FA852417R0003.pdf

STANDARD FORM 1447 (2/2012)

Prescribed by GSA FAR (48 CFR) 53.215-1(d)

4. SOLICITATION NUMBER

FA8524-17-R-0003

6.SOLICITATION ISSUE DATE

8. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

HUBZONE SMALL

BUSINESS EDWOSB

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS NAICS CODE:

8(A) SIZE STANDARD:

DATE SIGNED

28. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION NUMBER

SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR CHANGES WHICH

ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

ROUTINE

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

SEE LINE ITEM SCHEDULE

22.

AMOUNT

16. AUTHORITY FOR USING OTHER THAN 10 USC 2304 41 USC 253

FULL AND OPEN COMPETITION (c) (1 ) (c) ( )

DATE SIGNED

27. SIGNATURE OF OFFEROR/CONTRACTOR

20.

UNIT

21.

UNIT PRICE

19.

QUANTITY

13. CONTRACTOR OFFEROR CODE FACILITY CODE

11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN * ___ CALENDAR DAYS (60 CALENDAR

DAYS UNLESS OFFEROR INSERTS A DIFFERENT PERIOD) FROM THE DATE SET FORTH IN BLK 9

ABOVE, THE CONTRACTOR AGREES TO HOLD ITS OFFERED PRICES FIRM FOR THE ITEMS

SOLICITED HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO THE TERMS AND

CONDITIONS STATED HEREIN. *30

RATING

DO: A1

3. AWARD/EFFECTIVE DATE

FA8524

2. CONTRACT NO.

X

CHECK IF REMITTANCE IS DIFFERENT

AND PUT SUCH ADDRESS IN OFFER

17.

ITEM NO.

12. ADMINISTERED BY CODE

Total

SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK: 14

SCD:B

NAME AND TITLE OF SIGNER (TYPE OR PRINT) NAME OF CONTRACTING OFFICER

24. AWARD AMOUNT (FOR GOVT USE ONLY)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAY DISCOUNT

25. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SETFORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY CONTINUATION SHEETS SUBJECT

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

10. ITEMS TO BE PURCHASED (BRIEF DESCRIPTION)

SUPPLIES SERVICES

9.

Offers will be received at the issuing office until the date and time specified below. All official United States Postal Service mail and classified material will be delivered to the address shown in block 7. Deliver all parcels to: 542 CBSG, ATTN: Buyer named above, 480 RICHARD RAY

BLVD, BLDG 301 EW, ROOM E31, ROBINS AFB GA 31098-1813.

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

X

7. ISSUED BY CODE

C-5/SOF-RW, AFSC/PZAAA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 0174

ROBINS AFB GA 31098-1670

BUYER: Clyde J. Kincaid, III/PZAAA clyde.kincaide@us.af.mil Phone: (478) 926- 2408 No Collect Calls

X

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)SOLICITATION/CONTRACT

BIDDER/OFFEROR TO COMPLETE BLOCKS 11, 13, 15, 21, 22, & 27.

J

SF 1447 (rev 2/2012) BACK

NO RESPONSE FOR THE REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include Zip Code)

WE DO NOT DESIRE TO BE RETAINED ON THE MAILING LIST FOR FUTURE PROCUREMENT OF THE TYPE OF

ITEMS INVOLVED

WE DO

OTHER (Specify)

CANNOT COMPLY WITH SPECIFICATIONS

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

FOLD

FOLD

SOLICITATION NO. FA852417R0003

DUE:

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Clyde J Kincaide/PZAAA

C-5/SOF-RW, AFSC/PZAAA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 0174

ROBINS AFB GA 31098-1670

Request for Proposal FA8524-17-R-0003

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

BASIC ORDERING PERIOD: Applicable to orders placed during the 12-month period immediately following Contract Award. The BEQ for each line item is identified in the description of the line item. The Goverment may require the delivery of increased quantities of items, the exact quantity of which cannot be determined in advance.

VANEAXIAL FAN

REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

NSN: 4140-01-496-2114 LG

P/N 041170500

FAN,VANEAXIAL

Equipment Cooling N/A

Manufacturer Part Number 82877 041170500 Associated Document(s) Line Item(s)

FD20601600162 0001

Priority: R

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:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAC

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.1 ARO 30 Calendar Days

Req No / Pri

Required Delivery

+ CNOTE 2 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 2 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Kimberly.jackson.6@us.af.mil | 478-222-2210411 SCMS/PMS Workflow:

411scms.pms@us.af.mil

VANEAXIAL FAN

NFF/BER

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

EA

VANEAXIAL FAN

NSN: 4140DTL1601BA

CC: MATLI: W/NFF/BER

Associated Document(s) Line Item(s)

FD20601600162 0002

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

DATA CDRLS A001-A005

Item No.

DATA CDRLS A001-A005

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

Limitations of Liability: Other Than High Value Item

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

Items in PWS and/or CDRLs

Req No / Pri

Required Delivery

1 LO IAW Applicable Data Items

Proposed Delivery

1 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

CDRLS A001 Commercial Asset Visibility Air Force

CAV AF

Item No.

0003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-MGMT-81634C

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

CDRLS A002 Depot Maintenance Production Report

Production Reporting Item No.

0003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

CDRLS A002 Depot Maintenance Production Report

Production Reporting Data

DI-ALSS-80728A/T

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

CDRLS A003 Item Unique Identification

IUID Marking Plan Item No.

0003AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-MGMT-81803

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

CDRLS A004 Item Unique Identification

IUID MARKING ACTIVITY AND VERIFICATION REPORT

Item No.

0003AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

CDRLS A005 Counterfeit Prevention Plan

Counterfeit Prevention Plan Item No.

0003AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-MISC-81832

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

ORDERING PERIOD I: Applicable to orders placed during the 12-month period immediately following Basic Contract. The BEQ for each line item is identified in the description of the line item. The Goverment may require the delivery of increased quantities of items, the exact quantity of which cannot be determined in advance.

VANEAXIAL FAN

REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

NSN: 4140-01-496-2114 LG

P/N 041170500

FAN,VANEAXIAL

Equipment Cooling N/A

Manufacturer Part Number 82877 041170500 Associated Document(s) Line Item(s)

FD20601600162 0001

Priority: R

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:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAC

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.1 ARO 30 Calendar Days

Req No / Pri

Required Delivery

+ CNOTE 2 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 2 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

VANEAXIAL FAN

NFF/BER

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

EA

VANEAXIAL FAN

NSN: 4140DTL1601BA

CC: MATLI: W/NFF/BER

Associated Document(s) Line Item(s)

FD20601600162 0002

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

Limitations of Liability: Other Than High Value Item

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

DATA CDRLS A001-A005

Type / Ship To Quantity (U/I) IAW Applicable Data Items in PWS and/or CDRLs

Req No / Pri

Required Delivery

1 LO IAW Applicable Data Items

Proposed Delivery

1 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Item No.

1003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-MGMT-81634C

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

CDRLS A002 Depot Maintenance Production Report

Production Reporting Item No.

1003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-ALSS-80728A/T

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

Reserved

1003AC

CDRLS A004 Item Unique Identification

IUID MARKING ACTIVITY AND VERIFICATION REPORT

Item No.

1003AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

Reserved

Item No.

1003AE

ORDERING PERIOD II: Applicable to orders placed during the 12-month period immediately following Option I. The BEQ for each line item is identified in the description of the line item. The Goverment may require the delivery of increased quantities of items, the exact quantity of which cannot be determined in advance.

VANEAXIAL FAN

REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

NSN: 4140-01-496-2114 LG

P/N 041170500

FAN,VANEAXIAL

Equipment Cooling N/A

Manufacturer Part Number 82877 041170500 Associated Document(s) Line Item(s)

FD20601600162 0001

Priority: R

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:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAC

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.1 ARO 30 Calendar Days

Req No / Pri

Required Delivery

+ CNOTE 2 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 2 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

EA

VANEAXIAL FAN

NSN: 4140DTL1601BA

CC: MATLI: W/NFF/BER

Associated Document(s) Line Item(s)

FD20601600162 0002

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE EA IAW

Performance-based Wor

VANEAXIAL FAN

NFF/BER

Proposed Delivery

+ CNOTE EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

Limitations of Liability: Other Than High Value Item

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

Items in PWS and/or CDRLs

Req No / Pri

Required Delivery

1 LO IAW Applicable Data Items

Proposed Delivery

1 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Item No.

2003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

CDRLS A001 Commercial Asset Visibility Air Force

CAV AF

DI-MGMT-81634C

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

CDRLS A002 Depot Maintenance Production Report

Production Reporting Item No.

2003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-ALSS-80728A/T

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

Reserved

Item No.

2003AC

CDRLS A004 Item Unique Identification

IUID MARKING ACTIVITY AND VERIFICATION REPORT

Item No.

2003AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

Reserved

Item No.

2003AE

ORDERING PERIOD III: Applicable to orders placed during the 12-month period immediately following Option II. The BEQ for each line item is identified in the description of the line item. The Goverment may require the delivery of increased quantities of items, the exact quantity of which cannot be determined in advance.

VANEAXIAL FAN

REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

NSN: 4140-01-496-2114 LG

P/N 041170500

FAN,VANEAXIAL

Equipment Cooling N/A

Manufacturer Part Number 82877 041170500 Associated Document(s) Line Item(s)

FD20601600162 0001

Priority: R

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:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAC

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.1 ARO 30 Calendar Days

Req No / Pri

Required Delivery

+ CNOTE 2 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 2 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

EA

VANEAXIAL FAN

NSN: 4140DTL1601BA

CC: MATLI: W/NFF/BER

Associated Document(s) Line Item(s)

FD20601600162 0002

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

Limitations of Liability: Other Than High Value Item

DATA CDRLS A001-A005

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

Items in PWS and/or CDRLs

Req No / Pri

Required Delivery

1 LO IAW Applicable Data Items

Proposed Delivery

1 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Item No.

3003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-MGMT-81634C

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

CDRLS A002 Depot Maintenance Production Report

Production Reporting Item No.

3003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-ALSS-80728A/T

Associated Document(s) Line Item(s)

FD20601600162 0003

Reserved

Item No.

3003AC

Firm Fixed Price

CDRLS A004 Item Unique Identification

IUID MARKING ACTIVITY AND VERIFICATION REPORT

Item No.

3003AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

Reserved

Item No.

3003AE

ORDERING PERIOD IV: Applicable to orders placed during the 12-month period immediately following Option III. The BEQ for each line item is identified in the description of the line item. The Goverment may require the delivery of increased quantities of items, the exact quantity of which cannot be determined in advance.

VANEAXIAL FAN

REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

NSN: 4140-01-496-2114 LG

P/N 041170500

FAN,VANEAXIAL

Equipment Cooling N/A

Manufacturer Part Number 82877 041170500 Associated Document(s) Line Item(s)

FD20601600162 0001

Priority: R

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:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAC

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.1 ARO 30 Calendar Days

Req No / Pri

Required Delivery

+ CNOTE 2 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 2 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

EA

VANEAXIAL FAN

NSN: 4140DTL1601BA

CC: MATLI: W/NFF/BER

Associated Document(s) Line Item(s)

FD20601600162 0002

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA

VANEAXIAL FAN

NFF/BER

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

Limitations of Liability: Other Than High Value Item

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

Items in PWS and/or CDRLs

Req No / Pri

Required Delivery

1 LO IAW Applicable Data Items

Proposed Delivery

1 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

CDRLS A001 Commercial Asset Visibility Air Force

CAV AF

Item No.

4003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-MGMT-81634C

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

CDRLS A002 Depot Maintenance Production Report

Production Reporting Item No.

4003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-ALSS-80728A/T

Associated Document(s) Line Item(s)

FD20601600162 0003

Priority: R

Reserved

Item No.

4003AC

CDRLS A004 Item Unique Identification

IUID MARKING ACTIVITY AND VERIFICATION REPORT

Item No.

4003AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Data

DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601600162 0003

Reserved

Item No.

4003AE

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + CNOTE

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

AWARD NUMBER:

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping. Kimberly.jackson.6@us.af.mil | 478-222-2210411 SCMS/PMS Workflow: 411scms.pms@us.af.mil

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

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

(IAW FAR 46.304)

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

52.246-11 HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT (DEC 2014)

(IAW FAR 46.311, DFARS 246.202-4(1))

(a) The Contractor shall comply with the higher-level quality standard(s) listed below. [If more than one standard is listed, the offeror shall indicate its selection by checking the appropriate block.]*

Title Number Date Tailoring *See Individual Line Item Schedule

INSPECTION AND ACCEPTANCE (SEP 1999)

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

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

[CONTRACTOR FILL-IN]

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

Inspection Code and Address:

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

Item No(s): 0003, 1003, 2003, 3003, 4003

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

52.242-15 STOP-WORK ORDER (AUG 1989)

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

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

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

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

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

F.O.B. ORIGIN (OCT 1993)

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

F.O.B. Address

[CONTRACTOR FILL-IN]

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

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

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

(IAW DFARS 201.602-70)

(Applicable to all orders issued hereunder)

5352.201-9101 OMBUDSMAN (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.

(Applicable to all solicitations and contracts)

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)

252.203-7997 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN

INTERNAL CONFIDENTIALITY AGREEMENTS (DEVIATION 2016-O0003)

(OCT 2015)

(IAW DARS Tracking # 2016-O0003)

(a) The Contractor shall not require employees or subcontractors seeking to report fraud, waste, or abuse to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or contactors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information.

(b) The Contractor shall notify employees that the prohibitions and restrictions of any internal confidentiality agreements covered by this clause are no longer in effect.

(c) The prohibition in paragraph (a) of this clause does not contravene requirements applicable to Standard Form 312, Form 4414, or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(d) (1) Use of funds appropriated (or otherwise made available) by the Continuing Appropriations Act, 2016 (Pub. L.

114-53) or any other FY 2016 appropriations act that extends to FY 2016 funds the same prohibitions as contained in sections 743 of division E, title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L.

113-235) may be prohibited, if the Government determines that the Contractor is not in compliance with the provisions of this clause.

(2) The Government may seek any available remedies in the event the Contractor fails to perform in accordance with the terms and conditions of the contract as a result of Government action under this clause.

(Applicable to solicitations and contracts, including commercial under FAR part 12, that will use FY 2016 appropriations)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (OCT 2015)

(IAW FAR 4.1403(a))

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

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

(IAW FAR 4.1804(c), FAR 12.301(d)) (Applicable when there is a requirement to be registered in SAM or to have a DUNS Number)

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(JUN 2016)

(IAW FAR 4.1903)

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

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))

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

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

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

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

52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN SUBCONTRACTING WITH

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(OCT 2015)

(IAW FAR 9.409)

(Applicable when exceeding $35,000)

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

(IAW FAR 11.604(b)) This is a rated order certified for national defense , emergency preparedness, and energy program use, and the Contractor shall follow all the requirements of the Defense Priorities and Allocations System regulation (15 CFR 700).

(Applicable to all rated orders)

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

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

(a) Definitions. As used in this clause—

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

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

(c) Unique item identifier.

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

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

Contract Line, Subline, or Exhibit Line Item Number

Item Description

See Schedule as Applicable

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

Contract Line, Subline, or Exhibit Line Item Number

Item Description

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

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

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

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

52.215-8 ORDER OF PRECEDENCE--UNIFORM CONTRACT FORMAT (OCT 1997)

(IAW FAR 15.209(h), AFFARS 53.15.209(h)) (Applicable when using uniform contract format that is not commercial or for construction)

52.219-28 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].

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

52.222-3 CONVICT LABOR (JUN 2003)

(IAW FAR 22.202)

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

52.222-21 PROHIBITION OF SEGREGATED FACILITIES (APR 2015)

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

52.222-26 EQUAL OPPORTUNITY (SEP 2016)

(IAW FAR 22.810(e))

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUL 2014)

(IAW FAR 22.1408(a)) (Applicable over $15,000 except when performance of work and recruitment of workers will occur outside the United States, Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, and Wake Island, or the agency head has waived, in accordance with 22.1403(a) or 22.1403(b) all the terms of the clause)

52.222-41 SERVICE CONTRACT LABOR STANDARDS (MAY 2014)

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

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

(IAW FAR 22.1006(b)) This Statement is for Information Only:

It is not a Wage Determination

Employee Class Monetary Wage Fringe Benefits

(Applicable to service items over $2,500)

52.222-50 COMBATING TRAFFICKING IN PERSONS (MAR 2015)

(IAW FAR 22.1705(a)(1))

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

(IAW FAR 22.1906)

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

52.223-18 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(c)) (Applicable to solicitations and contracts not delivered or performed outside the U.S. or it’s outlying areas, for products that may contain high global warming potential hydrofluorocarbons or involve maintenance or repair of electronic or mechanical devices)

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

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

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)

(IAW DFARS 225.7901-4)

52.227-1 AUTHORIZATION AND CONSENT (DEC 2007)

(IAW FAR 27.201-2(a)(1)) (Applicable except when both complete performance and delivery are outside the United States)

52.227-2 NOTICE AND ASSISTANCE REGARDING PATENT AND COPYRIGHT

INFRINGEMENT (DEC 2007)

(IAW FAR 27.201-2(b))

52.232-1 PAYMENTS (APR 1984)

(IAW FAR 32.111(a)(1)) (Applicable to fixed-price supply or services and non-regulated communication services).

52.232-8 DISCOUNTS FOR PROMPT PAYMENT (FEB 2002)

(IAW FAR 32.111(b)(1)) (Applicable to fixed-price supply or fixed-price service)

52.232-11 EXTRAS (APR 1984)

(IAW FAR 32.111(c)(2)) (Applicable to fixed-price supply, fixed-price service, or transportation)

52.232-23 ASSIGNMENT OF CLAIMS (MAY 2014)

(IAW FAR 32.806(a)(1)) (Applicable when the micro-purchase threshold is exceeded, unless the contract will prohibit the assignment of claims (see 32.803(b))

52.232-25 PROMPT PAYMENT (JUL 2013)

(IAW FAR 32.908(c))

(a) Invoice payments—

(5) Computing penalty amount. The Government will compute the interest penalty in accordance with the Office of Management and Budget prompt payment regulations at 5 CFR part 1315.

(i) For the sole purpose of computing an interest penalty that might be due the Contractor, Government acceptance is deemed to occur constructively on the **** day (unless otherwise specified in this contract) after the Contractor delivers the supplies or performs the services in accordance with the terms and conditions of the contract, unless there is a disagreement over quantity, quality, or Contractor compliance with a contract provision. If actual acceptance occurs within the constructive acceptance period, the Government will base the determination of an interest penalty on the actual date of acceptance. The constructive acceptance requirement does not, however, compel Government officials to accept supplies or services, perform contract administration functions, or make payment prior to fulfilling their responsibilities.

(Applicable except when the clause at 52.212-4, Contract Terms and Conditions--Commercial Items is included)

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)

252.232-7010 LEVIES ON CONTRACT PAYMENTS (DEC 2006)

(IAW DFARS 232.7102)

(Applicable to all solicitations and contracts over the micro-purchase threshold issued hereunder)

52.233-1 DISPUTES (MAY 2014)

(IAW FAR 33.215)

(Applicable except to foreign governments or their agencies, or to international organizations or a subsidiary body of that organization, if the agency head determines that the application of 41 U.S.C. chapter 71 to the contract would not be in the public interest)

52.233-3 PROTEST AFTER AWARD (AUG 1996)

(IAW FAR 33.106(b))

52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM (OCT 2004)

(IAW FAR 33.215(b))

252.237-7010 PROHIBITION ON INTERROGATION OF DETAINEES BY CONTRACTOR

PERSONNEL (JUN 2013)

(IAW DFARS 237.173-5)

(Applicable to solicitations and contracts for the provision of services)

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

(IAW FAR 43.205(a)(1)) (Applicable to fixed-price supplies)

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

(IAW FAR 43.205(a)(2)) (Applicable to services (other than architect-engineer or other professional services) with no supplies)

252.243-7001 PRICING OF CONTRACT MODIFICATIONS (DEC 1991)

(IAW DFARS 243.205-70)

(Applicable to fixed-price efforts)

52.244-6 SUBCONTRACTS FOR COMMERCIAL ITEMS (NOV 2016)

(IAW FAR 44.403)

(Applicable to supplies or services other than commercial items)

52.245-1 GOVERNMENT PROPERTY (APR 2012)

(IAW FAR 45.107(a), DFARS 237.7003(c), DFARS 245.107)

252.245-7001 TAGGING, LABELING, AND MARKING OF GOVERNMENT-FURNISHED PROPERTY

(APR 2012)

(IAW DFARS 245.107(2))

252.245-7002 REPORTING LOSS OF GOVERNMENT PROPERTY (APR 2012)

(IAW DFARS 245.107(3))

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

(IAW DFARS 245.107(4))

252.245-7004 REPORTING, REUTILIZATION, AND DISPOSAL (SEP 2016)

(IAW DFARS 245.107(5))

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

(IAW FAR 47.104-4(a), FAR 47.104-4(b)) (Applicable when fixed-price f.o.b. origin or Cost-reimbursement are specified)

52.249-1 TERMINATION FOR CONVENIENCE OF THE GOVERNMENT (FIXED-PRICE) (SHORT

FORM) (APR 1984)

(IAW FAR 49.502(a)(1))

(Applicable at the simplified acquisition threshold or less, except as specified in FAR 49.502(a)(1)(i), (ii), (iii) or (iv))

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

(IAW FAR 52.107(b)) This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, 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).

52.253-1 COMPUTER GENERATED FORMS (JAN 1991)

(IAW FAR 53.111)

(Applicable when requiring the contractor to submit data on Standard or Optional Forms prescribed by this regulation;

and, unless prohibited by agency regulations, forms prescribed by agency supplements)

PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages SGFP VERSION 5 SGFP_V5.pdf

Schedudled Government Furnished Property.

07NOV2016 1

PWS.docx Performance Work Statement.

07NOV2016 16

1933351_CDRL1_REPORT.pdf Contract Data Requirements List

07NOV2016 5

807 QUALITY.pdf Quality Assurance

07NOV2016 1

158 PKGRQMT_REPORT.pdf Packaging Requirements

07NOV2016 2

1653 TRNSPDATA_REPORT.pdf Transportation Data

07NOV2016 2

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION K

REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS

OF OFFERORS OR RESPONDENTS

252.203-7005 REPRESENTATION RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(NOV 2011)

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

(Applicable to all solicitations, including solicitations for task and delivery orders)

252.203-7996 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN

INTERNAL CONFIDENTIALITY AGREEMENTS--REPRESENTATION (DEVIATION

2016-O0003) (OCT 2015)

(IAW DARS Tracking # 2016-O0003)

(a) In accordance with section 101(a) of the Continuing Appropriations Act, 2016 (Pub. L. 114-53) and any subsequent FY 2016 appropriations act that extends to FY 2016 funds the same restrictions as are contained in section 743 of division E, title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L.

113-235), none of the funds appropriated (or otherwise made available) by this or any other Act may be used for a contract with an entity that requires employees or subcontractors of such entity seeking to report fraud, waste, or abuse to sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or contactors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information.

(b) The prohibition in paragraph (a) of this provision does not contravene requirements applicable to Standard Form 312, Form 4414, or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(c) Representation. By submission of its offer, the Offeror represents that it does not require employees or subcontractors of such entity seeking to report fraud, waste, or abuse to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or contactors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information.

(Applicable to all solicitations, including commercial under FAR part 12, that will use 2016 appropriations)

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (OCT 2016)

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

(2) The small business size standard is .

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

(iv) 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.

(v) 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations—Representation.

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

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

(viii) 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.

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

(x) 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.

(xi) 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.

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

(xiii) 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.

(xiv) 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.

(xv) 52.222-57, Representation Regarding Compliance with Labor Laws (Executive Order 13673).

This provision applies so solicitations expected to exceed $50 million which are issued from October 25, 2016 through April 24, 2017, and solicitations expected to exceed $500,000, which are issued after April 24, 2017.

(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.

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

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

(xix) 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 is less than $100,000, the provision with its Alternate III applies.

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

(xxi) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan--Certification.

This provision applies to all solicitations.

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

(xxiii) 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 SAM Web 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…