FA851718Q0007.pdf

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

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

J

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDEX

1. REQUEST NO.

FA8517-18-Q-0007

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

FD206001800268

4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

DO: A7

5a. ISSUED BY CODE: FA8517

SUPPORT EQPT - AUTOMATIC TEST, AFSC/PZAAC

235 BYRON ST BLDG 300 STE 19A

ROBINS AFB GA 31098-1813

BUYER: Delayna L. Heisig delayna.heisig@us.af.mil Phone: (478) 222- 3767 No Collect Calls

6. DELIVERY BY (Date)

SEE SCHEDULE

SCD:B

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME

Delayna L Heisig

b. COMPANY

TELEPHONE NUMBER

AREA CODE

(478 )

NUMBER

222 -3767

8. TO

a. NAME

7. DELIVERY

FOB DESTINATION OTHER

(See Schedule)

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE e. ZIP CODE

c. STREET ADDRESS

d. CITY e. STATE f. ZIP CODE

10. PLEASE FURNISH QUOTATIONS

TO THE ISSUING OFFICE IN BLOCK

5A ON OR BEFORE CLOSE OF

BUSINESS (Date)

8 MAR 2018

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

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

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

d. CITY e. STATE

c. COUNTY

c. TITLE (Type or print) NUMBER

b. STREET ADDRESS

a. NAME OF QUOTER

CAGE:

13. NAME AND ADDRESS OF QUOTER

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

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print) b. TELEPHONE

AREA CODE

d. CALENDAR DAYS

NUMBER PERCENTAGE

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

PAYMENT

SEE SCHEDULE

ROUTINE

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 120 days.

NAICS CODE: 334515

SIZE STD: 750

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

FOLD FOLD

SOLICITATION NO. FA851718Q0007

DUE: 8 -MAR -2018

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Delayna L Heisig

SUPPORT EQPT - AUTOMATIC TEST, AFSC/PZAAC

235 BYRON ST BLDG 300 STE 19A

ROBINS AFB GA 31098-1813

FA8517-18-Q-0007

SUPPLIES OR SERVICES AND PRICES/COSTS

This requirement is subject to the Service Contract Act (SCA) FAR 52.222-41; however, the place of performance is unknown at this time. Offerors are put on notice that the applicable wage determination will be included as an attachment at time of award and will specify the minimum wages and fringe benefits for the specific location. Offerors must ensure that they comply with provisions of the applicable wage determination.

For information purposes only, potential offerors may research the current Service Contract Age wage determination for the locality where they intend to perform the work by visiting www.dol.gov and entering the state and county for that locality. This information does not negate the FAR clause 52.222-49, Service Contract Act-Place of Performance Unknown, regarding the appropriate locality wage determination. The revision of the appropriate locality wage determination will be subject to updating prior to award, or 10 days prior to the start of the contract performance, if award is more than 30 days prior to start of performance.

The resulting contract will be for a basic repair quantity and four (4) options for increased quantity as shown below:

CLINs 0001, 0002 - Immediate quantity at time of award CLINs 1001, 1002 - Option I is effective from date of award through 12 months CLINs 2001, 2002 - Option II is effective from date of award through 24 months CLINs 3001, 3002 - Option III is effective from date of award through 36 months CLINs 4001, 4002 - Option IV is effective from date of award through 48 months

Note to Contractor: Inspection and Acceptance for these repairs will be at Origin. It is the Contractor's responsibility to contact the DCMA QAR for Inspection and Acceptance prior to shipment.

URGENT ‐ Repair of Amplifier, Radio Frequency

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 5996‐01‐540‐7787 KV

RADIO FREQ AMPLIFIER

Repair IAW PWS.

Manufacturer Part Number

0LND7 ACE6578‐1

Associated Document(s) Line Item(s)

FD20601800268 0001

Priority: B URGENT

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Applicability: B1‐B ;

Latest Cost Amount: $28,099.70

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

URGENT ‐ Repair of Amplifier, Radio Frequency

A SW3119 AAA

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 3 EA *45 Calendar Days

Proposed Delivery

A SW3119 3 EA

Informational CLIN of DATA

Item No.

A001 Item Unique Identification (IUID) Marking Plan A002 Item Unique Identification (IUID) Marking Activity, Validation and Verification Report A003 Counterfeit Prevention Plan (CPP) A004 Commericial Asset Visibility Air Force End Item Reporting

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT Exhibit: A

A004 Commercial Asset Visbility Air Force End Item Reporting

Item No.

0002AA

Firm Fixed Price Quantity U/I Amount 1 LO Not Separately Priced

A004 Commercial Asset Visbility Air Force End Item Reporting

DI-MGMT-81634C

IAW PWS PAR 3.5.1

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

Delivery IAW DD Form 1423-1

A002 Item Unique Identification (IUID) Marking Activity, Validation, and Verification Report Item No.

0002AB

Firm Fixed Price Quantity U/I Amount 1 LO Not Separately Priced

A002 IUID Marking Activity Validation and Verification Report

DI-MGMT-81804A

IAW PWS PAR 3.1.4

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

Delivery IAW DD Form 1423-1

A003 Counterfeit Prevention Plan

Item No.

0002AC

Firm Fixed Price Quantity U/I Amount 1 LO Not Separately Priced

A003 Counterfeit Prevention Plan

DI-MGMT-81832

IAW PWS PAR 3.3.1

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

Delivery IAW DD Form 1423-1

A001 Item Unique Identification (IUID) Marking Plan

Item No.

0002AD

A001 Item Unique Identification (IUID) Marking Plan

Firm Fixed Price Quantity U/I Amount 1 LO Not Separately Priced

A001 Item Unique Identification (IUID) Marking Plan

DI-MGMT-81803

IAW PWS PAR 3.1.2

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

Delivery IAW DD Form 1423-1

OPTION I NOTE: The Government reserves the right to exercise its option at any time, from time to time, for a period of 12 months from the effective date of the contract for any quantity specified below up to the maximum of 2 each. The Ship To/Mark For, requisition number, priority and applicable accounting and appropriation data will be cited at the time each option is exercised.

The Contractor shall furnish all materials, parts, and services necessary for the repair of the items listed below in accordance with the attached Performance Work Statement (PWS) dated 25 October 2017.

URGENT ‐ Repair of Amplifier, Radio Frequency

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Unit Price

1 EA 2 EA

CLIN ACRN ACRN Total

1001 TB

NSN: 5996‐01‐540‐7787 KV

RADIO FREQ AMPLIFIER

Repair IAW PWS.

Manufacturer Part Number

0LND7 ACE6578‐1

Associated Document(s) Line Item(s)

FD20601800268 0001

Priority: B URGENT

Limitations of Liability: Other Than High Value Item

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

URGENT ‐ Repair of Amplifier, Radio Frequency

Applicability: B1‐B ;

Buy American Act/Balance of Payments Program Latest Cost Amount: $28,099.70 Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A TBD 1 EA *45 Calendar Days

Proposed Delivery

A TBD 1 EA

Informational CLIN of DATA

Item No.

A002 Item Unique Identification (IUID) Marking Activity, Validation and Verification Report A004 Commercial Asset Visbility AirForce End Item

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT Exhibit: A

A004 Commercial Asset Visbility Air Force End Item Reporting

Item No.

1002AA

Firm Fixed Price Quantity U/I Amount 1 LO Not Separately Priced

A004 Commercial Asset Visbility Air Force End Item Reporting

DI-MGMT-81634C

IAW PWS PAR 3.5.1

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A

A002 Item Unique Identification (IUID) Marking Activity, Validation, and Verification Report Item No.

1002AB

Firm Fixed Price Quantity U/I Amount 1 LO Not Separately Priced

A002 IUID Marking Activity Validation and Verification Report

DI-MGMT-81804A

IAW PWS PAR 3.1.4

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

Delivery IAW DD Form 1423-1

OPTION II NOTE: The Government reserves the right to exercise its option at any time, for a period of 24 months from the effective date of the contract for a quantity of 1 each. The Ship To/Mark For, requisition number, priority and applicable accounting and appropriation data will be cited at the time each option is exercised.

The Contractor shall furnish all materials, parts, and services necessary for the repair of the items listed below in accordance with the attached Performance Work Statement (PWS) dated 25 October 2017.

URGENT ‐ Repair of Amplifier, Radio Frequency

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2001 TB

NSN: 5996‐01‐540‐7787 KV

RADIO FREQ AMPLIFIER

Repair IAW PWS.

Manufacturer Part Number

0LND7 ACE6578‐1

Associated Document(s) Line Item(s)

FD20601800268 0001

Priority: B URGENT

Limitations of Liability: Other Than High Value Item

URGENT ‐ Repair of Amplifier, Radio Frequency

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Applicability: B1‐B ;

Buy American Act/Balance of Payments Program Latest Cost Amount: $28,099.70 Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A TBD 1 EA *45 Calendar Days

Proposed Delivery

A TBD 1 EA

Informational CLIN of DATA

Item No.

A002 Item Unique Identification (IUID) Marking Activity, Validation and Verification Report

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT Exhibit: A

A004 Commercial Asset Visbility Air Force End Item Reporting

Item No.

2002AA

Firm Fixed Price Quantity U/I Amount 1 LO Not Separately Priced

A004 Commercial Asset Visbility Air Force End Item Reporting

DI-MGMT-81634C

IAW PWS PAR 3.5.1

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

Delivery IAW DD Form 1423-1

A002 Item Unique Identification (IUID) Marking Activity, Validation, and Verification Report Item No.

2002AB

Firm Fixed Price Quantity U/I Amount 1 LO Not Separately Priced

A002 IUID Marking Activity Validation and Verification Report

DI-MGMT-81804A

IAW PWS PAR 3.1.4

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

Delivery IAW DD Form 1423-1

OPTION III NOTE: The Government reserves the right to exercise its option at any time, for a period of 36 months from the effective date of the contract for a quantity of 1 each. The Ship To/Mark For, requisition number, priority and applicable accounting and appropriation data will be cited at the time each option is exercised.

The Contractor shall furnish all materials, parts, and services necessary for the repair of the items listed below in accordance with the attached Performance Work Statement (PWS) dated 25 October 2017.

URGENT ‐ Repair of Amplifier, Radio Frequency

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3001 TB

NSN: 5996‐01‐540‐7787 KV

URGENT ‐ Repair of Amplifier, Radio Frequency

RADIO FREQ AMPLIFIER

Repair IAW PWS.

Manufacturer Part Number

0LND7 ACE6578‐1

Associated Document(s) Line Item(s)

FD20601800268 0001

Priority: B URGENT

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Applicability: B1‐B ;

Buy American Act/Balance of Payments Program Latest Cost Amount: $28,099.70 Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A TBD 1 EA *45 Calendar Days

Proposed Delivery

A TBD 1 EA

Informational CLIN of DATA

Item No.

A002 Item Unique Identification (IUID) Marking Activity, Validation and Verification Report A004 Commercial Asset Visbility AirForce End Item

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT Exhibit: A

A004 Commercial Asset Visbility Air Force End Item Reporting

Item No.

3002AA

Firm Fixed Price Quantity U/I Amount 1 LO Not Separately Priced

A004 Commercial Asset Visbility Air Force End Item Reporting

A004 Commercial Asset Visbility Air Force End Item Reporting

DI-MGMT-81634C

IAW PWS PAR 3.5.1

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

Delivery IAW DD Form 1423-1

A002 Item Unique Identification (IUID) Marking Activity, Validation, and Verification Report Item No.

3002AB

Firm Fixed Price Quantity U/I Amount 1 LO Not Separately Priced

A002 IUID Marking Activity Validation and Verification Report

DI-MGMT-81804A

IAW PWS PAR 3.1.4

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

Delivery IAW DD Form 1423-1

OPTION IV NOTE: The Government reserves the right to exercise its option at any time, for a period of 48 months from the effective date of the contract for a quantity of 1 each. The Ship To/Mark For, requisition number, priority and applicable accounting and appropriation data will be cited at the time each option is exercised.

The Contractor shall furnish all materials, parts, and services necessary for the repair of the items listed below in accordance with the attached Performance Work Statement (PWS) dated 25 October 2017.

URGENT ‐ Repair of Amplifier, Radio Frequency

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

4001 TB

NSN: 5996‐01‐540‐7787 KV

RADIO FREQ AMPLIFIER

Repair IAW PWS.

Manufacturer Part Number

0LND7 ACE6578‐1

Associated Document(s) Line Item(s)

FD20601800268 0001

Priority: B URGENT

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Applicability: B1‐B ;

Buy American Act/Balance of Payments Program Latest Cost Amount: $28,099.70 Type / Ship To PACRN Mark For

A TBD AAA

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A TBD 1 EA *45 Calendar Days

Proposed Delivery

A TBD 1 EA

Informational CLIN of DATA

Item No.

A002 Item Unique Identification (IUID) Marking Activity, Validation and Verification Report A004 Commercial Asset Visbility AirForce End Item

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT Exhibit: A

A004 Commercial Asset Visbility Air Force End Item Reporting

Item No.

4002AA

Firm Fixed Price Quantity U/I Amount 1 LO Not Separately Priced

A004 Commercial Asset Visbility Air Force End Item Reporting

DI-MGMT-81634C

IAW PWS PAR 3.5.1

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

Delivery IAW DD Form 1423-1

A002 Item Unique Identification (IUID) Marking Activity, Validation, and Verification Report Item No.

4002AB

Firm Fixed Price Quantity U/I Amount 1 LO Not Separately Priced

A002 IUID Marking Activity Validation and Verification Report

DI-MGMT-81804A

IAW PWS PAR 3.1.4

Associated Document(s) Line Item(s)

FD20601800268 0002

Priority: B URGENT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS AFB GA 31098‐1887

UNITED STATES

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

AWARD NUMBER:

TYPE/CODE: A TBD

TO BE DETERMINED

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

AWARD NUMBER:

CONTRACT CLAUSES

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

(IAW DFARS 201.602-70)

5352.201-9101 OMBUDSMAN (JUN 2016)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, the interested party may contact the ombudsman, Kim McDonald at 478 222 ‐1088 , FAX 478 222 ‐1121 , email kimberly.mcdonald@us.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU/SMC ombudsman level, may be brought by the interested party for further consideration to the Air Force ombudsman, Associate Deputy Assistant Secretary (ADAS) (Contracting), SAF/AQC, 1060 Air Force Pentagon, Washington DC 20330‐1060, phone number (571) 256‐2395, facsimile number (571) 256‐2431.

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY

AGREEMENTS OR STATEMENTS (JAN 2017)

(IAW FAR 3.909-3 (b))

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

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

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (OCT 2015)

(IAW FAR 4.1403(a))

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (OCT 2016)

(IAW FAR 4.1105(b))

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

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

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(JUN 2016)

(IAW FAR 4.1903)

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

(IAW DFARS 204.404-70(b))

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (OCT 2016)

(IAW DFARS 204.7304(c))

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

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

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

52.211-8 TIME OF DELIVERY (JUN 1997)

(IAW FAR 11.404(a)(2))

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

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

(IAW FAR 11.604(b))

This is a rated order certified for national defense , emergency preparedness, and energy program use, and the Contractor shall follow all the requirements of the Defense Priorities and Allocations System regulation (15 CFR 700).

252.211-7003 ITEM UNIQUE IDENTIFICATION AND VALUATION (MAR 2016)

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

(a) Definitions. As used in this clause—

“DoD recognized unique identification equivalent” means a unique identification method that is in commercial use and has been recognized by DoD. All DoD recognized unique identification equivalents are listed at http://www.acq.osd.mil/dpap/pdi/uid/iuid/equivalents.html .

“Unique item identifier type” means a designator to indicate which method of uniquely identifying a part has been used. The current list of accepted unique item identifier types is maintained at http://www.acq.osd.mil/dpap/pdi/uid/uii_types.html .

(c) Unique item identifier.

(1) The Contractor shall provide a unique item identifier for the following:

(i) Delivered items for which the Government’s unit acquisition cost is $5,000 or more, except for the following line items:

Contract Line, Subline, or

Exhibit Line Item Number

Item Description

See Schedule as Applicable

(ii) Items for which the Government’s unit acquisition cost is less than $5,000 that are identified in the Schedule or the following table:

Contract Line, Subline, or

Exhibit Line Item Number

Item Description

*Items less than $5000, which require UID, will be specifically identified in the schedule.

See Schedule as Applicable

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

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

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

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

(1) End items shall be reported using the receiving report capability in Wide Area WorkFlow (WAWF) in accordance with the clause at 252.232‐7003. 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.

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

COMMERCIAL ITEMS) (NOV 2017)

(IAW FAR 13.302-5(d))

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

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

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

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

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

(IAW FAR 19.309(c))

(g) If the Contractor does not have representations and certifications in SAM, or does not have a representation in SAM for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

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

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

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

(IAW FAR 22.1006(b))

This Statement is for Information Only:

It is not a Wage Determination

Employee Class Monetary Wage Fringe Benefits Electronic Integrated Systems Mechanic

26.94 36.25%

Electronic Tech 23.83 36.25%

Electronics Mechanic 25.88 36.25%

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

(IAW FAR 22.1906)

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (AUG 2011)

(IAW FAR 23.1105)

52.223-20 AEROSOLS (DEC 2016)

(IAW FAR 23.804(a)(3))

52.224-3 PRIVACY TRAINING (JAN 2017)

(IAW FAR 24.302(a))

252.225-7001 BUY AMERICAN AND BALANCE OF PAYMENTS PROGRAM--BASIC (DEC 2017)

(IAW DFARS 225.1101(2))

252.225-7002 QUALIFYING COUNTRY SOURCES AS SUBCONTRACTORS (DEC 2017)

(IAW DFARS 225.1101(3))

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)

(IAW DFARS 225.7901-4)

52.232-23 ASSIGNMENT OF CLAIMS (MAY 2014)

(IAW FAR 32.806(a)(1))

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS (JUN 2013)

(IAW FAR 32.706-3)

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS (DEC 2013)

(IAW FAR 32.009-2)

252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND RECEIVING REPORTS

(JUN 2012)

(IAW DFARS 232.7004)

(a) Definitions. As used in this clause—

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

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

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

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

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

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

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

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

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

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

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

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

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

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

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

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

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

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

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

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

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC

Issue By DoDAAC

Admin DoDAAC

Inspect By DoDAAC

Ship To Code

Ship From Code

Mark For Code

Service Approver (DoDAAC)

Service Acceptor (DoDAAC)

Accept at Other DoDAAC

LPO DoDAAC

DCAA Auditor DoDAAC

Other DoDAAC(s)

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

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

timesheets) in support of each payment request.

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

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

(g)WAWF point of contact.

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

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

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

252.232-7010 LEVIES ON CONTRACT PAYMENTS (DEC 2006)

(IAW DFARS 232.7102)

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 97 X4930 .FC04 64 8 47 GR 84B01B 01K010 00000 UJJOFX 503000 F03000 $0.00

PSR: H24463 FSR: 013720 DSR: 157194 CIN: F3QL068003B001

TB TO BE CITED ON EACH ORDER $0.00

ACRN TOTAL $ 0.00

252.237-7010 PROHIBITION ON INTERROGATION OF DETAINEES BY CONTRACTOR

PERSONNEL (JUN 2013)

(IAW DFARS 237.173-5)

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

(IAW FAR 43.205(a)(1))

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

(IAW FAR 43.205(a)(2))

252.243-7001 PRICING OF CONTRACT MODIFICATIONS (DEC 1991)

(IAW DFARS 243.205-70)

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

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

(a) The Contractor shall identify any existing Activity Address Code with the designated activity type (EB, ED, EJ, EP, EY or EZ) code, which applies to Contractor's approved F.O.B point when receiving, taking custody, issuing, or shipping DoD assets.

Include existing Routing Identifier Code (RIC), which may be required for accessing Government Data Systems.

(b) Offeror shall insert the existing Activity Address Code and RIC Code, or identify that the Contracting Officer will need to obtain an Activity Address Code and/or Routing Identifier Code (RIC) on contractor’s behalf.

Existing Activity Address Code __________________

Existing Routing Identifier Code (RIC) ________________

[ ] I currently do not possess an Activity Address Code for the designated activity type. Use the following address to obtain the Activity Address Code:

[ ] I currently do not possess a Routing Identifier Code (RIC) for the designated activity type.

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

(IAW FAR 46.304)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503)

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

[CONTRACTOR FILL‐IN]

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

Inspection Code and Address:

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

Item No(s): 0002AA, 0002AB, 0002AC, 0002AD, 1002AA, 1002AB, 2002AA, 2002AB, 3002AA, 3002AB, 4002AA, 4002AB

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

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

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

(IAW FAR 47.303-2(c))

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

(IAW FAR 47.303-17(f))

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]

TRANSPORTATION APPROPRIATION CHARGEABLE

The Transportation Allotment Identification (TAI) relates directly to the above ACRN(s).

For example the TAI "TAA" is for the same line item(s) as ACRN "AA".

FMS TRANSPORTATION ALLOTMENT SHALL BE USED ONLY WHEN SHIPMENT

ON GOVERNMENT BILL OF LADING IS AUTHORIZED.

Insert 3 if movement via surface mode or 2 if movement via airlift in place of any "#" shown.

Insert last digit of current fiscal year in place of any asterisk "*" shown when material is shipped.

TAI* ATAC* FMS ALLOTMENT/NOTE

TAA F6RS

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

Form Number Description/File Name Date Number of Pages Government_Furnished_Property.pdf 05FEB2018 2

AFMC 158 Packaging_Requirements.pdf 20DEC2017 2

PWS.pdf 25OCT2017 10

DD FORM 1423 CDRL_A001‐A004.pdf Contract Data Requirements List

20DEC2017 4

SOLICITATION PROVISIONS

REPRESENTATIONS, INSTRUCTIONS AND EVALUATIONS

252.203-7005 REPRESENTATION RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(NOV 2011)

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

52.204-7 SYSTEM FOR AWARD MANAGEMENT (OCT 2016)

(IAW FAR 4.1105(a)(1))

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (NOV 2017)

(IAW FAR 4.1202(a))

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 334515 .

(2) The small business size standard is 750 .

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

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

(2) If the provision at 52.204‐7 is not included in this solicitation, and the offeror is currently registered in the System for Award Management (SAM), and has completed the Representations and Certifications section of SAM electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

[ ] (i) Paragraph (d) applies.

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

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

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

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

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

or

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

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

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

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

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

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

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

(B) Exceed the simplified acquisition threshold; and

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

[Contracting Officer check as appropriate.]

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

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

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

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

__ (v) 52.222‐52 Exemption from Application of the Service Contract Labor Standards to Contracts for Certain

Services‐‐Certification.

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

(vii) 52.227‐6, Royalty Information.

__(A) Basic.

__ (B) Alternate I.

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

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

FAR Clause # Title Date Change

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

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

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

52.204-22 ALTERNATIVE LINE ITEM PROPOSAL (JAN 2017)

(IAW FAR 4.1008)

252.204-7004 ALTERNATE A, SYSTEM FOR AWARD MANAGEMENT (FEB 2014)

(IAW DFARS 204.1105)

252.204-7007 ALTERNATE A, ANNUAL REPRESENTATIONS AND CERTIFICATIONS (JAN 2015)

(IAW DFARS 204.1202)

Substitute the following paragraphs (d) and (e) for paragraph (d) of the provision at FAR 52.204‐8:

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

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

Applies to all solicitations with institutions of higher education.

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

(iii) 252.222‐7007, Representation Regarding Combating Trafficking in persons, as prescribed in 222.1771.

Applies to solicitations with a value expected to exceed the simplified acquisition threshold.

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

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

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

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

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

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

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

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

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

__ _ Use with Alternate I

__ _ (iv) 252.225‐7031, Secondary Arab Boycott of Israel.

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

__ _ Use with Alternate I.

__ _ Use with Alternate II.

__ _ Use with Alternate III.

__ _ Use with Alternate IV.

__ _ Use with Alternate V.

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

FAR/DFARS Provision# Title Date Change

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

252.204-7008 COMPLIANCE WITH SAFEGUARDING COVERED DEFENSE INFORMATION

CONTROLS (OCT 2016)

(IAW DFARS 204.7304(a))

52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY

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

(IAW FAR 9.104-7(d))

(b) The Offeror represents that—

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

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

PREPAREDNESS, AND ENERGY PROGRAM USE (APR 2008)

(IAW FAR 11.604(a))

Note: DX or DO rating will be completed on cover page.

52.217-4 EVALUATION OF OPTIONS…