Draft RFP.doc

Section SF 1449 - CONTINUATION SHEET

DRAFT RFP

This is a Draft RFP. The contractor has five (5) days to submit questions pertaining to the Draft RFP. Responses to Questions will be posted on FedBizOps within five (5) business days. The Final RFP will be posted on or about April 19, 2010.

Months

Golf Cart PM and Road Calls

FFP

Golf Cart Preventative Maintenance and Road Calls

Contractor shall supply all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services to perform Preventative Maintenenace on Golf Carts every 180 Days (semi-annually) at Contractor's Facility and perform Road Calls in accordance with attached PWS dated 25 March 2010.

FOB: Destination

SIGNAL CODE: A

NET AMT

Firm Fixed Price Over and Above

Any work outside of the parameters of standard Preventative Maintenance and Road Call services. In the event work is determined to be required for items 0002AA through 0002AK and is approved by the PMO and the PCO the prices set forth below shall apply. The prices established for items 0002AA through 0002AK shall include any and all work necessary to accomplish the requirement including but not limited to all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services in accordance with PWS dated 25 March 2010.

NET AMT

0002AA

Each

Over and Above - Tires

Remove and Replace Each Tire

NET AMT

0002AB

Each

Over and Above - Brakes

Remove and Replace Brakes

NET AMT

0002AC

Each

Over and Above - Battery

Remove and Replace Battery

NET AMT

0002AD

Each

Over and Above - Starter

Remove and Replace Starter

NET AMT

0002AE

Each

Over and Above - Alternator

Remove and Replace Alternator

NET AMT

0002AF

Each

Over and Above - Water Pump

Remove and Replace Water Pump

NET AMT

0002AG

Each

Over and Above - Drive Clutch

Remove and Replace Drive Clutch

NET AMT

0002AH

Each

Over and Above - Re-Wire Battery Switch

Re-wire Battery Switch

NET AMT

0002AJ

Each

Over and Above - Prepare for Use

Prepare for Use for new golf carts in accordance with attached PWS dated 25 March 2010.

NET AMT

0002AK

Each

Over and Above - Prepare for Turn In

Prepare for Turn In for condemned golf carts in accordance with attached PWS dated 25 March 2010.

NET AMT

Labor Hours

Fixed Hourly Rate -Over and Above

Unforseen maintenance and repair due to catastrophic events. The Government PMO will validate repair and recommend approval or disapproval to the PCO. For the accomplishment of this work, the Fixed Hourly rate for item 0003 shall be used in negotiating a price. The price established shall include any and all work necessary to accomplish the requirement including but not limited to all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services in accordance with PWS dated 25 March 2010.

NET AMT

Months

FFP

Golf Cart Preventative Maintenance and Road Calls

Contractor shall supply all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services to perform Preventative Maintenenace on Golf Carts every 180 Days (semi-annually) at Contractor's Facility and perform Road Calls in accordance with attached PWS dated 25 March 2010.

Option Year 1 (1 Jul 2011 through 30 June 2012) The 12 month period immediately following the Basic Contract Period. Option may be exercised on or before the last day of the Basic Contract Period.

************NOTE TO CONTRACTOR: An option is exercised at the time the Government sends written notification to the contractor.*************

NET AMT

FFP

Firm Fixed Price Over and Above

Any work outside of the parameters of standard Preventative Maintenance and Road Call services. In the event work is determined to be required for items 1002AA through 1002AK and is approved by the PMO and the PCO the prices set forth below shall apply. The prices established for items 1002AA through 1002AK shall include any and all work necessary to accomplish the requirement including but not limited to all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services in accordance with PWS dated 25 March 2010.

NET AMT

1002AA

Each

FFP

Remove and Replace Each Tire

NET AMT

1002AB

Each

FFP

Remove and Replace Brakes

NET AMT

1002AC

Each

FFP

Remove and Replace Battery

NET AMT

1002AD

Each

FFP

Remove and Replace Starter

NET AMT

1002AE

Each

FFP

Remove and Replace Alternator

NET AMT

1002AF

Each

FFP

Remove and Replace Water Pump

NET AMT

1002AG

Each

FFP

Remove and Replace Drive Clutch

NET AMT

1002AH

Each

FFP

Re-wire Battery Switch

NET AMT

1002AJ

Each

FFP

Prepare for Use for new golf carts in accordance with attached PWS dated 25 March 2010.

NET AMT

1002AK

Each

FFP

Prepare for Turn In for condemned golf carts in accordance with attached PWS dated 25 March 2010.

NET AMT

Labor Hours

FFP

Unforseen maintenance and repair due to catastrophic events. The Government PMO will validate repair and recommend approval or disapproval to the PCO. For the accomplishment of this work, the Fixed Hourly rate for item 1003 shall be used in negotiating a price. The price established shall include any and all work necessary to accomplish the requirement including but not limited to all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services in accordance with PWS dated 25 March 2010.

NET AMT

Months

FFP

Golf Cart Preventative Maintenance and Road Calls

Contractor shall supply all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services to perform Preventative Maintenenace on Golf Carts every 180 Days (semi-annually) at Contractor's Facility and perform Road Calls and perform Road Calls in accordance with attached PWS dated 25 March 2010.

Option Year 2 (1 Jul 2012 through 30 June 2013) The 12 month period immediately following the Option Year 1Period. Option may be exercised on or before the last day of the Option Year 1 Period.

************NOTE TO CONTRACTOR: An option is exercised at the time the Government sends written notification to the contractor.*************

NET AMT

FFP

Firm Fixed Price Over and Above

Any work outside of the parameters of standard Preventative Maintenance and Road Call services. In the event work is determined to be required for items 2002AA through 2002AK and is approved by the PMO and the PCO the prices set forth below shall apply. The prices established for items 2002AA through 2002AK shall include any and all work necessary to accomplish the requirement including but not limited to all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services in accordance with PWS dated 25 March 2010.

NET AMT

2002AA

Each

FFP

Remove and Replace Each Tire

NET AMT

2002AB

Each

FFP

Remove and Replace Brakes

NET AMT

2002AC

Each

FFP

Remove and Replace Battery

NET AMT

2002AD

Each

FFP

Remove and Replace Starter

NET AMT

2002AE

Each

FFP

Remove and Replace Alternator

NET AMT

2002AF

Each

FFP

Remove and Replace Water Pump

NET AMT

2002AG

Each

FFP

Remove and Replace Drive Clutch

NET AMT

2002AH

Each

FFP

Re-wire Battery Switch

NET AMT

2002AJ

Each

FFP

Prepare for Use for new golf carts in accordance with attached PWS dated 25 March 2010.

NET AMT

2002AK

Each

FFP

Prepare for Turn In for condemned golf carts in accordance with attached PWS dated 25 March 2010.

NET AMT

Labor Hours

FFP

Unforseen maintenance and repair due to catastrophic events. The Government PMO will validate repair and recommend approval or disapproval to the PCO. For the accomplishment of this work, the Fixed Hourly rate for item 2003 shall be used in negotiating a price. The price established shall include any and all work necessary to accomplish the requirement including but not limited to all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services in accordance with PWS dated 25 March 2010.

NET AMT

Months

FFP

Golf Cart Preventative Maintenance and Road Calls

Contractor shall supply all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services to perform Preventative Maintenenace on Golf Carts every 180 Days (semi-annually) at Contractor's Facility and perform Road Calls in accordance with attached PWS dated 25 March 2010.

Option Year 3 (1 Jul 2013 through 30 June 2014) The 12 month period immediately following the Option Year 2 Period. Option may be exercised on or before the last day of the Option Year 2 Period.

************NOTE TO CONTRACTOR: An option is exercised at the time the Government sends written notification to the contractor.*************

NET AMT

FFP

Firm Fixed Price Over and Above

Any work outside of the parameters of standard Preventative Maintenance and Road Call services. In the event work is determined to be required for items 3002AA through 3002AK and is approved by the PMO and the PCO the prices set forth below shall apply. The prices established for items 3002AA through 3002AK shall include any and all work necessary to accomplish the requirement including but not limited to all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services in accordance with PWS dated 25 March 2010.

NET AMT

3002AA

Each

FFP

Remove and Replace Each Tire

NET AMT

3002AB

Each

FFP

Remove and Replace Brakes

NET AMT

3002AC

Each

FFP

Remove and Replace Battery

NET AMT

3002AD

Each

FFP

Remove and Replace Starter

NET AMT

3002AE

Each

FFP

Remove and Replace Alternator

NET AMT

3002AF

Each

FFP

Remove and Replace Water Pump

NET AMT

3002AG

Each

FFP

Remove and Replace Drive Clutch

NET AMT

3002AH

Each

FFP

Re-wire Battery Switch

NET AMT

3002AJ

Each

FFP

Prepare for Use for new golf carts in accordance with attached PWS dated 25 March 2010.

NET AMT

3002AK

Each

FFP

Prepare for Turn In for condemned golf carts in accordance with attached PWS dated 25 March 2010.

NET AMT

Labor Hours

FFP

Unforseen maintenance and repair due to catastrophic events. The Government PMO will validate repair and recommend approval or disapproval to the PCO. For the accomplishment of this work, the Fixed Hourly rate for item 3003 shall be used in negotiating a price. The price established shall include any and all work necessary to accomplish the requirement including but not limited to all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services in accordance with PWS dated 25 March 2010.

NET AMT

Months

FFP

Golf Cart Preventative Maintenance and Road Calls

Contractor shall supply all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services to perform Preventative Maintenenace on Golf Carts every 180 Days (semi-annually) at Contractor's Facility and perform Road Calls in accordance with attached PWS dated 25 March 2010.

Option Year 4 (1 Jul 2014 through 30 June 2015) The 12 month period immediately following the Option Year 3 Period. Option may be exercised on or before the last day of Option Year 3 Period.

************NOTE TO CONTRACTOR: An option is exercised at the time the Government sends written notification to the contractor.*************

NET AMT

FFP

Firm Fixed Price Over and Above

Any work outside of the parameters of standard Preventative Maintenance and Road Call services. In the event work is determined to be required for items 4002AA through 4002AK and is approved by the PMO and the PCO the prices set forth below shall apply. The prices established for items 4002AA through 4002AK shall include any and all work necessary to accomplish the requirement including but not limited to all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services in accordance with PWS dated 25 March 2010.

NET AMT

4002AA

Each

FFP

Remove and Replace Each Tire

NET AMT

4002AB

Each

FFP

Remove and Replace Brakes

NET AMT

4002AC

Each

FFP

Remove and Replace Battery

NET AMT

4002AD

Each

FFP

Remove and Replace Starter

NET AMT

4002AE

Each

FFP

Remove and Replace Alternator

NET AMT

4002AF

Each

FFP

Remove and Replace Water Pump

NET AMT

4002AG

Each

FFP

Remove and Replace Drive Clutch

NET AMT

4002AH

Each

FFP

Re-wire Battery Switch

NET AMT

4002AJ

Each

FFP

Prepare for Use for new golf carts in accordance with attached PWS dated 25 March 2010.

NET AMT

4002AK

Each

FFP

Prepare for Turn In for condemned golf carts in accordance with attached PWS dated 25 March 2010.

NET AMT

Labor Hours

FFP

Unforseen maintenance and repair due to catastrophic events. The Government PMO will validate repair and recommend approval or disapproval to the PCO. For the accomplishment of this work, the Fixed Hourly rate for item 4003 shall be used in negotiating a price. The price established shall include any and all work necessary to accomplish the requirement including but not limited to all personnel, equipment, vehicles, materials, supervision, parts, tools, labor, transportation and other items and services in accordance with PWS dated 25 March 2010.

NET AMT

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

30-JUN-2011

SEE SCHEDULE

ROBINS AFB GA 31098

F3QCCL

30-JUN-2011

F3QCCL

30-JUN-2011

F3QCCL

30-JUN-2011

F3QCCL

30-JUN-2011

F3QCCL

30-JUN-2011

F3QCCL

30-JUN-2011

F3QCCL

30-JUN-2011

F3QCCL

30-JUN-2011

F3QCCL

30-JUN-2011

F3QCCL

30-JUN-2011

F3QCCL

30-JUN-2011

F3QCCL

30-JUN-2011

F3QCCL

30-JUN-2012

F3QCCL

30-JUN-2012

F3QCCL

30-JUN-2012

F3QCCL

30-JUN-2012

F3QCCL

30-JUN-2012

F3QCCL

30-JUN-2012

F3QCCL

30-JUN-2012

F3QCCL

30-JUN-2012

F3QCCL

30-JUN-2012

F3QCCL

30-JUN-2012

F3QCCL

30-JUN-2012

F3QCCL

30-JUN-2012

F3QCCL

30-JUN-2012

F3QCCL

30-JUN-2013

F3QCCL

30-JUN-2013

F3QCCL

30-JUN-2013

F3QCCL

30-JUN-2013

F3QCCL

30-JUN-2013

F3QCCL

30-JUN-2013

F3QCCL

30-JUN-2013

F3QCCL

30-JUN-2013

F3QCCL

30-JUN-2013

F3QCCL

30-JUN-2013

F3QCCL

30-JUN-2013

F3QCCL

30-JUN-2013

F3QCCL

30-JUN-2013

F3QCCL

30-JUN-2014

F3QCCL

30-JUN-2014

F3QCCL

30-JUN-2014

F3QCCL

30-JUN-2014

F3QCCL

30-JUN-2014

F3QCCL

30-JUN-2014

F3QCCL

30-JUN-2014

F3QCCL

30-JUN-2014

F3QCCL

30-JUN-2014

F3QCCL

30-JUN-2014

F3QCCL

30-JUN-2014

F3QCCL

30-JUN-2014

F3QCCL

30-JUN-2014

F3QCCL

30-JUN-2015

F3QCCL

30-JUN-2015

F3QCCL

30-JUN-2015

F3QCCL

30-JUN-2015

F3QCCL

30-JUN-2015

F3QCCL

30-JUN-2015

F3QCCL

30-JUN-2015

F3QCCL

30-JUN-2015

F3QCCL

30-JUN-2015

F3QCCL

30-JUN-2015

F3QCCL

30-JUN-2015

F3QCCL

30-JUN-2015

F3QCCL

30-JUN-2015

F3QCCL

CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

52.212-2 EVALUATION--COMMERCIAL ITEMS (JAN 1999)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

This acquisition will utilize the Performance/Price Tradeoff (PPT) source selection procedure to make an integrated assessment for a best value award decision. Tradeoffs will be made between past performance and cost/price, with past performance being considered significantly more important than cost/price. While the Government will strive for maximum objectivity, the tradeoff process, by its nature, is subjective; therefore, professional judgment is implicit throughout the selection process.

Tradeoffs will be made between past performance and cost/price, with past performance being considered significantly more important than cost/price

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of provision)

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (AUG 2009)

An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual representations and certifications electronically at http://orca.bpn.gov. If an offeror has not completed the annual representations and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (c) through (m) of this provision.

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

"Emerging small business" means a small business concern whose size is no greater than 50 percent of the numerical size standard for the NAICS code designated.

"Forced or indentured child labor" means all work or service-

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

Inverted domestic corporation means a foreign incorporated entity which is treated as an inverted domestic corporation under 6 U.S.C. 395(b), i.e., a corporation that used to be incorporated in the United States, or used to be a partnership in the United States, but now is incorporated in a foreign country, or is a subsidiary whose parent corporation is incorporated in a foreign country, that meets the criteria specified in 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

Manufactured end product means any end product in Federal Supply Classes (FSC) 1000-9999, except--

(1) FSC 5510, Lumber and Related Basic Wood Materials;

(2) Federal Supply Group (FSG) 87, Agricultural Supplies;

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

(5) FSC 9410, Crude Grades of Plant Materials;

(6) FSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) FSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) FSC 9610, Ores;

(9) FSC 9620, Minerals, Natural and Synthetic; and

(10) FSC 9630, Additive Metal Materials.

Place of manufacture means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

Restricted business operations means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate--

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

Service-disabled veteran-owned small business concern--

(1) Means a small business concern--

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

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

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

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

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

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

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

"Women-owned business concern" means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

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

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

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

(b) (1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the Online Representations and Certifications Application (ORCA) website.

(2) The offeror has completed the annual representations and certifications electronically via the ORCA website at http://orca.bpn.gov. After reviewing the ORCA database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ----------.

(Offeror to identify the applicable paragraphs at (c) through (n) of this provision that the offeror has completed for the purposes of this solicitation only, if any.)

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

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

(c) Offerors must complete the following representations when the resulting contract will be performed in the United States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it ( ) is, ( ) is not a small business concern.

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

(3) Service-disabled veteran-owned small business concern. (Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.) The offeror represents as part of its offer that it ( ) is, ( ) is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents, for general statistical purposes, that it ( ) is, ( ) is not a small disadvantaged business concern as defined in 13 CFR 124.1002.

(5) Women-owned small business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents that it ( ) is, ( ) is not a women-owned small business concern.

Note: Complete paragraphs (c)(6) and (c)(7) only if this solicitation is expected to exceed the simplified acquisition threshold.

(6) Women-owned business concern (other than small business concern). (Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents that it ( ) is, a women-owned business concern.

(7) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price:

(8) Small Business Size for the Small Business Competitiveness Demonstration Program and for the Targeted Industry Categories under the Small Business Competitiveness Demonstration Program. (Complete only if the offeror has represented itself to be a small business concern under the size standards for this solicitation.)

(i) (Complete only for solicitations indicated in an addendum as being set-aside for emerging small businesses in one of the designated industry groups (DIGs).) The offeror represents as part of its offer that it ( ) is, ( ) is not an emerging small business.

(ii) (Complete only for solicitations indicated in an addendum as being for one of the targeted industry categories (TICs) or designated industry groups (DIGs).) Offeror represents as follows:

(A) Offeror's number of employees for the past 12 months (check the Employees column if size standard stated in the solicitation is expressed in terms of number of employees); or

(B) Offeror's average annual gross revenue for the last 3 fiscal years (check the Average Annual Gross Number of Revenues column if size standard stated in the solicitation is expressed in terms of annual receipts).

(Check one of the following):

Average Annual

Number of Employees Gross Revenues

___ 50 or fewer ___ $1 million or less

___ 51 - 100 ___ $1,000,001 - $2 million

___ 101 - 250 ___ $2,000,001 - $3.5 million

___ 251 - 500 ___ $3,500,001 - $5 million

___ 501 - 750 ___ $5,000,001 - $10 million

___ 751 - 1,000 ___ $10,000,001 - $17 million

___ Over 1,000 ___ Over $17 million

(9) (Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns or FAR 52.219-25, Small Disadvantaged Business Participation Program-Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.)

(i) General. The offeror represents that either--

(A) It ( ) is, ( ) is not certified by the Small Business Administration as a small disadvantaged business concern and identified, on the date of this representation, as a certified small disadvantaged business concern in the database maintained by the Small Business Administration (PRO-Net), and that no material change in disadvantaged ownership and control has occurred since its certification, and, where the concern is owned by one or more individuals claiming disadvantaged status, the net worth of each individual upon whom the certification is based does not exceed $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); or

(B) It ( ) has, ( )( has not submitted a completed application to the Small Business Administration or a Private Certifier to be certified as a small disadvantaged business concern in accordance with 13 CFR 124, Subpart B, and a decision on that application is pending, and that no material change in disadvantaged ownership and control has occurred since its application was submitted.

(ii) Joint Ventures under the Price Evaluation Adjustment for Small Disadvantaged Business Concerns. The offeror represents, as part of its offer, that it is a joint venture that complies with the requirements in 13 CFR 124.1002(f) and that the representation in paragraph (c)(9)(i) of this provision is accurate for the small disadvantaged business concern that is participating in the joint venture. (The offeror shall enter the name of the small disadvantaged business concern that is participating in the joint venture: ____________.)

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

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

(ii) It ( ) is, ( ) is not s joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for the HUBZone small business concern or concerns that are participating in the joint venture. (The offeror shall enter the name or names of the HUBZone small business concern or concerns that are participating in the joint venture:____________.) Each HUBZone small business concern participating in the joint venture shall submit a separate signed copy of the HUBZone representation.

(d) Certifications and representations required to implement provisions of Executive Order 11246--

(1) Previous Contracts and Compliance. The offeror represents that--

(i) It ( ) has, ( ) has not, participated in a previous contract or subcontract subject either to the Equal Opportunity clause of this solicitation, the and

(ii) It ( ) has, ( ) has not, filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that--

(i) It ( ) has developed and has on file, ( ) has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR Subparts 60-1 and 60-2), or

(ii) It ( ) has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $100,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Act Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American Act --Supplies, is included in this solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.” The terms “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American Act--Supplies.”

(2) Foreign End Products:

Line Item No.:---------------------------------------------------------

Country of Origin:-----------------------------------------------------

(List as necessary)

(3) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(g)(1) Buy American Act-Free Trade Agreements-Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American Act-Free Trade Agreements-Israeli Trade Act, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The terms “Bahrainian, Moroccan, Omani, or Peruvian end product,” “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” “Free Trade Agreement country,” “Free Trade Agreement country end product,” “Israeli end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American Act-Free Trade Agreements-Israeli Trade Act.”

(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Moroccan, Omani, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled ``Buy American Act--Free Trade Agreements--Israeli Trade Act'':

Free Trade Agreement Country End Products (Other than Bahrainian, Moroccan, Omani, or Peruvian End Products) or Israeli End Products:

Line Item No.

[List as necessary]

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) of this provision) as defined in the clause of this solicitation entitled "Buy American Act-Free Trade Agreements-Israeli Trade Act." The offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.”

Other Foreign End Products:

[List as necessary]

(iv) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(2) Buy American Act-Free Trade Agreements-Israeli Trade Act Certificate, Alternate I (Jan 2004). If Alternate I to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products as defined in the clause of this solicitation entitled "Buy American Act-Free Trade Agreements-Israeli Trade Act":

Canadian End Products:

Line Item No.

(3) Buy American Act-Free Trade Agreements-Israeli Trade Act Certificate, Alternate II (Jan 2004). If Alternate II to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products or Israeli end products as defined in the clause of this solicitation entitled "Buy American Act-Free Trade Agreements-Israeli Trade Act":

Canadian or Israeli End Products:

(4) Trade Agreements Certificate. (Applies only if the clause at FAR 52.225-5, Trade Agreements, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(4)(ii) of this provision, is a U.S.-made or designated country end product, as defined in the clause of this solicitation entitled "Trade Agreements."

(ii) The offeror shall list as other end products those end products that are not U.S.-made or designated country end products.

Other End Products: