Solicitation.pdf

NAVSPECWARGRU ONE LOGSUPPU

ATTN: NATALIE RODRIGUEZ

2446 TRIDENT WAY, BLDG 605

SAN DIEGO CA 92155

619-537-2229

UNDER DPAS (15 CFR 700)

11. DELIVERY FOR FOB

RFQ

SEE SCHEDULE

14. METHOD OF SOLICITATION

IFB RFP

CODE

SEE ADDENDUM

BLOCK IS MARKED

DESTINATION UNLESS

12. DISCOUNT TERMS

(No Collect Calls)

13b. RATING

13a. THIS CONTRACT IS A RATED ORDER

X

CODE

H92240-11-T-0059 29-Jun-2011

b. TELEPHONE NUMBER

619-537-2229

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 13 Jul 2011

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV 3/2005)

Prescribed by GSA

FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER) 31c. DATE SIGNED

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

22. UNIT 23. UNIT PRICE 24. AMOUNT21. QUANTITY

CODE 10. THIS ACQUISITION IS

UNRESTRICTED

FAX: NAICS:

TEL:

CODE 18a. PAYMENT WILL BE MADE BYOFFEROR

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TEL.

H92240

SIZE STD:

9. ISSUED BY

FACILITY

CODE

17a.CONTRACTOR/

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

NATALIE J. RODRIGUEZ

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES

SEE SCHEDULE

339920

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

SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS

SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

SB

HUBZONE SB

SET ASIDE: 100 % FOR

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

N4500411RC00037

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

TEL: EMAIL:

1 COPIES

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

.OFFER DATED YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

X

8(A)

SVC-DISABLED VET-OWNED SB

EMERGING SB

X

X

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

SEE SCHEDULE

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES 21. QUANTITY 22. UNIT 24. AMOUNT

PAGE 2 OF

23. UNIT PRICE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV 3/2005) BACK

Prescribed by GSA

FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

H92240-11-T-0059

Section SF 1449 - CONTINUATION SHEET

STATEMENT OF WORK

MAINTENANCE ON THE GASEOUS OXYGEN SYSTEMS (GOS) AND REPLENISHMENT OF

AVIATORS BREATHING OXYGEN (ABO) IN SUPPORT OF NPC COURSE AT NAVAL SPECIAL

WARFARE ADVANCED TRAINING COMMAND

1.0 BACKGROUND AND PURPOSE.

Personnel Gaseous Oxygen System provides facilities to store gaseous oxygen in cylinders at either high or low pressure and to deliver it to the aircrew member at a reduced pressure for breathing. Several types of Automatic

Positive Pressure Diluter Demand Regulators are currently installed in naval aircraft. These regulators are used with either Gaseous or Liquid Oxygen Systems. Operation of the Automatic Positive Pressure Diluter Demand Regulator at altitudes up to 28,000 to 32,000 feet is basically the same as the Diluter Demand Regulator. Above approximately

30,000 feet, added oxygen at a positive pressure is supplied to the mask.

The Aviators Breathing Oxygen (ABO) program utilizes various regulator systems, hoses, gauges, compressors, and specialized fittings that support the delivery of oxygen to the Twin-53 and MBU-12/p system. Periodic inspection, calibration, as well as scheduled and unscheduled maintenance/repair are required for oxygen components to function properly.

The Naval Parachute Course in Jamul, CA employs this gaseous oxygen system due to the special nature of its mission requirements.

Eighty One (81) Twin-53 series gaseous oxygen systems and Ninety (90) MBU-12/p oxygen masks are currently maintained for jump operations, and the service life is indefinite. However, certain limiting factors apply to serviceability of this item in accordance with NAVAIR 13-1-7.3 chapter 5 pg. 39, T.O. 15X5-3-6-1, and T.O. 15X1-

3-1-33. The current amount of full systems, are in need of constant maintenance, inspection, and servicing.

2.0 REQUIREMENTS.

Naval Parachute Course (NPC) requires constant maintenance on the Gaseous Oxygen Systems (GOS) and replenishment of Aviators Breathing Oxygen (ABO). If maintenance is not conducted at required intervals; high altitude oxygen jumps will cease, and the course will not meet mission requirements or standards.

3.0 TECHNICAL REQUIREMENT.

All contracted work is to include but is not limited to, calibration, inspection, repair, removal, and replacement of

Aviators Breathing Oxygen related Support Equipment (SE). These services shall be rendered at the service site, Naval Parachute Course, Jamul, CA. However; any ABO supporting equipment in need of service/repair that requires off site maintenance, the contractor shall conduct such maintenance at an oxygen clean facility. ABO gaseous oxygen cylinders shall be delivered to NPC Oxygen storage room as needed. The Contractor shall have

Navy metal pressure gauge calibration and cleaning and relief valve testing/ setting along with a DOT Certified

Cylinder Retest Facility with DOT certified test technicians.

4.0 DELIVERABLES

N/A

5.0 PROPERTY AND MATERIALS

6.0 CONTRACTOR FURNISHED PROPERTY AND MATERIALS

7.0 PLACE OF PERFORMANCE

Contractor is to conduct maintenance service, and repair on all Government Furnished Property located at NPC and/or Contractor oxygen clean facility.

8.0 PERIOD OF PERFORMANCE

Period of performance for the base period is from contract award date to Sept 30, 2011. Contract shall include Four

(4), One (1) year options to continue through FY15.

9.0 TRAVEL

10.0 CONTRACTOR REQUIREMENT AND ADHERENCE

Contractor shall be required to access military installations while performing work in the San Diego region.

WIDE AREA WORKFLOW

CAUTION TO VENDOR!!

THIS CONTRACT IS FOR THE ACQUISITION OF THE ITEMS/SERVICES IDENTIFIED IN THE LINE

ITEMS HEREIN. DELIVERY SHALL BE IN ACCORDANCE WITH THE TERMS/CONDITIONS SET FORTH

HEREIN. IN ACCORDANCE WITH FEDERAL ACQUISITION REGULATION (FAR) 43.102(a), “Only contracting officers acting within the scope of their authority are empowered to execute contract modifications on behalf of the Government”.

NO ADDITIONAL LINE ITEMS/SERVICES IN EXCESS OF WHAT IS LISTED IN THE LINE ITEMS HEREIN

SHALL BE PROVIDED BY THE VENDOR WITHOUT FIRST RECEIVING FROM THIS OFFICE, A FORMAL

MODIFICATION TO THIS CONTRACT. NO CHANGE IN THE TERMS/CONDITIONS SET FORTH IN THIS

CONTRACT CAN BE MADE WITHOUT FIRST RECEIVING FROM THIS OFFICE, A FORMAL

MODIFICATION TO THE CONTRACT. NON-COMPLIANCE WITH THE ABOVE SHALL RENDER THE

VENDOR LIABLE FOR THE COST OF THE ADDITIONAL SERVICE/ITEMS OR FOR ANY INJURYS TO

THE GOVERNMENT RESULTING FROM CHANGES TO THE TERMS/CONDITIONS OF THIS CONTRACT.

IF DIRECTED TO PROVIDE ADDITIONAL ITEMS/SERVICES OR DIRECTED TO CHANGE THE

TERMS/CONDITIONS OF THIS CONTRACT BY ANYONE OTHER THAN THE CONTRACTING OFFICER

OR PURCHASING AGENT LISTED HEREIN, THE VENDOR SHOULD IMMEDIATELY CONTACT THIS

OFFICE AT THE NUMBER PROVIDED BEFORE COMPLYING WITH THAT REQUEST.

WIDE AREA WORK FLOW

Wide Area Work Flow DODAAC and Email Distribution Table

Your contract contains DFARS Clauses 252.232-7003, Electronic Submission of Payment Requests. This clause requires invoices for supplies and services purchased by the DoD be submitted via electronic means. The Wide Area

Work Flow (WAWF) system satisfies this mandatory requirement. WAWF can be accessed on the internet at https://wawf.eb.mil/.

Before using WAWF, ensure your Electronic Business POCs listed in your Central Contractor Registration (CCR) are the same individuals that will invoice through WAWF. If they aren’t, you can make changes to your CCR profile at http://www.ccr.gov/www.ccr.gov. Click on “Update” or “Renew” using “TPIN”. CCR customer support can be reached at 1-888-227-2423.

If your electronic business POCs is correct, contact the WAWF helpdesk at 1-866-618-5988 or by e-mail at cscassig@ogden.disa.mil and ask them to establish a group for your CAGE code. The group administrator will also have to call the WAWF helpdesk to request account activation. Once the group is established and the account is activated, you will be able to create a combination invoice/receiving report using the codes below and instructions available from our contract administrator/buyer.

Government Points of Contact for WAWF:

Document Type: Combo

End User: PR1 Robert Medina

Robert.medina1@navsoc.socom.mil

Service/Supply Acceptor: LS2 Claudia Salas, Phone: 619-537-2165

Email: Claudia.Salas@navsoc.socom.mil

Acceptor DODAAC: N68869

Ship to DODAAC: N68869

LPO (Certifier): Debbie Dunn, Phone: 619-537-2084

Email: debbie.dunn@navsoc.socom.mil

LPO DODAAC: N68869

Pay DODAAC: HQ0248 (DFAS Rome, NY)

Email notification to WAWF submission: Debra.Dunn@navsoc.socom.mil

Paula.Dorosh@navsoc.socom.mil

Ruby.Pollock@navsoc.socom.mil

Mila.Mangahas@navsoc.socom.mil

Julie.Kneipp@navsoc.socom.mil

Ricardo.Guzman@navsoc.socom.mil

Claudia.Salas@navsoc.socom.mil

NOTE: DD250 NOT REQUIRED

NOTE: Beginning 4 April 2010, DFAS Rome Vendor Pay will be returning vendor invoices where the taxpayer identification number (TIN) is not in one of the following places; the Centralized Contractor Registration (CCR), Corporate Electronic Funds Transfer (CEFT), or within the supporting documentation (contract or invoice).

https://wawf.eb.mil/ mailto:Robert.medina1@navsoc.socom.mil mailto:Claudia.Salas@navsoc.socom.mil mailto:debbie.dunn@navsoc.socom.mil mailto:Debra.Dunn@navsoc.socom.mil mailto:Paula.Dorosh@navsoc.socom.mil mailto:Ruby.Pollock@navsoc.socom.mil mailto:Mila.Mangahas@navsoc.socom.mil mailto:Julie.Kneipp@navsoc.socom.mil mailto:Ricardo.Guzman@navsoc.socom.mil mailto:Claudia.Salas@navsoc.socom.mil

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0001 200 Each

HALO (2253) CYLINDER HYDRO TEST

FFP

FOB: Destination

PURCHASE REQUEST NUMBER: N4500411RC00037

MAX

NET AMT

UNIT UNIT PRICE MAX AMOUNT

0002 200 Each

HALO (2253) CYLINDER HYDRO TUMBLE

FFP

UNIT UNIT PRICE MAX AMOUNT

0003 10 Each

ONSITE GAUGE CALIBRATION

FFP

UNIT UNIT PRICE MAX AMOUNT

0004 10 Each

ON SITE RELIEF VALVE TEST/SET

FFP

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0005 24 Hours

MAINTENANCE

FFP

Installed LP Breathing Air Compressor Maintenance (24 hrs) x Hourly Rate. Semi-annual maintenance 12 hours, twice annually at 6 month intervals.

UNIT UNIT PRICE MAX AMOUNT

0006 64 Hours

PORTABLE OXYGEN BOOSTER PUMP MAINTENANCE

FFP

Portable Oxygen Booster Pump Mainteance for Two (2) Boosters 16 hrs x Hourly

Rate per booster completed twice annually for a total of 64 hrs annually.

0007 2 Each

FIXED LP AIR DRYER SYSTEM MAINTENANCE

FFP

Twice per Year

UNIT UNIT PRICE MAX AMOUNT

0008 6 Each

FLEX HOSE SERVICE

FFP

Replacement as necessary up to Six (6) PTFE (24") Hoses. Hydrostatically test and clean to MilStd 1330d, ch. 1.

0009 36 Each

BI-MONTHLY SERVICE OF SIX (6) CYLINDERS

FFP

Bi-monthly service of Six (6) cylinders to be filled with ABO conforming to Mil

PRF 27210H. These Cylinders shall be swapped out onsite Six (6) times annually.

SIx (6) cylinders x Unit Price x Six (6) times per year.

UNIT UNIT PRICE MAX AMOUNT

1001 200 Each

OPTION HALO (2253) CYLINDER HYDRO TEST

FFP

UNIT UNIT PRICE MAX AMOUNT

1002 200 Each

OPTION HALO (2253) CYLINDER HYDRO TUMBLE

FFP

UNIT UNIT PRICE MAX AMOUNT

1003 10 Each

OPTION ONSITE GAUGE CALIBRATION

FFP

UNIT UNIT PRICE MAX AMOUNT

1004 10 Each

OPTION ON SITE RELIEF VALVE TEST/SET

FFP

1005 24 Hours

OPTION MAINTENANCE

FFP

Installed LP Breathing Air Compressor Maintenance (24 hrs) x Hourly Rate. Semi-annual maintenance 12 hours, twice annually at 6 month intervals.

UNIT UNIT PRICE MAX AMOUNT

1006 64 Hours

OPTION PORTABLE OXYGEN BOOSTER PUMP MAINTENANCE

FFP

Portable Oxygen Booster Pump Mainteance for Two (2) Boosters 16 hrs x Hourly

Rate per booster completed twice annually for a total of 64 hrs annually.

1007 2 Each

OPTION FIXED LP AIR DRYER SYSTEM MAINTENANCE

FFP

Twice per Year

UNIT UNIT PRICE MAX AMOUNT

1008 6 Each

OPTION FLEX HOSE SERVICE

FFP

Replacement as necessary up to Six (6) PTFE (24") Hoses. Hydrostatically test and clean to MilStd 1330d, ch. 1.

1009 36 Each

OPTION BI-MONTHLY SERVICE OF SIX (6) CYLINDERS

FFP

Bi-monthly service of Six (6) cylinders to be filled with ABO conforming to Mil

PRF 27210H. These Cylinders shall be swapped out onsite Six (6) times annually.

SIx (6) cylinders x Unit Price x Six (6) times per year.

UNIT UNIT PRICE MAX AMOUNT

2001 200 Each

OPTION HALO (2253) CYLINDER HYDRO TEST

FFP

UNIT UNIT PRICE MAX AMOUNT

2002 200 Each

OPTION HALO (2253) CYLINDER HYDRO TUMBLE

FFP

UNIT UNIT PRICE MAX AMOUNT

2003 10 Each

OPTION ONSITE GAUGE CALIBRATION

FFP

UNIT UNIT PRICE MAX AMOUNT

2004 10 Each

OPTION ON SITE RELIEF VALVE TEST/SET

FFP

2005 24 Hours

OPTION MAINTENANCE

FFP

Installed LP Breathing Air Compressor Maintenance (24 hrs) x Hourly Rate. Semi-annual maintenance 12 hours, twice annually at 6 month intervals.

UNIT UNIT PRICE MAX AMOUNT

2006 64 Hours

OPTION PORTABLE OXYGEN BOOSTER PUMP MAINTENANCE

FFP

Portable Oxygen Booster Pump Mainteance for Two (2) Boosters 16 hrs x Hourly

Rate per booster completed twice annually for a total of 64 hrs annually.

2007 2 Each

OPTION FIXED LP AIR DRYER SYSTEM MAINTENANCE

FFP

Twice per Year

UNIT UNIT PRICE MAX AMOUNT

2008 6 Each

OPTION FLEX HOSE SERVICE

FFP

Replacement as necessary up to Six (6) PTFE (24") Hoses. Hydrostatically test and clean to MilStd 1330d, ch. 1.

2009 36 Each

OPTION BI-MONTHLY SERVICE OF SIX (6) CYLINDERS

FFP

Bi-monthly service of Six (6) cylinders to be filled with ABO conforming to Mil

PRF 27210H. These Cylinders shall be swapped out onsite Six (6) times annually.

SIx (6) cylinders x Unit Price x Six (6) times per year.

UNIT UNIT PRICE MAX AMOUNT

3001 200 Each

OPTION HALO (2253) CYLINDER HYDRO TEST

FFP

UNIT UNIT PRICE MAX AMOUNT

3002 200 Each

OPTION HALO (2253) CYLINDER HYDRO TUMBLE

FFP

UNIT UNIT PRICE MAX AMOUNT

3003 10 Each

OPTION ONSITE GAUGE CALIBRATION

FFP

UNIT UNIT PRICE MAX AMOUNT

3004 10 Each

OPTION ON SITE RELIEF VALVE TEST/SET

FFP

3005 24 Hours

OPTION MAINTENANCE

FFP

Installed LP Breathing Air Compressor Maintenance (24 hrs) x Hourly Rate. Semi-annual maintenance 12 hours, twice annually at 6 month intervals.

UNIT UNIT PRICE MAX AMOUNT

3006 64 Hours

OPTION PORTABLE OXYGEN BOOSTER PUMP MAINTENANCE

FFP

Portable Oxygen Booster Pump Mainteance for Two (2) Boosters 16 hrs x Hourly

Rate per booster completed twice annually for a total of 64 hrs annually.

3007 2 Each

OPTION FIXED LP AIR DRYER SYSTEM MAINTENANCE

FFP

Twice per Year

UNIT UNIT PRICE MAX AMOUNT

3008 6 Each

OPTION FLEX HOSE SERVICE

FFP

Replacement as necessary up to Six (6) PTFE (24") Hoses. Hydrostatically test and clean to MilStd 1330d, ch. 1.

3009 36 Each

OPTION BI-MONTHLY SERVICE OF SIX (6) CYLINDERS

FFP

Bi-monthly service of Six (6) cylinders to be filled with ABO conforming to Mil

PRF 27210H. These Cylinders shall be swapped out onsite Six (6) times annually.

SIx (6) cylinders x Unit Price x Six (6) times per year.

UNIT UNIT PRICE MAX AMOUNT

4001 200 Each

OPTION HALO (2253) CYLINDER HYDRO TEST

FFP

UNIT UNIT PRICE MAX AMOUNT

4002 200 Each

OPTION HALO (2253) CYLINDER HYDRO TUMBLE

FFP

UNIT UNIT PRICE MAX AMOUNT

4003 10 Each

OPTION ONSITE GAUGE CALIBRATION

FFP

UNIT UNIT PRICE MAX AMOUNT

4004 10 Each

OPTION ON SITE RELIEF VALVE TEST/SET

FFP

4005 24 Hours

OPTION MAINTENANCE

FFP

Installed LP Breathing Air Compressor Maintenance (24 hrs) x Hourly Rate. Semi-annual maintenance 12 hours, twice annually at 6 month intervals.

UNIT UNIT PRICE MAX AMOUNT

4006 64 Hours

OPTION PORTABLE OXYGEN BOOSTER PUMP MAINTENANCE

FFP

Portable Oxygen Booster Pump Mainteance for Two (2) Boosters 16 hrs x Hourly

Rate per booster completed twice annually for a total of 64 hrs annually.

4007 2 Each

OPTION FIXED LP AIR DRYER SYSTEM MAINTENANCE

FFP

Twice per Year

UNIT UNIT PRICE MAX AMOUNT

4008 6 Each

OPTION FLEX HOSE SERVICE

FFP

Replacement as necessary up to Six (6) PTFE (24") Hoses. Hydrostatically test and clean to MilStd 1330d, ch. 1.

4009 36 Each

OPTION BI-MONTHLY SERVICE OF SIX (6) CYLINDERS

FFP

Bi-monthly service of Six (6) cylinders to be filled with ABO conforming to Mil

PRF 27210H. These Cylinders shall be swapped out onsite Six (6) times annually.

SIx (6) cylinders x Unit Price x Six (6) times per year.

CLIN DELIVERY/TASK ORDER MINIMUM/MAXIMUM QUANTITY AND CLIN ORDER

VALUE

The minimum quantity and order value for the given Delivery/Task Order issued for this CLIN shall not be less than the minimum quantity is a total of $20,155.00 worth of orders at the contract unit price(s). The maximum quantity is the total estimated amount of the contract. The maximum quantity is not to be exceeded without prior approval of the Procuring Contracting

Officer.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government

0002 Destination Government Destination Government

0003 Destination Government Destination Government

0004 Destination Government Destination Government

0005 Destination Government Destination Government

0006 Destination Government Destination Government

0007 Destination Government Destination Government

0008 Destination Government Destination Government

0009 Destination Government Destination Government

1001 Destination Government Destination Government

1002 Destination Government Destination Government

1003 Destination Government Destination Government

1004 Destination Government Destination Government

1005 Destination Government Destination Government

1006 Destination Government Destination Government

1007 Destination Government Destination Government

1008 Destination Government Destination Government

1009 Destination Government Destination Government

2001 Destination Government Destination Government

2002 Destination Government Destination Government

2003 Destination Government Destination Government

2004 Destination Government Destination Government

2005 Destination Government Destination Government

2006 Destination Government Destination Government

2007 Destination Government Destination Government

2008 Destination Government Destination Government

2009 Destination Government Destination Government

3001 Destination Government Destination Government

3002 Destination Government Destination Government

3003 Destination Government Destination Government

3004 Destination Government Destination Government

3005 Destination Government Destination Government

3006 Destination Government Destination Government

3007 Destination Government Destination Government

3008 Destination Government Destination Government

3009 Destination Government Destination Government

4001 Destination Government Destination Government

4002 Destination Government Destination Government

4003 Destination Government Destination Government

4004 Destination Government Destination Government

4005 Destination Government Destination Government

4006 Destination Government Destination Government

4007 Destination Government Destination Government

4008 Destination Government Destination Government

4009 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 POP 18-JUL-2011 TO

17-JUL-2012

N/A NAVAL SPECIAL WARFARE CENTER

SK2 CLAUDIA SALAS

2446 TRIDENT WAY, BLDG. 622

SAN DIEGO CA 92155-5494

619-537-2165

N68869

0002 POP 18-JUL-2011 TO

N/A NAVAL SPECIAL WARFARE CENTER

SK2 CLAUDIA SALAS

2446 TRIDENT WAY, BLDG 638

SAN DIEGO CA 92118-1341

619-537-2165

0003 POP 18-JUL-2011 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 18-JUL-2011 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 18-JUL-2011 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 18-JUL-2011 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 18-JUL-2011 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 18-JUL-2011 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 POP 18-JUL-2011 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 18-JUL-2012 TO

17-JUL-2013

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 18-JUL-2012 TO

N/A NAVAL SPECIAL WARFARE CENTER

SK2 CLAUDIA SALAS

2446 TRIDENT WAY, BLDG. 622

SAN DIEGO CA 92155-5494

619-537-2165

1003 POP 18-JUL-2012 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 18-JUL-2012 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 18-JUL-2012 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 18-JUL-2012 TO

N/A (SAME AS PREVIOUS LOCATION)

1007 POP 18-JUL-2012 TO

N/A (SAME AS PREVIOUS LOCATION)

1008 POP 18-JUL-2012 TO

N/A (SAME AS PREVIOUS LOCATION)

1009 POP 18-JUL-2012 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 18-JUL-2013 TO

17-JUL-2014

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 18-JUL-2013 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 18-JUL-2013 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 18-JUL-2013 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 18-JUL-2013 TO

N/A (SAME AS PREVIOUS LOCATION)

2006 POP 18-JUL-2013 TO

N/A (SAME AS PREVIOUS LOCATION)

2007 POP 18-JUL-2013 TO

N/A (SAME AS PREVIOUS LOCATION)

2008 POP 18-JUL-2013 TO

N/A (SAME AS PREVIOUS LOCATION)

2009 POP 18-JUL-2013 TO

N/A NAVAL SPECIAL WARFARE CENTER

SK2 CLAUDIA SALAS

2446 TRIDENT WAY, BLDG 638

SAN DIEGO CA 92118-1341

619-537-2165

3001 POP 18-JUL-2014 TO

17-JUL-2015

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 18-JUL-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 18-JUL-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 18-JUL-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 18-JUL-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

3006 POP 18-JUL-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

3007 POP 18-JUL-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

3008 POP 18-JUL-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

3009 POP 18-JUL-2014 TO

17-JUN-2015

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 18-JUN-2015 TO

17-JUL-2016

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 18-JUN-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 18-JUN-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 18-JUL-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 18-JUL-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

4006 POP 18-JUL-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

4007 POP 18-JUL-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

4008 POP 18-JUL-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

4009 POP 18-JUL-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.202-1 Definitions JUL 2004

52.203-5 Covenant Against Contingent Fees APR 1984

52.203-6 Restrictions On Subcontractor Sales To The Government SEP 2006

52.203-7 Anti-Kickback Procedures OCT 2010

52.204-7 Central Contractor Registration APR 2008

52.204-10 Reporting Executive Compensation and First-Tier Subcontract

Awards

JUL 2010

52.212-1 Instructions to Offerors--Commercial Items JUN 2008

52.212-4 Contract Terms and Conditions--Commercial Items JUN 2010

52.222-3 Convict Labor JUN 2003

52.222-19 Child Labor -- Cooperation with Authorities and Remedies JUL 2010

52.222-21 Prohibition Of Segregated Facilities FEB 1999

52.222-26 Equal Opportunity MAR 2007

52.222-36 Affirmative Action For Workers With Disabilities OCT 2010

52.222-37 Employment Reports on Veterans SEP 2010

52.222-50 Combating Trafficking in Persons FEB 2009

52.225-13 Restrictions on Certain Foreign Purchases JUN 2008

52.225-18 Place of Manufacture SEP 2006

52.232-1 Payments APR 1984

52.232-33 Payment by Electronic Funds Transfer--Central Contractor

Registration

OCT 2003

52.233-1 Disputes JUL 2002

52.233-3 Protest After Award AUG 1996

52.233-4 Applicable Law for Breach of Contract Claim OCT 2004

52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.242-17 Government Delay Of Work APR 1984

52.243-1 Changes--Fixed Price AUG 1987

52.244-5 Competition In Subcontracting DEC 1996

52.246-2 Inspection Of Supplies--Fixed Price AUG 1996

52.246-4 Inspection Of Services--Fixed Price AUG 1996

52.247-21 Contractor Liability for Personal Injury and/or Property

Damage

APR 1984

52.247-27 Contract Not Affected by Oral Agreement APR 1984

52.247-34 F.O.B. Destination NOV 1991

52.249-1 Termination For Convenience Of The Government (Fixed

Price) (Short Form)

APR 1984

52.253-1 Computer Generated Forms JAN 1991

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

JAN 2009

252.204-7000 Disclosure Of Information DEC 1991

252.204-7003 Control Of Government Personnel Work Product APR 1992

252.204-7004 Alt A Central Contractor Registration (52.204-7) Alternate A SEP 2007

252.204-7006 Billing Instructions OCT 2005

252.211-7006 Radio Frequency Identification FEB 2007

252.225-7001 Buy American Act And Balance Of Payments Program JAN 2009

252.225-7002 Qualifying Country Sources As Subcontractors APR 2003

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

MAR 2008

252.232-7010 Levies on Contract Payments DEC 2006

252.243-7001 Pricing Of Contract Modifications DEC 1991

252.247-7022 Representation Of Extent Of Transportation Of Supplies By

Sea

AUG 1992

CLAUSES INCORPORATED BY FULL TEXT

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

The Government contemplates award of a Firm Fixed Price (FFP) contract resulting from this solicitation.

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

(1) Price

(2) Past performance

(3) Technical capability

This will be a lowest priced, technically acceptable procurement.

(End of provision)

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (OCT 2010)

ALTERNATE I (APR 2002)

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

(a) Definitions. As used in this provision:

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

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

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

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

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

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

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

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

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

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

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

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

(8) FSC 9610, Ores;

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

(10) FSC 9630, Additive Metal Materials.

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

Restricted business operations means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the

Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment

Act of 2007) conducting the business can demonstrate--

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

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

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

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

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

(6) Have been voluntarily suspended.

Service-disabled veteran-owned small business concern--

(1) Means a small business concern--

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

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

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

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

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

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

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

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

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

51 percent of its stock is owned by one or more women; or

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

"Women-owned business concern" means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women;

and whose management and daily business operations are controlled by one or more women.

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

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

4.1201), except for paragraphs ----------.

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

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

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

(c) Offerors must complete the following representations when the resulting contract will be performed in the United

States or its outlying areas. Check all that apply.

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

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

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

(4) Small disadvantaged business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents, for general statistical purposes, that it ( ) is, (

) is not a small disadvantaged business concern as defined in 13 CFR 124.1002.

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

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

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

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

(8) Small Business Size for the Small Business Competitiveness Demonstration Program and for the Targeted

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

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

(ii) (Complete only for solicitations indicated in an addendum as being for one of the targeted industry categories

(TICs) or designated industry groups (DIGs).) Offeror represents as follows:

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

(B) Offeror's average annual gross revenue for the last 3 fiscal years (check the Average Annual Gross Number of

Revenues column if size standard stated in the solicitation is expressed in terms of annual receipts).

(Check one of the following):

Average Annual

Number of Employees Gross Revenues

___ 50 or fewer ___ $1 million or less

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

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

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

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

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

___ Over 1,000 ___ Over $17 million

(9) (Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns or FAR 52.219-25, Small Disadvantaged Business Participation

Program-Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.)

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

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

(B) It ( ) has, ( )( has not submitted a completed application to the Small Business Administration or a Private

Certifier to be certified as a small disadvantaged business concern in accordance with 13 CFR 124, Subpart B, and a decision on that application is pending, and that no material change in disadvantaged ownership and control has occurred since its application was submitted.

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

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

(i) It ( ) is, ( ) is not a HUBZone small business concern listed, on the date of this representation, on the List of

Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material change in ownership and control, principal office, or HUBZone employee percentage has occurred since it was certified by the Small Business Administration in accordance with 13 CFR part 126; and

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

(11) (Complete if the offeror has represented itself as disadvantaged in paragraph (c)(4) or (c)(9) of this provision.)

(The offeror shall check the category in which its ownership falls):

____Black American.

____Hispanic American.

____Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians).

____Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, U.S. Trust Territory of the

Pacific Islands (Republic of Palau), Republic of the Marshall Islands, Federated States of Micronesia, the

Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).

____Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri

Lanka, Bhutan, the Maldives Islands, or Nepal).

____Individual/concern, other than one of the preceding.

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

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

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

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

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

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

60-2), or

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

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $100,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of

Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Act--Balance of Payments Program Certificate. (Applies only if the clause at Federal Acquisition

Regulation (FAR) 52.225-1, Buy American Act--Balance of Payments Program--Supplies, is included in this solicitation.)

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

“end product,” “foreign end product,” and “United States” are defined in the clause of this solicitation entitled “Buy

American Act--Supplies.”

(2) Foreign End Products:

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

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

(List as necessary)

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

(g)

(1) Buy American Act -- Free Trade Agreements -- Israeli Trade Act Certificate. (Applies only if the clause at FAR

52.225-3, Buy American Act -- Free Trade Agreements -- Israeli Trade Act, is included in this solicitation.)

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

American Act-Free Trade Agreements-Israeli Trade Act.”

(ii) ) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than

Bahrainian, Moroccan, Omani, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled ``Buy American Act--Free Trade Agreements--Israeli Trade Act'':

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

Line Item No.

[List as necessary]

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) or this provision) as defined in the clause of this solicitation entitled “Buy American Act—Free Trade Agreements—

Israeli Trade Act.” The offeror shall list as other foreign end products those end products manufactured in the United

States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.”

Other Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

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

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

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

Canadian End Products:

Line Item No.:

(3) Buy American Act—Free Trade Agreements—Israeli Trade Act Certificate, Alternate II (Jan 2004). If Alternate

II to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

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

Canadian or Israeli End Products:

Line Item No.: Country of Origin:

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

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

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

Other End Products

Line Item No.: Country of Origin:

(iii) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25. For line items covered by the WTO GPA, the Government will evaluate offers of U.S.-made or designated country end products without regard to the restrictions of the Buy American Act. The Government will consider for award only offers of U.S.-made or designated country end products unless the Contracting Officer determines that there are no offers for such products or that the offers for such products are insufficient to fulfill the requirements of the solicitation.

(h) Certification Regarding Responsibility Matters (Executive Order 12689). (Applies only if the contract value is expected to exceed the simplified acquisition threshold.) The offeror certifies, to the best of its knowledge and belief, that the offeror and/or any of its principals--

(1) ( ) Are, ( ) are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency; and

(2) ( ) Have, ( ) have not, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: Commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or Commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property; and

(3) ( ) Are, ( ) are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission…