 DOD ASSESSMENT REQUIREMENTS (NOV 2020)

(IAW DFARS 204.7304(e))

(Applicable in all solicitations and contracts, task orders, or delivery orders, including those using FAR part 12 procedures for the acquisition of commercial items, except for those that are solely for the acquisition of COTS items)

52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN SUBCONTRACTING WITH

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(JUN 2020)

(IAW FAR 9.409)

(Applicable when exceeding $35,000)

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

(Applicable to all solicitations and contracts for the acquisition of products and services (including construction) unless waived

IAW FAR 9.108‐4)

252.209-7004 SUBCONTRACTING WITH FIRMS THAT ARE OWNED OR CONTROLLED BY THE

GOVERNMENT OF A COUNTRY THAT IS A STATE SPONSOR OF TERRORISM

(MAY 2019)

(IAW DFARS 209.409)

(Applicable to solicitations and contracts with a value of $150,000 or more)

52.211-5 MATERIAL REQUIREMENTS (AUG 2000)

(IAW FAR 11.304)

(Applicable to supplies that are not commercial items)

52.211-15 DEFENSE PRIORITY AND ALLOCATION REQUIREMENTS (APR 2008)

(IAW FAR 11.604(b))

This is a rated order certified for national defense, emergency preparedness, and energy program use, and the Contractor shall follow all the requirements of the Defense Priorities and Allocations System regulation (15 CFR 700).

(Applicable to all rated orders)

252.211-7003 ITEM UNIQUE IDENTIFICATION AND VALUATION (MAR 2016)

(IAW DFARS 211.274-6(a)(1), DFARS 212.301(f)(xii))

(a) Definitions. As used in this clause—

“DoD recognized unique identification equivalent” means a unique identification method that is in commercial use and has been recognized by DoD. All DoD recognized unique identification equivalents are listed at http://www.acq.osd.mil/dpap/pdi/uid/iuid/equivalents.html .

“Unique item identifier type” means a designator to indicate which method of uniquely identifying a part has been used. The current list of accepted unique item identifier types is maintained at http://www.acq.osd.mil/dpap/pdi/uid/uii_types.html .

(c) Unique item identifier.

(1) The Contractor shall provide a unique item identifier for the following:

(i) Delivered items for which the Government’s unit acquisition cost is $5,000 or more, except for the following line items:

Contract Line, Subline, or

Exhibit Line Item Number

Item Description

See Schedule as Applicable

(ii) Items for which the Government’s unit acquisition cost is less than $5,000 that are identified in the Schedule or the following table:

Contract Line, Subline, or

Exhibit Line Item Number

Item Description

*Items less than $5000, which require UID, will be specifically identified in the schedule.

See Schedule as Applicable

(iii) Subassemblies, components, and parts embedded within delivered items, items with warranty requirements, DoD serially managed reparables and DoD serially managed nonreparables as specified in Attachment Number _____( or See Schedule as Applicable).

(iv) Any item of special tooling or special test equipment as defined in FAR 2.101 that have been designated for preservation and storage for a Major Defense Acquisition Program as specified in Attachment Number _____( or See Schedule as Applicable).

(v) Any item not included in paragraphs (c)(1)(i), (ii), (iii), or (iv) of this clause for which the contractor creates and marks a unique item identifier for traceability.

(f) The Contractor shall submit the information required by paragraphs (d) and (e) of this clause as follows:

(1) End items shall be reported using the receiving report capability in Wide Area WorkFlow (WAWF) in accordance with the clause at 252.232‐7003. If WAWF is not required by this contract, and the contractor is not using WAWF, follow the procedures at http://dodprocurementtoolbox.com/site/uidregistry/ .

(2) Embedded items shall be reported by one of the following methods—

(i) Use of the embedded items capability in WAWF;

(ii) Direct data submission to the IUID Registry following the procedures and formats at http://dodprocurementtoolbox.com/site/uidregistry/; or

(iii) Via WAWF as a deliverable attachment for exhibit line item number ______, Unique Item Identifier Report for Embedded Items, Contract Data Requirements List, DD Form 1423.

(Applicable when delivery of one or more “items” as defined at 252.211‐7003(c) is required)

52.215-8 ORDER OF PRECEDENCE--UNIFORM CONTRACT FORMAT (OCT 1997)

(IAW FAR 15.209(h), AFFARS 53.15.209(h))

(Applicable when using uniform contract format that is not commercial or for construction)

52.216-18 ORDERING (AUG 2020)

(IAW FAR 16.506(a))

(a) Such orders may be issued from 02‐AUG‐2021 through 31‐AUG‐2026.

(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 quantity of , 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 ;

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

(3) A series of orders from the same ordering office within 15 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 7 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.

(Applicable to all orders issued hereunder)

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 31‐AUG‐2026

(Applicable to all orders issued hereunder)

52.217-2 CANCELLATION UNDER MULTIYEAR CONTRACTS (OCT 1997)

(IAW FAR 17.109(a))

(Applicable to all orders issued hereunder)

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 ; 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 5 YEARS .

(Applicable when the inclusion of an option is appropriate and it is necessary to include any or all of the following: 1. A requirement that the Government must give the contractor a preliminary written notice of its intent to extend the contract; 2.

A statement that an extension of the contract includes an extension of the option; 3. A specified limitation on the total duration of the contract.)

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (NOV 2020)

(IAW FAR 19.309(c))

(h) If the Contractor does not have representations and certifications in SAM, or does not have a representation in SAM 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:

(1) The Contractor represents that it [ ] is, [ ] is not a small business concern under NAICS Code ________ assigned to contract number _______________.

(2) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(3) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a women‐owned small business concern.

(4) Women‐owned small business (WOSB) concern eligible under the WOSB Program.

[Complete only if the Contractor represented itself as a women‐owned small business concern in paragraph (h)(3) of this clause.] The Contractor 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 is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(4)(i) of this clause is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture.

[The Contractor 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.

(5) Economically disadvantaged women‐owned small business (EDWOSB) concern.

[Complete only if the Contractor represented itself as a women‐owned small business concern eligible under the WOSB Program in (h)(4) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not an EDWOSB 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 (h)(5)(i) of this clause is accurate for each EDWOSB concern participating in the joint venture.

[The Contractor 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.

(6) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a veteran‐owned small business concern.

(7) [Complete only if the Contractor represented itself as a veteran‐owned small business concern in paragraph (h)(6) of this clause.] The Contractor represents that it [ ] is, [ ] is not a service‐disabled veteran‐owned small business concern.

(8) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [ ] is, [ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (h)(8)(i) of this clause is accurate for each HUBZone small business concern participating in the HUBZone joint venture.

[The Contractor shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: _________________________________________.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

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

(Applicable in solicitations and contracts exceeding the micro‐purchase threshold when the contract will be performed in the United States or its outlying areas)

52.222-19 CHILD LABOR COOPERATION WITH AUTHORITIES AND REMEDIES (DEVIATION

2020-O0019) (JUL 2020)

(IAW Deviation 2020-O0019 Revision 1)

(Applicable for supplies that exceed the micro‐purchase threshold)

52.222-21 PROHIBITION OF SEGREGATED FACILITIES (APR 2015)

(IAW FAR 22.810(a)(1))

(Applicable when exceeding $10,000, except those exempted by FAR 22.807 (b) which includes those for work to be performed outside the U.S. by employees who were not recruited within the U.S.)

52.222-26 EQUAL OPPORTUNITY (SEP 2016)

(IAW FAR 22.810(e))

(Applicable to all orders issued hereunder)

52.222-35 EQUAL OPPORTUNITY FOR VETERANS (JUN 2020)

(IAW FAR 22.1310(a)(1), DFARS 222.1310(a)(1))

(Applicable when the expected value is $150,000 or more except when work is performed outside the United States by employees recruited outside the United States or the Director, Office of Federal Contract Compliance Programs, has waived, in accordance with 22.1305(b), all of the terms of the clause)

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUN 2020)

(IAW FAR 22.1408(a))

(Applicable over $15,000 except when performance of work and recruitment of workers will occur outside the United States, Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, and Wake Island, or the agency head has waived, in accordance with 22.1403(a) or 22.1403(b) all the terms of the clause)

52.222-37 EMPLOYMENT REPORTS ON VETERANS (JUN 2020)

(IAW FAR 22.1310(b))

(Applicable when the expected value is $150,000 or more and workers were recruited within the United States)

52.222-50 COMBATING TRAFFICKING IN PERSONS (OCT 2020)

(IAW FAR 22.1705(a)(1))

(Applicable to all orders issued hereunder)

52.223-6 DRUG-FREE WORKPLACE (MAY 2001)

(IAW FAR 23.505)

(Applicable when the simplified acquisition threshold is exceeded except if performance is entirely outside the U.S. and its outlying areas)

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (JUN 2020)

(IAW FAR 23.1105)

(Applicable to all solicitations and contracts)

252.223-7008 PROHIBITION OF HEXAVALENT CHROMIUM (JUN 2013)

(IAW DFARS 223.7306, DFARS 212.301(f)(xxi))

(Applicable to solicitations and contracts for supplies, maintenance and repair services, or construction)

52.224-3 PRIVACY TRAINING (JAN 2017)

(IAW FAR 24.302(a))

(Applicable to all solicitations and contracts where contractor employees will have access to a system of records or personally identifiable information)

52.225-13 RESTRICTIONS ON CERTAIN FOREIGN PURCHASES (FEB 2021)

(IAW FAR 25.1103(a))

(Applicable to supplies or services involving the furnishing of supplies unless an exception applies)

252.225-7001 BUY AMERICAN AND BALANCE OF PAYMENTS PROGRAM--BASIC (DEC 2017)

(IAW DFARS 225.1101(2)(i) and (2)(ii))

(Applicable except when an exception to the Buy American statute or Balance of Payments Program is known to apply, or if using the clause at 252.225‐7021, Trade Agreements; or 252.225‐7036, Buy American…