Amendment_02_-_FA8201-16-B-0002_-_Bldg_850_-_9_June_2016.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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.

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

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this amendment 02 for Bldg. 850 Clean Rooms is to clarify the CLINs, include CLIN 04, include the answ ers to the contractor questions (along w ith updated set of draw ings, specif ications), updated w age determination and attachments in accordance w ith Section J.

In addition some clauses w ere removed from section I, and re-inserted in section K.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 16

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

16C. DATE SIGNED

BY 09-Jun-2016

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X FA8201-16-B-0002

X 9B. DATED (SEE ITEM 11)

26-Apr-2016

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer 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 ITEM 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 THE 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 copies to the issuing office.

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

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

09-Jun-2016

CODE

OL:H/PZIOC

BRIAN MATTONEN 6038 ASPEN AVE B1289NE

HILL AFB UT 84056-5805

FA8201 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA8201-16-B-0002

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B - SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from:

REPAIR- Remodel approximately 29,000 square feet of the southern portion of Bay G to support the cable and flight Controls workloads. To include approximatley 3,000 square feet of 100K cleanroom and 4,000 square feet of 300K cleanroom. The project also includes mechanical rooms, production space, and administrative space. This requirement includes prower upgrades, compressed air system, and a nitrogen system, in accordance with attachments in Section J.

To:

REPAIR- Remodel approximately 29,000 square feet of the southern portion of Bay G to support the cable and flight Controls workloads. To include approximatley 3,000 square feet of 100K cleanroom and 4,000 square feet of 300K cleanroom. The project also includes mechanical rooms, production space, and administrative space. This requirement includes prower upgrades, compressed air system, and a nitrogen system, in accordance with attachments in Section J. Repair is defined as anywork modifying the existing facility, existing utilities with the facility, and any improved areas outside the facility..

CLIN 0002

EQUIPMENT- Remodel approximately 29,000 square feet of the southern portion of Bay G to support the cable and flight Controls workloads. To include approximatley 3,000 square feet of 100K cleanroom and 4,000 square feet of 300K cleanroom. The project also includes mechanical rooms, production space, and administrative space. This requirement includes prower upgrades, compressed air system, and a nitrogen system in accordance with attachments in Section J.

To:

EQUIPMENT- Remodel approximately 29,000 square feet of the southern portion of Bay G to support the cable and flight Controls workloads. To include approximatley 3,000 square feet of 100K cleanroom and 4,000 square feet of 300K cleanroom. The project also includes mechanical rooms, production space, and administrative space. This requirement includes prower upgrades, compressed air system, and a nitrogen system in accordance with attachments in Section J. Equipment is defined as any work directly related to the installation and operation of the cleanroom (if the work would not be done if the cleanrooms were not installed, it should be classified as equipment)..

CLIN 0003

MINOR CONSTRUCTION- Remodel approximately 29,000 square feet of the southern portion of Bay G to support the cable and flight Controls workloads. To include approximatley 3,000 square feet of 100K cleanroom and 4,000 square feet of 300K cleanroom. The project also includes mechanical rooms, production space, and administrative space. This requirement includes prower upgrades, compressed air system, and a nitrogen system, in accordance with attachments in Section J.

To:

MINOR CONSTRUCTION- Remodel approximately 29,000 square feet of the southern portion of Bay G to support the cable and flight Controls workloads. To include approximatley 3,000 square feet of 100K cleanroom and 4,000 square feet of 300K cleanroom. The project also includes mechanical rooms, production space, and administrative space. This requirement includes prower upgrades, compressed air system, and a nitrogen system, in accordance with attachments in Section J. Minor Construction is defined as any work providing additions to the facility and not meeting the requirements of equipment or repair..

CLIN 0004 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0004 1 Lot Bldg. 850 CAR WASH EQUIPMENT

FFP

The total cost for all aspects of the car wash equipment. To include cost to relocate, construct canopy, run all electrical and nitrogen lines, and all other cost directly associated with the car wash.

FOB: Destination

PROJECT: KRSM 142043C

SIGNAL CODE: A

NET AMT

FSC CD: Y1EB

SECTION E - INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0004:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

SECTION F - DELIVERIES OR PERFORMANCE

The following Delivery Schedule item has been added to CLIN 0004:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

210 dys. ADC 1 75 CE

RUSSELL CARPENTER

5713 LAHM LANE BLDG 593 S

HILL AFB UT 84056-5410

801-586-3823 FOB: Destination

F2D0AA

SECTION I - CONTRACT CLAUSES

The following have been deleted:

52.203-2 Certificate Of Independent Price Determination APR 1985 52.204-3 Taxpayer Identification OCT 1998

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

ATTACHMENTS

AMENDMENT 02

Contractor Questions and Answers, 3 Jun 16, 12 pages Cleanroom HVAC Loads, 27 Jan 2015, 36 pages WAGE RATE REQUIREMENT UT160104 04/22/2016, 5 pages Drawings Hill AFB Bldg 850, bay G Cleanroom Note: All attachments 1- 72, 1 Page G-001 Title Sheet G-002 Index Sheet CU-100 Utility Overall Plan CU-101 Utility Plan C-101 Overall Site Plan C-102 Site Plan C-103 Site Details D-101 Demolition Plan A-101 Floor Plan A-102 Roof Plan A-201 Exterior Elevation A-301 Building/Wall Sections A-401 Enlarged Plans A-402 Interior Elevations A-601 Finish Floor Plan A-602 Schedules A-650 Equipment Plan A-701 Reflected Ceiling plan M-000 Mechanical Symbols M-001 Mechanical General Notes

M-002 Mechanical Com/Check M-101 Mechanical Plan M-102 Mechanical Roof Plan M-301 Mechanical Sections M-401 Enlarged Mechanical Plan M-501 Mechanical Details M-601 Mechanical Schedules M-602 Mechanical Schedules M-603 Mechanical Schedules M-701 Mechanical Schematics M-702 Mechanical Schematics M-703 Mechanical Schematics M-704 Mechanical Schematics M-705 Mechanical Schematics MPD-101 Mechanical Piping Demolition MP-101 Mechanical Piping Plan P-101 Plumbiing Plan P-102 Natural Gas Plan P-501 Plumbing Details P-601 Plumbing Schedules LG-101 Lab Gas Plan LG-102 Lab Gas Schematics HP-101 Hydraulic Power Pack System HP-102 Hydraulic Power Pack System HP-103 Hydraulic Power Pack System HP-104 Hydraulic Power Pack System HP-105 Hydraulic Power Pack System EE-001 Symbol Schedule EE-601 Panel Schedules EE-602 Panel Schedules EE-603 Panel Schedules ES-101 Electrical Site Plan ED-101 Demolition Plan EP-101 Power Plan EP-102 Roof Power Plan EP-401 Enlarged Power Plan EP-402 Enlarged Power Plan EP-501 Details EP-502 Details EP-503 Details EP-601 Demolition One Line Diagram EP-602 New One Line Diagram EP-603 Equipment Schedule EL-101 Lighting Plan EL-601 Lighting Fixture Schedule EY-101 Auxilary Plan EY-501 Auxilary Details EY-601 Auxilary Diagrams FA-101 Fire Alarm Plan FA-801 Fire Alarm Details FP-101 Fire Protection Plan FP-601 Fire Protection Details

Specifications Final Design Submittal, 1 June 2016, 1222 pages

AMENDMENT 01

CONTRACTOR SIGN-IN SHEETS, 11 MAY 16, 7 PAGES

**DESIGN ANALYSIS, 2 MAR 2015, 384 PAGES (see below)

SUBMITTAL REGISTER, NO DATE, 24 PAGES

BASE FACILITY DESIGN STANDARD, 17 FEB 2016, 85 PAGES

ARCHITECTURAL COMPATIBILTY STANDARD, APR 2013, 47 PAGES

WAGE RATE REQUIREMENT UT160104 UT104, 03/04/2016, 5 PAGES

LIMITED ASBESTOS INSPECTION REPORT, 24 FEB 2016, 3 PAGES

LEAD BASED PAINT (LBP) SURVEY, 24 MAR 2016, 2 PAGES

TAB K, 01 Aug 2011, 21 PAGES

APPENDEX C, 2 MAR 2015, 15 PAGES

SPECIFICATIONS

Hill AFB B850 Bay G Cleanroom **KRSM 142043/143043C FINAL DESIGN SUBMITTAL, 2 MAR 2015 (see break down below) Div. # Description Date #of pages

DIVISION 03 - CONCRETE

03 30 00 CAST-IN-PLACE CONCRETE, 5/14 25 pages 03 30 53 MISCELLANEOUS CAST-IN-PLACE CONCRETE, 05/14 11 pages

DIVISION 05 - METALS

05 12 00 STRUCTURAL STEEL, 11/11 9 pages 05 30 00 STEEL DECKS, 11/11 6 pages 05 50 13 MISCELLANEOUS METAL FABRICATIONS, 5/10 7 pages 05 50 15 CIVIL WORKS FABRICATIONS, 5/14 79 pages

DIVISION 07 - THERMAL AND MOISTURE PROTECTION

07 61 14.00 20 STEEL STANDING SEAM ROOFING, 5/11 15 pages 07 84 00 FIRESTOPPING, 5/10 6 pages 07 92 00 JOINT SEALANT, 01/07 8 pages

DIVISION 08 - OPENINGS

08 11 13 STEEL DOORS AND FRAMES, 02/10 7 pages 08 14 00 WOOD DOORS, 08/11 6 pages 08 51 23 STEEL WINDOWS, 08/11 7 pages 08 71 00 DOOR HARDWARE, 08/08 11 pages 08 81 00 GLAZING,08/11 7 pages

DIVISION 09 - FINISHES

09 22 00 SUPPORTS FOR PLASTER AND GYPSUM BOARD, 02/10 3 pages 09 29 00 GYPSUM BOARD, 05/11 8 pages 09 51 00 ACOUSTICAL CEILINGS, 8/10 8 pages 09 62 38 STATIC-CONTROL FLOORING, 11/12 7 pages 09 65 00 RESILIENT FLOORING, 08/10 6 pages 09 68 00 CARPETING,11/11 8 pages 09 90 00 PAINTS AND COATINGS 05/11 26 pages 09 96 00 HIGH-PERFORMANCE COATINGS,7/7 5 pages

DIVISION 10 - SPECIALTIES

10 10 00 VISUAL COMMUNICATIONS SPECIALTIES, 2/9 3 pages 10 14 00.20 INTERIOR SIGNAGE, 11/12 5 pages 10 26 13 WALL AND CORNER GUARDS,8/10 4 pages 10 44 16 FIRE EXTINGUISHERS,5/12 5 pages 10 51 13 METAL LOCKERS, 5/11 5 pages 10 56 13 STEEL SHELVING, 4/6 3 pages

DIVISION 12 - FURNISHINGS

12 36 00 COUNTERTOPS,5/9 7 pages 12 48 13 ENTRANCE FLOOR MATS AND FRAMES, 2/14 3 pages 12 50 00 FURNITURE SYSTEMS, 2/9 17 pages

DIVISION 21 - FIRE SUPPRESSION

21 13 13.00 10 WET PIPE SPRINKLER SYSTEM, FIRE PROTECTION, 5/9 17 pages

DIVISION 22 - PLUMBING

22 00 00 PLUMBING, GENERAL PURPOSE, 11/11 28 pages 22 05 48.00 20 MECHANICAL SOUND, VIBRATION, AND SEISMIC CONTROL,4/6 27 pages 22 07 19.00 40 PLUMBING PIPING INSULATION, 8/13 12 pages 22 15 14.00 40 GENERAL SERVICE COMPRESSED-AIR SYSTEMS, LOW PRESSURE,2/11 27p 22 60 70 GAS AND VACUUM SYSTEMS FOR HEALTHCARE FACILITIES, 5/9 18 pages

DIVISION 23 - HEATING, VENTILATING, AND AIR CONDITIONING

23 00 00 AIR SUPPLY, DISTRIBUTION, VENTILATION, AND EXHAUST SYSTEMS,8/10 41p 23 01 30.41 HVAC SYSTEM CLEANING, 8/10 10 pages 23 03 00.00 20 BASIC MECHANICAL MATERIALS AND METHODS, 8/10 5 pages 23 05 15 COMMON PIPING FOR HVAC, 2/14 32 pages

23 05 48.00 40 VIBRATION AND SEISMIC CONTROLS FOR HVAC PIPING AND

EQUIPMENT, 2/11 page 10 23 05 93 TESTING, ADJUSTING, AND BALANCING FOR HVAC, 8/9 13 pages 23 07 00 THERMAL INSULATION FOR MECHANICAL SYSTEMS,2/13 13 pages 23 08 00.00 10 COMMISSIONING OF HVAC SYSTEMS, 1/8 63 pages 23 08 01.00 20 TESTING INDUSTRIAL VENTILATION SYSTEMS,4/6 26 pages 23 09 23.13 20 BACnet DIRECT DIGITAL CONTROL SYSTEMS FOR HVAC,8/9 54p 23 11 25 FACILITY GAS PIPING,11/8 19p 23 23 00 REFRIGERANT PIPING, 10/7 22p 23 31 13.00 40 METAL DUCTS, 11/12 11p 23 34 23.00 40 HVAC POWER VENTILATORS, 5/4 7p 23 36 00.00 40 AIR TERMINAL UNITS, 2/11 11p 23 37 13.00 40 DIFFUSERS, REGISTERS, AND GRILLS, 5/10 7p 23 52 00 HEATING BOILERS, 4/8 43p 23 64 10 WATER CHILLERS, VAPOR COMPRESSION TYPE, 8/8 29p 23 73 13.00 40 MODULAR INDOOR CENTRAL-STATION AIR-HANDLING UNITS, 5/14 12p

23 74 33.00 40 PACKAGED, OUTDOOR, HEATING AND COOLING MAKEUP,

AIR-CONDITIONERS, 2/11 6p 23 81 00.00 20 UNITARY AIR CONDITIONING EQUIPMENT, 11/09 19p 23 82 00.00 20 TERMINAL HEATING AND COOLING UNITS, 11/08 5p 23 84 13 GAS FIRED HUMIDIFIER, 11/8 5p

DIVISION 26 - ELECTRICAL

26 00 00.00 20 BASIC ELECTRICAL MATERIALS AND METHODS,7/06 5p 26 05 13.00 40 MEDIUM-VOLTAGE CABLES, 8/10 6p 26 12 19.10 THREE-PHASE PAD-MOUNTED TRANSFORMERS, 11/8 14p 26 20 00 INTERIOR DISTRIBUTION SYSTEM, 8/8 32p 26 23 00 SWITCHBOARDS, 7/6 14p 26 28 01.00 10 COORDINATED POWER SYSTEM PROTECTION, 10/7 12p 26 29 23 VARIABLE FREQUENCY DRIVE SYSTEMS UNDER 600 VOLTS,4/6 10p

26 51 00 INTERIOR LIGHTING, 7/7 16p 26 56 00 EXTERIOR LIGHTING, 7/6 10p

DIVISION 27 - COMMUNICATIONS

27 05 28.36 40 CABLE TRAYS FOR COMMUNICATIONS SYSTEMS, 8/11 3p 27 10 00 BUILDING TELECOMMUNICATIONS CABLING SYSTEM, 1/8 15p 27 51 16 PUBLIC ADDRESS SYSTEMS, 4/6 7p

DIVISION 28 - ELECTRONIC SAFETY AND SECURITY

28 05 26.00 40 GROUNDING & BONDING FOR ELECTRONIC SAFETY AND SECURITY 8/10 7p 28 31 76 INTERIOR FIRE ALARM AND MASS NOTIFICATION SYSTEM,8/11 44p

DIVISION 31 - EARTHWORK

31 23 00.00 20 EXCAVATION AND FILL, 2/11 10p

DIVISION 33 - UTILITIES

33 11 23 NATURAL GAS AND LIQUID PETROLEUM PIPING, 11/9 11p 33 51 15 NATURAL-GAS / LIQUID PETROLEUM GAS DISTRIBUTION, 11/8 20p 33 70 02.00 10 ELECTRICAL DISTRIBUTION SYSTEM, UNDERGROUND, 11/8 29p 33 82 00 TELECOMMUNICATIONS OUTSIDE PLANT (OSP), 4/6 18p

DRAWINGS

Hill AFB B850 Bay G Cleanroom Note: All attachments 1- 73 are one page, dated 03/02/15 Title Sheet# Sheet Title G-001 Title Sheet G-002 Renovate Southern Bay G Sheet Index CU-100 Utility Overall Plan CU-101 Utility Plan CU-501 Civil Detals C-101 Overall Site Plan C-102 Site Plan C-103 Site Details D-101 Demolition Plan A-101 Floor Plan A-102 Floor Plan A-201 Exterior Evaluation A-301 Building/Wall Sections A-401 Enlarged Plans A-402 Interior Evaluations A-601 Finish Floor Plan A-602 Schedules A-650 Equipment Plan A-701 Reflected Ceiling Plan M-000 Mechanical Symbols M-001 Mechanical General Notes M-002 Mechanical Comcheck M-101 Mechanical Plan M-102 Mechanical Roof Plan M-301 Mechanical Sections M-401 Enlarged Mechanical Plans M-501 Mechanical Details M-601 Mechanical Schedules M-602 Mechanical Schedules M-603 Mechanical Schedules M-701 Mechanical Schematics

M-702 Mechanical Schematics M-703 Mechanical Schematics M-704 Mechanical Schematics M-705 Mechanical Schematics MPD-101 Mechanical Piping MP-101 Mechanical Piping Plan P-101 Plumbing Plan P-102 Natural Gas Plan P-501 Plumbing Details P-601 Plumbing Schedules LG-101 Lab Gas Plan LG-102 Lab Gas Schematics HP-101 Hydraulic Power Pack Pipe/Isometric Supply Lines HP-102 Hydraulic Power Pack Pipe Isometric-Return Lines HP-103 Hydraulic Power Pack System P&D Legend and Symbols HP-104 Hydraulic Power Pack System P&D HP-105 Hydraulic Power Pack System Standard Pipe Hanger Support EE-001 Symbol Schedule Index Sheet EE-601 Panel Schedules EE-602 Panel Schedules EE-603 Panel Schedules ES-101 Electrical Site Plan ED-101 Demolition Plan EP-101 Power Plan EP-102 Roof Power Plan EP-401 Enlarged Power Plan EP-402 Enlarged Power Plan EP-601 Details EP-502 Details EP-503 Details EP-601 Demolition one line diagram EP-602 New one line diagram EP-603 Equipment Schedule EL-101 Lighting Plan EL-601 Lighting Fixture Schedule EY-101 Auxiliary Plan EY-501 Auxiliary Plan EY-601 Auxiliary Diagrams FA-101 Pipe Alarm Plan FA-601 Pipe Alarm Details FP-101 Fire Protection Plan FP-601 Fire Protection Details

SECTION K - REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS OF OFFERORS

The following have been added by full text:

52.203-2 CERTIFICATE OF INDEPENDENT PRICE DETERMINATION (APR 1985)

(a) The offeror certifies that --

(1) The prices in this offer have been arrived at independently, without, for the purpose of restricting competition, any consultation, communication, or agreement with any other offeror or competitor relating to –

(i) Those prices,

(ii) The intention to submit an offer, or

(iii) The methods of factors used to calculate the prices offered:

(2) The prices in this offer have not been and will not be knowingly disclosed by the offeror, directly or indirectly, to any other offeror or competitor before bid opening (in the case of a sealed bid solicitation) or contract award (in the case of a negotiated solicitation) unless otherwise required by law; and

(3) No attempt has been made or will be made by the offeror to induce any other concern to submit or not to submit an offer for the purpose of restricting competition.

(b) Each signature on the offer is considered to be a certification by the signatory that the signatory --

(1) Is the person in the offeror's organization responsible for determining the prices offered in this bid or proposal, and that the signatory has not participated and will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) of this provision; or

(2) (i) Has been authorized, in writing, to act as agent for the following principals in certifying that those principals have not participated, and will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) of this provison ______________________________________________________ (insert full name of person(s) in the offeror's organization responsible for determining the prices offered in this bid or proposal, and the title of his or her position in the offeror's organization);

(ii) As an authorized agent, does certify that the principals named in subdivision (b)(2)(i) above have not participated, and will not participate, in any action contrary to subparagraphs (a)(1) through (a)(3) above; and

(iii) As an agent, has not personally participated, and will not participate, in any action contrary to subparagraphs (a)(1) through (a)(3) of this provision.

(c) If the offeror deletes or modifies subparagraph (a)(2) of this provision, the offeror must furnish with its offer a signed statement setting forth in detail the circumstances of the disclosure.

(End of Provision)

52.204-3 TAXPAYER IDENTIFICATION (OCT 1998)

(a) Definitions.

Common parent, as used in this provision, means that corporate entity that owns or controls an affiliated group of corporations that files its Federal income tax returns on a consolidated basis, and of which the offeror is a member.

Taxpayer Identification Number (TIN), as used in this provision, means the number required by the Internal Revenue Service (IRS) to be used by the offeror in reporting income tax and other returns. The TIN may be either a Social Security Number or an Employer Identification Number.

(b) All offerors must submit the information required in paragraphs (d) through (f) of this provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by the IRS. If the resulting contract is subject to the payment reporting requirements described in Federal Acquisition Regulation (FAR) 4.904, the failure or refusal by the offeror to furnish the information may result in a 31 percent reduction of payments otherwise due under the contract.

(c) The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the resulting contract is subject to the payment reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror's TIN.

(d) Taxpayer Identification Number (TIN).

___ TIN:.--------------------------------------------------------

___ TIN has been applied for.

___ TIN is not required because:

___ Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States;

___ Offeror is an agency or instrumentality of a foreign government;

___ Offeror is an agency or instrumentality of the Federal Government.

(e) Type of organization.

___ Sole proprietorship;

___ Partnership;

___ Corporate entity (not tax-exempt);

___ Corporate entity (tax-exempt);

___ Government entity (Federal, State, or local);

___ Foreign government;

___ International organization per 26 CFR 1.6049-4;

___ Other--------------------------------------------------------

(f) Common parent.

___ Offeror is not owned or controlled by a common parent as defined in paragraph (a) of this provision.

___ Name and TIN of common parent:

Name-------------------------------------------------------------------

TIN--------------------------------------------------------------------

(End of provision)

52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (OCT 2015)

(a)(1) The Offeror certifies, to the best of its knowledge and belief, that-

(i) The Offeror and/or any of its Principals-

(A) Are ( ) are not ( ) presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;

(B) Have ( ) have not ( ), within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) contract or subcontract; violation of Federal or State antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property (if offeror checks “have”, the offeror shall also see 52.209-7, if included in this solicitation); and

(C) Are ( ) are not ( ) presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision.;

and

(D) Have , have not , within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds $3,500 for which the liability remains unsatisfied.

(1) Federal taxes are considered delinquent if both of the following criteria apply:

(i) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.

(ii) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.

(2) Examples. (i) The taxpayer has received a statutory notice of deficiency, under I.R.C. Sec. 6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.

(ii) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. Sec. 6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. In the course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.

(iii) The taxpayer has entered into an installment agreement pursuant to I.R.C. Sec. 6159. The taxpayer is making timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the taxpayer is not currently required to make full payment.

(iv) The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. 362 (the Bankruptcy Code).

(ii) The Offeror has ( ) has not ( ), within a three-year period preceding this offer, had one or more contracts terminated for default by any Federal agency.

(2) Principal, for the purposes of this certification, means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager;

head of a division or business segment; and similar positions).

(b) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

(c) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible.

(d) Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a) of this provision. The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

(e) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If it is later determined that the Offeror knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default.

52.219-1 SMALL BUSINESS PROGRAM REPRESENTATIONS (OCT 2014)

(a) Definitions. As used in this provision--

Economically disadvantaged women-owned small business (EDWOSB) concern means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business concern eligible under the WOSB Program.

Service-disabled veteran-owned small business concern--

(1) Means a small business concern--

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

Small business concern means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and the size standard in paragraph (b) of this provision.

Small disadvantaged business concern, consistent with 13 CFR 124.1002, means a small business concern under the size standard applicable to the acquisition, that--

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by--

(i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States, and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13 CFR 124.106) by individuals who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

Veteran-owned small business concern means a small business concern--

(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

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

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

(2) Whose management and daily business operations are controlled by one or more women.

Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127), means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States.

(b)(1) The North American Industry Classification System (NAICS) code for this acquisition is 236220.

(2) The small business size standard is $36,5000,000.00.

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(c) Representations. (1) The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a small business concern. (2) [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [ ___ ] is, [ ___ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

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

(4) Women-owned small business (WOSB) concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(3) of this provision.] The offeror represents as part of its offer that--

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

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(4)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ___ --.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(5) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the offeror represented itself as a women-owned small business concern eligible under the WOSB Program in (c)(4) of this provision.] The offeror represents as part of its offer 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 (c)(5)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ___ --.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

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

(7) [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(6) of this provision.] The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a service-disabled veteran-owned small business concern.

(8) [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that--

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

(ii) It [ ___ ] is, [ ___ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR Part 126, and the representation in paragraph (c)(8)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: ___ --.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

(d) Notice.

(1) If this solicitation is for supplies and has been set aside, in whole or in part, for small business concerns, then the clause in this solicitation providing notice of the set-aside contains restrictions on the source of the end items to be furnished.

(2) Under 15 U.S.C. 645(d), any person who misrepresents a firm's status as a business concern that is small, HUBZone small, small disadvantaged, service-disabled veteran-owned small, economically disadvantaged women-owned small, or women-owned small eligible under the WOSB Program in order to obtain a contract to be awarded under the preference programs established pursuant to section 8, 9, 15, 31, and 36 of the Small Business Act or any other provision of Federal law that specifically references section 8(d) for a definition of program eligibility, shall—

(i) Be punished by imposition of fine, imprisonment, or both;

(ii) Be subject to administrative remedies, including suspension and debarment; and

(iii) Be ineligible for participation in programs conducted under the authority of the Act.

(End of Summary of Changes)