FA820619Q1700.pdf

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (Rev. 6-95) Previous edition not usable Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

J

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDEX

1. REQUEST NO.

FA8206-19-Q-1700

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO.

FD20201901700

4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2 AND/OR

DMS REG.1

RATING

DO: A7

5a. ISSUED BY CODE: FA8206

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFSC PZAAA2

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE UT 84056-5825

BUYER: Gregory J. Steed/AFSC gregory.steed.1@us.af.mil Phone: (801) 777- 9245 Fax: (000) 000-0000

6. DELIVERY BY (Date)

SEE SCHEDULE

SCD:B

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME

Gregory J Steed

b. COMPANY

TELEPHONE NUMBER

AREA CODE

(801 )

NUMBER

777 -9245

8. TO

a. NAME

7. DELIVERY

FOB DESTINATION OTHER

(See Schedule) X

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE e. ZIP CODE

c. STREET ADDRESS

d. CITY e. STATE f. ZIP CODE

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5A ON OR

BEFORE CLOSE OF BUSINESS (Date)

26 SEP 2019

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5A. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

d. CITY e. STATE

c. COUNTY

c. TITLE (Type or print) NUMBER

b. STREET ADDRESS

a. NAME OF QUOTER

CAGE:

13. NAME AND ADDRESS OF QUOTER

NOTE: Additional provisions and representations are are not attached.X

14. SIGNATURE OF PERSON AUTHORIZED TO SIGN

QUOTATION

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print) b. TELEPHONE

AREA CODE

d. CALENDAR DAYS

NUMBER PERCENTAGE

c. 30 CALENDAR DAYS (%)b. 20 CALENDAR DAYS (%)a. 10 CALENDAR DAYS (%)12. DISCOUNT FOR PROMPT

PAYMENT

SEE SCHEDULE

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

NAICS CODE: 811219

SIZE STD: $22.00

Requirement restricted to qualified source(s). All non-qualified vendors that submit a proposal in support of this requirement must comply with qualification requirements found in clause 52.209-1, and the source qualification statement attached hereto, in order to be considered for award. Award will not be delayed to qualify new sources.

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (Rev. 6-95) Previous edition not usable Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

FOLD FOLD

SOLICITATION NO. FA820619Q1700

DUE: 26 -SEP -2019

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Gregory J Steed/AFSC

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFSC PZAAA2

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE UT 84056-5825

FA8206-19-Q-1700

SUPPLIES OR SERVICES AND PRICES/COSTS

First Article - Power Supply - Infomation CLIN only

Item No.

NSN: 6130-01-561-6085 AH

POWER SUPPLY

The ESS stores electrical energy received from the Motor Drive Cabinet (MDC) as kinetic energy in a carbon fiber flywheel. The ESS converts stored kinetic energy into electrical energy.

Primarily Steel. Core unit has a carbon fiber flywheel supported by magnetic bearings cooled by paratherm oil and sealed in a pressurized tank.

Manufacturer Part Number

088K1 BA23097

Priority: R Applicability: None ;

First Article - Teardown, Test, and Evaluation

Bid A - First Article - Teardown, Test, and Evaluation Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AA AA

FA

First Article

FIRST ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO Receipt of

Repairable _ Req No / Pri

Required Delivery

+ TBD 1 EA *30 Calendar Days

Proposed Delivery

+ TBD 1 EA

Upon completion of CLIN 0001AA, 0002AA, 0003AA, 0004AA, 1001AA, 1002AA, 1003AA, and 1004AA a detailed repair quote shall be forwarded to the PCO. Work shall not begin under CLIN 0001AB, 0002AB, 0003AB, 0004AB, 1001AB, 1002AB, 1003AB, and 1004AB until notice to proceed is provided from PCO.

ACO AUTHORITY AND RESPONSIBLITIES

1) Extend the delivery schedule as required.

2) Upon completion of review of cost information and negotiations, if required, the ACO shall issue definitization modification and approve all invoices for payment.

3) If required, Deobligate excess funds after confirming all required assets have generated and contractor's final invoices are approved.

4) Initiate order close out when actions required in paragraph 4) are completed.

In the case of a Beyond Economical Repair (BER) determination, DCMA QAR concurrence shall be forwarded to the Hill AFB Admin PCO, who shall supply disposition instructions.

First Article - Repair

Bid A - First Article - Repair Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AB AA

FA

First Article

FIRST ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO After

Completion of First Article -TT&E

_ Req No / Pri

Required Delivery

B FB2029 1 EA *180 Calendar Days

Proposed

B FB2029 1 EA

First Article Test Report

Bid A - First Article Required Item No.

0001AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

FATR

First Article Test Report

TEST REPORT IAW DD 1423-1 ATTACHED HERETO

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Applicability: None ;

Type / Ship To Quantity (U/I) *ARO After Completion of First Article - TT&E

_ Req No / Pri

Required Delivery

B FB2029 1 LO *180 Calendar Days

Proposed Delivery

B FB2029 1 LO

First Article - Control, Motor Gener - Informational CLIN only

Item No.

NSN: 6110-01-543-2621 AH

CONTROL,MOTOR-GENER

The Motor Drive Assy functions to power and control movement of the Electro-Mechanical Actuator (EMA) See Dwg P/N BA22930 Manufacturer Part Number

088K1 BA22930

0KXP0 178F4150

Priority: R Applicability: None ;

First Article - Teardown, Test, and Evaluation

Bid A - First Article - Teardown, Test, and Evaluation Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0002AA AA

FA

First Article

FIRST ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO Receipt of

Repairable _ Req No / Pri

Required Delivery

+ TBD 1 EA *30 Calendar Days

Proposed Delivery

+ TBD 1 EA

First Article - Repair

Bid A - First Article - Repair Item No.

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0002AB AA

FA

First Article

FIRST ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO After

Completion of First Article -TT&E

_ Req No / Pri

Required

First Article - Repair

Bid A - First Article - Repair B FB2029 1 EA *180 Calendar Days

Proposed Delivery

B FB2029 1 EA

First Article Test Report

Bid A - First Article Required Item No.

0002AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

FATR

First Article Test Report

TEST REPORT IAW DD 1423-1 ATTACHED HERETO

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Applicability: None ;

Type / Ship To Quantity (U/I) *ARO After Completion of First Article - TT&E

_ Req No / Pri

Required Delivery

B FB2029 1 LO *180 Calendar Days

Proposed Delivery

B FB2029 1 LO

First Arcticle - Actuator Locking BA - Informational CLIN only

Item No.

NSN: 1440-01-563-9175 AH

ACTUATOR LOCKING BA

The Actuator Locking Bar (ALB) contains a spring loaded latch that prevents the secondary door lockpins from being retracted until combination lock(s) are opened and timing circuitry has timed in. One of two coils can then retract the latch.

1018 or 1022 Carbon Steel Per ASTM A108

First Arcticle - Actuator Locking BA - Informational CLIN only

Manufacturer Part Number

088K1 BA22888A

Priority: R Applicability: None ;

First Article - Teardown, Test, and Evaluation

Bid A - First Article - Teardown, Test, and Evaluation Item No.

0003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AA AA

FA

First Article

FIRST ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO Receipt of

Repairable _ Req No / Pri

Required Delivery

+ TBD 1 EA *30 Calendar Days

Proposed Delivery

+ TBD 1 EA

First Article - Repair

Bid A - First Article - Repair Item No.

0003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AB AA

FA

First Article

FIRST ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Limitations of Liability: Other Than High Value Item

First Article - Repair

Bid A - First Article - Repair

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO After

Completion of First Article -TT&E

_ Req No / Pri

Required Delivery

B FB2029 1 EA *180 Calendar Days

Proposed Delivery

B FB2029 1 EA

First Article Test Report

Bid A - First Article Required Item No.

0003AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

FATR

First Article Test Report

TEST REPORT IAW DD 1423-1 ATTACHED HERETO

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Applicability: None ;

Type / Ship To Quantity (U/I) *ARO After Completion of First Article - TT&E

_ Req No / Pri

Required Delivery

B FB2029 1 LO *180 Calendar Days

Proposed

B FB2029 1 LO

First Article - Actuator, Electro-Me - Informational CLIN only

Item No.

NSN: 1440-01-538-0122 AH

ACTUATOR,ELECTRO-ME

N/A N/A Manufacturer Part Number

088K1 BA22766

Priority: R Applicability: None ;

First Article - Teardown, Test, and Evaluation

Bid A - First Article - Teardown, Test, and Evaluation Item No.

0004AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0004AA AA

FA

First Article

FIRST ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO Receipt of

Repairable _ Req No / Pri

Required Delivery

+ TBD 1 EA *30 Calendar Days

Proposed Delivery

+ TBD 1 EA

First Article - Repair

Bid A - First Article - Repair Item No.

0004AB

Firm Fixed Price Quantity U/I Unit Price Amount

First Article - Repair

Bid A - First Article - Repair

1 EA

CLIN ACRN ACRN Total

0004AB AA

FA

First Article

FIRST ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO After

Completion of First Article -TT&E

_ Req No / Pri

Required Delivery

B FB2029 1 EA *180 Calendar Days

Proposed Delivery

B FB2029 1 EA

First Article Test Report

Bid A - First Article Required Item No.

0004AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

FATR

First Article Test Report

TEST REPORT IAW DD 1423-1 ATTACHED HERETO

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Applicability: None ;

Type / Ship To Quantity (U/I) *ARO After Completion of First Article - TT&E

_ Req No / Pri

Required

B FB2029 1 LO *180 Calendar Days

First Article Test Report

Bid A - First Article Required Proposed Delivery

B FB2029 1 LO

Informational CLIN

Item No.

NSN: 6130-01-561-6085 AH

POWER SUPPLY

The ESS stores electrical energy received from the Motor Drive Cabinet (MDC) as kinetic energy in a carbon fiber flywheel. The ESS converts stored kinetic energy into electrical energy.

Primarily Steel. Core unit has a carbon fiber flywheel supported by magnetic bearings cooled by paratherm oil and sealed in a pressurized tank.

Manufacturer Part Number

088K1 BA23097

Priority: R Applicability: None ;

Teardown, Test, and Evaluation

Item No.

1001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1001AA AA

NSN: 6130-01-561-6085 AH

POWER SUPPLY

The ESS stores electrical energy received from the Motor Drive Cabinet (MDC) as kinetic energy in a carbon fiber flywheel. The ESS converts stored kinetic energy into electrical energy.

Primarily Steel. Core unit has a carbon fiber flywheel supported by magnetic bearings cooled by paratherm oil and sealed in a pressurized tank.

Manufacturer Part Number

088K1 BA23097

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass

Req No / Pri

Teardown, Test, and Evaluation

Required Delivery

+ TBD 1 EA *30 Calendar Days

Proposed Delivery

+ TBD 1 EA

Repair

Item No.

1001AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1001AB AA

NSN: 6130-01-561-6085 AH

POWER SUPPLY

Manufacturer Part Number

088K1 BA23097

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Applicability: None ;

Type / Ship To Quantity (U/I) *ARO After Completion of TT&E

Req No / Pri

Required Delivery

B FB2029 1 EA *180 Days

Proposed Delivery

B FB2029 1 EA

Informational CLIN

Item No.

NSN: 6110-01-543-2621 AH

Informational CLIN

CONTROL,MOTOR-GENER

The Motor Drive Assy functions to power and control movement of the Electro-Mechanical Actuator (EMA) See Dwg P/N BA22930 Manufacturer Part Number

088K1 BA22930

0KXP0 178F4150

Priority: R Applicability: None ;

Teardown, Test, and Evaluation

Item No.

1002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1002AA AA

NSN: 6110-01-543-2621 AH

CONTROL,MOTOR-GENER

The Motor Drive Assy functions to power and control movement of the Electro-Mechanical Actuator (EMA) See Dwg P/N BA22930 Manufacturer Part Number

088K1 BA22930

0KXP0 178F4150

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass

Req No / Pri

Required Delivery

+ TBD 1 EA *30 Calendar Days

Proposed Delivery

+ TBD 1 EA

Repair

Item No.

1002AB

Firm Fixed Price

1 EA

Repair

CLIN ACRN ACRN Total

1002AB AA

NSN: 6110-01-543-2621 AH

CONTROL,MOTOR-GENER

Manufacturer Part Number

088K1 BA22930

0KXP0 178F4150

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Applicability: None ;

Type / Ship To Quantity (U/I) *ARO After Completion of TT&E

Req No / Pri

Required Delivery

B FB2029 1 EA *180 Days

Proposed Delivery

B FB2029 1 EA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

14 EA

NSN: 1440-01-563-9175 AH

ACTUATOR LOCKING BA

The Actuator Locking Bar (ALB) contains a spring loaded latch that prevents the secondary door lockpins from being retracted until combination lock(s) are opened and timing circuitry has timed in. One of two coils can then retract the latch.

1018 or 1022 Carbon Steel Per ASTM A108 Manufacturer Part Number

088K1 BA22888A

Priority: R Applicability: None ;

Teardown, Test, and Evaluation

Item No.

1003AA

Firm Fixed Price

Teardown, Test, and Evaluation

1 EA

CLIN ACRN ACRN Total

1003AA AA

NSN: 1440-01-563-9175 AH

ACTUATOR LOCKING BA

The Actuator Locking Bar (ALB) contains a spring loaded latch that prevents the secondary door lockpins from being retracted until combination lock(s) are opened and timing circuitry has timed in. One of two coils can then retract the latch.

1018 or 1022 Carbon Steel Per ASTM A108 Manufacturer Part Number

088K1 BA22888A

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass

Req No / Pri

Required Delivery

+ TBD 1 EA *30 Calendar Days

Proposed Delivery

+ TBD 1 EA

Repair

Item No.

1003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1003AB AA

NSN: 1440-01-563-9175 AH

ACTUATOR LOCKING BA

Manufacturer Part Number

088K1 BA22888A

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Repair

Type / Ship To Quantity (U/I) *ARO After Completion of TT&E

Req No / Pri

Required Delivery

B FB2029 1 EA *180 Days

Proposed Delivery

B FB2029 1 EA

Informational CLIN

Item No.

NSN: 1440-01-538-0122 AH

ACTUATOR,ELECTRO-ME

N/A N/A Manufacturer Part Number

088K1 BA22766

Priority: R Applicability: None ;

Teardown, Test, and Evaluation

Item No.

1004AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1004AA AA

NSN: 1440-01-538-0122 AH

ACTUATOR,ELECTRO-ME

N/A N/A Manufacturer Part Number

088K1 BA22766

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection

Teardown, Test, and Evaluation

Type / Ship To Quantity (U/I) *ARO After Completion of TT&E

Req No / Pri

Required Delivery

+ TBD 1 EA *30 Calendar Days

Proposed Delivery

+ TBD 1 EA

Repair

Item No.

1004AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1004AB AA

NSN: 1440-01-538-0122 AH

ACTUATOR,ELECTRO-ME

Manufacturer Part Number

088K1 BA22766

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Applicability: None ;

Type / Ship To Quantity (U/I) *ARO After Completion of TT&E

Req No / Pri

Required Delivery

B FB2029 1 EA *180 Calendar Days

Proposed Delivery

B FB2029 1 EA

CDRLs A001- A008

Item No.

Not Separately Priced Quantity U/I Unit Price

CDRLs A001- A008

1 LO NSP

Data IAW CDRLs A001 Through A008 Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) DELIVER 1 UNIT AFTER

RECEIPT OF CARCASS.

Req No / Pri

Required Delivery

B FB2029 1 LO DELIVER 1 UNIT AFTER

RECE

Proposed Delivery

B FB2029 1 LO

CONTRACTOR SHALL INPUT TO THE CAV AF SYSTEM WITHIN 24 HOURS AFTER RECEIPT OF CARCASS. SEE

DD FORM 1423 CAV AF

“DATA which is ‘Not Separately Priced’ (NSP). The price of NSP DATA are included in the price of the individual Repair CLIN 0001AB, 0002AB, 0003AB, 0004AB, 1001AB, 1002AB, 1003AB, and 1004AB.

Failure to comply with contract data requirements may result in the withholding of payment on the aforementioned CLINs.” This allows the government to withhold payment on the repairs if the contractor does not deliver the required data. The data is also important, and it is a material requirement of the contract. The contract is not finished until the data is delivered.

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + TBD

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

AWARD NUMBER:

TYPE/CODE: B FB2029

809 MXSS/MXDEB

BLDG 849 ATTN: NON-ACCOUNTABLE BAY

(DEAR JOHN BAY)

TRANSPORTATION OFFICE

HILL AIR FORCE BASE UT 84056-5713

UNITED STATES

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

AWARD NUMBER:

CONTRACT CLAUSES

252.201-7000 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 1991)

(IAW DFARS 201.602-70)

5352.201-9101 OMBUDSMAN (JUN 2016)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, the interested party may contact the ombudsman, Jonna Hancey at 801 777 -6549 , FAX 801 777 -6830 , email jonna.hancey@us.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU/SMC ombudsman level, may be brought by the interested party for further consideration to the Air Force ombudsman, Associate Deputy Assistant Secretary (ADAS) (Contracting), SAF/AQC, 1060 Air Force Pentagon, Washington DC 20330-1060, phone number (571) 256-2395, facsimile number (571) 256-2431.

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY

AGREEMENTS OR STATEMENTS (JAN 2017)

(IAW FAR 3.909-3 (b))

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

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

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (OCT 2018)

(IAW FAR 4.1403(a))

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

(IAW FAR 4.1105(b))

52.204-14 SERVICE CONTRACT REPORTING REQUIREMENTS (OCT 2016)

(IAW FAR 4.1705(a))

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (JUL 2016)

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

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(JUN 2016)

(IAW FAR 4.1903)

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)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2019)

(IAW 4.2105(b))

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

(IAW DFARS 204.404-70(b))

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (OCT 2016)

(IAW DFARS 204.7304(c))

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

(IAW DFARS 204.7403(c), DFARS 212.301(f)(ix))

52.209-3 FIRST ARTICLE APPROVAL--CONTRACTOR TESTING (SEP 1989)

(IAW FAR 9.308-1(a)(1), FAR 9.308-1(b)(1))

(a) The Contractor shall test ** unit(s) of Lot/Item * as specified in this contract. At least *** calendar days before the beginning of first article tests, the Contractor shall notify the Contracting Officer, in writing, of the time and location of the testing so that the Government may witness the tests.

*Lot/Item ***Calendar Days Before Test **Quantity

(b) The Contractor shall submit the first article test report within ___**___ calendar days from the date of this contract to ___***___ marked "FIRST ARTICLE TEST REPORT: Contract No. Lot/Item No. ___*___” Within ___****___ calendar days after the Government receives the test report, the Contracting Officer shall notify the Contractor, in writing, of the conditional approval, approval, or disapproval of the first article. The notice of conditional approval or approval shall not relieve the Contractor from complying with all requirements of the specifications and all other terms and conditions of this contract. A notice of conditional approval shall state any further action required of the Contractor. A notice of disapproval shall cite reasons for the disapproval.

*Lot/Item ****Approval Days ELIN No.

FA Test Report Item ***Type/Location **Calendar Days

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

52.211-8 TIME OF DELIVERY (JUN 1997)

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

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).

252.211-7007 REPORTING OF GOVERNMENT-FURNISHED PROPERTY (AUG 2012)

(IAW DFARS 211.274-6(b), DFARS 212.301(f)(iv))

52.213-4 TERMS AND CONDITIONS--SIMPLIFIED ACQUISITIONS (OTHER THAN

COMMERCIAL ITEMS) (AUG 2019)

(IAW FAR 13.302-5(d))

The full text of a clause may be accessed electronically at this/these address(es): Regulations URLs: (Click on the appropriate regulation.)

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/far1toc.htm http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/dfars/dfartoc.htm http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/af_afmc/affars/affar1toc.htm

NOTE: After selecting the appropriate regulation above, at the "Table of Contents" page conduct a search for the desired regulation reference, using your browser's FIND function. When located, click on the regulation reference (hyperlink).

(Paragraph (b)(1)(xvi), FAR 52.225-1, Buy American Act--Supplies (May 2014), is superseded by DFARS clause 252.225-7001, Buy American and Balance of Payments Program, per DFARS 225.1101(2)(i) and therefore not applicable to DoD)

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (JUL 2013)

(IAW FAR 19.309(c))

(g) 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:

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

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

52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 2014)

(IAW FAR 22.1006(b)) This Statement is for Information Only:

It is not a Wage Determination

Employee Class Monetary Wage Fringe Benefits Electronics Technician, Maintenance I 21.45 36.25% Electronics Technician, Maintenance III 24.35 36.25% Production Control Clerk 17.84 36.25% Supply Technician 19.82 36.25%

52.222-55 MINIMUM WAGES UNDER EXECUTIVE ORDER 13658 (DEC 2015)

(IAW FAR 22.1906)

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (AUG 2011)

(IAW FAR 23.1105)

52.223-20 AEROSOLS (JUN 2016)

(IAW FAR 23.804(a)(3))

52.224-3 PRIVACY TRAINING (JAN 2017)

(IAW FAR 24.302(a))

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)

(IAW DFARS 225.7901-4)

52.232-23 ASSIGNMENT OF CLAIMS (MAY 2014)

(IAW FAR 32.806(a)(1))

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS (JUN 2013)

(IAW FAR 32.706-3)

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS (DEC 2013)

(IAW FAR 32.009-2)

252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND RECEIVING REPORTS

(DEC 2018)

(IAW DFARS 232.7004(a))

(a) Definitions. As used in this clause—

(1) “Contract financing payment” and “invoice payment” have the meanings given in section 32.001 of the Federal Acquisition Regulation.

(2) “Electronic form” means any automated system that transmits information electronically from the initiating system to all affected systems. Facsimile, e-mail, and scanned documents are not acceptable electronic forms for submission of payment requests. However, scanned documents are acceptable when they are part of a submission of a payment request made using Wide Area WorkFlow (WAWF) or another electronic form authorized by the Contracting Officer.

(3) “Payment request” means any request for contract financing payment or invoice payment submitted by the Contractor under this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests and receiving reports using WAWF, in one of the following electronic formats that WAWF accepts: Electronic Data Interchange, Secure File Transfer Protocol, or World Wide Web input. Information regarding WAWF is available on the Internet at https://wawf.eb.mil/ .

(c) The Contractor may submit a payment request and receiving report using other than WAWF only when—

(1) The Contracting Officer authorizes use of another electronic form. With such an authorization, the Contractor and the Contracting Officer shall agree to a plan, which shall include a timeline, specifying when the Contractor will transfer to WAWF;

(2) DoD is unable to receive a payment request or provide acceptance in electronic form;

(3) The Contracting Officer administering the contract for payment has determined, in writing, that electronic submission would be unduly burdensome to the Contractor. In such cases, the Contractor shall include a copy of the Contracting Officer’s determination with each request for payment; or

(4) DoD makes a payment for commercial transportation services provided under a Government rate tender or a contract for transportation services using a DoD-approved electronic third party payment system or other exempted vendor payment/invoicing system (e.g., PowerTrack, Transportation Financial Management System, and Cargo and Billing System).

(d) The Contractor shall submit any non-electronic payment requests using the method or methods specified in Section G of the contract.

(e) In addition to the requirements of this clause, the Contractor shall meet the requirements of the appropriate payment clauses in this contract when submitting payment requests.

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.

252.232-7010 LEVIES ON CONTRACT PAYMENTS (DEC 2006)

(IAW DFARS 232.7102)

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 97 X4930 .FC04 64 9 47 GH 25133G 01K010 00000 UJEUGS 503000 F03000 $0.00

PSR: K18552 FSR: 001884 CIN: F2DCCW9267B102

REFERENCE:

AA PR: FD20201901700 CIN: F2DCCW9267B102

ACRN TOTAL $ 0.00

252.237-7010 PROHIBITION ON INTERROGATION OF DETAINEES BY CONTRACTOR

PERSONNEL (JUN 2013)

(IAW DFARS 237.173-5)

52.243-1 CHANGES--FIXED-PRICE (AUG 1987)

(IAW FAR 43.205(a)(1))

52.243-1 CHANGES--FIXED-PRICE -- ALTERNATE I (APR 1984)

(IAW FAR 43.205(a)(2))

252.243-7001 PRICING OF CONTRACT MODIFICATIONS (DEC 1991)

(IAW DFARS 243.205-70)

52.245-1 GOVERNMENT PROPERTY (JAN 2017)

(IAW FAR 45.107(a), DFARS 237.7003(c), DFARS 245.107)

52.245-9 USE AND CHARGES (APR 2012)

(IAW FAR 45.107(c))

252.245-7001 TAGGING, LABELING, AND MARKING OF GOVERNMENT-FURNISHED PROPERTY

(APR 2012)

(IAW DFARS 245.107(2))

252.245-7002 REPORTING LOSS OF GOVERNMENT PROPERTY (DEC 2017)

(IAW DFARS 245.107(3))

252.245-7003 CONTRACTOR PROPERTY MANAGEMENT SYSTEM ADMINISTRATION (APR 2012)

(IAW DFARS 245.107(4))

252.245-7004 REPORTING, REUTILIZATION, AND DISPOSAL (DEC 2017)

(IAW DFARS 245.107(5))

52.246-4 INSPECTION OF SERVICES--FIXED-PRICE (AUG 1996)

(IAW FAR 46.304)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) 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:

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

Item No(s): 0001AC, 0002AC, 0003AC, 0004AC, 1005

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (APR 1984)

(IAW FAR 52.107(f))

(a) The use in this contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this contract of any Defense Federal Acquisition Regulation Supplement (48 CFR Chapter 2).clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

Form Number Description/File Name Date Number of Pages

ATTACHMENT 1 Performance_Work_Statement.docx 13SEP2019 7

ATTACHMENT 2 CDRLs_A001-A008-FATRs.pdf 20SEP2019 20

ATTACHMENT 3 Statement_of_Work_for_Packaing_and_Preservati on.pdf

01JAN2019 2

ATTACHMENT 4 SPI_6085.pdf 25MAY2011 8

ATTACHMENT 5 SPI_2621.pdf 4

ATTACHMENT 6 SPI_9175.pdf 4

ATTACHMENT 7 FAT_015616085.pdf 25SEP2019 2

ATTACHMENT 8 FAT_015432621.pdf 25SEP2019 2

ATTACHMENT 9 FAT_015639175.pdf 25SEP2019 2

ATTACHMENT 10 FAT_015380122.pdf 25SEP2019 2

SOLICITATION PROVISIONS

REPRESENTATIONS, INSTRUCTIONS AND EVALUATIONS

252.203-7005 REPRESENTATION RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(NOV 2011)

(IAW DFARS 203.171-4(b), DFARS 212.301(f)(iv))

52.204-7 SYSTEM FOR AWARD MANAGEMENT (OCT 2018)

(IAW FAR 4.1105(a)(1))

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (OCT 2018)

(IAW FAR 4.1202(a)) (a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 811219 .

(2) The small business size standard is $22.00 .

(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.

(b)(1) If the provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.

((2) If the provision at 52.204–7, System for Award Management, is not included in this solicitation, and the Offeror has an active registration in the System for Award Management (SAM), the Offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The Offeror shall indicate which option applies by checking one of the following boxes:

[ ] (i) Paragraph (d) applies.

[ ] (ii) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c) (1) The following representations or certifications in SAM are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures;

or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions.

This provision applies to solicitations expected to exceed $150,000.

(iii) 52.203-18, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements—Representation. This provision applies to all solicitations.

(iv) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.

(v) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(vi) 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations—Representation.

(vii) 52.209-5, Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(viii) 52.209-11, Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law. This provision applies to all solicitations.

(ix) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(x) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(xi) 52.219-1, Small Business Program Representations (Basic & Alternate I). This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(xii) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(xiii) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xiv) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xv) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xvi) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA-designated items; or include the clause at (xvii) 52.223-2, Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

(xviii) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA- designated items.

(xviv) 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals—Representation. This provision applies to solicitations that include the clause at 52.204-7

(xx) 52.225-2, Buy American Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xxi) 52.225-4, Buy American--Free Trade Agreements--Israeli Trade Act Certificate. (Basic, Alternate I, II, and III) This provision applies to solicitations containing the clause at 52.225- 3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $77,533, the provision with its Alternate II applies.

(D) If the acquisition value is $77,533 or more but its less than $100,000, the provision with its Alternate III applies.

(xxii) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xxiii) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan--Certification. This provision applies to all solicitations.

(xxiv) 52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transaction Relating to Iran—Representation and Certifications. This provision applies to all solicitations.

(xxv) 52.226-2, Historically Black College or University and Minority Institution Representation. This provision applies to solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions.

(2) The following representations or certifications are applicable as indicated by the Contracting Officer:

[Contracting Officer check as appropriate.]

X __ (i) 52.204-17, Ownership or Control of Offeror.

X __ (ii) 52.204-20, Predecessor of Offeror.

__ (iii) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.

(see note) (iv) 52.222-48, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment -- Certification. ). (Note: If this clause is applicable it will be listed in the appropriate clause section of this document.)

__ (v) 52.222-52 Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services--Certification.

(see note) (vi) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material Content for EPA-Designated Products (Alternate I only). (Note: If this clause and it’s Alternate I are applicable they will be listed in the appropriate clause section of this document.)

(vii) 52.227-6, Royalty Information.

__(A) Basic.

__ (B) Alternate I.

__(viii) 52.227-15, Representation of Limited Rights Data and Restricted Computer Software.

(d) The Offeror has completed the annual representations and certifications electronically in SAMaccessed through https://www.sam.gov. After reviewing the SAM information, the Offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in paragraph (c) of this provision have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201); except for the changes identified below [offeror to insert changes, identifying change by clause number, title, date].

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

FAR Clause # Title Date Change

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on SAM.

52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING (JUL 2016)

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

52.204-22 ALTERNATIVE LINE ITEM PROPOSAL (JAN 2017)

(IAW FAR 4.1008)

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2019)

(IAW 4.2105(a))

252.204-7007 ALTERNATE A, ANNUAL REPRESENTATIONS AND CERTIFICATIONS (JUN 2019)

(IAW DFARS 204.1202)

Substitute the following paragraphs (b), (d), and (e) for paragraphs (b) and (d) of the provision at FAR 52.204-8:

(b)(1) If the provision at FAR 52.204-7, System for Award Management, is included in this solicitation, paragraph (e) of this provision applies.

(2) If the provision at FAR 52.204-7, System for Award Management, is not included in this solicitation, and the Offeror has an active registration in the System for Award Management (SAM), the Offeror may choose to use paragraph (e) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The Offeror shall indicate which option applies by checking one of the following boxes:

___ (i) Paragraph (e) applies.

___ (ii) Paragraph (e) does not apply and the Offeror has completed the individual representations and certifications in the solicitation.

(d) (1) The following representations or certifications in the SAM database are applicable to this solicitation as indicated:

(i) 252.209-7003, Reserve Officer Training Corps and Military Recruiting on Campus--Representation.

Applies to all solicitations with institutions of higher education.

(ii) 252.216-7008, Economic Price Adjustment--Wage Rates or Material Prices Controlled by a Foreign Government--Representation. Applies to solicitations for fixed-price supply and service contracts when the contract is to be performed wholly or in part in a foreign country, and a foreign government controls wage rates or material prices and may during contract performance impose a mandatory change in wages or prices of materials.

(iii) 252.225-7042, Authorization to Perform. Applies to all solicitations when performance will be wholly or in part in a foreign country.

(iv) 252.225-7049, Prohibition on Acquisition of Certain Foreign Commercial Satellite Services—Representation. Applies to solicitations for the acquisition of commercial satellite services.

(v) 252.225-7050, Disclosure of Ownership or Control by the Government of a Country that is a State Sponsor of Terrorism. Applies to all solicitations expected to result in contracts of $150,000 or more.

(vi) 252.229-7012, Tax Exemptions (Italy)--Representation. Applies to solicitations when contract performance will be in Italy.

(vii) 252.229-7013, Tax Exemptions (Spain)--Representation. Applies to solicitations when contract performance will be in Spain.

(viii) 252.247-7022, Representation of Extent of Transportation by Sea. Applies to all solicitations except those for direct purchase of ocean transportation services or those with an anticipated value at or below the simplified acquisition threshold.

(2) The following representations or certifications in SAM are applicable to this solicitation as indicated by the Contracting Officer; [Contracting Officer check as appropriate.] __ _ (i) 252.209-7002, Disclosure of Ownership or Control by a Foreign Government.

__ _ (ii) 252.225-7000, Buy American —Balance of Payments Program Certificate.

__ _ (iii) 252.225-7020, Trade Agreements Certificate.

__ _ Use with Alternate I __ _ (iv) 252.225-7031, Secondary Arab Boycott of Israel.

__ _ (v) 252.225-7035, Buy American —Free Trade Agreements—Balance of Payments Program Certificate.

__ _ Use with Alternate I.

__ _ Use with Alternate II.

__ _ Use with Alternate III.

__ _ Use with Alternate IV.

__ _ Use with Alternate V.

(e) The offeror has completed the annual representations and certifications electronically via the SAM website at https://acquisition.gov/ . After reviewing the ORCA database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in FAR 52.204-8© and paragraph (d) of this provision have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer, and are incorporated in this offer by reference (see FAR 4.1201); except for the changes identified below [offeror to insert changes, identifying change by provision number, title, date]. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

FAR/DFARS Provision# Title Date Change

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications located in the SAM database.

252.204-7008 COMPLIANCE WITH SAFEGUARDING COVERED DEFENSE INFORMATION

CONTROLS (OCT 2016)

(IAW DFARS 204.7304(a))

52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY

OR A FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

(IAW FAR 9.104-7(d))

(b) The Offeror represents that—

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative…