FA851719Q0010.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.

FA8517-19-Q-0010

2. DATE ISSUED

22 FEB 2019

3. REQUISITION/PURCHASE REQUEST NO.

FD20601900152

4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

DO: A1

5a. ISSUED BY CODE: FA8517

SUPPORT EQPT - AUTOMATIC TEST, AFSC/PZAAC

235 BYRON ST BLDG 300 STE 19A

ROBINS AFB GA 31098-1813

BUYER: Rebekah S. Lamb/PZAAC rebekah.lamb@us.af.mil Phone: (478) 222- 3755 Fax: (000 No Collect Calls

6. DELIVERY BY (Date)

SEE SCHEDULE

SCD:B

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME

Rebekah S Lamb

b. COMPANY

TELEPHONE NUMBER

AREA CODE

(478 )

NUMBER

222 -3755

8. TO

a. NAME

7. DELIVERY

FOB DESTINATION OTHER

(See Schedule) X

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)

26 MAR 2019

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

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 60 days.

NAICS CODE: 811219

SIZE STD: $20.5

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. FA851719Q0010

DUE: 26 -MAR -2019

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Rebekah S Lamb/PZAAC

SUPPORT EQPT - AUTOMATIC TEST, AFSC/PZAAC

235 BYRON ST BLDG 300 STE 19A

ROBINS AFB GA 31098-1813

FA8517-19-Q-0010

SUPPLIES OR SERVICES AND PRICES/COSTS

Battery Power Supply Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 6130-01-395-2711 JX

Battery Power Supply Repair Manufacturer Part Number 01359 84520046-501 Associated Document(s) Line Item(s)

FD20601900152 0001

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

A SW3119 2 EA *30 Calendar Days

Proposed Delivery

A SW3119 2 EA

DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

EA

DATA

Associated Document(s) Line Item(s)

FD20601900152 0002

A001 - CAV AF Government Furnished Material Report

Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A001 - CAV AF Government Furnished Material Report

DI-MGMT-81634C/T

PWS Paragraph 4.3.2 and CAV AF Reporting Requirements Document Associated Document(s) Line Item(s)

FD20601900152 0002

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

A002 - CAV AF CFM End Item Reporting

Item No.

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A002 - CAV AF CFM End Item Reporting

4. AUTHORITYDI-MGMT-81838/T

PWS Paragraph 4.3.2 and CAV AF Reporting Requirements Document Associated Document(s) Line Item(s)

FD20601900152 0003

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

A003 - Contract Depot Maintenance (CDM) Production Report

Item No.

0002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A003 - Contract Depot Maintenance (CDM) Production Report

DI-PSSS-81995/T

PWS Paragraph: 4.3.2

FD20601900152 0004

A003 - Contract Depot Maintenance (CDM) Production Report

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

A004 - Government Property Inventory Report

Item No.

0002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A004 - Government Property Inventory Report

DI-MGMT-80441C/T

PWS Paragraph: 4.3.2 Associated Document(s) Line Item(s)

FD20601900152 0005

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

A005 - Counterfeit Prevention Plan

Item No.

0002AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A005 - Counterfeit Prevention Plan

DI-MISC-81832

PWS, PARA. 4.3.3

Associated Document(s) Line Item(s)

FD20601900152 0005

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

OPTION ONE MAY BE EXERCISED ANYTIME WITHIHN 365 DAYS FROM THE EFFECTIVE DATE

OF CONTRACT AWARD.

Battery Power Supply Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1001 AA

NSN: 6130-01-395-2711 JX

Battery Power Supply Repair Manufacturer Part Number 01359 84520046-501 Associated Document(s) Line Item(s)

FD20601900152 0001

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

EA

DATA

FD20601900152 0002

A001 - CAV AF Government Furnished Material Report

Item No.

1002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A001 - CAV AF Government Furnished Material Report

DI-MGMT-81634C/T

PWS Paragraph 4.3.2 and CAV AF Reporting Requirements Document Associated Document(s) Line Item(s)

FD20601900152 0002

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

A002 - CAV AF CFM End Item Reporting

Item No.

1002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A002 - CAV AF CFM End Item Reporting

4. AUTHORITYDI-MGMT-81838/T

PWS Paragraph 4.3.2 and CAV AF Reporting Requirements Document Associated Document(s) Line Item(s)

FD20601900152 0003

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

A003 - Contract Depot Maintenance (CDM) Production Report

Item No.

1002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A003 - Contract Depot Maintenance (CDM) Production Report

A003 - Contract Depot Maintenance (CDM) Production Report

DI-PSSS-81995/T

PWS Paragraph: 4.3.2 Associated Document(s) Line Item(s)

FD20601900152 0004

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

A004 - Government Property Inventory Report

Item No.

1002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A004 - Government Property Inventory Report

DI-MGMT-80441C/T

PWS Paragraph: 4.3.2 Associated Document(s) Line Item(s)

FD20601900152 0005

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

OPTION TWO MAY BE EXERCISED ANYTIME WITHIHN 730 DAYS FROM THE EFFECTIVE DATE

OF CONTRACT AWARD.

Battery Power Supply Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2001 AA

NSN: 6130-01-395-2711 JX

Battery Power Supply Repair Manufacturer Part Number 01359 84520046-501

Battery Power Supply Repair

Associated Document(s) Line Item(s)

FD20601900152 0001

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

EA

DATA

Associated Document(s) Line Item(s)

FD20601900152 0002

A001 - CAV AF Government Furnished Material Report

Item No.

2002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A001 - CAV AF Government Furnished Material Report

DI-MGMT-81634C/T

PWS Paragraph 4.3.2 and CAV AF Reporting Requirements Document

A001 - CAV AF Government Furnished Material Report

Associated Document(s) Line Item(s)

FD20601900152 0002

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

A002 - CAV AF CFM End Item Reporting

Item No.

2002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A002 - CAV AF CFM End Item Reporting

4. AUTHORITYDI-MGMT-81838/T

PWS Paragraph 4.3.2 and CAV AF Reporting Requirements Document Associated Document(s) Line Item(s)

FD20601900152 0003

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

A003 - Contract Depot Maintenance (CDM) Production Report

Item No.

2002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A003 - Contract Depot Maintenance (CDM) Production Report

DI-PSSS-81995/T

PWS Paragraph: 4.3.2 Associated Document(s) Line Item(s)

FD20601900152 0004

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

A003 - Contract Depot Maintenance (CDM) Production Report

Proposed Delivery

+ IAW1423 1 LO

A004 - Government Property Inventory Report

Item No.

2002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A004 - Government Property Inventory Report

DI-MGMT-80441C/T

PWS Paragraph: 4.3.2 Associated Document(s) Line Item(s)

FD20601900152 0005

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

OPTION THREE MAY BE EXERCISED ANYTIME WITHIHN 1,095 DAYS FROM THE EFFECTIVE

DATE OF CONTRACT AWARD.

Battery Power Supply Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3001 AA

NSN: 6130-01-395-2711 JX

Battery Power Supply Repair Manufacturer Part Number 01359 84520046-501 Associated Document(s) Line Item(s)

FD20601900152 0001

Limitations of Liability: Other Than High Value Item

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

Battery Power Supply Repair

IUID Required: Yes Physical Item Markings:

IAW MIL-STD-130

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

EA

DATA

Associated Document(s) Line Item(s)

FD20601900152 0002

A001 - CAV AF Government Furnished Material Report

Item No.

3002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A001 - CAV AF Government Furnished Material Report

DI-MGMT-81634C/T

PWS Paragraph 4.3.2 and CAV AF Reporting Requirements Document Associated Document(s) Line Item(s)

FD20601900152 0002

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed

A001 - CAV AF Government Furnished Material Report

+ IAW1423 1 LO

A002 - CAV AF CFM End Item Reporting

Item No.

3002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A002 - CAV AF CFM End Item Reporting

4. AUTHORITYDI-MGMT-81838/T

PWS Paragraph 4.3.2 and CAV AF Reporting Requirements Document Associated Document(s) Line Item(s)

FD20601900152 0003

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

A003 - Contract Depot Maintenance (CDM) Production Report

Item No.

3002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A003 - Contract Depot Maintenance (CDM) Production Report

DI-PSSS-81995/T

PWS Paragraph: 4.3.2 Associated Document(s) Line Item(s)

FD20601900152 0004

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed

+ IAW1423 1 LO

A004 - Government Property Inventory Report

Item No.

3002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A004 - Government Property Inventory Report

DI-MGMT-80441C/T

PWS Paragraph: 4.3.2 Associated Document(s) Line Item(s)

FD20601900152 0005

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

OPTION FOUR MAY BE EXERCISED ANYTIME WITHIHN 1,460 DAYS FROM THE EFFECTIVE

DATE OF CONTRACT AWARD.

Battery Power Supply Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

4001 AA

NSN: 6130-01-395-2711 JX

Battery Power Supply Repair Manufacturer Part Number 01359 84520046-501 Associated Document(s) Line Item(s)

FD20601900152 0001

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Battery Power Supply Repair

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

EA

DATA

Associated Document(s) Line Item(s)

FD20601900152 0002

A001 - CAV AF Government Furnished Material Report

Item No.

4002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A001 - CAV AF Government Furnished Material Report

DI-MGMT-81634C/T

PWS Paragraph 4.3.2 and CAV AF Reporting Requirements Document Associated Document(s) Line Item(s)

FD20601900152 0002

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

A002 - CAV AF CFM End Item Reporting

Item No.

4002AB

A002 - CAV AF CFM End Item Reporting

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A002 - CAV AF CFM End Item Reporting

4. AUTHORITYDI-MGMT-81838/T

PWS Paragraph 4.3.2 and CAV AF Reporting Requirements Document Associated Document(s) Line Item(s)

FD20601900152 0003

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

A003 - Contract Depot Maintenance (CDM) Production Report

Item No.

4002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A003 - Contract Depot Maintenance (CDM) Production Report

DI-PSSS-81995/T

PWS Paragraph: 4.3.2 Associated Document(s) Line Item(s)

FD20601900152 0004

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

A004 - Government Property Inventory Report

Item No.

4002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A004 - Government Property Inventory Report

DI-MGMT-80441C/T

PWS Paragraph: 4.3.2

A004 - Government Property Inventory Report

Associated Document(s) Line Item(s)

FD20601900152 0005

Type / Ship To Quantity (U/I) To be determined _ Req No / Pri

Required Delivery

+ IAW1423 1 LO TBD

Proposed Delivery

+ IAW1423 1 LO

SHIP TO / PLACE OF PERFORMANCE

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 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:

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, Timothy R.

Inman at 478 222 -4097 , FAX 000 000 -0000 , email timothy.inman@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.

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(OCT 2010)

(IAW FAR 3.808(b))

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 2018)

(IAW FAR 4.1403(a))

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

(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)

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)

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))

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

GOVERNMENT OF A COUNTRY THAT IS A STATE SPONSOR OF TERRORISM

(OCT 2015)

(IAW DFARS 209.409)

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.

252.211-7005 SUBSTITUTIONS FOR MILITARY OR FEDERAL SPECIFICATIONS AND STANDARDS

(NOV 2005)

(IAW DFARS 211.273-4)

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

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

SPI Process: _____________________________________________________

Facility: _________________________________________________________

Military or Federal Specification or Standard: ____________________________

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

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

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

ITEM IDENTIFICATION MARKING AND SHELF LIFE ITEM PROVISIONS (FEB 1998)

(IAW AFMCI 23-102 Chapter 6 Para 6.2.7.3) Requirements set forth below shall apply to any contract issued thereon and will take precedence over other inconsistent requirements herewith. All standards, bulletins, and publications referenced herein shall be of the issue in effect on the date of this document.

1. PHYSICAL MARKING OF ITEMS:

MIL-STD-130: Items shall be marked in accordance with MIL-STD-130. The National Stock Number (NSN), and when assigned, the Configuration Item Identifier (CII), serial number, and military type designation information shall be marked on major assemblies, units, groups, and sets. Special attention must be given to requirements governing the application of the actual manufacturer's Federal Supply Code for Manufacturers (FSCM) to the physical item. Items which are excluded in accordance with paragraph 1.1 of MIL-STD-130, Revision M, shall be marked in accordance with the appropriate document.

2. PACKAGE AND CONTAINER MARKING: Shipments will not be made until the NSN has been assigned, unless specifically authorized by the Contracting Officer.

MIL-STD-129/ASTM-D-3951:

a. Interior packages and shipping containers shall be marked in accordance with MIL-STD-129 when Military packing is specified and ASTM-D-3951 when commercial packaging is specified. The requirements of paragraph 2.h apply regardless of which packaging is utilized.

(1) Design manufacturer's name, trademark or manufacturer's code (from Cataloging Handbook H4-1 or H4-2), identifying number, and serial number, when applicable, shall be included in the identification marking.

(2) When applicable, the Air Force project designator code shall be included as the last line of the address marking and the project name related to the project code shall be marked in the clear on the exterior shipping container.

b. Tags and labels, when required, shall be contractor's tags or labels conforming to the requirements of MIL-STD-129 or as approved by the procuring activity. Contractor's forms which indicate serviceable condition shall not be any shade of green or red. Labels are authorized to be used on metal containers. Items requiring technical order (T.O.)

certification shall be annotated on inner and outer container tags or label with T.O. compliance.

c. When dummy containers are used in a unitized load, the dummy containers shall be clearly marked "DUMMY CONTAINER" and located in the load so that the marking will be plainly visible to receiving and storage personnel.

d. All interior packages and shipping containers for articles and materials classified as hazardous or restricted under provisions of Title 49, Code of Federal Regulations, or AFR 71-4/DLAM 4145.3/TM 38-250/NAVSUP PUB 505/MCO P

4030.19 shall be marked, regardless of exemption for mode of transportation, with proper shipping name of item;

flash point of all liquids having a flash point of 200 degrees F. or below; and percentage concentration of acids and corrosive liquids. In addition, the quantity of each hazardous or restricted material included in a container shall be annotated adjacent to the shipping name of the item, e.g., Acetic Acid (80% concentration) -- 1 qt.

e. On shipments of firearms regardless of mode of transportation, selected elements of identification and contractor data markings shall be omitted or obliterated in accordance with the requirements of MIL-STD-129 regarding sensitive items and packing lists shall be placed only inside the containers.

f. Special markings for packages and containers when specified on AFMC Form 158 shall be complied with as a part of

MIL-STD-129.

g. All special coated terneplate containers shall be marked with the legend "CAUTION--DO NOT REUSE AS FOOD

CONTAINERS."

h. Bar code markings in accordance with MIL-STD-129 shall apply to all units, intermediate and exterior containers for all items going into stock regardless of package size or levels of package specified (including commercial packaging). In addition to the NSN/NATO stock number, the exterior shipping container shall include the 13 digit contract number (plus, if applicable, the four digit call number). Excluded from Bar Code Marking are:

(1) Foreign Military Sales.

(2) Direct Vendor Delivery (DVD)/Government Furnished Equipment (GFE) shipments.

(3) Multipack Exterior Shipping Containers. (Unit and intermediate containers do require a bar coded NSN/NATO stock number. However, the next container (unit or intermediate) inside the multipack will also require a bar coded NSN/NATO stock number and contract number with call number, if applicable, in the lower right hand corner).

(4) All unpacked or uncrated items; e.g., vehicles, tires, etc.

i. Shipments of wheeled items weighing 2,000 pounds or more and scheduled for transportation by military aircraft will be marked with the individual axle weights in accordance with MIL-STD-129.

3. WARRANTED ITEMS: When the contract contains warranty requirements, warranty information shall be applied on containers and items as follows:

a. Container markings shall be as specified in MIL-STD-129. The period or conditions of the warranty shall be specifically stated, i.e., landings, flight hours, operating hours, days from shipping date, etc.

b. Items shall be marked in accordance with requirements of MIL-STD-130. Markings shall be located in a manner so as to be conspicuous to the person removing the item from service. When no deleterious effect or functional degradation is caused, the markings shall be black letters on yellow FED-STD-595 color 13655) background. The marking shall include the same period or condition required on the containers.

4. SHELF LIFE ITEMS

a. MARKING

(1) Shelf life items shall be marked in accordance with MIL-STD-129.

(2) Mark items controlled in MIL-STD-1523, or in specifications furnished as a part of the contract or purchase order, with the cure or assembly dates specified therein.

b. DELIVERY. Unless specified otherwise in the contract, shelf life items shall have a minimum of 90% of the "storage period" remaining at the time of delivery to the Government.

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

COMMERCIAL ITEMS) (JAN 2018)

(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)

52.217-7 OPTION FOR INCREASED QUANTITY--SEPARATELY PRICED LINE ITEM

(MAR 1989)

(IAW FAR 17.208(e))

The Government may require the delivery of the numbered line item, identified in the Schedule as an option item, in the quantity and at the price stated in the Schedule. The Contracting Officer may exercise the option by written notice to the Contractor within 365 Days. Delivery of added items shall continue at the same rate that like items are called for under the contract, unless the parties otherwise agree.

(The above Clause/Provision has been modified.)

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

Electronics Mechanic 24.71 36.25% Electronics Technician 26.73 36.25% General Administrative Assistant 13.85 36.25% Quality Assurance Technician 27.04 36.25%

52.222-44 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT LABOR

STANDARDS--PRICE ADJUSTMENT (MAY 2014)

(IAW FAR 22.1006(c)(2))

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

(IAW FAR 22.1906)

52.223-6 DRUG-FREE WORKPLACE (MAY 2001)

(IAW FAR 23.505)

52.223-11 OZONE-DEPLETING SUBSTANCES AND HIGH GLOBAL WARMING POTENTIAL

HYDROFLUOROCARBONS (JUN 2016)

(IAW FAR 23.804(a)(1))

(b) The Contractor shall label products which contain or are manufactured with ozone-depleting substances in the manner and to the extent required by 42 U.S.C. 7671j(b), (c), (d), and (e) and 40 CFR Part 82, Subpart E, as follows:

WARNING

Contains (or manufactured with, if applicable) ________________________*, a substance(s) which harm(s) public health and environment by destroying ozone in the upper atmosphere.

* The Contractor shall insert the name of the substance(s).

52.223-12 MAINTENANCE, SERVICE, REPAIR, OR DISPOSAL OF REFRIGERATION

EQUIPMENT AND AIR CONDITIONERS (DEC 2016)

(IAW FAR 23.804(a)(2))

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (AUG 2011)

(IAW FAR 23.1105)

52.223-20 AEROSOLS (JUN 2016)

(IAW FAR 23.804(a)(3))

52.223-21 FOAMS (JUN 2016)

(IAW FAR 23.804(a)(4))

5352.223-9000 ELIMINATION OF USE OF CLASS I OZONE DEPLETING SUBSTANCES (ODSs)

(NOV 2012)

(IAW AFFARS 5323.804-90)

52.224-3 PRIVACY TRAINING (JAN 2017)

(IAW FAR 24.302(a))

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)

(IAW DFARS 225.7901-4)

52.229-4 FEDERAL, STATE, AND LOCAL TAXES (STATE AND LOCAL ADJUSTMENTS)

(FEB 2013)

(IAW FAR 29.401-3(b))

52.232-17 INTEREST (MAY 2014)

(IAW FAR 32.611(a), FAR 32.611(b))

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

(DEC 2018)

(IAW DFARS 232.7004(a))

(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 (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.

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

AA 97X4930.FC04 649 47GR 848888 01K010 00000 UJJNPU 503000 F03000 $0.00

PSR: K19389 FSR: 013720 DSR: 042397

REFERENCE:

AA CIN: F3QL069050B101

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

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)

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

(IAW FAR 46.304)

52.246-25 LIMITATION OF LIABILITY--SERVICES (FEB 1997)

(IAW FAR 46.805(a)(4))

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:

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

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

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

(IAW FAR 47.303-1(c))

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

(IAW FAR 47.303-2(c))

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]

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (APR 1984)

(IAW FAR 52.107(f))

(a) The use in this contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this contract of any Defense Federal Acquisition Regulation Supplement (48 CFR Chapter 2).clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

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 ALLOTMENT

TAA F6RS

(End of clause)

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

Form Number Description/File Name Date Number of Pages Wage Determination 26DEC2018 11

Government Furnished Property 22FEB2019 1

Performance Work Statement 13

AFMC 158 Packaging 14FEB2019 3

DD FORM 1423 Contract Data Requirements List 08FEB2019 6

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 2018)

(IAW FAR 4.1105(a)(1))

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (OCT 2018)

(IAW FAR 4.1202(a)) (a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 811219 .

(2) The small business size standard is $20.5 .

(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, System for Award Management, is not included in this solicitation, and the Offeror has an active registration in the System for Award Management (SAM), 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).