FA825120R0015.pdf

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A-10 Gun Camera Repairs Federal contract opportunity
Solicitation number
FA825120R0015
Issued by
Department of the Air Force Materiel Command Air Force Sustainment Center

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FA825120R0015_0001.pdf PDF
PWS_28Aug2020.pdf PDF
Solicitation_QandA.pdf PDF
Ordering_Procedures.docx DOCX document
Packaging_TO_00-85B-3.pdf PDF
CDRLS_compressed.pdf PDF
Section_M_Evaluation_Factors_CCTV.pdf PDF
DRILS guide.pdf PDF
RQR.pdf PDF
California_and_Alabama_Wage_determinations.pdf PDF
Federal_Wage_Equivalent_information.pdf PDF
CAV AF SOW.docx DOCX document
PKG SOW.docx DOCX document
SPI_Information.pdf PDF
Transportation.pdf PDF
PWS_Final.pdf PDF
Packaging.pdf PDF
SECTION_L_Proposal_Instructions_CCTV.pdf PDF
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AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 33 (REV. 9-97)

PREVIOUS EDITION NOT USABLE Prescribed by GSA – FAR (48 CFR) 53/214(c)

SOLICITATION, OFFER AND AWARD J

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15CFR 7900)

RATING

DO: A1

Page of Page

2. CONTRACT NO. 3. SOLICITATION NO.

FA8251-20-R-0015

4. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

7. ISSUED BY

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFSC PZABB

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE UT 84056-5825

BUYER: Melissa H. Hayhurst/AFSC melissa.hayhurst@us.af.mil Phone: (801) 777- 2905

FA8251 8. ADDRESS OFFER TO (If other than Item 7)

11. TABLE OF CONTENTS

(X) SEC. DESCRIPTON PAGE(S) (X) Sec. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

X A SOLICITATION/CONTRACT FORM

X B SUPPLIES OR SERVICES AND

C DESCRIPTION/SPECS/WORK STATEMENT

D PACKAGING AND MARKING

X E INPECTION AND ACCEPTANCE

X F DELIVERIES OR PERFORMANCE

X G CONTRACT ADMINISTRATION DATA

X H SPECIAL CONTRACT REQUIREMENTS

X I CONTRACT CLAUSES

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER

X J LIST OF ATTACHMENTS

X K REPRESENTATIONS, CERTIFICATIONS AND

OTHER STATEMENTS OF OFFERORS

PART IV - REPRESENTATIONS AND INSTRUCTIONS

X L INSTRS., CONDS., AND NOTICES TO OFFERORS

X M EVALUATION AND FACTORS FOR AWARD

OFFER (Must be fully completed by offeror)

24. ADMINISTERED BY (If other than Item 7) SCD:C 25. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

26. NAME OF CONTRACTING OFFICER (Type or print) 27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

28. AWARD DATE

X

5. DATE ISSUED

4 AUG 2020

6.REQUISITION/PURCHASE NO

FD20202000950

NOTE: In sealed bid solicitations “offer” and “offeror” mean “bid” and “bidder”.

9. Sealed offers in original and copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the depository located in until 4:00 (Hour) local time 3-SEP-2020 (Date).

CAUTION- LATE Submissions, Modifications, and Withdrawals: Section L, Provision No 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this section.

10. FOR INFORMATION

CALL:

A. NAME

Melissa H Hayhurst

B. TELEPHONE (NO COLLECT CALLS)

(801 ) 777 -2905

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

The requirement is not an inherently government function. Repair effort is deemed performance based

12. In compliance with the above, the undersigned agrees, if this offer is accepted within 30 calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT(See Section I, Clause No 52.232-8)

10 CALENDAR DAYS 20 CALENDAR DAYS 30 CALENDAR DAYS CALENDAR DAYS

14. ACKNOWLEDGEMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated:

AMENDMENT NO. DATE AMENDMENT NO. DATE

15A. NAME AND

ADDRESS OF

OFFEROR

CODE FACILITY

16. NAME AND TITLE OF PERSON

AUTHORIZED TO SIGN OFFER (Type or print)

15B. TELEPHONE NO.

(Include Area Code)

15C.CHECK IF REMITTANCE ADDRESS

IS DIFFERENT FROM ABOVE-ENTER

SUCH ADDRESS IN SCHEDULE.

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS 20. AMOUNT

21. ACCOUNTING AND APPROPRIATION

SEE SCHEDULE

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN

COMPETITION

10 U.S.C. 2304 (c) ( ) 41 U.S.C. 253 (c)

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

ITEM

SOLICITATION

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

C. E-MAIL ADDRESS

melissa.hayhurst@us.af.mil

FA8251-20-R-0015

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

This solicitation will result in a multiple award five (5) year Indefinite Delivery/ Indefinite Quantity (ID/IQ) contract for the repair of the A-10 Gun Camera CCTV Repair. The contractor(s) will be required to provide all labor and parts or other materials and equipment necessary to accomplish the effort. The resulting contract(s) will be firm fixed price. Funded delivery orders will be issued and assets provided to the awardee as requirements generate. Traditionally, requirements are generated at the start of each fiscal quarter. The ordering procedures that govern this multiple award are attached to this solicitation.

Please review attachments SECTION L and SECTION M for proposal guidance and evaluation criteria.

Requirement is 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.

FAR 16.504 requires the solicitation to indicate a minimum and maximum quantities to be acquired under the contract. The Government has 40 units to divide between the awardees to satisfy the first task order. It is anticipated that there will be no more than 3 awardees. Under this assumption, the minimum guarantee will be 13 units for repair. If fewer contracts are awarded, then more assets may be included on the first task order. The maximum for each contract is being set at $1.8M worth of repairs.

In the event of only one offeror IAW the Truth In Negotiations Act (TINA), DFARS 252.215-7008 will apply.

For the purpose of pricing the cost of packaging, please assume that all resuable packaging will require some minor adjustments to become compliant with the SPI. Up to 5 reusabale packages per year may require major adjustments to be compliant with the SPI. Anything over this may be submitted to the PCO for equittable adjustment.

Failure of the Government to order quantities of repair identified in the contract above the minimum will not entitle the contractor to any equitable adjustment.

Early delivery of assets on the contract shall be determined acceptable at no additional cost to the Government, on all CLINS stated below.

AFSC Gate 5 process requires the contractor include a DD1348-1 when serviceable assets are shipped. DCMA Quality Assurance Representatives (QARs) will not approve or sign a DD1348-1, but will ensure a DD1348-1 is included with each returned serviceable asset. If a DD1348-1 is not included with each returned serviceable asset, DCMA will not sign the DD250.

NON-RECURRING DATA

Ordering Period: Award Through 5 Years Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

Non-Recurring Data - Exhibit B

COUNTERFEIT PREVENTION PLAN (ELIN B001)

IUID MARKING PLAN (ELIN B002)

Associated Document(s) Line Item(s)

FD20202000950 0004

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) IAW 1423 Req No / Pri

Required Delivery

+ IAW1423 1 LO IAW 1423

Proposed Delivery

+ IAW1423 1 LO

IAW DD1423

Recurring Data

Ordering Period: Award through 5 years Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

Recurring Data - Exhibit A

CAVAF REPORTING (ELIN A001)

CONTRACT DEPOT MAINTENANCE(CDM) (ELIN A002)

GOVERNMENT PROPERTY INVENTORY REPORT (ELIN A003)

REPAIRABLE ITEM INSPECTION REPORT (ELIN A004)

MONTHLY STATUS REPORT (ELIN A005)

BER CONDEMNATION LETTER (ELIN A006)

Associated Document(s) Line Item(s)

FD20202000950 0003

Priority: R

Limitations of Liability: Other Than High Value Item

Recurring Data

Ordering Period: Award through 5 years

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) IAW EXHIBIT A DD

FORM 1423-1

Req No / Pri

Required Delivery

+ IAW1423 1 LO IAW EXHIBIT A DD

FORM 142

Proposed Delivery

+ IAW1423 1 LO

IAW EXHIBIT A DD FORM 1423-1

A-10 Gun Camera CCTV - Teardown, Test, & Evaluation

Pricing Year 1 Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

95 EA

NSN: 5821-01-468-6516 FJ

Teardown,Test, and Evaluation (TT&E) This line item includes determination of BER or No Fault Found. All assets to receive TT&E.

The CCTVS records a video image of the view through the HUD and the maverick missile video on the Multi-Function Color Displays (MFCDs). Comprised of video camera, board assembly, lens assembly, motor assembly Manufacturer Part Number 02024 93-1040 02024 93-2010 50218 507670-01 54089 507670-01 Associated Document(s) Line Item(s)

FD20202000950 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

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

Asset.

Req No / Pri

A-10 Gun Camera CCTV - Teardown, Test, & Evaluation

Pricing Year 1 Required Delivery

+ CNOTE 95 EA *30 Calendar Days

Proposed Delivery

+ CNOTE 95 EA

Requested Delivery: Evaluate at a rate of 15 every 30 days

Proposed Delivery: Evaluate at a rate of ________ every _________ days

+CNOTE SHIP TO Instructions:

For No Fault Found Assets, please return to FB2029 In A condition

For Beyond Economic Repair Assets, please contact PCO for disposition instructions.

For Assets Identified for Repair, Ship in Place and repair under CLIN 0004.

A-10 Gun Camera CCTV - Repair

Pricing Year 1 Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

95 EA

NSN: 5821-01-468-6516 FJ

MONITOR,TELEVISION

Essential Repair of A-10 Gun Camera CCTV The CCTVS records a video image of the view through the HUD and the maverick missile video on the Multi-Function Color Displays (MFCDs). Comprised of video camera, board assembly, lens assembly, motor assembly Manufacturer Part Number 02024 93-1040 02024 93-2010 50218 507670-01 54089 507670-01 Associated Document(s) Line Item(s)

FD20202000950 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

A-10 Gun Camera CCTV - Repair

Pricing Year 1

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FB2029 ORIGIN

Type / Ship To PACRN Mark For

A FB2029 PAB ACCT 09

Type / Ship To Quantity (U/I) *ARO After first receipt of asset. Total days of TT&E plus repair will be 45 days for 1st set of repairs.

Req No / Pri

Required Delivery

A FB2029 95 EA *45 Calendar Days

Proposed Delivery

A FB2029 95 EA

Requested delivery: Repair at a rate of 15 every 30 days

Proposed delivery: Repair at a rate of _______ every ___________ days

Pricing Year 2 Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

95 EA

NSN: 5821-01-468-6516 FJ

Teardown,Test, and Evaluation (TT&E) This line item includes determination of BER or No Fault Found. All assets to receive TT&E.

The CCTVS records a video image of the view through the HUD and the maverick missile video on the Multi-Function Color Displays (MFCDs). Comprised of video camera, board assembly, lens assembly, motor assembly Manufacturer Part Number 02024 93-1040 02024 93-2010 50218 507670-01 54089 507670-01 Associated Document(s) Line Item(s)

FD20202000950 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes

A-10 Gun Camera CCTV - Teardown, Test, & Evaluation

Pricing Year 2

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

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

Asset.

Req No / Pri

Required Delivery

+ CNOTE 95 EA *30 Calendar Days

Proposed Delivery

+ CNOTE 95 EA

Requested Delivery: Evaluate at a rate of 15 every 30 days

Proposed Delivery: Evaluate at a rate of ________ every _________ days

+CNOTE SHIP TO Instructions:

For No Fault Found Assets, please return to FB2029 In A condition

For Assets Identified for Repair, Ship in Place and repair under CLIN 1004.

Pricing Year 2 Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

95 EA

NSN: 5821-01-468-6516 FJ

MONITOR,TELEVISION

Essential Repair of A-10 Gun Camera CCTV The CCTVS records a video image of the view through the HUD and the maverick missile video on the Multi-Function Color Displays (MFCDs). Comprised of video camera, board assembly, lens assembly, motor assembly Manufacturer Part Number 02024 93-1040 02024 93-2010 50218 507670-01 54089 507670-01 Associated Document(s) Line Item(s)

FD20202000950 0002

A-10 Gun Camera CCTV - Repair

Pricing Year 2

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FB2029 ORIGIN

Type / Ship To PACRN Mark For

A FB2029 PAB ACCT 09

Type / Ship To Quantity (U/I) *ARO After first receipt of asset. Total days of TT&E plus repair will be 45 days for 1st set of repairs.

Req No / Pri

Required Delivery

A FB2029 95 EA *45 Calendar Days

Proposed Delivery

A FB2029 95 EA

Pricing Year 3 Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

95 EA

NSN: 5821-01-468-6516 FJ

Teardown,Test, and Evaluation (TT&E) This line item includes determination of BER or No Fault Found. All assets to receive TT&E.

The CCTVS records a video image of the view through the HUD and the maverick missile video on the Multi-Function Color Displays (MFCDs). Comprised of video camera, board assembly, lens assembly, motor assembly Manufacturer Part Number 02024 93-1040 02024 93-2010 50218 507670-01 54089 507670-01 Associated Document(s) Line Item(s)

FD20202000950 0001

A-10 Gun Camera CCTV - Teardown, Test, & Evaluation

Pricing Year 3

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

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

Asset.

Req No / Pri

Required Delivery

+ CNOTE 95 EA *30 Calendar Days

Proposed Delivery

+ CNOTE 95 EA

Requested Delivery: Evaluate at a rate of 15 every 30 days

Proposed Delivery: Evaluate at a rate of ________ every _________ days

+CNOTE SHIP TO Instructions:

For No Fault Found Assets, please return to FB2029 In A condition

For Assets Identified for Repair, Ship in Place and repair under CLIN 2004.

Pricing Year 3 Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

95 EA

NSN: 5821-01-468-6516 FJ

MONITOR,TELEVISION

Essential Repair of A-10 Gun Camera CCTV The CCTVS records a video image of the view through the HUD and the maverick missile video on the Multi-Function Color Displays (MFCDs). Comprised of video camera, board assembly, lens assembly, motor assembly Manufacturer Part Number 02024 93-1040 02024 93-2010

A-10 Gun Camera CCTV - Repair

Pricing Year 3 50218 507670-01 54089 507670-01 Associated Document(s) Line Item(s)

FD20202000950 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FB2029 ORIGIN

Type / Ship To PACRN Mark For

A FB2029 PAB ACCT 09

Type / Ship To Quantity (U/I) *ARO After first receipt of asset. Total days of TT&E plus repair will be 45 days for 1st set of repairs.

Req No / Pri

Required Delivery

A FB2029 95 EA *45 Calendar Days

Proposed Delivery

A FB2029 95 EA

Pricing Year 4 Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

95 EA

NSN: 5821-01-468-6516 FJ

Teardown,Test, and Evaluation (TT&E) This line item includes determination of BER or No Fault Found. All assets to receive TT&E.

The CCTVS records a video image of the view through the HUD and the maverick missile video on the Multi-Function Color Displays (MFCDs). Comprised of video camera, board assembly, lens assembly, motor assembly Manufacturer Part Number 02024 93-1040 02024 93-2010 50218 507670-01 54089 507670-01

A-10 Gun Camera CCTV - Teardown, Test, & Evaluation

Pricing Year 4 Associated Document(s) Line Item(s)

FD20202000950 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

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

Asset.

Req No / Pri

Required Delivery

+ CNOTE 95 EA *30 Calendar Days

Proposed Delivery

+ CNOTE 95 EA

Requested Delivery: Evaluate at a rate of 15 every 30 days

Proposed Delivery: Evaluate at a rate of ________ every _________ days

+CNOTE SHIP TO Instructions:

For No Fault Found Assets, please return to FB2029 In A condition

For Assets Identified for Repair, Ship in Place and repair under CLIN 3004.

Pricing Year 4 Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

95 EA

NSN: 5821-01-468-6516 FJ

MONITOR,TELEVISION

Essential Repair of A-10 Gun Camera CCTV The CCTVS records a video image of the view through the HUD and the maverick missile video on the Multi-Function Color Displays (MFCDs). Comprised of video camera, board assembly, lens assembly, motor assembly

A-10 Gun Camera CCTV - Repair

Pricing Year 4 Manufacturer Part Number 02024 93-1040 02024 93-2010 50218 507670-01 54089 507670-01 Associated Document(s) Line Item(s)

FD20202000950 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FB2029 ORIGIN

Type / Ship To PACRN Mark For

A FB2029 PAB ACCT 09

Type / Ship To Quantity (U/I) *ARO After first receipt of asset. Total days of TT&E plus repair will be 45 days for 1st set of repairs.

Req No / Pri

Required Delivery

A FB2029 95 EA *45 Calendar Days

Proposed Delivery

A FB2029 95 EA

Pricing Year 5 Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

95 EA

NSN: 5821-01-468-6516 FJ

Teardown,Test, and Evaluation (TT&E) This line item includes determination of BER or No Fault Found. All assets to receive TT&E.

The CCTVS records a video image of the view through the HUD and the maverick missile video on the Multi-Function Color Displays (MFCDs). Comprised of video camera, board assembly, lens assembly, motor assembly Manufacturer Part Number 02024 93-1040

A-10 Gun Camera CCTV - Teardown, Test, & Evaluation

Pricing Year 5 02024 93-2010 50218 507670-01 54089 507670-01 Associated Document(s) Line Item(s)

FD20202000950 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

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

Asset.

Req No / Pri

Required Delivery

+ CNOTE 95 EA *30 Calendar Days

Proposed Delivery

+ CNOTE 95 EA

Requested Delivery: Evaluate at a rate of 15 every 30 days

Proposed Delivery: Evaluate at a rate of ________ every _________ days

+CNOTE SHIP TO Instructions:

For No Fault Found Assets, please return to FB2029 In A condition

For Assets Identified for Repair, Ship in Place and repair under CLIN 4004.

Pricing Year 5 Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

95 EA

NSN: 5821-01-468-6516 FJ

MONITOR,TELEVISION

A-10 Gun Camera CCTV - Repair

Pricing Year 5 Essential Repair of A-10 Gun Camera CCTV The CCTVS records a video image of the view through the HUD and the maverick missile video on the Multi-Function Color Displays (MFCDs). Comprised of video camera, board assembly, lens assembly, motor assembly Manufacturer Part Number 02024 93-1040 02024 93-2010 50218 507670-01 54089 507670-01 Associated Document(s) Line Item(s)

FD20202000950 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FB2029 ORIGIN

Type / Ship To PACRN Mark For

A FB2029 PAB ACCT 09

Type / Ship To Quantity (U/I) *ARO After first receipt of asset. Total days of TT&E plus repair will be 45 days for 1st set of repairs.

Req No / Pri

Required Delivery

A FB2029 95 EA *45 Calendar Days

Proposed Delivery

A FB2029 95 EA

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + CNOTE

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

AWARD NUMBER:

TYPE/CODE: + IAW1423

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

AWARD NUMBER:

TYPE/CODE: A FB2029

OO ALC DDHU CNTRL RCV

CENTRAL RECEIVING BLDG 849W

CP 385 519 8898

5851 F AVE BLDG 849W

HILL AFB UT 84056 UT 84056-4056

USA

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

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

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

(IAW FAR 46.304)

(Applicable for fixed-price services, or supplies furnishing services over the simplified acquisition threshold)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) (Applicable to all orders issued hereunder)

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

[CONTRACTOR FILL-IN]

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

Inspection Code and Address:

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

Item No(s): 0001, 0002

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1)) (Applicable for supplies, services, or research and development)

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

(IAW FAR 47.303-1(c)) (Applicable when specifying f.o.b. origin)

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)

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

(IAW FAR 47.303-17(f)) (Applicable when specifying f.o.b. origin)

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b)) Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address

[CONTRACTOR FILL-IN]

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

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

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

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

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

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

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

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

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

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

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

Routing Data Table* Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC Issue By DoDAAC Admin DoDAAC Inspect By DoDAAC Ship To Code Ship From Code Mark For Code Service Approver (DoDAAC) Service Acceptor (DoDAAC) Accept at Other DoDAAC LPO DoDAAC DCAA Auditor DoDAAC Other DoDAAC(s) (*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

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

timesheets) in support of each payment request.

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

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

(g) WAWF point of contact.

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

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

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

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

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable

ACRN Funds Citation Amount Chargeable

AA TO BE CITED ON EACH ORDER $0.00

ACRN TOTAL $ 0.00

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

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

(IAW DFARS 201.602-70)

(Applicable to all orders issued hereunder)

5352.201-9101 OMBUDSMAN (OCT 2019)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, the interested party may contact the ombudsman, Lisette K. LeDuc at 801 777 -6549 , FAX 000 000 -0000 , email lisette.leduc@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.

(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)

52.203-7 ANTI-KICKBACK PROCEDURES (JUN 2020)

(IAW FAR 3.502-3)

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))

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(JUN 2020)

(IAW FAR 3.808(b))

(Applicable over $150,000)

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY

AGREEMENTS OR STATEMENTS (JAN 2017)

(IAW FAR 3.909-3 (b))

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

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

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

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)

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

(IAW FAR 4.303)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (JUN 2020)

(IAW FAR 4.1403(a))

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

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

(IAW FAR 4.1105(b)) (Applicable to solicitations that contain the provision at 52.204-7, and resulting contracts)

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

(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))

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(JUN 2016)

(IAW FAR 4.1903)

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

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

DEVELOPED OR PROVIDED BY KASPERSKY LAB AND OTHER COVERED

ENTITIES (JUL 2018)

(IAW FAR 4.2004)

(Applicable on all contracts and solicitations.)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2019)

(IAW 4.2105(b))

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))

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (DEC 2019)

(IAW DFARS 204.7304(c))

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

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

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

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

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES (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)

52.209-6 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 52.209-7)

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

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

IAW FAR 9.108-4)

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

GOVERNMENT OF A COUNTRY THAT IS A STATE SPONSOR OF TERRORISM

(MAY 2019)

(IAW DFARS 209.409)

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

52.211-15 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 See Schedule as Applicable the schedule.

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

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

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

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

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

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

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

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

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

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

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

(IAW DFARS 211.274-6(b), DFARS 212.301(f)(iv)) (Applicable when FAR 52.245-1, Government Property, is used)

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)

52.216-19 ORDER LIMITATIONS (OCT 1995)

(IAW FAR 16.506(b))

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than quantity of 13, 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 quantity of 45;

(2) Any order for a combination of items in excess of quantity of 45; or

(3) A series of orders from the same ordering office within 90 days that together call for quantities exceeding the limitation in subparagraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 7 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

52.216-22 INDEFINITE QUANTITY (OCT 1995)

(IAW FAR 16.506(e))

(d) Contractor shall not be required to make any deliveries under this contract after 31-MAR-2026 .

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 29-SEP-2020 through 26-SEP-2025.

(Applicable to solicitations and contracts when a definite-quantity contract, a requirements contract, or an indefinite-quantity contract is contemplated)

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 52.219-9, 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 women-owned small business concern.

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

[Complete only if the Contractor represented itself as a women-owned small business concern in paragraph (h)(3) of this clause.] The Contractor represents that—

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

(ii) It [ ] is, [ ] is not is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(4)(i) of this clause is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture.

[The Contractor shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: _______________________________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

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

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

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

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(5)(i) of this clause is accurate for each EDWOSB concern participating in the joint venture.

[The Contractor shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ___________________________________.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

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

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

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

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

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

[The Contractor shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: _________________________________________.]

Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

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

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

252.219-7003 SMALL BUSINESS SUBCONTRACTING PLAN (DoD CONTRACTS) (DEC 2019)

(IAW DFARS 219.708(b)(1)(A), DFARS 219.708(b)(1)(A)(1)) (Applicable over $700,000)

252.219-7003 SMALL BUSINESS SUBCONTRACTING PLAN (DoD CONTRACTS)--ALTERNATE I

(DEC 2019)

(IAW DFARS 219.708(b)(1)(A)(2), DFARS 219.708(b)(1)(A)(1))

(Applicable over $700,000 and when FAR clause 52.219-9 and its Alternate III are used)

252.219-7004 SMALL BUSINESS SUBCONTRACTING PLAN (TEST PROGRAM) (MAY 2019)

(IAW DFARS 219.708(b)(1)(B)) (Applicable when the contract includes a Comprehensive Subcontracting Plan)

52.222-1 NOTICE TO THE GOVERNMENT OF LABOR DISPUTES (FEB 1997)

(IAW FAR 22.103-5(a), AFFARS 5322.101-1) (IAW FAR 22.101-1(e), Applicable when the head of the contracting activity designates programs or requirements for which it is necessary that contractors be required to notify the Government of actual or potential labor disputes that are delaying or threaten to delay the timely contract performance (see 22.103-5(a)).

52.222-3 CONVICT LABOR (JUN 2003)

(IAW FAR 22.202)

(Applicable when performance is in the U.S., Puerto Rico, Northern Mariana Islands, American Samoa, Guam, or the U.S. Virgin Islands, unless subject to the Walsh-Healey Public Contracts Act, purchase is from Federal Prisons Industries, Inc., or purchase is from any State prison of finished supplies that may be secured in the open market/existing stocks, as distinguished from supplies requiring special fabrication, and exceeds the micro-purchase threshold)

52.222-21 PROHIBITION OF SEGREGATED FACILITIES (APR 2015)

(IAW FAR 22.810(a)(1)) (Applicable when exceeding $10,000, except those exempted by FAR 22.807 (b) which includes those for work to be performed outside the U.S. by employees who were not recruited within the U.S.)

52.222-26 EQUAL OPPORTUNITY (SEP 2016)

(IAW FAR 22.810(e))

52.222-35 EQUAL OPPORTUNITY FOR VETERANS (JUN 2020)

(IAW FAR 22.1310(a)(1), DFARS 222.1310(a)(1)) (Applicable when the expected value is $150,000 or more except when work is performed outside the United States by employees recruited outside the United States or the Director, Office of Federal Contract Compliance Programs, has waived, in accordance with 22.1305(b), all of the terms of the clause)

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

(IAW FAR 22.1408(a))

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

52.222-37 EMPLOYMENT REPORTS ON VETERANS (JUN 2020)

(IAW FAR 22.1310(b)) (Applicable when the expected value is $150,000 or more and workers were recruited within the United States)

52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR

RELATIONS ACT (DEC 2010)

(IAW FAR 22.1605)

(Applicable to all solicitations and contracts except under the simplified acquisition threshold, for work performed exclusively outside the U.S., or covered in their entirety by an exemption granted by the Secretary)

52.222-41 SERVICE CONTRACT LABOR STANDARDS (AUG 2018)

(IAW FAR 22.1006(a)) (Applicable to services over $2,500)

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

(Applicable to service items over $2,500)

52.222-44 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT LABOR

STANDARDS--PRICE ADJUSTMENT (MAY 2014)

(IAW FAR 22.1006(c)(2))

(Applicable over $100,000, fixed price, time-and-materials, or labor-hour service and FAR 52.222-41 applies)

52.222-49 SERVICE CONTRACT LABOR STANDARDS--PLACE OF PERFORMANCE

UNKNOWN (MAY 2014)

(IAW FAR 22.1006(f))

(a) In addition to places or areas identified in wage determinations, if any, attached to the solicitation, wage determinations have also been requested for the following:

. The Contracting Officer will request wage determinations for additional places or areas of performance if asked to do so in writing by 00 :00 , 00 - -0000 .

52.222-50 COMBATING TRAFFICKING IN PERSONS (JAN 2019)

(IAW FAR 22.1705(a)(1))

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

(IAW FAR 22.1906)

(Applicable to solicitations and contracts that include FAR 52.222-6 or 52.222-41, where work is to be performed, in whole or in part, in the United States)

52.222-62 PAID SICK LEAVE (EXECUTIVE ORDER 13706) (JAN 2017)

(IAW FAR 22.2110)

(Applicable to contracts that include Service Contract Labor Standards where work is performed, in whole or part, in the United States)

252.222-7006 RESTRICTIONS ON THE USE OF MANDATORY ARBITRATION AGREEMENTS

(DEC 2010)

(IAW DFARS 222.7405)

(Applicable to contracts in excess of $1 million utilizing funds appropriated by the FY10 or subsequent DoD appropriations acts, except in contracts for the acquisition of commercial items and commercially available off-the-shelf items)

52.223-6 DRUG-FREE WORKPLACE (MAY 2001)

(IAW FAR 23.505)

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

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (JUN 2020)

(IAW FAR 23.1105)

52.223-20 AEROSOLS (JUN 2016)

(IAW FAR 23.804(a)(3)) (Applicable to solicitations and contracts not delivered or performed outside the U.S. or it’s outlying areas, for products that may contain high global warming potential hydrofluorocarbons or involve maintenance or repair of electronic or mechanical devices)

52.224-3 PRIVACY TRAINING (JAN 2017)

(IAW FAR 24.302(a)) (Applicable to all solicitations and contracts where contractor employees will have access to a system of records or personally identifiable information)

52.225-13 RESTRICTIONS ON CERTAIN FOREIGN PURCHASES (JUN 2008)

(IAW FAR 25.1103(a)) (Applicable to supplies or services involving the furnishing of supplies unless an exception applies)

252.225-7012 PREFERENCE FOR CERTAIN DOMESTIC COMMODITIES (DEC 2017)

(IAW DFARS 225.7002-3(a)) (Applicable when exceeding the simplified acquisition threshold for food; clothing; tents, tarpaulins or…

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