FA825024Q0250.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) X

FA8250-24-Q-0250 10 JAN 2024

3. REQUISITION/PURCHASE REQUEST NO.

FD20202400250 01 DO: A7

FA8250

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFSC PZAAA1

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE UT 84056-5825

BUYER:

(Date)

SEE SCHEDULE

SCD:B

(NO COLLECT CALLS)

Nicholas Standiford

(000 ) 777 -8182

(See Schedule) X

(Date)

12 FEB 2024

(Include applicable Federal, State and local taxes)

(Type or print)

X

(Type or print)

SEE SCHEDULE

ROUTINE

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 30 days.

NAICS CODE: 811210

SIZE STD: $34.00

Requirement restricted to qualified source(s).

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

SOLICITATION NO. FA825024Q0250

DUE: 12 -FEB -2024

FROM: AFFIX

STAMP

HERE

TO:

ATTN:

SUPPLIES OR SERVICES AND PRICES/COSTS

Teardown, Test and Evaluation (TT&E)

Item No.

Quantity U/I Unit Price Amount

CLIN ACRN ACRN Total

NSN:

Manufacturer Part Number

Associated Document(s) Line Item(s)

Priority:

Inspection:

Acceptance:

Quality Assurance:

Teardown, Test and Evaluation (TT&E)

Applicability:

IUID Required:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

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

Req No / Pri

Required Delivery

Proposed Delivery

Repair

Item No.

Quantity U/I Estimated Unit Price Not to Exceed Price

CLIN ACRN ACRN Total

NSN:

Manufacturer Part Number

Associated Document(s) Line Item(s)

Priority:

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Applicability:

Repair

IUID Required:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO After Completion of Study

Req No / Pri

Required Delivery

Proposed Delivery

Commercial Asset Visibility Air Force (CAV AF)

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Priority:

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Transportation From Continental United States CONUS (CONUS) Sources

Commercial Asset Visibility Air Force (CAV AF)

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 A001,A002, A003

Req No / Pri

Required Delivery

Proposed Delivery

Repairable Item Inspection Report (RIIR)

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Priority:

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Transportation From Continental United States CONUS (CONUS) Sources

Repairable Item Inspection Report (RIIR)

Type / Ship To Quantity (U/I) Contractor shall deliver the Repairable Item Inspection report within 7 days after the completion of

Req No / Pri

Required Delivery

Proposed Delivery

Counterfeit Prevention Plan (CPP)

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Priority:

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To Quantity (U/I) CONTRACTOR SHALL

DELIVER THE

COUNTERFIET

PREVENTION PLAN

WITHIN 30 DAYS OF

CONTRACT AWARD

Req No / Pri

Counterfeit Prevention Plan (CPP)

Required Delivery

Proposed Delivery

Test Procedure

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Priority:

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 D001

Req No / Pri

Required Delivery

Proposed Delivery

Test/Inspection Report

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Priority:

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To Quantity (U/I) The Contractor shall deliver the Test Report NLT 15 days aftertest.

Req No / Pri

Required Delivery

Proposed Delivery

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE:

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

AWARD NUMBER:

TYPE/CODE:

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

AWARD NUMBER:

TYPE/CODE:

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

AWARD NUMBER:

TYPE/CODE:

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

AWARD NUMBER:

TYPE/CODE:

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

AWARD NUMBER:

CONTRACT CLAUSES

F3RS

252.201-7000 CONTRACTING OFFICER'S REPRESENTATIVE

5352.201-9101 OMBUDSMAN (JUN 2023)

(IAW DAFFARS 5301.9103)

Melinda M.

Schmidt 801 777 6549 000 000 0000 melinda.schmidt@us.af.mil

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

(DEC 2022)

(IAW DFARS 203.970)

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

(IAW FAR 4.1105(b))

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

(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

(NOV 2021)

(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 (NOV 2021)

(IAW FAR 4.2004)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

(IAW 4.2105(b))

52.204-27 PROHIBITION ON A BYTEDANCE COVERED APPLICATION (JUN 2023)

(IAW FAR 4.2203)

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

(IAW DFARS 204.7109(a))

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 (JAN 2023)

(IAW DFARS 204.7304(c))

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (JAN 2023)

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

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES (JAN 2023)

(IAW DFARS 204.2105(c))

252.204-7020 NIST SP 800-171 DOD ASSESSMENT REQUIREMENTS (JAN 2023)

(IAW DFARS 204.7304(e))

252.204-7022 EXPEDITING CONTRACT CLOSEOUT (MAY 2021)

(IAW DFARS 204.804-70)

52.209-1 QUALIFICATION REQUIREMENTS (FEB 1995)

(IAW FAR 9.206-2)

Item No Agency Name/Address

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

52.211-5 MATERIAL REQUIREMENTS (AUG 2000)

(IAW FAR 11.304)

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

(IAW FAR 11.604(b))

252.211-7003 ITEM UNIQUE IDENTIFICATION AND VALUATION (JAN 2023)

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

Definitions

Unique item identifier.

252.211-7007 REPORTING OF GOVERNMENT-FURNISHED PROPERTY (MAR 2022)

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

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

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES) (JUN 2023)

(IAW FAR 13.302-5(d))

FAR 52.252-2, Clauses Incorporated by Reference (FEB 1998).

https://www.acquisition.gov/browse/index/far https://www.acquisition.gov/dfars https://www.acquisition.gov/affars

Inspection/Acceptance.

Excusable delays.

Termination for the Government's convenience.

Termination for cause.

Warranty.

252.217-7028 OVER AND ABOVE WORK (DEC 1991)

(IAW DFARS 217.7702)

52.219-6 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE (NOV 2020)

(IAW FAR 19.507(c))

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (OCT 2022)

(IAW FAR 19.309(c))

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

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

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

[Complete only if the Contractor represented itself as a veteran-owned small business concern in paragraph (h)(6) of this clause.]

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

[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

Electronics Technician, Maintenance III 27.22 36.25% Material Handling Laborer 14.33 36.25% Production Control Clerk 20.14 36.25% Scheduler, Maintenance 16.14 36.25% Shipping/Receiving Clerk 17.41 36.25% Supply Technician 22.37 36.25% Warehouse Specialist (Warehouse Worker)

19.07 36.25%

52.222-50 COMBATING TRAFFICKING IN PERSONS (NOV 2021)

(IAW FAR 22.1705(a)(1))

52.222-55 MINIMUM WAGES FOR CONTRACTOR WORKERS UNDER EXECUTIVE ORDER

14026 (JAN 2022)

(IAW FAR 22.1906)

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (JUN 2020)

(IAW FAR 23.1105)

52.223-20 AEROSOLS (JUN 2016)

(IAW FAR 23.804(a)(3))

252.223-7008 PROHIBITION OF HEXAVALENT CHROMIUM (JAN 2023)

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

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)

Definitions. Covered contract

Covered entity

Disclosure requirement.

Subcontracts.

252.225-7972 PROHIBITION ON THE PROCUREMENT OF FOREIGN-MADE UNMANNED AIRCRAFT

SYSTEMS (DEVIATION 2020-O0015) (MAY 2020)

(IAW Deviation 2020-O0015)

252.227-7030 TECHNICAL DATA--WITHHOLDING OF PAYMENT (MAR 2000)

(IAW DFARS 227.7103-6(e)(2), DFARS 227.7104(e)(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 (MAR 2023)

(IAW FAR 32.009-2)

252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND RECEIVING REPORTS

(DEC 2018)

(IAW DFARS 232.7004(a))

Definitions e.g.

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

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

Definitions.

WAWF access

WAWF training

WAWF methods of document submission

Receiving Report

Invoice

Field Name in WAWF Data to be entered in WAWF

DFAS

FA8250

DCMA

DCMA

FY2073, FB2029, SW3215

See Schedule Account A

DCMA

DCMA

See Schedule N/A N/A N/A

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

(**Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)

WAWF point of contact.

WAWF helpdesk at 866-618-5988 or DCMA ACO (Contracting Officer: Insert applicable information or “Not applicable.”)

252.232-7010 LEVIES ON CONTRACT PAYMENTS (DEC 2006)

(IAW DFARS 232.7102)

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

AA

ACRN TOTAL $ 0.00

252.237-7010 PROHIBITION ON INTERROGATION OF DETAINEES BY CONTRACTOR

PERSONNEL (JAN 2023)

(IAW DFARS 237.173-5)

52.242-17 GOVERNMENT DELAY OF WORK (APR 1984)

(IAW FAR 42.1305(c))

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

(IAW FAR 43.205(a)(1))

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

(IAW FAR 43.205(a)(3))

252.243-7001 PRICING OF CONTRACT MODIFICATIONS (DEC 1991)

(IAW DFARS 243.205-70)

252.243-7999 SECTION 3610 REIMBURSEMENT (DEVIATION 2020-O0021) (AUG 2020)

(IAW Deviation 2020-O0021, Revision 3)

252.244-7000 SUBCONTRACTS FOR COMMERCIAL ITEMS AND COMMERCIAL COMPONENTS

(DOD CONTRACTS) (JAN 2023)

(IAW DFARS 244.403)

52.245-1 GOVERNMENT PROPERTY (SEP 2021)

(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(3))

252.245-7002 REPORTING LOSS OF GOVERNMENT PROPERTY (JAN 2021)

(IAW DFARS 245.107(4))

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

(IAW DFARS 245.107(5))

252.245-7004 REPORTING, REUTILIZATION, AND DISPOSAL (DEVIATION 2022-O0006)

(NOV 2021)

(IAW Deviation 2022-O0006)

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

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

52.246-1 CONTRACTOR INSPECTION REQUIREMENTS (APR 1984)

(IAW FAR 46.301)

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

(IAW FAR 46.302)

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

(IAW FAR 46.304)

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

252.246-7007 CONTRACTOR COUNTERFEIT ELECTRONIC PART DETECTION AND AVOIDANCE

SYSTEM (JAN 2023)

(IAW DFARS 246.870-3(a))

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503)

[CONTRACTOR FILL-IN]

See schedule for items with the following code(s) listed below :

Inspection Code and Address:

Item No(s): 0003, 0004, 0005, 0006, 0007

52.247-1 COMMERCIAL BILL OF LADING NOTATIONS (FEB 2006)

(IAW FAR 47.104-4(a), FAR 47.104-4(b))

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))

52.247-48 F.O.B. DESTINATION--EVIDENCE OF SHIPMENT (FEB 1999)

(IAW FAR 47.305-4(c)) Applicable Item No(s) 0003 0004 0005 0006 0007

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

(JUN 2003)

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

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

(IAW FAR 47.303-17(f))

252.247-7023 TRANSPORTATION OF SUPPLIES BY SEA--BASIC (JAN 2023)

(IAW DFARS 247.574(b))

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b))

F.O.B. Address

[CONTRACTOR FILL-IN]

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

(IAW FAR 52.107(f))

Defense Federal Acquisition Regulation Supplement Chapter 2

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

SOLICITATION PROVISIONS

REPRESENTATIONS, INSTRUCTIONS AND EVALUATIONS

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS

INTRODUCTION:

This section provides guidance for preparing proposals and specific instructions on the required format and content. To assure timely and equitable proposal evaluation, offerors shall propose in accordance with this section and all solicitation requirements (i.e. provisions, clauses, appendices, attachments, forms, etc.). Non-conformance with the instructions provided in this section or the requirements and statements of the solicitation may result in an unfavorable evaluation or proposal disqualification (i.e. the offeror was non-responsive to the solicitation requirements).

PROPOSAL FORMAT:

Offerors shall fill in their proposed prices and delivery dates in Part I, Section B of the Solicitation.

Offerors shall fill in the Inspection and Acceptance clause, as well as the F.O.B Origin clause in Part I, Section E of the solicitation.

Offerors shall fill in their representations, certifications, and other statements as in Part IV, Section K of the solicitation.

EVALUATION FACTORS FOR AWARD

11) INTRODUCTION:

12) EVALUATION FACTORS AND PROCEEDURES:

Price Reasonableness:

Balance:

Total Evaluated Price (TEP):

Solicitation Requirements, Terms and Conditions:

252.203-7005 REPRESENTATION RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2022)

(IAW DFARS 203.171-4(b))

52.204-7 SYSTEM FOR AWARD MANAGEMENT (OCT 2018)

(IAW FAR 4.1105(a)(1))

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (DEC 2022)

(IAW FAR 4.1202(a))

811210 $34.00

[Contracting Officer check as appropriate.] X __

X __ X __

(see note) Note: If this clause is applicable it will be listed in the appropriate clause section of this document.

(see note) Note: If this clause and it’s Alternate I are applicable they will be listed in the appropriate clause section of this document.

52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING (AUG 2020)

(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 (NOV 2021)

(IAW FAR 4.2105(a))

Definitions.

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, substantial or essential component

Prohibition.

Procedures.

https://www.sam.gov

Representations.

Disclosures.

52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES -

REPRESENTATION (OCT 2020)

(IAW FAR 4.2105(c))

Definitions.

Procedures.

Representations.

252.204-7007 ALTERNATE A, ANNUAL REPRESENTATIONS AND CERTIFICATIONS (MAY 2021)

(IAW DFARS 204.1202)

[Contracting Officer check as appropriate.]

252.204-7008 COMPLIANCE WITH SAFEGUARDING COVERED DEFENSE INFORMATION

CONTROLS (OCT 2016)

(IAW DFARS 204.7304(a))

252.204-7016 COVERED DEFENSE TELECOMMUNICATIONS EQUIPMENT OR SERVICES --

REPRESENTATION (DEC 2019)

(IAW 204.2105(a))

252.204-7017 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES--REPRESENTATION

(MAY 2021)

(IAW DFARS 204.2105(b))

252.204-7019 NOTICE OF NIST SP 800-171 DOD ASSESSMENT REQUIREMENTS

(MAR 2022)

(IAW DFARS 204.7304(d))

Definitions

Summary level scores.

Basic Assessments.

Medium and High Assessments.

Accessibility.

252.204-7024 NOTICE ON THE USE OF THE SUPPLIER PERFORMANCE RISK SYSTEM

(MAR 2023)

(IAW DFARS 204.7604)

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)) is [ ] is not [ ] is [ ] is not [ ]

52.211-14 NOTICE OF PRIORITY RATING FOR NATIONAL DEFENSE, EMERGENCY

PREPAREDNESS, AND ENERGY PROGRAM USE (APR 2008)

(IAW FAR 11.604(a))

252.215-7008 ONLY ONE OFFER (DEC 2022)

(IAW DFARS 215.408(3))

252.215-7013 SUPPLIES AND SERVICES PROVIDED BY NONTRADITIONAL DEFENSE

CONTRACTORS (JAN 2023)

(IAW DFARS 215.408(6))

THE FOLLOWING IS FILL-IN DATA FOR PROVISION 52.204-8 PARA (c)(2)(iii):

52.222-18 CERTIFICATION REGARDING KNOWLEDGE OF CHILD LABOR FOR LISTED END PRODUCTS (FEB 2021)

Listed end products

Certification

52.223-22 PUBLIC DISCLOSURE OF GREENHOUSE GAS EMISSIONS AND REDUCTION

GOALS--REPRESENTATION (DEC 2016)

(IAW FAR 23.804(b))

Offeror is to check applicable blocks in paragraphs (b)(1) and (2) [ ] does, [ ] does not

[ ] does, [ ] does not

252.225-7057 PREAWARD DISCLOSURE OF EMPLOYMENT OF INDIVIDUALS WHO WORK IN THE

PEOPLE'S REPUBLIC OF CHINA (AUG 2022)

(IAW DFARS 225.7021-4(a))

252.225-7973 PROHIBITION ON THE PROCUREMENT OF FOREIGN-MADE UNMANNED AIRCRAFT

SYSTEMS (DEVIATION 2020-O0015) (MAY 2020)

(IAW DEVIATION 2020-O0015)

52.247-46 SHIPPING POINT(S) USED IN EVALUATION OF F.O.B. ORIGIN OFFERS (APR 1984)

(IAW FAR 47.305-3(b)(4)(ii))

52.247-47 EVALUATION-F.O.B. ORIGIN (JUN 2003)

(IAW FAR 47.305-3(f)(2))

ITEM NO MODE OF TRANSPORTATION

52.247-53 FREIGHT CLASSIFICATION DESCRIPTION (APR 1984)

(IAW FAR 47.305-9(b)(1))

52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

(IAW FAR 52.107(a))

NOTE:

FIND regulation reference