FA821320R3038-0001.pdf

1. CONTRACT ID CODE

J

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO (If applicable)

6. ISSUED BY CODE

Roland Murillo/AFLCMC roland.murillo@us.af.mil Phone: (801) 777 4244

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

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

CODE

9A. AMENDMENT OF SOLICITATION NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

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

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

D. OTHER (Specify type of modification and authority)

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.)

ROUTINE.

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

15B. CONTRACTOR/OFFEROR

BY ________________________________________________________

(Signature of person authorized to sign)

15C. DATE SIGNED

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

16B. UNITED STATES OF AMERICA

BY ____________________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

FACILITY CODE

NSN 7540011528070

PREVIOUS EDITION UNUSABLE

30105 STANDARD FORM 30 (REV. 1083)

PRESCRIBED BY GSA

FAR (48 CFR) 53.243

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.

DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to:

1. Update proposal due date:

From: 18 Feb 2021

To:

2. Update CDRL A009 NSNS requirments. Removed INERT NSNs on CDRL A009.

3. Including statement in accordance with FAR 16.504(a)(4)(ii):

3 year IDIQ with 3 ordering periods.

Minimum Amount: $1 Million Maximum Ceiling: $45 Million

4. All other terms and conditions remains the same.

FA821320R30380001

DCMA and DFAS are required to withhold payment IAW DFAR 252.2277030 until CDRL A001, A005 & A006 have been delivered and/or approved by Hill AFB.

Firm Fixed Price

2,222 EA

1377016593166 ES

Flexible Linear Shape Charge Assembly

DODIC: JN55

06331 83376701

R ROUTINE.

Other Than High Value Item

Origin Origin

Receiving Report Required Higher Level Contract Quality Requirements

The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

ISO 90012008 2008

None ;

Buy American Act/Balance of Payments Program Yes

Serial Number Required

TYPE / SHIP TO CODE F.O.B.

B N00174 ORIGIN

B N00174 05 ACCT

B N00174 2,222 EA TBD

B N00174 2,222 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019.

Applicable SPI Number: SPIPHST337

Firm Fixed Price

889 EA

1377016602677 ES

Rapid Deflagrating Cord Transfer Line (RDCTL)55.2" RAU4/A

DODIC: JN56

06331 876085145

R ROUTINE.

Other Than High Value Item

Origin Origin

Receiving Report Required Higher Level Contract Quality Requirements

The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

ISO 90012008 2008

None ;

Buy American Act/Balance of Payments Program Yes

Serial Number Required

TYPE / SHIP TO CODE F.O.B.

B N00174 ORIGIN

B N00174 889 EA TBD

B N00174 889 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019.

Applicable SPI Number: SPIPHST338

Firm Fixed Price

385 EA

1377016602675 ES

Rapid Deflagrating Cord Transfer Line (RDCTL)51.3" RAU4/A

DODIC: JN57

06331 876085144

R ROUTINE.

Other Than High Value Item

Origin Origin

Receiving Report Required Higher Level Contract Quality Requirements

The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

ISO 90012008 2008

None ;

Buy American Act/Balance of Payments Program Yes

Serial Number Required

TYPE / SHIP TO CODE F.O.B.

B N00174 ORIGIN

B N00174 385 EA TBD

B N00174 385 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019.

Applicable SPI Number: SPIPHST338

Firm Fixed Price

1,274 EA

1377016602673 ES

Cord, Detonating Rapid Deflagrating Cord Transfer Line (RDCTL)61.1" RAU4/A

DODIC: JN58

06331 876085143

R ROUTINE.

Other Than High Value Item

Origin Origin

Receiving Report Required Higher Level Contract Quality Requirements

The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

ISO 90012008 2008

None ;

Buy American Act/Balance of Payments Program Yes

Serial Number Required

TYPE / SHIP TO CODE F.O.B.

B N00174 ORIGIN

B N00174 1,274 EA TBD

B N00174 1,274 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019.

Applicable SPI Number: SPIPHST338

Firm Fixed Price

2,545 EA

1377016602674 ES

Cord, Detonating Rapid Deflagrating Cord Transfer Line (RDCTL)25.3" RAU4/A

DODIC: JN59

06331 876085123

R ROUTINE.

Other Than High Value Item

Origin Origin

Receiving Report Required Higher Level Contract Quality Requirements

The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

ISO 90012008 2008

None ;

Buy American Act/Balance of Payments Program Yes

Serial Number Required

TYPE / SHIP TO CODE F.O.B.

B N00174 ORIGIN

B N00174 05 ACCT

B N00174 2,545 EA TBD

B N00174 2,545 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019.

Applicable SPI Number: SPIPHST338

Firm Fixed Price

1,274 EA

1377016604904 ES

Cord, Detonating Rapid Deflagrating Cord Transfer Line (RDCTL)6.2" RAU4/A

DODIC: JN60

06331 876085146

R ROUTINE.

Other Than High Value Item

Origin Origin

Receiving Report Required Higher Level Contract Quality Requirements

The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

ISO 90012008 2008

None ;

Buy American Act/Balance of Payments Program Yes

Serial Number Required

TYPE / SHIP TO CODE F.O.B.

B N00174 ORIGIN

B N00174 05 ACCT

B N00174 1,274 EA TBD

B N00174 1,274 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019.

Applicable SPI Number: SPIPHST338

Firm Fixed Price

2,545 EA

1377016604905 ES

BoosterFitting, Pro DONOR Inert Part

DODIC: JN61

06331 83114701

R ROUTINE.

Other Than High Value Item

Origin Origin

Receiving Report Required Higher Level Contract Quality Requirements

The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

ISO 90012008 2008

None ;

Buy American Act/Balance of Payments Program

Yes

Serial Number Required

TYPE / SHIP TO CODE F.O.B.

B N00174 ORIGIN

B N00174 05 ACCT

B N00174 2,545 EA TBD

B N00174 2,545 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019.

Applicable SPI Number: SPIPHST338

Firm Fixed Price

1,274 EA

1377016607534 ES

Firing Device, Explo Internal ArmFire (AFI) Handle JAU92/A Inert Part

DODIC: JN62

06331 87610003

R ROUTINE.

Other Than High Value Item

Origin Origin

Receiving Report Required Higher Level Contract Quality Requirements

The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

ISO 90012008 2008

None ;

Buy American Act/Balance of Payments Program Yes

Serial Number Required

TYPE / SHIP TO CODE F.O.B.

B N00174 ORIGIN

B N00174 05 ACCT

B N00174 1,274 EA TBD

B N00174 1,274 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019.

Firm Fixed Price

1,776 EA

1377016610138 ES

BoosterFitting, Pro Acceptor Inert Part

DODIC: JN64

06331 87606501

R ROUTINE.

Other Than High Value Item

Origin Origin

Receiving Report Required

Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

ISO 90012008 2008

None ;

Buy American Act/Balance of Payments Program Yes

Serial Number Required

TYPE / SHIP TO CODE F.O.B.

B N00174 ORIGIN

B N00174 05 ACCT

B N00174 1,776 EA TBD

B N00174 1,776 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019.

Firm Fixed Price

1,776 EA

1377016610143 ES

Hot Gas Initiator (HGI) Inert Part

DODIC: JN65

06331 87607001

R ROUTINE.

Other Than High Value Item

Origin Origin

Receiving Report Required Higher Level Contract Quality Requirements

The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

ISO 90012008 2008

None ;

Buy American Act/Balance of Payments Program Yes

Serial Number Required

TYPE / SHIP TO CODE F.O.B.

B N00174 ORIGIN

B N00174 05 ACCT

B N00174 1,776 EA TBD

B N00174 1,776 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019.

Not Separately Priced

1 LO NSP

DATA

DATA

DATA IAW DD 14231 ATTACHED HERE TO

ITEM TITLE DID

A001 Ammunition Data Card DIMISC80043B A002 Engineering Change Proposal DISESS80639E A003 Notice of Revision DISESS80642E

A004 Request for Variance DISESS80640E A006 Test/Inspection Report DINDTI80809B A007 Failure Summary & Analysis Report DISESS80255B A008 Report, Record of Meeting/Minutes DIADMN81505

Each respective CDRL shall be attached electronically in WAWF using DODAAC FA8213 when invoicing for this CLIN. Failure to do so will result in delay of Government acceptance and/or rejection of invoicing.

R ROUTINE.

Other Than High Value Item

Origin Origin

Receiving Report Required

IAW 1423

B 1423 1 LO TBD

B 1423 1 LO

Not Separately Priced

1 LO NSP

DATA

DATA

DATA IAW DD 14231 ATTACHED HERE TO

ITEM TITLE DID

A005 Lot Acceptance Test Plan DIQCIC80553A

Each respective CDRL shall be attached electronically in WAWF using DODAAC FA8213 when invoicing for this CLIN. Failure to do so will result in delay of Government acceptance and/or rejection of invoicing.

R ROUTINE.

Other Than High Value Item

Origin Origin

Receiving Report Required

IAW 1423

B 1423 1 LO TBD

B 1423 1 LO

Contractor shall submit Lot Acceptance Test Plans (LATP/ATP) for all NSN’s on the first delivery order.

Should any LATP/ATP be modified, contractor shall notify USAF contracting and the program office within 30 days of the contractor completing the LATP/ATP changes. Then, the contractor shall submit the modified LATP/ATP into WAWF in accordance with Basic Contract, DD1423 A005.

Not Separately Priced

1 LO NSP

DATA

DATA

DATA IAW DD 14231 ATTACHED HERE TO

ITEM TITLE DID

A009 Performance Oriented Packaging Test DIPACK81059/A

Report

Each respective CDRL shall be attached electronically in WAWF using DODAAC FA8213 when invoicing for this CLIN. Failure to do so will result in delay of Government acceptance and/or rejection of invoicing.

R ROUTINE.

Other Than High Value Item

Origin Origin

Receiving Report Required

IAW 1423

B 1423 1 LO TBD

B 1423 1 LO

B 1423

IAW DD FORM 1423

B N00174

NSWC INDIAN HEAD EOD TECH DIV

4522 MCMAHON ROAD

INDIAN HEAD MD 206401525

UNITED STATES

(MAY 1993)

(IAW FAR 11.201)

Specifications, standards or drawings (as applicable) are furnished/listed below or are listed in Section J herein. The contractor shall perform in accordance with those specifications and/or the attachments listed in Section J:

ITEM NR SPECIFICATIONS, STANDARDS AND/OR ATTACHMENTS

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

(IAW FAR 46.302)

(Applicable for supplies, services furnishing of supplies, fixedprice 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 higherlevel quality standard(s) listed below. [If more than one standard is listed, the offeror shall indicate its selection by checking the appropriate block.]*

(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 fixedprice 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):

Item No(s):

52.211-8 TIME OF DELIVERY (JUN 1997)

(IAW FAR 11.404(a)(2))

(a) The Government requires delivery to be made according to the following schedule:

DELIVERY FOR EACH ITEM IS ANNOTATED IN THE SCHEDULE (PART I SECTION B) UNDER EACH LINE ITEM.

The Government will evaluate equally, as regards time of delivery, offers that propose delivery of each quantity within the applicable delivery period specified above. Offers that propose delivery that will not clearly fall within the applicable required delivery period specified above, will be considered nonresponsive and rejected. The Government reserves the right to award under either the required delivery schedule or the proposed delivery schedule, when an offeror offers an earlier delivery schedule than required above. If the offeror proposes no other delivery schedule, the required delivery schedule above will apply.

ANNOTATE YOUR PROPOSED DELIVERY, IF ANY, UNDER THE GOVERNMENT’S DELIVERY SET FORTH UNDER EACH ITEM IN THE

SCHEDULE.

(b) Attention is directed to the Contract Award provision of the solicitation that provides that a written award or acceptance of offer mailed, or otherwise furnished to the successful offeror, results in a binding contract. The Government will mail or otherwise furnish to the offeror an award or notice of award not later than the day award is dated. Therefore, the offeror should compute the time available for performance beginning with the actual date of award, rather than the date the written notice of award is received from the Contracting Officer through the ordinary mails. However, the Government will evaluate an offer that proposes delivery based on the Contractor's date of receipt of the contract or notice of award by adding (1) five calendar days for delivery of the award through the ordinary mails, or (2) one working day if the solicitation states that the contract or notice of award will be transmitted electronically. (The term "working day" excludes weekends and U.S. Federal holidays.) If, as so computed, the offered delivery date is later than the required delivery date, the offer will be considered nonresponsive and rejected.

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

52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

(IAW FAR 11.703(b))

(Applicable when fixedprice 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 fixedprice for supplies other than commercial or modifiedcommercial items)

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

(IAW FAR 47.303-1(c))

52.247-30 F.O.B. ORIGIN, CONTRACTOR'S FACILITY (FEB 2006)

(IAW FAR 47.303-2(c))

(Applicable to f.o.b. origin at contractor's facility)

52.247-34 F.O.B. DESTINATION (NOV 1991)

(IAW FAR 47.303-6(c))

52.247-58 LOADING, BLOCKING, AND BRACING OF FREIGHT CAR SHIPMENTS (APR 1984)

(IAW FAR 47.305-15(a)(2))

52.247-59 F.O.B. ORIGIN-CARLOAD AND TRUCKLOAD SHIPMENTS (APR 1984)

(IAW FAR 47.305-16(a))

52.247-61 F.O.B. ORIGIN-MINIMUM SIZE OF SHIPMENTS (APR 1984)

(IAW FAR 47.305-16(c))

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:

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

HAZARDOUS CLASSIFICATION (MAY 1998)

(IAW FAR 47.305-9(c))

For the purpose of identifying commodity description and freight classification of explosives and other dangerous supplies, the following applies.

Line Item 0001 Hazardous Class Division 1.4

Storage Compatibility Group D DOT Marking EX20170200402018114402

DOT Class 1.4D DOT Label Explosives 1.4D

UN Serial No 0237 UN Proper Ship Name CHARGES, SHAPED, FLEXIBLE, LINEAR

Freight Classification Line Item 0002

Hazardous Class Division 1.4 Storage Compatibility Group S

DOT Marking EX2018072051 DOT Class 1.4S DOT Label Explosives 1.4S

UN Serial No 0367 UN Proper Ship Name FUZES, DETONATING

Freight Classification Line Item 0003

Hazardous Class Division 1.4 Storage Compatibility Group S

DOT Marking EX2018072050 DOT Class 1.4S DOT Label Explosives 1.4S

UN Serial No 0367 UN Proper Ship Name FUZES, DETONATING

Freight Classification Line Item 0004

Hazardous Class Division 1.4 Storage Compatibility Group S

DOT Marking EX2018072048 DOT Class 1.4S DOT Label Explosives 1.4S

UN Serial No 0367 UN Proper Ship Name FUZES, DETONATING

Freight Classification Line Item 0005

Hazardous Class Division 1.4 Storage Compatibility Group S

DOT Marking EX2018072049 DOT Class 1.4S DOT Label Explosives 1.4S

UN Serial No 0367 UN Proper Ship Name FUZES, DETONATING

Freight Classification Line Item 0006

Hazardous Class Division 1.4 Storage Compatibility Group S

DOT Marking EX2018072052 DOT Class 1.4S DOT Label Explosives 1.4S

UN Serial No 0367 UN Proper Ship Name FUZES, DETONATING

Freight Classification

(Applicable to all orders issued hereunder)

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))

(a) Definitions. As used in this clause— “Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in Wide Area WorkFlow

(WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.2327003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall—

(1) Have a designated electronic business point of contact in the Central Contractor Registration at https://www.acquisition.gov ; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the stepbystep procedures for selfregistration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF WebBased Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/ .

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(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).

__COMBO (INVOICE + RECEIVING REPORT________

Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (standalone) and “Receiving Report” (standalone) 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.

_See Schedule_________________________________

(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 See Block #14 of the award document, Schedule A Issue By DoDAAC See Block #7 of the award document, Schedule A

Admin DoDAAC See Block #12 of the award document, Schedule A Inspect By DoDAAC See Schedule Ship To Code See Contract Line Item Ship From Code Mark For Code See Contract Line Item 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 backup 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 email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

(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.

(2) For technical WAWF help, contact the WAWF helpdesk at 8666185988.

(The above Clause/Provision has been modified.)

(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 252.2327003 is used and none of the exceptions at 232.7002(b)(1) apply. See PGI 232.7004 for instructions on completing the clause)

Transportation Chargeable to: MORD FY20: Transportation Chargeable To: F2DCAE9282NP04 TAC: FAMM

5352.201-9101 OMBUDSMAN (OCT 2019)

(IAW AFFARS 5301.9103)

(a) An ombudsman has been appointed to hear and facilitate the resolution of concerns from offerors, potential offerors, and others for this acquisition. When requested, the ombudsman will maintain strict confidentiality as to the source of the concern.

The existence of the ombudsman does not affect the authority of the program manager, contracting officer, or source selection official. Further, the ombudsman does not participate in the evaluation of proposals, the source selection process, or the adjudication of protests or formal contract disputes. The ombudsman may refer the interested party to another official who can resolve the concern.

(b) Before consulting with an ombudsman, interested parties must first address their concerns, issues, disagreements, and/or recommendations to the contracting officer for resolution. Consulting an ombudsman does not alter or postpone the timelines for any other processes (e.g., agency level bid protests, GAO bid protests, requests for debriefings, employeeemployer actions, contests of OMB Circular A76 competition performance decisions).

(c) If resolution cannot be made by the contracting officer, the interested party may contact the ombudsman, at , FAX , email . 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 203301060, phone number (571) 2562395, facsimile number (571) 2562431.

(d) The ombudsman has no authority to render a decision that binds the agency.

(e) Do not contact the ombudsman to request copies of the solicitation, verify offer due date, or clarify technical requirements.

Such inquiries shall be directed to the contracting officer.

(Applicable to all solicitations and contracts)

52.202-1 DEFINITIONS (JUN 2020)

(IAW FAR 2.201)

(Applicable when the simplified acquisition threshold is exceeded)

52.203-3 GRATUITIES (APR 1984)

(IAW FAR 3.202)

(Applicable when simplified acquisition threshold is exceeded, except for personal services and those between military departments or defense agencies and foreign governments that do not obligate any funds appropriated to the Department of Defense)

52.203-5 COVENANT AGAINST CONTINGENT FEES (MAY 2014)

(IAW FAR 3.404)

(Applicable when simplified acquisition threshold is exceeded other than those for commercial items (see Parts 2 and 12))

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT (JUN 2020)

(IAW FAR 3.503-2)

(Applicable when the simplified acquisition threshold is exceeded)

52.203-7 ANTI-KICKBACK PROCEDURES (JUN 2020)

(IAW FAR 3.502-3)

(Applicable when the simplified acquisition threshold is exceeded)

52.203-8 CANCELLATION, RESCISSION, AND RECOVERY OF FUNDS FOR ILLEGAL OR

IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(a))

(Applicable when noncommercial and the simplified acquisition threshold is exceeded)

52.203-10 PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(b))

(Applicable when the simplified acquisition threshold is exceeded)

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(JUN 2020)

(IAW FAR 3.808(b))

(Applicable over $150,000)

52.203-13 CONTRACTOR CODE OF BUSINESS ETHICS AND CONDUCT (JUN 2020)

(IAW FAR 3.1004(a))

(Applicable to solicitations and contracts exceeding $5.5 million and the period of performance is greater than 120 days, unless for the acquisition of a commercial item under Part 12 or performed entirely outside the U.S.)

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)

252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER

DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)

(IAW DFARS 203.570-3)

(Applicable when exceeding the simplified acquisition threshold (except for commercial items))

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

(Applicable to all solicitations and contracts)

252.203-7003 AGENCY OFFICE OF THE INSPECTOR GENERAL (DEC 2012)

(IAW DFARS 203.1004(a), DFARS 212.301(f)(iii))

(Applicable to solicitations and contracts when FAR 52.20313 is included)

252.203-7004 DISPLAY OF HOTLINE POSTERS (MAY 2019)

(IAW DFARS 203.1004(b)(2)(ii))

(Applicable to acquisitions over $5.5 million, except for commercial items)

52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED PAPER (MAY 2011)

(IAW FAR 4.303)

(Applicable when the simplified acquisition threshold is exceeded)

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 52.2047, 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.)

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 commercialofftheshelf 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 252.2047014 is not included)

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES (DEC 2019)

(IAW DFARS 204.2105(c))

(Applicable to all soliciations.)

252.205-7000 PROVISION OF INFORMATION TO COOPERATIVE AGREEMENT HOLDERS

(DEC 1991)

(IAW DFARS 205.470, DFARS 212.301(f)(x))

(Applicable over $1,000,000)

52.209-1 QUALIFICATION REQUIREMENTS (FEB 1995)

(IAW FAR 9.206-2)

(a) Definition: "Qualification Requirement," as used in this clause, means a Government requirement for testing or other quality assurance demonstration that must be completed before award.

(b) One or more qualification requirements apply to the supplies or services covered by this contract. For those supplies or services requiring qualification, whether the covered product or service is an end item, the product, manufacturer, or source must have demonstrated that it meets the standards prescribed for qualification before award of this contract. The product, manufacturer, or source must be qualified at the time of award whether or not the name of the product, manufacturer, or source is actually included on a qualified products list, qualified manufacturers list, or qualified bidders list. Offerors should contact the agency activity designated below to obtain all requirements that they or their products or services, or their subcontractors or their products or services, must satisfy to become qualified and to arrange for an opportunity to demonstrate their abilities to meet the standards specified for qualification.

0001 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0002 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0003 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0004 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0005 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0006 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0007 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0008 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0009 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0010 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

(c) If an offeror, manufacturer, source, product or service covered by a qualification requirement has already met the standards specified, the relevant information noted below should be provided.

Offeror's Name ______________________________

Manufacturer's Name _________________________

Source's Name ______________________________

Item Name _________________________________

Service Identification _________________________

Test Number _______________________________ (to the extent known)

(d) Even though a product or service subject to a qualification requirement is not itself an end item under this contract, the product, manufacturer, or source must nevertheless be qualified at the time of award of this contract. This is necessary whether the Contractor or a subcontractor will ultimately provide the product or service in question. If, after award, the Contracting Officer discovers that an applicable qualification requirement was not in fact met at the time of award, the Contracting Officer may either terminate this contract for default or allow performance to continue if adequate consideration is offered and the action is determined to be otherwise in the Government's best interests.

(e) If an offeror, manufacturer, source, product, or service has met the qualification requirement but is not yet on a qualified products list, qualified manufacturers list, or qualified bidders list, the offeror must submit evidence of qualification prior to award of this contract. Unless determined to be in the Government's interest, award of this contract shall not be delayed to permit an offeror to submit evidence of qualification.

(f) Any change in location or ownership of the plant where a previously qualified product or service was manufactured or performed requires reevaluation of the qualification. Similarly, any change in location or ownership of a previously qualified manufacturer or source requires reevaluation of the qualification. The reevaluation must be accomplished before the date of award.

(Applicable when the acquisition is subject to a qualification requirement)

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)

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING RESPONSIBILITY

MATTERS (OCT 2018)

(IAW FAR 9.104-7(c))

(Applicable to solicitations and contracts over $550,000 and contracts where the offeror has checked “has” in paragraph (b) clause 52.2097)

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 9.1084)

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)

252.209-7009 ORGANIZATIONAL CONFLICT OF INTEREST--MAJOR DEFENSE ACQUISITION

PROGRAM (MAY 2019)

(IAW DFARS 209.571-8(b))

252.209-7010 CRITICAL SAFETY ITEMS (AUG 2011)

(IAW DFARS 209.270-5)

(b) Identification of critical safety items. One or more of the items being procured under this contract is an aviation or ship critical safety item. The following items have been designated aviation critical safety items or ship critical safety items by the designated design control activity:

0001 NSN: 1377016593166ES

0002 NSN: 1377016602677ES

0003 NSN: 1377016602677ES

0004 NSN: 1377016602677ES

0005 NSN: 1377016602677ES

0006 NSN: 1377016602677ES

0007 NSN: 1377016602677ES

0008 NSN: 1377016602677ES

0009 NSN: 1377016602677ES

0010 NSN: 1377016602677ES

(Applicable to solicitations and contracts when the acquisition includes one or more items designated by the design control activity as critical safety items)

52.210-1 MARKET RESEARCH (JUN 2020)

(IAW FAR 10.003)

(Applicable to solicitations and contracts over $5.5 million for the procurement of items other than commercial items)

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 252.2327003. 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 252.2117003(c) is required)

252.211-7005 SUBSTITUTIONS FOR MILITARY OR FEDERAL SPECIFICATIONS AND STANDARDS

(NOV 2005)

(IAW DFARS 211.273-4)

(b) Offerors are encouraged to propose SPI processes in lieu of military or Federal specifications and standards cited in the solicitation. A listing of SPI processes accepted at specific facilities is available via the Internet at http://guidebook.dcma.mil/20/guidebook_process.htm (paragraph 4.2).

(d) (Offeror insert information for each SPI process)

SPI Process: _____________________________________________________

Facility: _________________________________________________________

Military or Federal Specification or Standard: ____________________________

Affected Contract Line Item Number, Subline Item Number, Component, or Element:

52.215-2 AUDIT AND RECORDS--NEGOTIATION (JUN 2020)

(IAW FAR 15.209(b)(1))

(Applicable if negotiated and above the simplified acquisition threshold, except commercial items and utility services at public prices plus reasonable connection charge)

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)

52.215-14 INTEGRITY OF UNIT PRICES (JUN 2020)

(IAW FAR 15.408(f)(1))

(Applicable when negotiated and exceeding the simplified acquisition threshold)

52.215-14 INTEGRITY OF UNIT PRICES -- ALTERNATE I (OCT 1997)

(IAW FAR 15.408(f)(2))

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 , 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 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 52.21621 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 maximumorder 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 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)

52.216-22 INDEFINITE QUANTITY (OCT 1995)

(IAW FAR 16.506(e))

(a) This is an indefinitequantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum." The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum."

(c) Except for any limitations on quantities in the DeliveryOrder Limitations clause or in the Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period;

provided, that the Contractor shall not be required to make any deliveries under this contact after .

(Applicable to all orders issued hereunder)

252.216-7006 ORDERING (SEP 2019)

(IAW DFARS 216.506(a))

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the contract schedule. Such orders may be issued from

(Applicable to solicitations and contracts when a definitequantity contract, a requirements contract, or an indefinitequantity contract is contemplated)

52.217-2 CANCELLATION UNDER MULTIYEAR CONTRACTS (OCT 1997)

(IAW FAR 17.109(a))

52.219-4 NOTICE OF PRICE EVALUATION PREFERENCE FOR HUBZONE SMALL BUSINESS

CONCERNS (DEVIATION 2020-O0008) (MAR 2020)

(IAW Deviation 2020-O0008)

(c) Waiver of evaluation preference. A HUBZone small business concern may elect to waive the evaluation preference, in which case the factor will be added to its offer for evaluation purposes. The agreements in paragraphs (e) and (f) of this clause do not apply if the Offeror has waived the evaluation preference.

__ Offeror elects to waive the evaluation preference

52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS (OCT 2018)

(IAW FAR 19.708(a))

(Applicable when exceeding the simplified acquisition threshold, except for personal service contracts or when performance is entirely outside of the United States and its outlying areas)

52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN (DEVIATION 2018-O0018) (AUG 2018)

(IAW DARS TRCKING # 2018-O0018)

(Applicable over $700,000)

52.219-16 LIQUIDATED DAMAGES--SUBCONTRACTING PLAN (JAN 1999)

(IAW FAR 19.708(b)(2))

(Applicable when FAR 52.2199, Small Business Subcontracting Plan, or its Alternate I or Alternate II applies. IAW DFARS 219.708(b)(2), does not apply to DoD in contracts with contractors that have comprehensive subcontracting plans approved under the test program described in DFARS 219.702)

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (MAY 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 womenowned small business concern.

(4) Womenowned small business (WOSB) concern eligible under the WOSB Program.

[Complete only if the Contractor represented itself as a womenowned 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 womenowned small business (EDWOSB) concern.

[Complete only if the Contractor represented itself as a womenowned 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 veteranowned small business concern.

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