FA852422Q0005.pdf

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV.2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 FD20602200650

FA8524 22 Q 0005

(478 ) 222 3754 ext. Chequitha R. Davis 21JUN2022

SEE SCHEDULE

334511

1,250

DO: A1 52.211 14, 52.211 15

SOF FW/RW, AFSC/PZAAA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 327 3661

ROBINS AFB GA 31098 1670

BUYER:

SEE LINE ITEM SCHEDULE

17a. CONTRACTOR/OFFEROR FACILITY

CODE CODE

18a. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS

CHECKED. SEE ELECTRONIC SUBMISSION OF PAYMENT REQUESTS, CLAUSE 252.232-7003.

FA8524

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

Early delivery is acceptable at no additional cost to the government.

SEE LINE ITEM SCHEDULE

(SIGNATURE OF CONTRACTING OFFICER)

X X

X X

X

X

SEE FUNDS SCHEDULE

X

SCD:B

EFT:T

Estimated

STANDARD FORM 1449 (REV. 2/2012) BACK

COMPUTER GENERATED 5/19/2022, 9:42 AM

SEE LINE ITEM SCHEDULE

SUPPLIES OR SERVICES AND PRICES/COSTS

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR REQUIREMENTS CONTRACTS

ELECTRONIC RESPONSES ARE AUTHORIZED

BASIC ORDERING PERIOD

INDICATOR, ATTITUDE (Introductory CLIN) Basic Ordering Period

Item No.

NSN:

Manufacturer Part Number

Associated Document(s) Line Item(s)

INDICATOR, ATTITUDE (TT&E) Basic Ordering Period

Item No.

INDICATOR, ATTITUDE (TT&E) Basic Ordering Period

Best Estimated Qty

U/I Estimated Unit Price Estimated Total Price

NSN:

Manufacturer Part Number

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

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

_ Req No / Pri

Required Delivery

Proposed Delivery

INDICATOR, ATTITUDE (REPAIR) Basic Ordering Period

Item No.

Best Estimated Qty

U/I Estimated Unit Price Estimated Total Price

INDICATOR, ATTITUDE (REPAIR) Basic Ordering Period

NSN:

Manufacturer Part Number

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

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

_ Req No / Pri

Required Delivery

Proposed Delivery

DATA Introductory CLIN

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

DATA CAV AF

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA GPIR

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA DMPR

Item No.

Quantity U/I Unit Price

DATA DMPR

Exhibit:

DATA IUID MAVR

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA GIDEP

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA Counterfeit Prevention Plan

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s) plan

DATA IUID Marking Plan

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

plan

BER (Basic Ordering Period)

Item No.

Best Estimated Qty

U/I Estimated Unit Price Estimated Total Price

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

ORDERING PERIOD I

INDICATOR, ATTITUDE (Introductory CLIN) Ordering Period I

INDICATOR, ATTITUDE (Introductory CLIN) Ordering Period I

NSN:

Manufacturer Part Number

Associated Document(s) Line Item(s)

INDICATOR, ATTITUDE (TT&E) Ordering Period I

Item No.

Best Estimated Qty

U/I Estimated Unit Price Estimated Total Price

NSN:

Manufacturer Part Number

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

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

_ Req No / Pri

Required Delivery

Proposed Delivery

INDICATOR, ATTITUDE (REPAIR) Ordering Period I

Best Estimated Qty

U/I Estimated Unit Price Estimated Total Price

NSN:

Manufacturer Part Number

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

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

_ Req No / Pri

Required Delivery

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

DATA CAV AF

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA GPIR

Item No.

Quantity U/I Unit Price

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA IUID MAVR

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA GIDEP

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

BER (Ordering Period I)

Item No.

Best Estimated

U/I Estimated Unit Price Estimated Total Price

BER (Ordering Period I)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

ORDERING PERIOD II

INDICATOR, ATTITUDE (Introductory CLIN) OP2

Item No.

NSN:

Manufacturer Part Number

Associated Document(s) Line Item(s)

INDICATOR, ATTITUDE (TT&E) Ordering Period 2

Item No.

Best Estimated Qty

U/I Estimated Unit Price Estimated Total Price

NSN:

Manufacturer Part Number

Limitations of Liability:

INDICATOR, ATTITUDE (TT&E) Ordering Period 2

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

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

_ Req No / Pri

Required Delivery

Proposed Delivery

INDICATOR, ATTITUDE (REPAIR) Ordering Period II

Item No.

Best Estimated Qty

U/I Estimated Unit Price Estimated Total Price

NSN:

Manufacturer Part Number

INDICATOR, ATTITUDE (REPAIR) Ordering Period II

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

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

_ Req No / Pri

Required Delivery

Proposed Delivery

DATA Introductory CLIN

Item No.

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

DATA CAV AF

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA GPIR

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA DMPR

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA IUID MAVR

DATA IUID MAVR

Exhibit:

DATA GIDEP

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

BER (Ordering Period II)

Item No.

Best Estimated Qty

U/I Estimated Unit Price Estimated Total Price

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

ORDERING PERIOD III

INDICATOR, ATTITUDE (Introductory CLIN) OP3

NSN:

Manufacturer Part Number

Associated Document(s) Line Item(s)

INDICATOR, ATTITUDE (TT&E) Ordering Period III

Item No.

Best Estimated Qty

U/I Estimated Unit Price Estimated Total Price

NSN:

Manufacturer Part Number

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

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

_ Req No / Pri

Required Delivery

INDICATOR, ATTITUDE (REPAIR) Ordering Period III

Best Estimated Qty

U/I Estimated Unit Price Estimated Total Price

NSN:

Manufacturer Part Number

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

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

_ Req No / Pri

Required Delivery

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

DATA CAV AF

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA GPIR

Item No.

Quantity U/I Unit Price

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA IUID MAVR

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA GIDEP

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

BER (Ordering Period III)

Item No.

Best Estimated

U/I Unit Price Estimated Total Price

BER (Ordering Period III)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

ORDERING PERIOD IV

INDICATOR, ATTITUDE (Introductory CLIN) OP 4

Item No.

NSN:

Manufacturer Part Number

Associated Document(s) Line Item(s)

INDICATOR, ATTITUDE (TT&E) Ordering Period IV

Item No.

Best Estimated Qty

U/I Estimated Unit Price Estimated Total Price

NSN:

Manufacturer Part Number

INDICATOR, ATTITUDE (TT&E) Ordering Period IV

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

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

_ Req No / Pri

Required Delivery

Proposed Delivery

INDICATOR, ATTITUDE (REPAIR) Ordering Period IV

Item No.

Best Estimated Qty

U/I Estimated Unit Price Estimated Total Price

NSN:

Manufacturer Part Number

INDICATOR, ATTITUDE (REPAIR) Ordering Period IV

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

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

_ Req No / Pri

Required Delivery

Proposed Delivery

DATA Introductory CLIN

Item No.

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

DATA CAV AF

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA GPIR

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA DMPR

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

DATA IUID MAVR

DATA IUID MAVR

Exhibit:

DATA GIDEP

Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Exhibit:

BER (Ordering Period IV)

Item No.

Best Estimated Qty

U/I Unit Price Estimated Total Price

Associated Document(s) Line Item(s)

Priority:

Limitations of Liability:

Inspection:

Acceptance:

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE:

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

AWARD NUMBER:

CONTRACT CLAUSES

252.203 7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES (JAN 2021)

(IAW DFARS 204.2105(c))

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS -- COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

(JAN 2022)

(IAW FAR 12.301(b)(4))

52.203 19

[Contracting Officer check as appropriate.]

52.203 6

Alternate I

52.203 13,

52.203 15

X 52.204 10

52.204 14

52.204 15, X 52.209 6

52.209 9,

52.219 3

Alternate I

52.219 4

Alternate I

52.219 6 Alternate I

52.219 7 Alternate I

52.219 8

52.219 9 Alternate I Alternate II Alternate III Alternate IV

52.219 13 Alternate I

52.219 14

52.219 16

52.219–27

X 52.219 28

Alternate I

52.219 29

52.219 30,

52.219 32

52.219 33

52.222 3

52.222 19

X 52.222 21 X 52.222 26

Alternate I

52.222 35

Alternate I X 52.222 36

Alternate I

52.222 37

52.222 40

X 52.222 50

Alternate I

52.222 54

52.223 9

Alternate I

52.223 11

52.223 12

52.223 13

Alternate I

52.223 14

Alternate I

52.223 15

52.223 16

Alternate I X 52.223 18

52.223 20

52.223 21

X 52.224 3 Alternate I

52.225 1

52.225 3

Alternate I Alternate II Alternate III

52.225 5 et seq.

X 52.225 13

52.225 26

52.226 4

52.226 5

52.229–12

52.232 29

52.232 30

X 52.232 33

52.232 34

52.232 36

52.239 1

52.242 5

52.247 64

Alternate I Alternate II

[Contracting Officer check as appropriate.] X 52.222 41 X 52.222 42

52.222 43

52.222 44

52.222 51

52.222 53

X 52.222 55

X 52.222 62

52.226 6

Comptroller General Examination of Record

52.203 13

52.203 19

52.204 23

X

52.222-19 CHILD LABOR COOPERATION WITH AUTHORITIES AND REMEDIES (DEVIATION

2020-O0019) (JAN 2022)

(IAW Deviation 2020-O0019 Rev. 2)

252.223-7008 PROHIBITION OF HEXAVALENT CHROMIUM (JUN 2013)

(IAW DFARS 223.7306, DFARS 212.301(f)(xxi))

252.225-7001 BUY AMERICAN AND BALANCE OF PAYMENTS PROGRAM--BASIC (MAR 2022)

(IAW DFARS 225.1101(2)(i) and (2)(ii))

252.225-7972 PROHIBITION ON THE PROCUREMENT OF FOREIGN-MADE UNMANNED AIRCRAFT

SYSTEMS (DEVIATION 2020-O0015) (MAY 2020)

(IAW Deviation 2020-O0015)

252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND RECEIVING REPORTS

(DEC 2018)

(IAW DFARS 232.7004(a))

Definitions e.g.

252.232-7010 LEVIES ON CONTRACT PAYMENTS (DEC 2006)

(IAW DFARS 232.7102)

252.232-7017 ACCELERATING PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS -

PROHIBITION ON FEES AND CONSIDERATION (APR 2020)

(IAW DFARS 232.009-2)

252.244-7000 SUBCONTRACTS FOR COMMERCIAL ITEMS AND COMMERCIAL COMPONENTS

(DOD CONTRACTS) (JAN 2021)

(IAW DFARS 244.403)

252.246-7007 CONTRACTOR COUNTERFEIT ELECTRONIC PART DETECTION AND AVOIDANCE

SYSTEM (AUG 2016)

(IAW DFARS 246.870-3(a))

252.247-7023 TRANSPORTATION OF SUPPLIES BY SEA--BASIC (FEB 2019)

(IAW DFARS 247.574(b))

5352.201-9101 OMBUDSMAN (OCT 2019)

(IAW AFFARS 5301.9103)

Thomas (Tom) Eller, D.B.A. 478 222 1088 000 000 0000 thomas.eller.1@us.af.mil

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (AUG 2020)

(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

(NOV 2021)

(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 (NOV 2021)

(IAW FAR 4.2004)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

(IAW 4.2105(b))

252.204-7002 PAYMENT FOR SUBLINE ITEMS NOT SEPARATELY PRICED (APR 2020)

(IAW DFARS 204.7109(a))

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (DEC 2019)

(IAW DFARS 204.7304(c))

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

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

252.204-7020 NIST SP 800-171 DOD ASSESSMENT REQUIREMENTS (MAR 2022)

(IAW DFARS 204.7304(e))

252.204-7022 EXPEDITING CONTRACT CLOSEOUT (MAY 2021)

(IAW DFARS 204.804-70)

52.211-8 TIME OF DELIVERY (JUN 1997)

(IAW FAR 11.404(a)(2))

252.211-7007 REPORTING OF GOVERNMENT-FURNISHED PROPERTY (MAR 2022)

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

52.212-4 CONTRACT TERMS AND CONDITIONS--COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021)

(IAW FAR 12.301(b)(3))

52.216-8 FIXED FEE (JUN 2011)

(IAW FAR 16.307(b))

52.216-19 ORDER LIMITATIONS (OCT 1995)

(IAW FAR 16.506(b))

Minimum order

Maximum order i.e

THE FOLLOWING IS FILL IN DATA FOR CLAUSE 52.212 5 PARA (b)(22):

52.219 28 POST AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (SEP 2021)

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

(IAW FAR 22.103-5(a), AFFARS 5322.101-1)

THE FOLLOWING IS FILL IN DATA FOR CLAUSE 52.212 5 PARA (c)(2):

52.222 42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES

This Statement is for Information Only:

It is not a Wage Determination

252.225-7002 QUALIFYING COUNTRY SOURCES AS SUBCONTRACTORS (MAR 2022)

(IAW DFARS 225.1101(3))

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)

(IAW DFARS 225.7901-4)

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS (JUN 2013)

(IAW FAR 32.706-3)

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS (NOV 2021)

(IAW FAR 32.009-2)

252.232-7004 DOD PROGRESS PAYMENT RATES (DEVIATION 2020-O0010) (MAR 2020)

(IAW Deviation 2020-O0010)

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))

WAWF payment instructions

Document type

(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.)

Inspection/acceptance location

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

Field Name in WAWF Data to be entered in WAWF

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

Payment request and supporting documentation.

e.g

WAWF email notifications

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

WAWF point of contact.

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

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

AA

ACRN TOTAL $ 0.00

252.243-7999 SECTION 3610 REIMBURSEMENT (DEVIATION 2020-O0021) (AUG 2020)

(IAW Deviation 2020-O0021, Revision 3)

52.245-1 GOVERNMENT PROPERTY (SEP 2021)

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

52.245-9 USE AND CHARGES (APR 2012)

(IAW FAR 45.107(c))

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

(APR 2012)

(IAW DFARS 245.107(3))

252.245-7002 REPORTING LOSS OF GOVERNMENT PROPERTY (JAN 2021)

(IAW DFARS 245.107(4))

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

(IAW DFARS 245.107(5))

252.245-7004 REPORTING, REUTILIZATION, AND DISPOSAL (DEC 2017)

(IAW DFARS 245.107(5))

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

(IAW FAR 46.304)

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

52.246-26 REPORTING NONCONFORMING ITEMS (NOV 2021)

(IAW FAR 46.317)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503)

[CONTRACTOR FILL IN]

See schedule for items with the following code(s) listed below :

Inspection Code and Address:

Item No(s): 0002, 1002, 2002, 3002, 4002

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))

52.247-34 F.O.B. DESTINATION (NOV 1991)

(IAW FAR 47.303-6(c))

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

(IAW FAR 47.303-17(f))

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b))

F.O.B. Address

[CONTRACTOR FILL IN]

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

(IAW FAR 52.107(f))

Defense Federal Acquisition Regulation Supplement Chapter 2

252.223-7999 Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors (Deviation 2021-O0009) As prescribed in Class Deviation 2021-O0009, Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors, use the following clause:

ENSURING ADEQUATE COVID-19 SAFETY PROTOCOLS FOR FEDERAL

CONTRACTORS (DEVIATION 2021-O0009) (OCT 2021)

(a) Definition. As used in this clause –

United States or its outlying areas means—

(1) The fifty States;

(2) The District of Columbia;

(3) The commonwealths of Puerto Rico and the Northern Mariana Islands;

(4) The territories of American Samoa, Guam, and the United States Virgin

Islands; and

(5) The minor outlying islands of Baker Island, Howland Island, Jarvis Island, Johnston Atoll, Kingman Reef, Midway Islands, Navassa Island, Palmyra Atoll, and Wake Atoll.

(b) Authority. This clause implements Executive Order 14042, Ensuring Adequate COVID Safety Protocols for Federal Contractors, dated September 9, 2021 (published in the Federal Register on September 14, 2021, 86 FR 50985).

(c) Compliance. The Contractor shall comply with all guidance, including guidance conveyed through Frequently Asked Questions, as amended during the performance of this contract, for contractor or subcontractor workplace locations published by the Safer Federal Workforce Task Force (Task Force Guidance) at https:/www.saferfederalworkforce.gov/contractors/.

(d) Subcontracts. The Contractor shall include the substance of this clause, including this paragraph (d), in subcontracts at any tier that exceed the simplified acquisition threshold, as defined in Federal Acquisition Regulation 2.101 on the date of subcontract award, and are for services, including construction, performed in whole or in part within the United States or its outlying areas.

(End of clause)

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

SOLICITATION PROVISIONS

REPRESENTATIONS, INSTRUCTIONS AND EVALUATIONS

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2021)

(IAW FAR 12.301(b)(2))

Definitions.

Covered telecommunications equipment or services

“Economically disadvantage women owned small business (EDWOSB) concern”

Forced or indentured child labor”

“Highest level owner”

“Immediate owner”

“Inverted domestic corporation”

“Manufactured end product”

“Place of manufacture”

“Predecessor” Reasonable inquiry

“Restricted business operations”

Sensitive technology”

“Service disabled veteran owned small business concern”

“Small business concern”—

Affiliates

Small disadvantaged business concern, consistent with 13 CFR 124.1002,”

“Subsidiary”

Successor

“Veteran owned small business concern”

"Women owned business concern"

“Women owned small business concern”

“Women owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127),”

Small business concern [ ] is, [ ] is not

Veteran owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] [ ] is, [ ] is not

Service disabled veteran owned small business concern. [Complete only if the offeror represented itself as a veteran owned small business concern in paragraph (c)(2) of this provision.]

[ ] is, [ ] is not Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] [ ] is, [ ] is not

Women owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.]

[ ] is, [ ] is not Note:

WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women owned small business concern in paragraph (c)(5) of this provision.]

[ ] is, [ ] is not

[ ] is, [ ] is not

[The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ______________.]

Economically disadvantaged women owned small business (EDWOSB) concern. [Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.]

[ ] is, [ ] is not

[ ] is, [ ] is not

[The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ______________.]

Women owned business concern (other than small business concern). [Complete only if the offeror is a women owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.] [ ] is

Tie bid priority for labor surplus area concerns.

HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.]

[ ] is, [ ] is not

[ ] is, [ ] is not

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

Representations required to implement provisions of Executive Order 11246

[ ] has, [ ] has not

[ ] has, [ ] has not Affirmative Action Compliance.

[ ] has [ ] has not

[ ] has not

Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352).

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

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

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

Buy American Free Trade Agreements Israeli Trade Act Certificate, Alternate I.

Buy American Free Trade Agreements Israeli Trade Act Certificate, Alternate II.

Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate III.

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

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

Certification Regarding Responsibility Matters (Executive Order 12689).

[ ] Are, [ ] are not

[ ] Have, [ ] have not

[ ] Are, [ ] are not

[ ] Have, [ ] have not

The tax liability is finally determined

The taxpayer is delinquent in making payment

Examples

Certification Regarding Knowledge of Child Labor for Listed End Products (Executive Order 13126). [The Contracting Officer must list in paragraph (j)(1) any end products being acquired under this solicitation that are included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor; unless excluded at 22.1503(b).]

Listed End Products.

(2) Certification. [If the Contracting Officer has identified end products and countries of origin in paragraph (j)(1) of this provision, then the offeror must certify to either (j)(2)(i) or (j)(2)(ii) by checking the appropriate block.]

Place of Manufacture.

Certificates regarding exemptions from the application of the Service Contract Labor Standards does [ ] does not

[ ] [ ] does [ ] does not

Taxpayer Identification Number (TIN) (26 U.S.C. 6109, 31 U.S.C. 7701)

Taxpayer Identification Number

Type of organization.

Common parent.

Restricted business operations in Sudan

Prohibition on Contracting with Inverted Domestic Corporations.

Representation

Prohibition on contracting with entities engaging in certain activities or transactions relating to Iran https://www.treasury.gov/resourcecenter/sanctions/SDN List/Pages/ default.aspx

Ownership or Control of Offeror

Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law.

is [ ] is not [ ] is [ ] is not [ ]

Predecessor of Offeror.

[ ] is [ ] is not

[ ] does, [ ] does not

[ ] does, [ ] does not

Covered Telecommunications Equipment or Services—Representation.

https:// www.sam.gov

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS --

ALTERNATE I (OCT 2014)

(IAW FAR 12.301(b)(2))

[The offeror shall check the category in which its ownership falls]:

252.225-7973 PROHIBITION ON THE PROCUREMENT OF FOREIGN-MADE UNMANNED AIRCRAFT

SYSTEMS (DEVIATION 2020-O0015) (MAY 2020)

(IAW DEVIATION 2020-O0015)

252.225-7974 REPRESENTATION REGARDING BUSINESS OPERATIONS WITH THE MADURO

REGIME (DEVIATION 2020-O0005) (FEB 2020)

(IAW Deviation 2020-O0005)

ADDENDUM TO PROVISION 52.212 1

52.203-18 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN

INTERNAL CONFIDENTIALITY AGREEMENTS OR

STATEMENTS--REPRESENTATION (JAN 2017)

(IAW FAR 3.909-3 (a))

252.203-7005 REPRESENTATION RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(NOV 2011)

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

52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING (AUG 2020)

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

52.204-22 ALTERNATIVE LINE ITEM PROPOSAL (JAN 2017)

(IAW FAR 4.1008)

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

(IAW FAR 4.2105(a))

Definitions.

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, substantial or essential component

Prohibition.

Procedures.

https://www.sam.gov

Representations.

Disclosures.

52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES -

REPRESENTATION (OCT 2020)

(IAW FAR 4.2105(c))

Definitions.

Procedures.

Representations.

252.204-7008 COMPLIANCE WITH SAFEGUARDING COVERED DEFENSE INFORMATION

CONTROLS (OCT 2016)

(IAW DFARS 204.7304(a))

252.204-7016 COVERED DEFENSE TELECOMMUNICATIONS EQUIPMENT OR SERVICES --

REPRESENTATION (DEC 2019)

(IAW 204.2105(a))

252.204-7017 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES--REPRESENTATION

(MAY 2021)

(IAW DFARS 204.2105(b))

252.204-7019 NOTICE OF NIST SP 800-171 DOD ASSESSMENT REQUIREMENTS

(MAR 2022)

(IAW DFARS 204.7304(d))

Definitions

16.

Summary level scores.

Basic Assessments.

Medium and High Assessments.

Accessibility.

52.207-4 ECONOMIC PURCHASE QUANTITY--SUPPLIES (AUG 1987)

(IAW FAR 7.203)

OFFEROR RECOMMENDATIONS

ITEM QUANTITY QUOTATION PRICE TOTAL

52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

(IAW FAR 9.104-7(b))

[_] has [_] does not have

52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY

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

(IAW FAR 9.104-7(d)) is [ ] is not [ ] is [ ] is not [ ]

52.212-1 INSTRUCTIONS TO OFFERORS--COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

(IAW FAR 12.301(b)(1))

252.215-7013 SUPPLIES AND SERVICES PROVIDED BY NONTRADITIONAL DEFENSE

CONTRACTORS (JAN 2018)

(IAW DFARS 215.408(6))

52.225-18 PLACE OF MANUFACTURE (AUG 2018)

(IAW FAR 25.1101(f))

[ ] In the United States

[ ] Outside the United States

52.225-25 PROHIBITION ON CONTRACTING WITH ENTITIES ENGAGING IN CERTAIN

ACTIVITIES OR TRANSACTIONS RELATING TO IRAN--REPRESENTATION AND

CERTIFICATIONS (JUN 2020)

(IAW FAR 25.1103(e))

252.225-7000 BUY AMERICAN--BALANCE OF PAYMENTS PROGRAM CERTIFICATE BASIC

(NOV 2014)

(IAW DFARS 225.1101(1), DFARS 212.301(f)(xxii))

Certifications and identification of country of origin.

52.247-53 FREIGHT CLASSIFICATION DESCRIPTION (APR 1984)

(IAW FAR 47.305-9(b)(1))